Showing posts with label 5-FU. Show all posts
Showing posts with label 5-FU. Show all posts

Saturday, September 7, 2019

Chemotherapy and Its Side Effects: Chapter 2 - Monoclonal antibodies (Cont'd)

G.2. Bevacizumab (Avastin)

 

Angiogenesis is a normal physiological process related to the growth of new blood vessels from pre-existing vessels. Angiogenesis can be stimulated as a result of tumor growth. Therefore, modulating the abnormally high angiogenesis has become a strategy for anticancer research after Judah Folkman proposed the theory in 1971.


Bevacizumab is the first approved angiogenesis inhibitor in the U.S. It is a humanized monoclonal antibody that works by blocking vascular endothelial growth factor A (VEGF-A).

Bevacizumab, in combination with intravenous 5-FU–based chemotherapy, was approved by the FDA for first- or second-line treatment of patients with metastatic colorectal cancer in 2004. It was subsequently approved for lung cancer (2006) and breast cancer (2008).

Major side effects of bevacizumab includes hypertension, surgery wound healing problem, higher risk of bleeding, thrombocytopenia, gastrointestinal perforation, and nasal septum perforation. Other common side effects include lower white blood cell (WBC) count, vomiting, constipation, diarrhea, and hair loss.


© Jiajiu Shaw, 2019

Disclaimer: This blog is written solely for informational purposes. It does not constitute the practice of any medical, nursing or other medical professional health care advice, diagnosis, or treatment. All contents posted are extracted from the book, "SIDE EFFECTS OF CHEMOTHERAPY AND RADIOTHERAPY", prepared by Dr. Jiajiu Shaw, Dr. Frederick Valeriote, and Dr. Ben Chen.

Saturday, September 22, 2018

Chemotherapy and Its Side Effects: Chapter 2 - Antimetabolites (Cont'd)

B.2. Fluorouracil (5-Fluorouracil or 5-FU)

Fluorouracil (Fig. 1.7) is sold under different trade names such as Adrucil and Efudex.  It is classified as an antimetabolite and has been used for treating cancer for many years. Due to its similarity to thymine, 5-FU interrupts the synthesis of thymidine, one of the building blocks of DNA. As a result, DNA replication is interrupted and the growth of cancer cells is hampered.
Fig. 1.7   5-FU (left), thymine, and thymidine (right)

Fluorouracil has been used mainly in treating colon cancer and has been used in combination with other drugs, including leucovorin, carboplatin, and paclitaxel.  It has also been used in other solid tumors including pancreatic cancer and breast cancer. Side effects of fluorouracil include myelosuppression, dermatitis, and mucositis.

© Jiajiu Shaw, 2018

Disclaimer: This blog is written solely for informational purposes. It does not constitute the practice of any medical, nursing or other medical professional health care advice, diagnosis, or treatment. All contents posted are extracted from the book, "SIDE EFFECTS OF CHEMOTHERAPY AND RADIOTHERAPY", prepared by Dr. Jiajiu Shaw, Dr. Frederick Valeriote, and Dr. Ben Chen.