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Advantages And Disadvantages Of Fluorouracil

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5-fluorouracil (5-FU) is a pyrimidine antagonist which belongs to the group of antimetabolite anticancer drugs. It is an analogue of uracil with a fluorine atom at the C-5 position in place of hydrogen. It enters the cell rapidly using the same facilitated transport mechanism as uracil. They show pharmacodynamics pathway by incorporation of drug metabolites in DNA or RNA or through inhibition of proteins involved in nucleotide metabolism. It also acts by inhibiting thymidylate synthase (TYMS). The fluoropyrimidines are broken down into three active metabolites that contain pharmacodynamic effects; which are fluorodeoxyuridine monophosphate (FdUMP), fluoro-deoxyuridine triphosphate (FdUTP) and fluorouridine triphosphate (FUTP) that act through …show more content…

This conversion is important for pyrimidine and DNA synthesis and it blocks the simultaneous conversion of 5, 10-methylene tetrahydrofolate (CH2-THF) to dihydrofolate. Dihydrofolate is important in the folate pathway as it recycles methyl groups and synthesizes methionine. The inhibition of TYMS leads to an imbalance of dUTP and deoxythymidine triphosphate (dTTP) and cause a rise in the misincorporation of dUTP into DNA. These imbalances will severely disrupt DNA repair and synthesis, causing lethal DNA damage, where the extent of damage depends on the level of …show more content…

DPYD is an enzyme our bodies make that helps us process chemotherapy drug for example tymine and uracil, which make up part of the structure of our gene. Human DPYD gene is located on chromosome 1p22, encompassing 23 exons and spanning approximately 843kb. The genetic polymorphism in the DPYD gene will contribute to the decrease level and activation of DPD enzyme. This condition will lead to reduce in clearance of 5-FU which then contribute to increased toxicity of 5-fluorouracil in colorectal cancer patients. The adverse drugs events that may happen related to 5-FU toxicities such as diarrhea, neurotoxicity and

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