Antimetabolites in Cancer Treatment
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Questions and Answers

How does pemetrexed differ from methotrexate in terms of mechanism of action?

  • Inhibits dihydrofolate reductase (DHFR) and replenishes the folate pool
  • Promotes the synthesis of tetrahydrofolic acid (FH4) and inhibits RNA synthesis
  • Inhibits DHFR and thymidylate synthase, as well as other enzymes involved in folate metabolism and DNA synthesis (correct)
  • Acts as an antagonist to folic acid and competes with purine nucleotide precursors
  • What is the primary mechanism of action of methotrexate?

  • Competing with purine nucleotide precursors in RNA synthesis
  • Inhibiting dihydrofolate reductase (DHFR) and interfering with DNA synthesis (correct)
  • Acting as an antagonist to folic acid and inhibiting thymidylate synthase
  • Promoting the synthesis of tetrahydrofolic acid (FH4)
  • Why is the maximal cytotoxic effect of antimetabolites observed in S phase of the cell cycle?

  • Because antimetabolites directly inhibit cell replication during this phase
  • Because cells are most actively synthesizing DNA during this phase (correct)
  • As S phase presents increased availability of purine and pyrimidine nucleotide precursors
  • Due to increased vulnerability of DNA to interference during this phase
  • How can the inhibition of dihydrofolate reductase (DHFR) by methotrexate be reversed?

    <p>By administration of leucovorin, which bypasses the blocked enzyme and replenishes the folate pool.</p> Signup and view all the answers

    What role does folic acid play in cellular processes?

    <p>Essential for metabolic reactions involving transfer of one-carbon units and for cell replication</p> Signup and view all the answers

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