Chemotherapy and Immunotherapy Drugs Primer
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Questions and Answers

What is the primary cause of cancer?

  • Mutations in somatic cells (correct)
  • Inherited genetic diseases
  • Accumulation of somatic and germline mutations
  • Mutations in germline cells

Which drug inhibits Thymidylate synthase, a key enzyme in DNA synthesis?

  • Bleomycin
  • Pertuzumab
  • Capecitabine (correct)
  • Gemcitabine

Why is cancer mainly a disease of the aged?

  • Genetic diseases affecting cell multiplication
  • Due to mutations in the VEGF gene
  • As a result of inherited germ-line mutations
  • Because aged individuals accumulate multiple mutations over time (correct)

Which drug targets EGFR, a protein involved in cell signaling?

<p>Cetuximab (C)</p> Signup and view all the answers

In cancer development, how many mutations are typically required for an individual cancer to arise?

<p>=3 (A)</p> Signup and view all the answers

Which drug works as a Dihydrofolate reductase inhibitor?

<p>Methotrexate (A)</p> Signup and view all the answers

What is the mechanism of action of Docetaxel and Paclitaxel?

<p>Antimetabolite activity (D)</p> Signup and view all the answers

"BRCA1" and "BRCA2" gene mutations are associated with an increased risk of which type of cancer?

<p><strong>Breast</strong> cancer (C)</p> Signup and view all the answers

What is the primary mechanism of action of topoisomerase I inhibitors?

<p>Inducing single-stranded DNA breaks (D)</p> Signup and view all the answers

How do topoisomerase II inhibitors, like anthracyclines, exert their effects on cancer cells?

<p>Inhibit DNA and RNA synthesis (D)</p> Signup and view all the answers

What is the role of topoisomerase II inhibitors after breaking the DNA chain?

<p>Block DNA transcription and replication (D)</p> Signup and view all the answers

Which enzyme converts Irinotecan to its active form, SN-38?

<p>Carboxylesterase-converting enzyme (CCE) (B)</p> Signup and view all the answers

What distinguishes Epirubicin from other anthracyclines in terms of its chemical structure?

<p>Has a different spatial orientation of the hydroxyl group at the 4' carbon of the sugar (C)</p> Signup and view all the answers

What happens when a DNA replication fork encounters a topotecan-stabilized cleavable complex?

<p>Lesions convert into lethal double-stranded DNA damage (C)</p> Signup and view all the answers

How do topoisomerase I inhibitors prevent DNA religation?

<p>Inducing single-stranded DNA breaks (A)</p> Signup and view all the answers

What is the key role of Topoisomerase I in DNA manipulation?

<p>Rotate freely around phosphodiester bonds to relieve torsional stress (D)</p> Signup and view all the answers

Which type of cancer is mentioned as one of the diseases that can regress with the use of Doxorubicin?

<p>Breast carcinoma (C)</p> Signup and view all the answers

What is the primary cause of the cardiotoxic effects induced by the administration of Doxorubicin?

<p>Alterations in myocardial structure and function (B)</p> Signup and view all the answers

Etoposide, a non-intercalating Topoisomerase II inhibitor, is a semisynthetic derivative of which compound?

<p>Podophyllotoxin (A)</p> Signup and view all the answers

Why are mitotic inhibitors like Vinca Alkaloids used in cancer treatment?

<p>To inhibit cancer cell division (C)</p> Signup and view all the answers

What is the primary function of Topoisomerase II?

<p>Induce DNA strand breaks (C)</p> Signup and view all the answers

Which cancer type is commonly treated with Etoposide in combination with other chemotherapeutic agents?

<p>Lung cancer (A)</p> Signup and view all the answers

What is the main characteristic that makes Doxorubicin an effective antitumor agent?

<p>Producing regressions in various types of cancer (D)</p> Signup and view all the answers

How do cancer cells differ from normal cells regarding sensitivity to mitotic inhibitors?

<p>Cancer cells are more sensitive due to faster cell division (C)</p> Signup and view all the answers

Which mechanism of action is shared by GnRH agonists and GnRH antagonist discussed in the text?

<p>Internalization of receptors (A)</p> Signup and view all the answers

Which medication works by inhibiting CYP17A1 to reduce the production of androgens?

<p>Abiraterone (C)</p> Signup and view all the answers

Among the nonsteroid antiandrogens discussed, which one acts as an antagonist of the androgen receptor?

<p>Nilutamide (D)</p> Signup and view all the answers

Which drug is a proteasome inhibitor approved by the U.S. FDA for treating relapsed multiple myeloma?

<p>Bortezomib (B)</p> Signup and view all the answers

What is the primary function of Herceptin in cancer treatment?

<p>Destroying target cancer cells by inducing apoptosis (D)</p> Signup and view all the answers

Which of the following drugs acts by blocking the androgen receptor?

<p>Bicalutamide (C)</p> Signup and view all the answers

In the treatment of HER2-positive metastatic breast cancer, when is Herceptin considered effective?

<p>Both before and after surgery (A)</p> Signup and view all the answers

Which class of drugs do Leuprolide, Goserelin, Triptorelin, and Histrelin belong to?

<p>GnRH agonists (B)</p> Signup and view all the answers

What type of antibody is Trastuzumab?

<p>Fully humanized mAb (D)</p> Signup and view all the answers

What is the mechanism of action of Trastuzumab Emtansine (Kadcyla)?

<p>It delivers a potent toxic drug to the cancer cells (A)</p> Signup and view all the answers

Which HER2 subdomain does Pertuzumab bind to?

<p>Subdomain II (C)</p> Signup and view all the answers

What is the main cause of limited activity of murine mAbs?

<p>Human anti-mouse antibody (HAMA) immune responses (A)</p> Signup and view all the answers

Which type of mAbs are created using the suffix '-ximab'?

<p>Human-mouse chimeric mAbs (B)</p> Signup and view all the answers

What is the main difference between Trastuzumab and Pertuzumab in terms of their mechanism of action?

<p>Trastuzumab binds to subdomain IV, while Pertuzumab binds to subdomain II (A)</p> Signup and view all the answers

What is the goal of creating humanized and human mAbs?

<p>To minimize the immunogenicity (A)</p> Signup and view all the answers

Which of the following mAbs is a human mAb?

<p>Ipilimumab (B)</p> Signup and view all the answers

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