Pharmacy: 5-Fluorouracil Overview
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Questions and Answers

What is the primary mechanism of action for 5-Fluorouracil (5-FU) in cancer treatment?

  • Inhibition of thymidylate synthase (TS) (correct)
  • Interference with microtubule formation
  • Direct alkylation of DNA
  • Inhibition of topoisomerase
  • Besides inhibiting TS, through which other mechanism does 5-FU exert its anticancer effects?

  • Activation of apoptosis pathways
  • Interference with protein synthesis
  • Direct inhibition of DNA replication
  • Incorporation of its metabolites into RNA and DNA (correct)
  • Which of the following is a key active metabolite of 5-Fluorouracil (5-FU)?

  • Fluorouracil diphosphate (FdUDP)
  • Fluorouracil cytidine (FdC)
  • Fluoro-deoxyuridine monophosphate (FdUMP) (correct)
  • Fluorouracil triphosphate (FdUTP)
  • Where does the extensive metabolism of 5-FU primarily occur in the body?

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

    What is the mechanism by which capecitabine, a prodrug of 5-FU, is activated?

    <p>Activated by a cascade of three enzymes into 5-FU (A)</p> Signup and view all the answers

    Study Notes

    5-Fluorouracil (5-FU)

    • Widely used, particularly for colorectal cancer
    • 5-FU inhibits thymidylate synthase (TS)
    • 5-FU incorporates its metabolites into RNA and DNA
    • 5-FU is converted to active metabolites, including Fluoro-deoxyuridine monophosphate (FdUMP)
    • 5-FU is extensively metabolised in the gut and liver
    • 5-FU prodrugs, like Capecitabine, are developed for oral administration
    • Capecitabine is activated by a cascade of 3 enzymes into 5-FU

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    Description

    This quiz covers the key aspects of 5-Fluorouracil (5-FU), a crucial chemotherapy drug used primarily for colorectal cancer. Explore its mechanism of action, metabolism, and the development of oral prodrugs like Capecitabine. Test your knowledge on how 5-FU and its metabolites function in cancer treatment.

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