Pyrimidine Analogs in Chemotherapy
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Questions and Answers

What is the primary mechanism by which 5-FU inhibits DNA synthesis?

  • By directly binding to DNA
  • By inhibiting the conversion of uracil to thymine
  • By inhibiting thymidylate synthase activity (correct)
  • By inhibiting RNA polymerase activity

What is the primary type of cancer that 5-FU is employed to treat?

  • Slow-growing solid tumors (correct)
  • Chronic myeloid leukemia
  • Hodgkin's lymphoma
  • Acute lymphoblastic leukemia

What is the result of 5-FU's inhibition of thymidylate synthase?

  • Increased production of thymidine
  • Decreased production of uracil
  • Increased production of cytosine
  • Deprivation of the cell of thymidine (correct)

What is the role of the fluorine atom in 5-FU?

<p>It interferes with the conversion of deoxyuridylic acid to thymidylic acid (A)</p> Signup and view all the answers

What is the purpose of capecitabine in the treatment of cancer?

<p>To inhibit DNA synthesis (A)</p> Signup and view all the answers

Which of the following pyrimidine inhibitors is an analog of 2′-deoxycytidine?

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

What is the primary mechanism of action of Ara-CTP in DNA synthesis?

<p>Inhibition of DNA polymerase (A)</p> Signup and view all the answers

Why is cytarabine not effective when given orally?

<p>It is broken down by cytidine deaminase in the intestinal mucosa and liver (A)</p> Signup and view all the answers

What is the primary clinical use of azacitidine?

<p>Myelodysplastic syndromes and AML (C)</p> Signup and view all the answers

What is the primary mechanism of action of gemcitabine?

<p>Inhibition of DNA polymerase (D)</p> Signup and view all the answers

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