Anti-Neoplastics

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Anti-Neoplastics by Mind Map: Anti-Neoplastics

1. Microtubule Inhibitors

1.1. Vinca Alkaloids

1.1.1. Vinblastine

1.1.2. Vincristine

1.1.3. Vinorelbine (semi-synthetic)

2. Microtubule Promoters

2.1. Taxanes

2.1.1. Paclitaxel

2.1.2. Docetaxel

3. TOPO Poisons

3.1. Topo I Poisons

3.1.1. Epipodophyllotoxins

3.1.1.1. Etoposide

3.1.1.2. Teniposide

3.2. Topo II Poisons

3.2.1. Camptothecins

3.2.1.1. Topotecan

3.2.1.2. Irinotecan (PGx-UGTA1)

3.2.2. Anthracyclines

3.2.2.1. Doxorubicin

3.2.2.2. Danorubicin

3.2.2.3. Idarubicin

3.2.2.4. Epirubicin

4. Differentiating Agents

4.1. Tretinoin

4.1.1. increase differentiation of immature RBCs to functional ones

4.2. Arsenic trioxide

4.2.1. increase differentiation of immature RBCs to functional ones

5. RTK Inhibitors

5.1. Block GF Binding

5.1.1. Cetuximab

5.1.1.1. Works against EGFR

5.2. Inhibit RTK signaling

5.2.1. EGFR targets

5.2.1.1. Gefitinib (PGx)

5.2.1.2. Erlotinib (PGx)

5.2.2. BCR-ABL targets

5.2.2.1. Imatinib

5.2.2.2. Ponatinib

5.2.3. VEGF Inhibitors

5.2.3.1. Aflibercept

5.2.4. GPCR Inhibitors

5.2.4.1. Sonidegib (SMO - Hedgehog)

5.2.5. MAPK Inhibitors

5.2.5.1. Dabrafenib (BRAF)

5.2.5.2. Trametinib (MEK)

6. Anti-Estrogens

6.1. SERM

6.1.1. Tamoxifen

6.1.2. Toremifene

6.2. SERD

6.2.1. Fulvestrant

6.3. Aromatase Inhibitors

6.3.1. Type I

6.3.1.1. Exemestant

6.3.2. Type II

6.3.2.1. Anastrozole

6.3.2.2. Letrozole

7. Direct DNA Disruptors

7.1. Alkylating Agents

7.1.1. Cyclophosphamide (cross-linking)

7.1.2. Procarbazine (06-methylation)

7.2. Platinum Analogs

7.2.1. Cisplatin (intrastrand cross-linking)

7.3. DNA Strand Breakers

7.3.1. Mitoxantrone

7.3.2. Mitomycin C

7.4. DNA Cross-linking

7.4.1. Bleomycin

8. Indirect DNA Disruptors

8.1. Folate Analogs

8.1.1. Methotrexate (DHFR inhibition)

8.1.2. Pemetrexed (thymidylate synthase)

8.2. Pyrimidine Analogs

8.2.1. Fluoropyrimidines (thymidylate synthase & dTMP)

8.2.1.1. 5-FU (PGx-DPD)

8.2.1.2. Capecitabine (PGx-DPD)

8.2.2. Deoxycytidine (inhibit DNA elongation)

8.2.2.1. Cytarabine

8.2.2.2. Gemcitabine

8.3. Purine Analogs

8.3.1. Thipurines (inhibit nucleotide synthesis)

8.3.1.1. Mercaptopurine (PGx-TPMT)

8.3.1.2. Thioguanine (PGx-TPMT)

8.3.2. Adenosine Analogs (inhibit DNA elongation)

8.3.2.1. Fludrabine

8.3.2.2. Cladribine

8.3.2.3. Clofarabine

9. Miscellaneous DNA Disruptors

9.1. Asparaginase

9.1.1. hydrolyzes L-asparagine to acetic acid and ammonia to decrease asparagine levels in dependent cells

9.2. Pentostatin

9.2.1. inhibits adenosine deaminase to decrease DNA synthesis

9.3. Hydroxyurea

9.3.1. directly inhibits ribonucletoide reductase to decrease DNA synthesis

10. Miscellaneous Agents

10.1. Proteasome Inhibitors

10.1.1. Bortezomib

10.2. Biologic Response Modifiers

10.2.1. IF-a

10.2.1.1. increase T-cell response

10.2.2. IL-2

10.2.2.1. increase T-cell response

10.3. mAb Biologic Response Modifiers

10.3.1. Rituximab

10.3.1.1. 1. Promote immune response

10.3.1.2. 2. Prevent immune system downregulation

10.4. CTLA4 Inhibitors

10.4.1. Ipilimumab

10.4.1.1. 1. Increase T-cell activation

10.4.1.2. 2. Decrease checkpoint bypassing

10.5. PD-1 Inhibitors

10.5.1. Novilumab

10.5.1.1. 1. Increase T-cell activation

10.5.1.2. 2. Decrease checkpoint bypassing

10.6. PARP Inhibitors

10.6.1. Oliparib

10.6.1.1. Inhibits ss DNA break repair

10.7. CDK Inhibitors

10.7.1. Palbociclib

10.7.1.1. Inhibits cell cycle progression

10.8. HDAC Inhibitors

10.8.1. Panobinostat

10.8.1.1. Inhibits histone modifications

10.9. BCL-2 Inhibitors

10.9.1. Venetoclax

10.9.1.1. Induces apoptosis

11. Steroids

11.1. Dexemethasone

11.1.1. Cytotoxic

11.2. Prednisone

11.2.1. Cytotoxic

11.3. Medroxyprogesterone

11.3.1. Stimulate appetite

11.4. Megestrol aceteate

11.4.1. Stimulate appetite

12. Anti-Androgens

12.1. GnRH agonist

12.1.1. Leuprolid

12.2. GnRH antagonist

12.2.1. Degarelix

12.3. Androgen Receptor Inhibitor

12.3.1. Enzalutamide

12.4. Androgen Synthesis Inhibitor

12.4.1. Abiraterone