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Fluoropyrimidine response

MedGen UID:
776457
Concept ID:
CN184090
Sign or Symptom
Drug:
Fluoropyrimidine
MedGen UID:
452644
Concept ID:
C0596581
Pharmacologic Substance
An antimetabolite fluoropyrimidine analog of the nucleoside pyrimidine with antineoplastic activity. Fluorouracil and its metabolites possess a number of different mechanisms of action. In vivo, fluoruracil is converted to the active metabolite 5-fluoroxyuridine monophosphate (F-UMP); replacing uracil, F-UMP incorporates into RNA and inhibits RNA processing, thereby inhibiting cell growth. Another active metabolite, 5-5-fluoro-2''-deoxyuridine-5''-O-monophosphate (F-dUMP), inhibits thymidylate synthase, resulting in the depletion of thymidine triphosphate (TTP), one of the four nucleotide triphosphates used in the in vivo synthesis of DNA. Other fluorouracil metabolites incorporate into both RNA and DNA; incorporation into RNA results in major effects on both RNA processing and functions. [from NCI]
 
Gene (location): DPYD (1p21.3)

Professional guidelines

PubMed

Lyon AR, López-Fernández T, Couch LS, Asteggiano R, Aznar MC, Bergler-Klein J, Boriani G, Cardinale D, Cordoba R, Cosyns B, Cutter DJ, de Azambuja E, de Boer RA, Dent SF, Farmakis D, Gevaert SA, Gorog DA, Herrmann J, Lenihan D, Moslehi J, Moura B, Salinger SS, Stephens R, Suter TM, Szmit S, Tamargo J, Thavendiranathan P, Tocchetti CG, van der Meer P, van der Pal HJH; ESC Scientific Document Group
Eur Heart J 2022 Nov 1;43(41):4229-4361. doi: 10.1093/eurheartj/ehac244. PMID: 36017568
Marcus L, Lemery SJ, Keegan P, Pazdur R
Clin Cancer Res 2019 Jul 1;25(13):3753-3758. Epub 2019 Feb 20 doi: 10.1158/1078-0432.CCR-18-4070. PMID: 30787022
Amstutz U, Henricks LM, Offer SM, Barbarino J, Schellens JHM, Swen JJ, Klein TE, McLeod HL, Caudle KE, Diasio RB, Schwab M
Clin Pharmacol Ther 2018 Feb;103(2):210-216. Epub 2017 Nov 20 doi: 10.1002/cpt.911. PMID: 29152729Free PMC Article

Recent clinical studies

Therapy

Ragia G, Biziota E, Koukaki T, Amarantidis K, Manolopoulos VG
Pharmacogenomics 2024 Jan;25(2):59-67. Epub 2024 Feb 14 doi: 10.2217/pgs-2023-0223. PMID: 38353109
Ioannou C, Ragia G, Balgkouranidou I, Xenidis N, Amarantidis K, Koukaki T, Biziota E, Kakolyris S, Manolopoulos VG
Drug Metab Pers Ther 2022 Sep 1;37(3):323-327. Epub 2022 Mar 11 doi: 10.1515/dmpt-2021-0219. PMID: 35272420
Leichman CG, Benedetti JK, Zalupski MM, Hochster H, Shields AF, Lenz HJ, Wade Iii JL, Bearden Iii JD, Macdonald JS
Clin Colorectal Cancer 2005 Jul;5(2):119-23. doi: 10.3816/ccc.2005.n.024. PMID: 16098253

Prognosis

Ragia G, Biziota E, Koukaki T, Amarantidis K, Manolopoulos VG
Pharmacogenomics 2024 Jan;25(2):59-67. Epub 2024 Feb 14 doi: 10.2217/pgs-2023-0223. PMID: 38353109
Boni V, Bitarte N, Cristobal I, Zarate R, Rodriguez J, Maiello E, Garcia-Foncillas J, Bandres E
Mol Cancer Ther 2010 Aug;9(8):2265-75. Epub 2010 Jul 20 doi: 10.1158/1535-7163.MCT-10-0061. PMID: 20647341
Leichman CG, Benedetti JK, Zalupski MM, Hochster H, Shields AF, Lenz HJ, Wade Iii JL, Bearden Iii JD, Macdonald JS
Clin Colorectal Cancer 2005 Jul;5(2):119-23. doi: 10.3816/ccc.2005.n.024. PMID: 16098253

Clinical prediction guides

Ragia G, Biziota E, Koukaki T, Amarantidis K, Manolopoulos VG
Pharmacogenomics 2024 Jan;25(2):59-67. Epub 2024 Feb 14 doi: 10.2217/pgs-2023-0223. PMID: 38353109
Boni V, Bitarte N, Cristobal I, Zarate R, Rodriguez J, Maiello E, Garcia-Foncillas J, Bandres E
Mol Cancer Ther 2010 Aug;9(8):2265-75. Epub 2010 Jul 20 doi: 10.1158/1535-7163.MCT-10-0061. PMID: 20647341
Leichman CG, Benedetti JK, Zalupski MM, Hochster H, Shields AF, Lenz HJ, Wade Iii JL, Bearden Iii JD, Macdonald JS
Clin Colorectal Cancer 2005 Jul;5(2):119-23. doi: 10.3816/ccc.2005.n.024. PMID: 16098253

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