ribonucleotide reductase (RNR) inhibitor; DNA synthesis inhibitor
Form:
HCl salt
REVIEW Gemcitabine inhibits thymidylate synthetase, leading to inhibition of DNA synthesis and cell death. Gemcitabine is a prodrug so activity occurs as a result of intracellular conversion to two active metabolites, gemcitabine diphosphate and gemcitabine triphosphate by deoxycitidine kinase. Gemcitabine diphosphate also inhibits ribonucleotide reductase, the enzyme responsible for catalyzing synthesis of deoxynucleoside triphosphates required for DNA synthesis. Finally, Gemcitabine triphosphate (diflurorodeoxycytidine triphosphate) competes with endogenous deoxynucleoside triphosphates for incorporation into DNA.
REFERENCES
[1]
N. M. F. S. A. Cerqueira, P. A. Fernandes, M. J. Ramos (2007). Understanding ribonucleotide reductase inactivation by gemcitabine. Chemistry: A European Journal 13 (30): 8507-15. doi:10.1002/chem.200700260. PMID 17636467.
[2]
'Chu E., DeVita V. T., Physicians'' Cancer Chemotherapy Drug Manual, 2007, Jones & Bartlett, 2007.'
[3]
Oettle H, Post S, Neuhaus P, et al. (January 2007). Adjuvant chemotherapy with gemcitabine vs observation in patients undergoing curative-intent resection of pancreatic cancer: a randomized controlled trial. JAMA 297 (3): 267-77. doi:10.1001/jama.297.3.267. PMID 17227978.
[4]
Von Der Maase, H; Hansen, SW; Roberts, JT; Dogliotti, L; Oliver, T; Moore, MJ; Bodrogi, I; Albers, P et al. (2000). Gemcitabine and cisplatin versus methotrexate, vinblastine, doxorubicin, and cisplatin in advanced or metastatic bladder cancer: results of a large, randomized, multinational, multicenter, phase III study.. J Clin Oncol 18 (17): 3068. PMID 11001674.
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