Everything about Cytosine Arabinoside totally explained
Cytarabine, or
cytosine arabinoside, is a
chemotherapy agent used mainly in the treatment of
hematological malignancies such as
leukemia and
non-Hodgkin lymphoma. It is also known as
ara C.
History
Cytarabine was discovered in Europe in the 1960s. It was approved by the
United States Food and Drug Administration in June 1969, and was initially marketed in the US by
Upjohn under the
trade name Cytosar-U.
Mechanism
Cytosine arabinoside is an
antimetabolic agent with the chemical name of
1β-arabinofuranosylcytosine. Its mode of action is due to its rapid conversion into
cytosine arabinoside triphosphosphate, which damages
DNA when the
cell cycle holds in the
S phase (synthesis of DNA). Rapidly dividing cells, which require DNA replication for
mitosis, are therefore most affected. Cytosine arabinoside also inhibits both
DNA and
RNA polymerases and
nucleotide reductase enzymes needed for DNA synthesis. Cytarabine is rapidly deaminated in the body into the inactive
uracil derivative and therefore is often given by continuous intravenous infusion.
Clinical uses
Cytarabine is mainly used in the treatment of
acute myeloid leukemia, where it's the backbone of induction chemotherapy, and in
lymphomas. Cytarabine also possesses
antiviral activity, and it has been used for the treatment of generalised
herpesvirus infection. However, cytarabine isn't very selective in this setting and causes
bone marrow suppression and other severe side effects, so it's used mainly for the chemotherapy of hematologic cancers.
One of the unique toxicities of cytarabine is
cerebellar toxicity when given in high doses.
Toxicity: Leukopenia, Thrombocytopenia, anemia, GI disturbances, stomatitis, conjunctivitis, pneumonitis, fever, and dermatitis.
Cytarabine is also used in the study of the
nervous system to control the proliferation of
glial cells in cultures, the amount of glial cells having an important impact on
neurons.
Brand names
- Cytosar-U
- Tarabine PFS
- Depocyt (longer-lasting liposomal formulation)
Further Information
Get more info on 'Cytosine Arabinoside'.
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