Cyclophosphamide

Cyclophosphamide is a widely used alkylating anti-cancer drug that targets DNA to treat lymphomas, leukemias, and solid tumors.

Structure of Cyclophosphamide

  • Cyclophosphamide is a prodrug alkylating agent with a nitrogen mustard structure attached to a phosphoramide moiety.
  • Chemical Formula: C₈H₁₅Cl₂N₂O₂P

Structure of Cyclophosphamide

Mode of Action

  1. Prodrug Activation: Metabolized in the liver to form active metabolites (phosphoramide mustard and acrolein).
  2. DNA Alkylation: Phosphoramide mustard forms crosslinks with DNA, inhibiting replication and transcription.
  3. Cell Death: Induces apoptosis in rapidly dividing cancer cells.
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Uses

  • Lymphomas: Hodgkin’s and non-Hodgkin’s lymphoma.
  • Leukemias: Various forms.
  • Breast Cancer: As part of combination chemotherapy.
  • Ovarian Cancer: Treatment and prevention of recurrence.
  • Autoimmune Diseases: Such as rheumatoid arthritis and lupus (off-label uses).

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