Floxuridine

Floxuridine is an anti-neoplastic antimetabolite used mainly in colorectal cancer by inhibiting DNA synthesis in tumor cells.

Structure of Floxuridine

  • FUDR is a fluorinated pyrimidine analog with the following structural features:
  • Uracil Base: Similar to uracil.
  • Fluorine Atom: Substituted at the 5-position.
  • Ribose Sugar: Attached to the uracil base, forming a nucleoside.
  • Chemical Formula: C₆H₆FN₂O₆

structure of Floxuridine

Mode of Action

  • Floxuridine acts as an antimetabolite by:
  • Inhibition of Thymidylate Synthase: Prevents dTMP synthesis, essential for DNA replication.
  • Incorporation into DNA and RNA: Disrupts nucleic acid function and structure.
  • Induction of Apoptosis: Causes cytotoxicity in rapidly dividing cells.
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Uses

  • Metastatic Colorectal Cancer: Often administered via hepatic artery infusion.
  • Liver Metastases: Targeted therapy for liver tumors.
  • Pancreatic Cancer: As part of combination chemotherapy regimens.

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