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Pathway Description
Carmustine Action Pathway (New)
Homo sapiens
Category:
Metabolite Pathway
Sub-Category:
Drug Action
Created: 2023-08-01
Last Updated: 2023-11-27
Carmustine is an antineoplastic agent from the alkylating category, It is indicated in the palliative treatment of various cancers like brain tumors, multiple myeloma, Hodgkin's disease, and Non-Hodgkin's lymphomas. This drug causes cross-links in DNA and RNA. This results in the inhibition of DNA and RNA synthesis and protein synthesis. Furthermore, carmustine also binds and carbamoylates the mitochondrial glutathione reductase. This enzyme is important to regulate the cellular redox state. Therefore, the enzyme protects the cell against lipid peroxides, reactive oxygen, and nitrogen species, and xenobiotics (inhibition of ferroptosis). This drug induces apoptosis of cancerous cell in a cell-cycle nonspecific phase manner. This drug is administered as an intravenous or intracavitary injection.
References
Carmustine Pathway (New) References
Wishart DS, Feunang YD, Guo AC, Lo EJ, Marcu A, Grant JR, Sajed T, Johnson D, Li C, Sayeeda Z, Assempour N, Iynkkaran I, Liu Y, Maciejewski A, Gale N, Wilson A, Chin L, Cummings R, Le D, Pon A, Knox C, Wilson M: DrugBank 5.0: a major update to the DrugBank database for 2018. Nucleic Acids Res. 2018 Jan 4;46(D1):D1074-D1082. doi: 10.1093/nar/gkx1037.
Pubmed: 29126136
Drablos F, Feyzi E, Aas PA, Vaagbo CB, Kavli B, Bratlie MS, Pena-Diaz J, Otterlei M, Slupphaug G, Krokan HE: Alkylation damage in DNA and RNA--repair mechanisms and medical significance. DNA Repair (Amst). 2004 Nov 2;3(11):1389-407. doi: 10.1016/j.dnarep.2004.05.004.
Pubmed: 15380096
Doroshenko N, Doroshenko P: The glutathione reductase inhibitor carmustine induces an influx of Ca2+ in PC12 cells. Eur J Pharmacol. 2004 Aug 16;497(1):17-24. doi: 10.1016/j.ejphar.2004.06.043.
Pubmed: 15321730
Avendaño, C. (2015). DNA Alkylating Agents. In Elsevier eBooks (pp. 197–241).
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