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Cytarabine

Structure of Cytarabine

  • Cytarabine, also known as Ara-C, is a pyrimidine analog with the following structural features:

  • Cytosine Base: Similar to the natural nucleobase cytosine.

  • Ribose Sugar: Modified with an arabinose moiety.

  • Chemical Formula: C₄H₇N₃O₅

Mode of Action

  • Cytarabine functions as an antimetabolite by:

  • Inhibition of DNA Polymerase: Incorporates into DNA, causing chain termination.

  • Inhibition of DNA Synthesis: Disrupts DNA replication and repair.

  • Induction of Apoptosis: Causes cytotoxicity in rapidly dividing cells, particularly in leukemic cells.

Uses

  1. Acute Myeloid Leukemia (AML): As a cornerstone of induction and consolidation therapy.

  2. Acute Lymphoblastic Leukemia (ALL): In combination with other chemotherapeutic agents.

  3. Non-Hodgkin's Lymphoma: As part of multi-agent chemotherapy regimens.

  4. Hairy Cell Leukemia: In combination with other treatments.


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