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CANCER
Presented By
Grandhi Sandeep Ganesh
Dept. of Pharmacology
STRUCTURE OF DNA
TYPES OF GENES AND ASSOCIATED CANCERS
TYPES OF MUTATIONS
TUMOR DEVELOPMENT STAGES
Smoking Virus
UV
CAUSES FOR CANCER
ANGIOGENESIS AND METASTASIS
METASTASIS
ANGIOGENESIS
HOW IMMUNE SYSTEM ACTIVATES
T-Cell activation
T-Cell activation
ACTIVATION OF IMMUNE SYSTEM
TREATMENT FOR CANCER
TREATMENT
NON SELECTIVE SELECTIVE
Radio therapy
Chemotherapy
Immunotherapy
Non specific specific
BCG Vaccine
Cytokines
Adjuvants
• Monoclonal antibodies
• Bispecific antibodies
• Vaccines
• Checkpoint inhibitors
• Adoptive cell therapy
• Car-T cell therapy
• Tyrosine kinase inhibitors
• m-Tor kinase inhibitors
• Histone deacetylase
inhibitors
OTHERS
• Angiogenesis inhibitors
• Differentiating agents
• Surgery
• Hematopoietic stem cell
transplantation
Image Guided
Radiation Therapy
(IGRT)
Brachytherapy
3D-conformal
radiation therapy
Intensity
Modulated
Radiation Therapy
(IMRT)
External beam
raditation
Stereotactic
Body Radiation
Therapy (SBRT)
Stereotactic
Radio Surgery
(SRS)
Radiation therapy
CHEMOTHERAPY
drugs acting on cells
ALKYLATING AGENTS
Nitrogen mustards –
cyclophosphamide,ifosfamide,mechlorethamine ,
chlorambucil ,melphalan
Ethyl amines - thiotepa
Alkyl sulfonates - busulfan
Nirtosoureas - carmustine, lomustine
Triazene derivatives- procarbazine , decarbazine
ANTI METABOLITES
Folate antagonist – methotrexate , prometrexate
Purine antagonist – 6-mercaptopurine , azathioprine , 6-
thioguanine , fludarabine
Pyramidine antagonist – 5-fluorouracil ,
cytarabine,capcitabine, gemcitabin
PLANT DERIVATIVES
Vinca alkaloids – vincristine, vinblastine , vindolobin
Taxanes – paclitaxel , docetaxel
Epipodophyllotoxins – eteposide, teneposide
Camphothecian derivatives – topotecan , irinotecan
ANTI CANCER ANTIBIOTICS
Doxorubicin, danorubicin, mitomycin-c , bleomycin ,
dactinomycin, epirubicin ,idarubicin
OTHERS
Platinum derivatives – cis platin, carboplatin,
oxaliplatin
Enzymes- L-Asparginase
DRUGS ACTING ON HORMONE LEVELS
Glucocorticoids- prednisolone , dexamethasone
Oestrogen- ethinyl estradiol
Selective estrogens receptor modulators – tamoxifen , tormifen
Selective estrogen down regulators – fluvestrant
Aromatase inhibitors – letrazole, anestrazole, examestane
Anti androgens – flutamide , Biclutamide
5-alpha reductase inhibitors – Finasteride, dutasteride
GnRH analogues – nafarelin,triptorelin
Somatostatin analogues- octreotide, lanreotide
LHRH analogues – goserelin
Progestrone derivatives – hydroxy progesterone acetate , megestrol
CHEMOTHERAPY
CHEMOTHERAPY
IMMUNE THERAPY
Tyrosine kinase inhibitors – imatinib , erlotinib, nilotinib, sorafenib, sunitinib, dasatinib, lopatinib,
pazotinib,crizotinib , bosutinib,vemurafenib, ruxolitinib
M-Tor kinase inhibitors- temsirolimus, everolimus, rapamycin.
Histone deacetylase inhibitors – vorinostat
Monoclonal antibodies – rituximab, cituximab , bevacizumab,pertuzumab, trastuzumab,
obinutuzumab,panitumumab
Bispecific antibodies- blinatumomab, catumaxomab
Check point inhibitors -ipilimumab, nivolumab, pembrolizumab, tremelimumab, durvalumab,
avelumab,atezolizumab, lirilumab
Adaptive cell therapy
Tumor infiltrating lymphocytes
Engineered T-cells
Car-T cell therapy
TYROSINE KINASE INHIBITORS
MONOCLONAL ANTIBODIES
BISPECIFIC ANTIBODIES
CHECK POINT INHIBITORS
IMMUNE THERAPY
vaccines
Preventive Vaccines Therapeutic Vaccines
• Whole tumor cell vaccines
• Antigen specific vaccines
• Virus based vaccines
Others
• Surgery
• Hematopoietic stem cell
transplantation
• Angiogenesis inhibitors –
axitinib, lenvatinib, sunitinib,
lenalidomide, thalidomide,
bevacizumab, sorafenib,
vandetanib
Differentiating agents
• Interferon –INF alpha
• Butyrates – butyric acid
• Plant derivated alkaloids-
homoharring tonine
• ATRA- tretinoin, isotretinoin,
bexarotene
• Dendritic cell based vaccines
DIFFERENTIATION THERAPY
NEWLY APPROVED DRUGS
Monoclonal antibodies
• Ramucirumab
• Dinutuximab
• Daratumumab
• Elotuzumab
• Necitumumab
• Elotuzumab
• Necitumimab
• Lipilinumab
• Pembrolizumab
• Cepiplimab
Tyrosine kinase inhibitors
• Entrectinib
• Olaparib
• Ivosidenib
• Giltertinib
• Lorlatinib
• Docamitinib
• Dabrafenib
• Trametinib
Vomitings
,nausea
Bone
marrow
suppression
diarrhoea
stomatitis
Loss of
appetite
Hypersensi
tivitiy
reactions
COMMON SIDE EFFECTS
Doxorubicin
• cardiotoxicity
Bleomycin
• Pulmonary
fibrosis
Taxanes
• Water
retention
(edema)
cyclophosphamide
• Bladder
toxicity
Prednisolone
• cataract
• osteroporosis
Thalidomide
• Teratogenic
effects
Tyrosine kinase
inhibitors
• Muscle bone
and joint
deformities
Anti androgens
• Breast
tenderness
• Breast
enlargement
Platinum
derivatives
• nephrotoxicity
• ototoxicity
cyterabine
• Cerebellar
toxicity
ifosfamide
• encephalopathy
Vinca
• numbness
• Tingling of
hands and feet
SPECIFIC SIDE EFFECTS
Monoclonal antibodies
• Flu like signs and symptoms- chills ,fever
• Hypersenstivity
• Low blood pressure
Thank you

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Cancer ppt

  • 1. CANCER Presented By Grandhi Sandeep Ganesh Dept. of Pharmacology
  • 3. TYPES OF GENES AND ASSOCIATED CANCERS
  • 10. HOW IMMUNE SYSTEM ACTIVATES
  • 14. TREATMENT FOR CANCER TREATMENT NON SELECTIVE SELECTIVE Radio therapy Chemotherapy Immunotherapy Non specific specific BCG Vaccine Cytokines Adjuvants • Monoclonal antibodies • Bispecific antibodies • Vaccines • Checkpoint inhibitors • Adoptive cell therapy • Car-T cell therapy • Tyrosine kinase inhibitors • m-Tor kinase inhibitors • Histone deacetylase inhibitors OTHERS • Angiogenesis inhibitors • Differentiating agents • Surgery • Hematopoietic stem cell transplantation
  • 15. Image Guided Radiation Therapy (IGRT) Brachytherapy 3D-conformal radiation therapy Intensity Modulated Radiation Therapy (IMRT) External beam raditation Stereotactic Body Radiation Therapy (SBRT) Stereotactic Radio Surgery (SRS) Radiation therapy
  • 16. CHEMOTHERAPY drugs acting on cells ALKYLATING AGENTS Nitrogen mustards – cyclophosphamide,ifosfamide,mechlorethamine , chlorambucil ,melphalan Ethyl amines - thiotepa Alkyl sulfonates - busulfan Nirtosoureas - carmustine, lomustine Triazene derivatives- procarbazine , decarbazine ANTI METABOLITES Folate antagonist – methotrexate , prometrexate Purine antagonist – 6-mercaptopurine , azathioprine , 6- thioguanine , fludarabine Pyramidine antagonist – 5-fluorouracil , cytarabine,capcitabine, gemcitabin PLANT DERIVATIVES Vinca alkaloids – vincristine, vinblastine , vindolobin Taxanes – paclitaxel , docetaxel Epipodophyllotoxins – eteposide, teneposide Camphothecian derivatives – topotecan , irinotecan ANTI CANCER ANTIBIOTICS Doxorubicin, danorubicin, mitomycin-c , bleomycin , dactinomycin, epirubicin ,idarubicin OTHERS Platinum derivatives – cis platin, carboplatin, oxaliplatin Enzymes- L-Asparginase
  • 17. DRUGS ACTING ON HORMONE LEVELS Glucocorticoids- prednisolone , dexamethasone Oestrogen- ethinyl estradiol Selective estrogens receptor modulators – tamoxifen , tormifen Selective estrogen down regulators – fluvestrant Aromatase inhibitors – letrazole, anestrazole, examestane Anti androgens – flutamide , Biclutamide 5-alpha reductase inhibitors – Finasteride, dutasteride GnRH analogues – nafarelin,triptorelin Somatostatin analogues- octreotide, lanreotide LHRH analogues – goserelin Progestrone derivatives – hydroxy progesterone acetate , megestrol CHEMOTHERAPY
  • 19. IMMUNE THERAPY Tyrosine kinase inhibitors – imatinib , erlotinib, nilotinib, sorafenib, sunitinib, dasatinib, lopatinib, pazotinib,crizotinib , bosutinib,vemurafenib, ruxolitinib M-Tor kinase inhibitors- temsirolimus, everolimus, rapamycin. Histone deacetylase inhibitors – vorinostat Monoclonal antibodies – rituximab, cituximab , bevacizumab,pertuzumab, trastuzumab, obinutuzumab,panitumumab Bispecific antibodies- blinatumomab, catumaxomab Check point inhibitors -ipilimumab, nivolumab, pembrolizumab, tremelimumab, durvalumab, avelumab,atezolizumab, lirilumab Adaptive cell therapy Tumor infiltrating lymphocytes Engineered T-cells Car-T cell therapy
  • 23. IMMUNE THERAPY vaccines Preventive Vaccines Therapeutic Vaccines • Whole tumor cell vaccines • Antigen specific vaccines • Virus based vaccines Others • Surgery • Hematopoietic stem cell transplantation • Angiogenesis inhibitors – axitinib, lenvatinib, sunitinib, lenalidomide, thalidomide, bevacizumab, sorafenib, vandetanib Differentiating agents • Interferon –INF alpha • Butyrates – butyric acid • Plant derivated alkaloids- homoharring tonine • ATRA- tretinoin, isotretinoin, bexarotene • Dendritic cell based vaccines
  • 24.
  • 26. NEWLY APPROVED DRUGS Monoclonal antibodies • Ramucirumab • Dinutuximab • Daratumumab • Elotuzumab • Necitumumab • Elotuzumab • Necitumimab • Lipilinumab • Pembrolizumab • Cepiplimab Tyrosine kinase inhibitors • Entrectinib • Olaparib • Ivosidenib • Giltertinib • Lorlatinib • Docamitinib • Dabrafenib • Trametinib
  • 28. Doxorubicin • cardiotoxicity Bleomycin • Pulmonary fibrosis Taxanes • Water retention (edema) cyclophosphamide • Bladder toxicity Prednisolone • cataract • osteroporosis Thalidomide • Teratogenic effects Tyrosine kinase inhibitors • Muscle bone and joint deformities Anti androgens • Breast tenderness • Breast enlargement Platinum derivatives • nephrotoxicity • ototoxicity cyterabine • Cerebellar toxicity ifosfamide • encephalopathy Vinca • numbness • Tingling of hands and feet SPECIFIC SIDE EFFECTS Monoclonal antibodies • Flu like signs and symptoms- chills ,fever • Hypersenstivity • Low blood pressure