Azacitidine
is believed to apply its antineoplastic furnishings by causing hypomethylation
of DNA and absolute cytotoxicity on aberrant hematopoietic beef in the
cartilage marrow. The absorption of azacitidine appropriate for best inhibition
of DNA methylation in vitro does not could could cause above abolishment of DNA
synthesis. Hypomethylation may restore accustomed action to genes that are
analytical for adverse and proliferation. The cytotoxic furnishings of
azacitidine could could cause the afterlife of rapidly adding cells, including
blight beef that are no best acknowledging to accustomed advance ascendancy
mechanisms. Non-proliferating beef are almost aloof to azacitidine. Upon uptake
into cells, azacitidine is phosphorylated to 5-azacytidine monophosphate by
uridine-cytidine kinase, again to diphosphate by pyrimidine monophosphate
kinases and triphosphate by diphosphate kinases. 5-Azacitidine triphosphate is
congenital into RNA, arch to the disruption of nuclear and cytoplasmic RNA
metabolism and inhibition of protein synthesis. 5-Azacytidine diphosphate is
bargain to 5-aza-deoxycytidine diphosphate by ribonucleotide reductase. The
resultant metabolite is phosphorylated to 5-azadeoxycitidine triphosphate by
nucleoside diphosphate kinases. 5-azadeoxycitidine triphosphate is again incoporated
into DNA, arch to inhibition of DNA synthesis. Azacitidine is a lot of baneful
during the S-phase of the corpuscle cycle.
Azacitidine
is a actinic alternation of the cytosine nucleoside used in DNA and RNA.
Azacitidine is anticipation to abet antineoplastic action via two mechanisms;
inhibition of DNA methyltransferase at low doses, causing hypomethylation of
DNA, and absolute cytotoxicity in aberrant hematopoietic beef in the cartilage
bottom through its assimilation into DNA and RNA at top doses, consistent in
corpuscle death. As azacitidine is a ribonucleoside, it incoporates into RNA to
a beyond admeasurement than into DNA. The assimilation into RNA leads to the
dissembly of polyribosomes, abnormal methylation and acceptor action of
alteration RNA, and inhibition of the assembly of protein. Its assimilation
into DNA leads to a covalent bounden with DNA methyltransferases, which
prevents DNA amalgam and consecutive cytotoxicity.
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