WebMethotrexate is a folate antagonist.2 Tetrahydrofolate is the active form of folic acid required for purine and thymidylate synthesis. Folic acid is reduced to tetrahydrofolate by dihydrofolate reductase (DHFR). ... (DAMPA) 8. Excretion primarily renal via glomerular filtration and active tubular secretion urine 80-90% . Methotrexate WebDec 1, 2024 · High-dose methotrexate (HDMTX) therapy is a key component of many chemotherapy protocols. However, some patients develop HDMTX-induced nephrotoxicity. Carboxypeptidase-G2 (CPDG2) hydrolyses MTX into 2,4-diamino-N10-methylpteroic acid (DAMPA) and glutamic acid, and is used as a rescue agent in patients with …
Chemical structures of DHF, methotrexate, …
WebDec 21, 2024 · He was given glucarpidase to convert extracellular methotrexate into its inactive metabolites, glutamate and DAMPA (4-deoxy-4-amino-N 10-methylpteroic acid) … WebJun 3, 2013 · “The half-life of DAMPA is 9 hours, so for 48 hours after the administration of glucarpidase, immunoassays are not reliable measures of methotrexate plasma … chrome pc antigo
Preventing and Managing Toxicities of High-Dose Methotrexate
Weband DAMPA (4-deoxy-4-amino-10-methylpteroic acid) at 52 hours post-HDMTX. Cross-reactivity between commercial N methotrexate immunoassays with DAMPA led to falsely elevated methotrexate concentrations for much longer than expected based on the current guideline (5 days instead of <48 hours). This required ongoing monitoring of methotrexate http://www.bccancer.bc.ca/drug-database-site/Drug%20Index/Methotrexate_monograph.pdf WebMethotrexate metabolite (DAMPA), the active metabolite of Methotrexate. Methotrexate is a folic acid antagonist that is widely used as an immunosuppressant and chemotherapeutic agent. - Mechanism of … chrome pdf 转 图片