The antifolates

Hematol Oncol Clin North Am. 2012 Jun;26(3):629-48, ix. doi: 10.1016/j.hoc.2012.02.002.

Abstract

This article focuses on the cellular, biochemical, and molecular pharmacology of antifolates and how a basic understanding of the mechanism of action of methotrexate, its cytotoxic determinants, mechanisms of resistance, and transport into and out of cells has led to the development of a new generation of antifolates, a process that continues in the laboratory and in the clinics. New approaches to folate-based cancer chemotherapy are described based on the targeted delivery of drugs to malignant cells.

Publication types

  • Review

MeSH terms

  • Animals
  • Antimetabolites, Antineoplastic / chemistry
  • Antimetabolites, Antineoplastic / pharmacology
  • Antimetabolites, Antineoplastic / therapeutic use
  • Drug Resistance, Neoplasm
  • Folic Acid / biosynthesis
  • Folic Acid Antagonists / chemistry*
  • Folic Acid Antagonists / pharmacology*
  • Folic Acid Antagonists / therapeutic use
  • Humans
  • Methotrexate / chemistry
  • Methotrexate / pharmacology
  • Methotrexate / therapeutic use
  • Molecular Targeted Therapy
  • Neoplasms / drug therapy*
  • Neoplasms / metabolism

Substances

  • Antimetabolites, Antineoplastic
  • Folic Acid Antagonists
  • Folic Acid
  • Methotrexate