Article
The effect of dihydropyrimidine dehydrogenase deficiency on outcomes with fluorouracil.
Adverse drug reactions and toxicological reviews - 1 Jan 2002
Gardiner Sharon J, Begg Evan J, Robinson Bridget A
Abstract excerpt
The use of fluorouracil has been complicated by unpredictable pharmacokinetics, low response rates and seemingly random toxicity. The variable pharmacology is largely due to inherited differences in expression of the metabolising enzyme dihydropyrimidine dehydrogenase (DPD). This converts fluorouracil to inactive metabolites (catabolic pathway) and ultimately dictates the amount of fluorouracil that is available...
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