| Carboplatin is a platinum organic compound.
Plain
carbolplain appears as white crystals or powder, but it is mixed
into a saline solution and administered through an intravenous
feed. The feed tube is called a cannula, and patients usually
receive the medicine over a 30 to 60 minute time period.
It is sold under brand names Paraplatin and Paraplat, among others.
The full chemical name is 1,1-cyclobutanedicarboxylatodiamineplatinum(II).
The molecular formula is C6H12N2O4Pt.
CAS No: 41575-94-4
EINECS No: 255-446-0
Packaged as paraplatin, it comes from the manufacturer as 10
mg/mL solution. (The solubility is only 14 mg/mL, so the clinical
product is close to saturated.) Vial sizes are 5 mL, 15 mL, 45
mL, and 60 mL. At the hospital, technicians and doctors sometimes
dilute the drug down to 0.5 mg/mL. Sugar (dextrose) and/or salt
(sodium chloride) are often added to the solution.
Other makers sell carboplatin as a powder, in prepackaged dosages
of 50 mg, 150 mg, and 450 mg.
Doctors use carboplatin for lung cancer, ovarian cancer, testicular
cancer, head cancer, brain tumors, bladder cancer, and retinoblastom.
The pharmacologic category is "antineoplastic agent"
or "alkylating agent".
The first alkylating agents were synthesized in 1854, but the
dramatic effect on human tissue was not known until sulfur mustard
was used as a weapon during World War I. Physicians caring for
victims of this gruesome chemical weapon identified some of its
widespread systemic effects. Between the two World Wars extensive
research was undertaken by Gilman and colleagues on nitrogen mustard
and similar compounds, specifically the ability of the alkylating
agents to kill cancerous cells. In the early 1960s mechlorethamine
ushered in the modern age of chemotherapeutic cancer treatment
as the first nitrogen mustard was introduced as an antineoplastic
agent.
In contrast to other cancer chemotherapeutic drugs, alkylating
agents are distinguished by their ability to bind with DNA and
disrupt cellular functions regardless of the stage in the cell
cycle. Unfortunately this mechanism of action may lead to cytotoxic
effects in non-cancerous cells. Alkylating compounds are sometimes
referred to as mono- or bifunctional depending on the number on
covalent bonds they can form within the DNA. Bifunctional agents
lead to cross-linking of DNA which leads to more efficient cell
death. Monofunctional agents cause single nucleotide disruption
are more prone to mutagenesis and carcinogenesis—presumably because
the drug forms a stable change in the DNA and is passed to subsequent
generations of cells.
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