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Exam questionKROK 1Medicine ยท 2014

In cancer patients who have been continuously receiving methotrexate, the target cells of tumor with time become insensitive to this drug. In this case, gene amplification of the following enzyme is observed:

Answer options

  1. Deaminase
  2. Thiaminase
  3. Thioredoxin reductase
  4. -
  5. Dihydrofolate reductase
Correct answer

Dihydrofolate reductase

Explanation

In cancer patients who have been continuously receiving methotrexate, the target cells of tumor with time become insensitive to this drug. In this case, gene amplification of the following enzyme is observed: DHFR (dihydrofolate reductase) can be targeted in the treatment of cancer. DHFR is responsible for the levels of tetrahydrofolate in a cell, and the inhibition of DHFR can limit the growth and proliferation of cells that are characteristic of cancer. Methotrexate, a competitive inhibitor of DHFR, is one such anticancer drug that inhibits DHFR.

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