DPD
5-FU liver metabolism, allelic variation, hereditary deficiency
Patient on chemo…experiences GI intolerance, recurrent infections, neurologic deficits, hair loss, stumbling
5-FU, DPD deficiency/decreased expression, toxicities
5-FU co-administration w/ what for better efficacy?
MTX, Leucovorin
Multi-drug resistance
Microtubule drugs (Vinca alkaloids, Taxanes)