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Hydroxyurea

羥基脲
Mechanism of action:
Hydroxyurea 是一種核苷酸合成抑制劑(ribonucleotide reductase inhibitor)。Hydroxyurea 能抑制核糖核苷酸還原酶(ribonucleotide reductase)的活性,使去氧核糖核苷酸(deoxyribonucleotides)無法生成,導致 DNA 無法複製,進而抑制腫瘤細胞的增殖。Hydroxyurea 也能促進胎兒血紅素(HbF)表達增加,HbF 不易形成鐮刀狀結構,可減少紅血球變形、溶血與血管阻塞。
Reference(s):
1. Ferrari A et al. (2019). Clinical outcomes under hydroxyurea treatment in polycythemia vera: a systematic review and meta-analysis. Haematologica.
2. Cortelazzo S et al. (1995). Hydroxyurea for patients with essential thrombocythemia and a high risk of thrombosis. N Engl J Med.
3. Kim MS et al. (2012). Long-term follow-up result of hydroxyurea chemotherapy for recurrent meningiomas. J Korean Neurosurg Soc.
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