bleomycin

Overview

Bleomycin is a cytotoxic glycopeptide antibiotic that causes single- and double-strand DNA breaks through a metal-ion-dependent oxidative mechanism. It is a component of the BEP regimen (bleomycin + etoposide + cisplatin), which is standard first-line therapy for advanced germ cell tumors. A serious toxicity is bleomycin-induced pulmonary fibrosis, which limits cumulative dosing.

Evidence in the corpus

  • Component of BEP (bleomycin+etoposide+cisplatin) first-line regimen administered to 37.2% of 180 advanced GCT patients in cisplatin-resistance biomarker study; TP53 alterations were exclusive to cisplatin-resistant tumors (16.3% vs 0%; P<.001) regardless of first-line regimen type PMID:27646943

Resistance mechanisms

Cancer types (linked)

Sources

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