Skip to main content

Delayed Hypersensitivity to 5-Fluorouracil Associated with Reduced Dihydropyrimidine Dehydrogenase (DPD) Activity

  • Chapter
Purine and Pyrimidine Metabolism in Man IX

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 431))

Abstract

Fluorouracil (5FU) remains the primary chemotherapy agent for adenocarcinomas of the gastrointestinal tract. Toxicities are both dose and schedule dependent, and include myelosuppression, stomatitis and diarrhoea, and cutaneous manifestations. Side effects are usually easily manageable in normal clinical practice.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Diasio RB, Beavers TL, Carpenter JT (1988). Familial Deficiency of Dihydropyrimidine Dehydrogenase. J.Clin.Invest. 81: 47–51.

    Article  PubMed  CAS  Google Scholar 

  2. Zhang R, Lu Z, Lu T, Soong S-J, Diasio RB (1993). Relationship between circadian-dependent toxicity of 5-fluorodeoxyuridine and circadian rhythms of pyrimidine enzymes. Cancer Research 53: 2816–22.

    PubMed  CAS  Google Scholar 

  3. Bakkeren JAJM, De Abreu RA, Sengers RCA, Gabreels FJM, Maas JM, Renier WO (1984). Elevated urine, blood and cerebrospinal fluid levels of uracil and thymine in a child with dihydrothymine dehydrogenase deficiency. Clin. Chim. Acta 140: 247–56.

    Article  PubMed  CAS  Google Scholar 

  4. Simmonds HA, Duley JA, Davies PM (1990). Analysis of purines and pyrimidines in blood, urine and other physiological fluids. In:Techniques in Diagnostic Human Biochemical Genetics, Wiley-Liss, NY, pp397–424.

    Google Scholar 

  5. Lowry OH, Rosebrough NJ, Farr A, Randall RJ (1951). Protein measurement with the Folin phenol reagent. J. Biol. Chem. 193: 265–75.

    PubMed  CAS  Google Scholar 

  6. Henderson MJ, Jones S, Walker P, Duley JA, Simmonds HA (1995). Heterogeneity of symptomatology in two male siblings with thymine uraciluria. J. Inher. Metab. Dis. 18: 85–6.

    Article  PubMed  CAS  Google Scholar 

  7. Lu Z, Zhang R, Diasio RB (1993). Dihydropyrimidine dehydrogenase activity in human peripheral blood mononuclear cells and liver. Cancer Res. 53: 5433–8.

    PubMed  CAS  Google Scholar 

  8. Harris BE, Carpenter JT, Diasio RB (1991). Severe 5-fluorouracil toxicity secondary to dihydropyrimidine dehydrogenase deficiency. A potentially more common pharmacogenetic syndrome. Cancer 68: 499–501.

    Article  PubMed  CAS  Google Scholar 

  9. Gonzalez FJ, Fernandez-Salguero P (1995). Diagnostic analysis, clinical importance and molecular basis of dihydropyrimidine dehydrogenase deficiency. TiPS 16: 325–7.

    PubMed  CAS  Google Scholar 

  10. Van Gennip AH, Abeling AH, Stroomer NGGM, Van Lenthe H, Bakker HD (1994). Clinical and biochemical findings in six patients with pyrimidine degradation defects. J.Inherited Metabolic Diseases 17: 130–2.

    Article  Google Scholar 

  11. Webster DR, Becroft DM, Suttle DP (1995). Hereditary orotic aciduria and other disorders of pyrimidine metabolism. In:The Metabolic and Molecular Bases of Inherited Disease, ed. CR Scriver, AL Beaudet, WS Sly, D Valle, chapter 55, McGraw-Hill, NY, pp 1799–1837.

    Google Scholar 

  12. Milano G, Etienne M-C (1994) Potential importance of dihydropyrimidine dehydrogenase in cancer chemotherapy. Pharmacogen. 4: 301–6.

    Article  CAS  Google Scholar 

  13. Yokota H, Fernandez-Salguero P, Furuya H, Lin K, McBride OW, Podschun B, Schnackerz KD, Gonzalez FJ (1994). cDNA cloning and chromosome mapping of human dihydropyrimidine dehydrogenase, an enzyme associated with 5-fluorouracil toxicity and congenital thymine uraciluria. J. Biol. Chem. 269: 23192–6.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer Science+Business Media New York

About this chapter

Cite this chapter

Duley, J.A., Nethersell, A.B.W. (1998). Delayed Hypersensitivity to 5-Fluorouracil Associated with Reduced Dihydropyrimidine Dehydrogenase (DPD) Activity. In: Griesmacher, A., Müller, M.M., Chiba, P. (eds) Purine and Pyrimidine Metabolism in Man IX. Advances in Experimental Medicine and Biology, vol 431. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-5381-6_28

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-5381-6_28

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-7456-5

  • Online ISBN: 978-1-4615-5381-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics