Here are the essential concepts you must grasp in order to answer the question correctly.
Mechanism of Action
Melphalan is an alkylating agent that works by adding alkyl groups to DNA, leading to cross-linking of DNA strands. This cross-linking prevents DNA replication and transcription, ultimately triggering cell death, particularly in rapidly dividing cancer cells. Understanding this mechanism is crucial for appreciating how melphalan targets cancerous tissues.
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Selectivity for Cancer Cells
Melphalan exhibits selectivity for cancer cells due to their higher proliferation rates compared to normal cells. Cancer cells are more susceptible to DNA damage, making them more likely to be affected by the drug's action. This selectivity helps to minimize damage to normal tissues, although some side effects can still occur.
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Clinical Applications
Melphalan is primarily used in the treatment of multiple myeloma and certain types of ovarian cancer. Its effectiveness in these cancers is supported by clinical studies that demonstrate improved patient outcomes. Understanding its clinical applications helps in evaluating its role in cancer therapy and patient management.
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