The mitomycins are a family of aziridine-containing natural products isolated from Streptomyces caespitosus orStreptomyces lavendulae. One of these compounds, mitomycin C, finds use as a chemotherapeutic agent by virtue of its antitumour antibiotic activity. It is given intravenously to treat upper gastro-intestinal (e.g.esophageal carcinoma), anal cancers, and breast cancers, as well as by bladder instillation for superficialbladder tumours. It causes delayed bone marrow toxicity and therefore it is usually administered at 6-weekly intervals. Prolonged use may result in permanent bone-marrow damage. It may also cause lung fibrosis and renal damage.
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