Glossary – Medical Abbreviations and Terminology Lexicon


AACR

American Association for Cancer Research (foundation)

The American Association for Cancer Research’s (AACR)  mission is to prevent and cure cancer through research, education, communication, and collaboration. Through its programs and services, the organization fosters research in cancer and related biomedical science, accelerates the dissemination of new research findings among scientists and others dedicated to the conquest of cancer, promotes science education and training, and advances the understanding of cancer etiology, prevention, diagnosis, and treatment throughout the world. The organization accelerates progress in the conquest of cancer by providing financial support for scientific research, education, and communication.  More…


Ab

Antibody

An antibody, also known as an immunoglobulin, is a large Y-shaped protein produced by the body’s immune system that identifies and neutralize foreign objects such as bacteria and viruses.


ACE

Angiotensin Converting Enzyme

An angiotensin converting enzyme is proteolytic enzyme that converts the physiologically inactive form of angiotensin (a peptide hormone that causes vasoconstriction and a subsequent increase in blood pressure) into the active vasoconstrictive form.


ACTH
Adrenocorticotropic Hormone

An adrenocorticotropic hormone or ACTH (also called corticotropin or adrenocorticotropin) is a polypeptide hormone formed in the pituitary gland that regulates the activity of the outer region or cortex of the adrenal gland.


ADC
Antibody-drug conjugates

Antibody-drug conjugates or ADCs represent an innovative therapeutic application that combines the unique properties of monoclonal antibodies (mAbs) with the potent cell killing activity of cytotoxic small molecule drugs. The key components of antibody-drug conjugates include a monoclonal antibody (mAbs), a stable linkers and a cytotoxic (anticancer) agents.

Monoclonal antibodies are attached to biologically active drugs by chemical linkers with labile bonds. By combining the unique targeting of mAbs with the cancer-killing ability of cytotoxic drugs, antibody-drug conjugates allow sensitive discrimination between healthy and diseased tissue.

Antibody-drug conjugates are part of a specialized and technically challenging type of therapy combining innovations from biotechnology and chemistry to form a new class of highly potent biopharmaceutical drugs. The unique property of antibody-drug conjugates is that these so-called armed antibodies selectively dispatch highly potent cytotoxic anticancer chemotherapies directly to cancer cells while, at the same time, leaving healthy tissue unaffected. [More…]


ADCC
Antibody-dependent cellular cytotoxicity

Antibody?dependent cell cytotoxicity or ADCC is the killing of an antibody bound target cells (virus?infected or tumour cells) by a cytotoxic effector cell through a nonphagocytic process, characterised by the release of the content of cytotoxic granules or by the expression of cell death?inducing molecules. Antibody-dependent cellular cytotoxicity is triggered through interaction of target?bound antibodies, belonging to IgG,  IgA or IgE classes, with certain Fc receptors (FcRs), glycoproteins present on the effector cell surface that bind the Fc region of immunoglobulins (Ig). [Jean-Luc Teillaud. Antibody-dependent Cellular Cytotoxicity (ADCC) eLS [Article]


ADME
Absorption, distribution, metabolism and excretion 

In pharmacokinetics and pharmacology, absorption, distribution, metabolism and excretion describes the disposition of a pharmaceutical compound or drug within an organism. Each of the four criteria influence the drug levels and kinetics of drug exposure to the tissues and, as a result, influence the performance and pharmacological activity of the compound as an active drug.


ADR
Adverse drug reaction

Adverse drug reaction or ADR (also referred as adverse event) is an undesirable effect that may be caused by a study drug or compound in clinical research.  In the case of an observed ADR or adverse event, the sponsoring company is required to perform a written investigation into the root cause. This may lead to a corrective or preventative action or CAPA, defined by the U.S Food and Drug Administration’s (FDA) 21CFR 820.100 policy and procedures, enabling a sponsoring company to assure that appropriate actions are taken to prevent recurrence and eliminate the cause of potential nonconforming products causing undesirable quality problems.


A(I)EE
Activity-induced energy expenditure

Activity-induced energy expenditure or AIEE is the energy spent on physical activity,  a component of daily energy expenditure that is mainly influenced by the amount of physical activity (PA) and by the weight of the body displaced.


AFP
Alpha-fetoprotein

Alphafetoprotein or AFP (?-fetoprotein; also alpha-1-fetoprotein, alpha-fetoglobulin, or alpha fetal protein) is a protein that in humans is encoded by the AFP gene. The AFP gene is located on the q arm of chromosome 4. AFP is a major plasma protein produced by the yolk sac and the liver during fetal development (pregnancy).

AFP can be used to detect a number of diseases.  AFP production is essentially non-existant after one year of age. However, production may starts up as a result of certain diseases such as viral hepatitis and cirrhosis of the liver. AFP is also made by primary liver tumors or hepatomas and by germ cell tumors such as teratocarcinoma and embryonal cell carcinomas. An individual’s serum AFP level can be used to  detect these conditions and monitor treatment.


Ag
Antigen

In immunology, an antigen is any substance or agent that react specifically with an antibody to provokes an adaptive immune response, which is called into action against pathogens that are able to evade or overcome innate immune defenses. (There are two types of adaptive immune responses: humoral immunity, mediated by antibodies produced by B lymphocytes, and cell-mediated immunity, mediated by T lymphocytes).

An antigen is often foreign or toxic to the body which, once in the body, attracts and is bound to a respective and specific antibody. Each antigen may contain more than one site which is able to bind to a particular antibody.  Also see: Immunogen.


AI
Aromatase inhibitor

Aromatase inhibitors or AIs are drugs used in the treatment of breast cancer.  They are also used as adjuvant therapy after the primary treatment to lower the risk that breast cancer comes back. The class of aromatase inhibitors include Exemestane (Aromasin?; Pfizer), Letrozole (Femara?; Novartis) and Anastrozole (Arimidex?; AstraZeneca)

Aromatase inhibitors work differently than drugs such as tamoxifen (Nolvadex?, Istubal?, and Valodex?; AstraZeneca) and raloxifene (Evista?; Eli Lilly and Company). Instead of blocking the estrogen receptors, these drugs stop a key enzyme (aromatase) from changing other hormones into estrogen. This lowers estrogen levels in the body, taking away the fuel that estrogen receptor-positive (ER+) breast cancers need to grow.

These drugs are only useful in women whose ovaries are not making estrogen, including women who have already gone through menopause.


AICR
American Institute for Cancer Research

The American Institute for Cancer Research or AICR was founded on a simple but radical idea: everyday choices can reduce our chances of getting cancer.

The organization was the first to focus research on the link between diet and cancer and translate the results into practical information for the public. [More…]


AIHA
Autoimmune hemolytic anemia

Autoimmune hemolytic anemia or AIHA is a form of anemia caused by autoantibody-induced hemolysis or the premature destruction of circulating red blood cells. Usually idiopathic, AIHA is also associated with infection, lymphoproliferative disorders, autoimmune diseases, and some prescription drugs. 

One of the recognizing factors of AIHA is an elevated reticulocyte count in the absence of blood loss, a positive direct antiglobulin test and spherocytes or red blood cell aggregates on the peripheral blood smear.

Generally, AIHA is classically divided into warm and cold disease. In warm autoimmune hemolytic anemia autoantibody immunoglobin G or IgG attacks red blood cells. In most cases, patients with this type of AIHA are over 50 years of age and treated with corticosteroids and therapies for underlying diseases.

In chronic cold agglutinin disease cold-activated immunoglobin M or IgM and complement or C3d coat red blood cells and trigger hemolysis. Patients with this type of AIHA  are generally over 50 years of age. In some cases cold AIHA resolves with cold avoidance. It rarely progresses to renal failure.

Paroxysmal cold hemoglobinuria or PCH is a rare disease which is generally induced by postviral Donath-Landsteiner autoantibody at cold temperatures in children. This type of AIHA is often acute and severe, but usually short-lived and self-limited. It rarely progresses to renal failure, lymphoma, or death.


AITL
Angioimmunoblastic T-cell lymphoma

Angioimmunoblastic T-cell lymphoma or AITL is a rare, aggressive T-cell lymphoma accounting for approximately 1 – 2% of all cases of non-Hodgkin lymphoma or NHL in the United States. Elderly patients are more likely to have AITL, which occurs more often in men than women. In general, symptoms include high fever, night sweats, skin rash, and autoimmune disorders such as autoimmune hemolytic anemia or AIHA and immune thrombocytopenia or ITP.  The result of these autoimmune disorders is that the body’s immune system does not recognize, and consequently destroys, its own cells and tissues, such as red blood cells (in the case of AIHA) or platelets (in the case of ITP).


ALC
Absolute lymphocyte count

Absolute lymphocyte count or ALC is an independent prognostic indicator for survival in multiple hematological malignancies. Early ALC recovery also predicted longer survival after autologous hematopoietic stem cell transplantation in non-Hodgkin?s lymphoma.


ALCL
Anaplastic large-cell lymphoma

Anaplastic large cell lymphoma or ALCL is a rare type of non-Hodgkin lymphoma or NHL.  It is, however, one of the more common subtypes of T-cell lymphoma. ALCL comprises about 3% of all NHLs in adults and 10 – 30%  of all NHLs in children. Initial symptoms of ALCL can include painless swelling of lymph nodes, rapid weight loss, and tiredness.


ALDH
aldehyde dehydrogenases


ALK
anaplastic lymphoma kinase


ALT
alanine aminotransferase


AML
acute myelogenous leukemia


AMP
adenosine 5?-monophosphate-activated protein kinase


ANC
absolute neutrophil count


AP
alkaline phosphatase


APL
acute promyelocytic leukemia


AR
androgen receptor


Ara-C
cytarabine


Ara-CDP
Ara-C diphosphate


Ara-CMP
Ara-C monophosphate


Ara-CTP
Ara-C triphosphate


ASA404
vadimezan


ASCT
autologous stem cell transplantation


AST
aspartate aminotransferase


ATE
arterial thrombotic event


ATO
arsenic trioxide


ATP
adenosine triphosphate


ATRA
tretinoin (all-trans-retinoic acid)


AUC
area under the curve


5

5-FU
5-fluorouracil, often called 5-FU (Adrucil?; TEVA Generics), is an antineoplastic or cytotoxic chemotherapeutic drug used to treat different cancers including breast, colorectal, skin, stomach, esophageal and pancreatic cancer. The drug is a pyrimidine analog which can inhibit the biosynthesis of pyrimidine nucleotides.  After rapid transportation into the cell, a significant portion of the drug is converted via ribosylation and phosphorylation into 3 metabolites, including fluorouridine triphosphate (5-FUTP) and fluorodeoxyuridine monophosphate (5-dFUMP)  [Package Insert]

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5-FUTP

5-fluorouridine triphosphate

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5-HT
5-hydroxytryptamine

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B

BAL
bronchoalveolar lavage

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BBB
blood-brain barrier

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BC
breast cancer

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Bcr
B-cell receptor

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BCRP
breast cancer resistance protein

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BCS
breast conserving surgery

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BIA
bioimpedance analysis

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Bid
twice daily

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BL
Burkitt lymphoma

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BM
bone marrow

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BMI
body mass index = body weight (kg) /body height (m2)

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BP
blood pressure

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BSA
body surface area

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BUN
blood urea nitrogen

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C

C.I.
continuous infusion

CA4P
combretastatin A4 phosphate

CBCL
cutaneous B-cell lymphoma

CD
cluster of differentiation

Cd-AMP
cladribine monophosphate

Cd-ATP
cladribine triphosphate

CDC
complement-dependent cytotoxicity

CEA
carcinoembryonic antigen

CEC
circulating endothelial cell

CEP17
chromosome 17 centromere

CHF
cardiac heart failure

CHO
carbohydrates

Cl
clearance

CLL
chronic lymphocytic leukaemia

ClTB
total body clearance

Cmax
peak concentration

CML
chronic myelogenous leukemia

CMML
chronic myelomonocytic leukemia

CMV
cytomegalovirus

CNS
central nervous system

COMT
catechol-omethyltransferase

COPD
chronic obstructive pulmonary disease

CP
chronic phase

CPA
cyclophosphamide

CPK
creatine phosphokinase

CPT
camptothecin

Cr
creatinine

CRC
colorectal cancer

CRP
C-reactive protein

CSCC
cutaneous squamous cell carcinoma

CSF
colony-stimulating factor

Css
average steady state concentration

CT
computed tomography

CTCAE
Common Terminology Criteria for Adverse events

CTCL
cutaneous T-cell lymphoma

D

D-TMP
deoxythymidine monophosphate

DC
dendritic cell

DCE-MRI
dynamic contrast-enhanced MRI

DCK
deoxycytidine kinase

DEE
diet-induced energy expenditure: the energy spent to digest and absorb nutrients

DEXA
dual-energy X-ray absorptiometry

DFS
disease-free survival

DHAD
mitoxantrone

DHFR
dihydrofolate reductase

DIC
disseminated intravascular coagulation

DLBCL
diffuse large B-cell lymphoma

DLCO
diffusing capacity for carbon monoxide

DLT
dose-limiting toxicity

DM
diabetes mellitus

DNMT
DNA methyltransferase

DNMTi
DNA methyltransferase inhibitor

DNR
daunorubicin

DNR-OL
daunorubicinol

DOX
doxorubicin

DPD
dihydropyrimidine dehydrogenase

DSB
double-strand break

DVT
deep vein thrombosis

DXM
dexamethasone

E

E1
estrone

E2
estradiol

EATL
enteropathy associated T-cell lymphoma

EBER
Epstein-Barr early RNA

EBV
Epstein-Barr virus

EC
endothelial cell

EFS
event-free survival

EGF
A protein growth factor (6 KDa, 53 amino acids) that binds to the Epidermal growth factor receptor. Binding of EGF activates specific growth pathways in some cancer cells and also some normal cells.

EGFR
epidermal growth factor receptor: the protein found on the surface of most epithelial cells and to which Epidermal growth factor binds, causing a signalling cascade within the cells that eventually leads to cell division.

EGFRI
Drugs that target and inhibit the EGFR, including monoclonal antibodies and low-molecular-weight Tyrosine kinase inhibitors.

EIA
enzymo-immunoassay

EMA
European Medicines Agency

EML4
echinoderm microtubule associated protein like 4

EN
enteral nutrition

EOD-CS
early-onset diarrhoea-cholinergic syndrome

EOT
end of treatment

EPI
epirubicin

EPI-OL
epirubicinol

EPO
erythropoietin

ER
estrogen receptor

ERCC
excision repair cross complement

ESMO
European Society for Medical Oncology

ESPEN
European Society for Clinical Nutrition and Metabolism

F

FAA
flavone acetic acid

FDA
Food and Drug Administration

FDG
F-18-Fluorodeoxyglucose

FFS
failure free survival

FGF
fibroblastic growth factor

FH2
dihydrofolic acid

FH4
tetrahydrofolic acid

FL
follicular lymphoma

FN
febrile neutropenia

FPE
fixed paraffin embedded

FSH
follicle stimulating hormone

G

G-CSF
granulocyte-colony stimulating factor

GFR
glomerular filtration rate

GI
gastrointestinal

GI50
growth inhibition of 50% of cells

GIST
gastrointestinal stromal tumour

GnRH
gonadotropin-releasing hormone

GPCRs
G protein-coupled receptors

GRFT
glycinamide ribonucleotide formyl transferase

H

HAART
highly active antiretroviral therapy

HAT
histone acetyltransferase

HBV
hepatitis B virus

HCG
human chorionic gonadotropin

HCV
hepatitis C virus

HD
high dose

HDAC
histone deacetylase

HDACi
HDAC inhibitor

HDT
high-dose therapy

HFS
hand?foot syndrome

HGF
hepatocyte growth factor

HIF
hypoxia-inducible factors

HIV
human immunodeficiency virus

HL
Hodgkin lymphoma

HNSCC
head and neck squamous cell carcinoma

HPV
human papilloma virus

HSCT
hematopoietic stem cell transplantation

HSR
hypersensitivity reaction

HSTL
hepatosplenic T-cell lymphoma

HU
hydroxyurea

HUS
hemolytic?uremic syndrome

I

I.v.
intravenous(ly)

IC50
concentration at which growth/activity is inhibited by 50%

IDA
idarubicin

IDMS
isotope dilution mass spectroscopy

IDOL
idarubicinol

IFN
interferon

IFNAR
IFN-? receptor

Ig
immunoglobulin

IGF
insulin growth factor

IGF-1R
insulin-like growth factor-1 receptor

IGFBP
insulin-like growth factor-binding protein

IHC
immunohistochemistry

IL
interleukin

IM
intramuscular

IMiD
immunomodulatory drug

IND
investigational new drug

INR
international normalised ratio

InsR
insulin receptor

IP
intraperitoneal

IPI
international prognostic index

IPS
International prognostic score

IPSS
International Prognostic Scoring System

IRS
inflammatory response syndrome

ISG
interferon stimulating genes

ISH
in situ hybridization

J

JAK
Janus kinase

K

KS
Kaposi?s sarcoma

L

LC50
cytotoxic killing of 50% of cells

LD10
lethal dose to 10% of animals

LDH
lactose dehydrogenase

LFT
liver function test

LH
luteinising hormone

LL
lymphoblastic lymphoma

LLN
lower limit of normal

LMWH
low molecular weight heparin

LN
lymph node

LOD
late-onset diarrhea

LP
lumbar puncture

LPL
lymphoplasmacytic lymphoma

LT
lymphoid tissue

LV
leucovorin

LVEF
left ventricular ejection fraction

M

M-AMSA +
amsacrine

mAb
monoclonal antibody

MAOI
monoamine oxidase inhibitors

MAP
mitogen-activated protein

MCL
mantle cell lymphoma

MCRC
metastatic colorectal cancer

MDP
myeloproliferative disease

MDR
multidrug resistance

MDS
myelodysplastic syndrome

MGUS
monoclonal gammopathy of undetermined significance

MHC
major histocompatibility complex

MIU
million international units

MMAE
monomethylauristatin E

MRCC
metastatic renal cell cancer

MRI
magnetic resonance imaging

MTD
maximum tolerated dose

MTOR
mammalian target of rapamycin

MTX
methotrexate

MUGA
multigated acquisition

MW
molecular weight

MZL
marginal zone lymphoma

N

NCI
National Cancer Institute

ND
not done

Neg
negative

NER
nucleotide excision repair

NF-kappaB
nuclear factor-kappaB

NHL
non-Hodgkin lymphoma

NK cell
natural killer cell

NLPHL
nodular lymphocyte-predominant Hodgkin lymphoma

NOS
nitric oxide synthase

NPY
neuropeptide Y

NSAID
non-steroidal anti-inflammatory drug

NSCLC
non-small-cell lung cancer

NV
normal value

O

ONS
oral nutritional supplementation

OS
overall survival

P

PARP
poly ADP-ribose polymerase

PB
peripheral blood

PBSC
peripheral blood stem cell

PCR
polymerase chain reaction

PDGF
platelet-derived growth factor

PDGFR
platelet-derived growth factor receptor

PDN
prednisolone

PEG
pegylated

PET
positron emission tomography

PFS
progression-free survival

PgP
P-glycoprotein

Ph+
Philadelphia chromosome-positive

PIF
interstitial fluid pressure

PIP2
phosphatidylinositol-4,5-bisphosphate

PK
pharmacokinetics

PKB
protein kinase

PLD
pegylated liposomal doxorubicin

PLT
platelet

PML
promyelocytic leukemia

PN
parenteral nutrition

PNET
pancreatic neuroendocrine tumour

PO
per os

Pos
positive

PPE
palmar?plantar erythrodysesthesia

PS
performance status

PT
prothrombin time

PTCL
peripheral T-cell lymphoma

PTEN
phosphatase and tensin homologue

Q

QALY
quality-adjusted life years

Qd
once daily

QoL
quality of life

R

RA-APL
retinoic acid?antiphospholipid syndrome

RARs
retinoic acid receptors

RBC
red blood cell

RCC
renal cell carcinoma

RCT
randomised controlled trials

REE
resting energy expenditure: the energy needed to preserve basic vital functions

RIA
radioimmunoassay

RIC
reduced-intensity conditioning regimen

RNR
ribonucleotide reductase

RPLS
reversible posterior leukoencephalopathy syndrome

RR
response rate

RT
radiotherapy

RTK
receptor tyrosine kinase

RXR
retinoid X receptor

S

SC
subcutaneous

SCCHN
squamous cell carcinoma of the head and neck

SCLC
small-cell lung cancer

SERMs
selective oestrogen receptor modulators

SHBG
sex hormone-binding globulin

SIADH
syndrome of inappropriate antidiuretic hormone

SIRS
systemic inflammatory response syndrome

SNPs
single nucleotide polymorphisms

Sun protection factor (SPF)
The sun protection factor, also known as the SPF, indicates the factor by which the protection against UVB rays is extended by the use of specific sunscreen products.

SPTCL
subcutaneous panniculitis-like T-cell lymphoma

SSB
single-strand break

SUV
standardised uptake volume

T

T1/2
half-life

TCR
T-cell receptor

TDL
lowest dose that results in no toxicity

TE
thromboembolism

TEE
thromboembolic event

TF
tube feeding

TGF
transforming growth factor

TGI
total growth inhibition

Tid
three times daily

TKI
tyrosine kinase inhibitor

Tmax
time to peak concentration

TNF
tumor necrosis factor

TOP1ccs
topo-I cleavable complex

Topo
topoisomerase

TPN
total parental nutrition

TRAIL
TNF-related apoptosis-inducing ligand

TS
thymidylate synthase

TSC
tuberous sclerosis

TTP
time to progression

U

ULN
upper limit of normal

UPGT
uridine diphosphate glucuronosyltransferase

UPS
ubiquitin proteasome pathway

V

VCR
vincristine

Vd
volume of distribution

VEGF
vascular endothelial growth factor

VEGFR
vascular endothelial growth factor receptor

VM26
teniposide

Vmax
maximum disappearance rate

VOD
veno-occlusive disease

VP16
etoposide

VTA
vascular-targeting agent

VTE
venous thromboembolic event

W

WBC
white blood cell

WBRT
whole brain radiotherapy

WCRF
World Cancer Research Fund

X

XL184
cabozantinib