Bleomycin is a medication used to treat cancer. This includes Hodgkins lymphoma, non-Hodgkins lymphoma, testicular cancer, ovarian cancer, and cervical cancer among others. Typically used with other cancer medications, it can be given intravenously, by injection into a muscle or under the skin. It may also be administered inside the chest to help prevent the recurrence of a fluid around the lung due to cancer; however talc is better for this.Common side effects include fever, weight loss, vomiting, and rash. A severe type of anaphylaxis may occur. It may also cause inflammation of the lungs that can result in lung scarring. Chest X-rays every couple of weeks are recommended to check for this. Bleomycin may cause harm to the baby if used during pregnancy. It is believed to primarily work by preventing the synthesis of DNA.Bleomycin was discovered in 1962. It is on the World Health Organizations List of Essential Medicines. It is available as a generic medication. It is made by the bacterium Streptomyces verticillus. Medical uses
Cancer
Bleomycin is mostly used to treat cancer. This includes testicular cancer, ovarian cancer, and Hodgkins disease, and less commonly non-Hodgkins disease. It can be given intravenously, by intramuscular injection, or under the skin. Other uses
It may also be put inside the chest to help prevent the recurrence of a pleural effusion due to cancer. However, for scarring down the pleura, talc appears to be the better option.While potentially effective against bacterial infections, its toxicity prevents its use for this purpose.
The biosynthesis of the bleomycin aglycon can be visualized in three stages:

NRPS-mediated formation of P-3A from Ser, Asn, His, and Ala
PKS-mediated elongation of P-3A by malonyl CoA and AdoMet to yield P-4
NRPS-mediated elongation of P-4 by Thr to P-5 that is further elongated by β-Ala, Cys, and Cys to get P-6m.On the basis of the bleomycin structure and the deduced functions of individual NRPS and PKS domains and modules, a linear model for the bleomycin megasynthetase-templated assembly of the bleomycin peptide/polyketide/peptide aglycon was proposed from nine amino acids and one acetate. Biosynthesis of bleomycin is completed by glycosylation of the aglycones. Bleomycin naturally occurring-analogues have two to three sugar molecules, and DNA cleavage activities of these analogues have been assessed, primarily by the plasmid relaxation and break light assays. History
Bleomycin was first discovered in 1962 when the Japanese scientist Hamao Umezawa found anticancer activity while screening culture filtrates of Streptomyces verticillus. Umezawa published his discovery in 1966. The drug was launched in Japan by Nippon Kayaku in 1969. In the US, bleomycin gained FDA approval in July 1973. It was initially marketed in the US by the Bristol-Myers Squibb precursor, Bristol Laboratories, under the brand name Blenoxane. Research
Bleomycin is used in research to induce pulmonary fibrosis in mice. See also
Flagellate pigmentation from bleomycin
Pingyangmycin (Bleomycin A5)

References
Further reading
External links
"Bleomycin". Drug Information Portal. U.S. National Library of Medicine. "Bleomycin". European Medicines Agency (EMA).