28 - challenges to antiviral discovery Flashcards

1
Q

what are the two difficulties in developing antivirals

A
  1. each virus is unique

2. most viral proteins act by binding to host proteins

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2
Q

explain how the uniqueness of viruses poses a difficulty in developing antiviral drugs

A
  • Each virus requires different drug
  • there are no virus drugs that will work on more than one drug
  • logistical problem
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3
Q

explain how the viral proteins binding to host proteins poses a difficulty in developing antiviral drugs

A
  • most work by binding to host proteins
  • Proteins tend to bind to each other very tightly (proteins are very large, the area that they are connected by is very large) → hard to separate and get a drug that will interfere
  • Utilize large contact surfaces → need a large drug, large drugs are problems
  • Need to avoid interfering with normal host cells (want to interfere with host protein interacting with viral proteins) → drug has to look like the interface between the two binded proteins
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4
Q

explain how cell signalling systems use protein binding

A
  • messenger molecule transfers information into the cell by binding to host protein A
  • once the messenger molecule is bound to host protein A, host protein A becomes attracted to protein B
  • host protein A will change its shape on one side to align with the shape of protein B, allowing them to stick together
  • once protein B is connected to host protein A, protein B will change its shape a little bit to allow for a messenger molecule to transmit information
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5
Q

explain how viral proteins operate by binding to host protein

A
  • virus binds to host protein A, causes it to change its shape, allowing it to stick to protein B
  • when protein A sticks to protein B, protein B changes its shape, allowing a messenger molecule to come in and transfer information
  • virus protein activates protein A when the normal information is not there → how it controls the function of the proteins
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6
Q

what is a regulatory protein

A

proteins that regulate the function of other proteins in the system (viruses that bind to host proteins are regulatory proteins)

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7
Q

when developing a drug, where do you want it to target?

A

to make a drug, ideally you want it to target the interface between host protein A and the viral protein

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8
Q

how does protein binding work in a lab

A
  • types of drugs that are created for these viruses usually stick to the interface of the drug that was binding to host protein A
  • when the drug is in place, the binding surface cant stick to protein A anymore
  • technical problem is that the interface is a large surface and it is hard to produce a drug that large → rare to see it outside the lab
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9
Q

why is protein binding difficult to control with drugs

A
  • large drug works in the lab but doesnt work in human

- violate lipinski rules

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10
Q

describe viral enzymes as drug targets including why it is easy to create them, and the two problems they have

A
  1. relatively easy to create a drug that will block an enzyme (most enzymes have small molecule as a substrate, the active site is small = small molecule as a drug)
  2. problem: Viruses carry very few enzymes (you have a limited number of targets for your drugs)
  3. problem: Most involve nucleic acid replication (host cells also make nucleic acids with similar substrates, mechanisms, structures, active sites) → if you make a drug that blocks the viral enzyme, it will probably block the host cell too = problems and side effects
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11
Q

how many genes do viruses usually have and how many of them are enzymes

A
  • Most viruses have small genomes
    • As few as 10 genes
  • On average, one 1 or 2 are enzymes
    • Most involve nucleic acids (host selectivity problem)
      • very difficult to develop a drug against antiviral target
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12
Q

what are the three main viruses where good antiviral drugs exist

A
  • Hepatitus C (cure)
    • drug combination
    • remarkable therapy
    • the only case where you can cure a virus
  • Herpes (treat)
    • you can prevent the coldsores, but you cannot cure the herpes
    • lifelong
  • HIV (manage)
    • very good drugs to help manage it
    • have been cases of people being cured but those are very rare and specialized
    • lifelong
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13
Q

what are the three main problems with antiviral drugs

A
  1. selectivity
  2. diagnosis
  3. resistance
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14
Q

why is selectivity a problem with antiviral drugs

A
  • Kill virus without killing host

- how does your drug only go after the virus?

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15
Q

why is diagnosis a problem with antiviral drugs

A
  • Drugs specific for each virus
    • drugs do not have any “cross pollination”
  • Many viruses produce similar symptoms
    • More than 200 viruses cause colds
    • basically indistinguishable
  • Only way to know for sure is biochemical test
    • ex: cold vs covid
    • takes lots of time
    • antivirals are best to use during the first few days of infection = time issue
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16
Q

why is resistance a problem with antiviral drugs

A
  • Mutation rates in viruses very high
    • resistance to antiviral drugs happens very very quickly
  • Viruses quickly develop resistance to drugs (days or weeks)
17
Q

what is the all-time greatest achievement in medicine

A

immunizations for viruses

18
Q

what are the four viruses that have been successfully treated with immunization

A
  • Smallpox (disease eliminated)
  • Polio (disease almost eliminated)
    • 1950 hundreds of millions of cases (world)
    • 2018 33 cases (world)
    • 2019 in the low hundreds (this is a political issue)
  • Measles
    • does not exist in most areas
    • only exists in the anti vaxxer regions
  • Mumps
    • does not exist in most areas
    • only exists in the anti vaxxer regions