Alkylating Agents Flashcards

1
Q

alkylating agents are potent _____

A

electrophiles

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2
Q

alkyl agents alkylate what compounds

A

purine bases in DNA
(guanine and adenine)

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3
Q

most common place for alkylating agents to add

A

Guanine N7

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4
Q

what is a bifunctional alkylating agent

A

produces both intra and inter strand linkages

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5
Q

cell cycle phase that alkylating agents target

A

non cell cycle specific

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6
Q

if DNA tries to replicate with modification what happens

A

cell death
could add the wrong bases

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7
Q

agents other than DNA bases that alkylating agents react with?

A

thiols
cysteine / lysine residues
glutathione (quenches activity)

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8
Q

what happens in long term survivors taking alkylating agents?

A

second malignancies due to so many mutations

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9
Q

most second malignancies are located where?

A

bone marrow (leukemia)

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10
Q

cyclophosphamide is activated by what

A

CYP450

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11
Q

cyclophosphamide becomes what

A

phorphoramide mustard

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12
Q

what is cyclophosphamide inactivated by

A

aldehyde dehydrogenase

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13
Q

cyclophosphamide is less toxic why

A

increased aldehyde dehydrogenase in bone marrow = less bone marrow supression

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14
Q

cyclophosphamide by product

A

acrolein

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15
Q

acrolein toxicity in cyclophosphamide

A

hemorragic cyctitis

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16
Q

cyclophosphamide given with what to avoid acrolein toxicity

17
Q

mesna accumulates where

A

urine, bladder

18
Q

which alkylating agent is a prodrug

A

cyclophosphamide

19
Q

mitomycin C dose limiting side effect

A

myelosupression

20
Q

mitomycin C mechanism

A

bifunctional cross links

21
Q

are platinum compounds alkylating agents?

A

no, covalent crosslinkers

22
Q

platinum compounds cross link ____

A

intrastrand

23
Q

platinum compound geometry effect onDNA

A

can create sharp bends in strands that make DNA repair difficult

24
Q

cisplatin produces what types of cross links

A

intrastrand

25
cisplatin dose limiting se
nephrotoxicity
26
cisplatin side effect with bone marrow
minimal toxicity
27
resistance mechanims of alkylating agents and platinum compounds
inc expression DNA repair enzymes inc intracellular conc of thiols especially glutathione inc exporession of glutathione S transferase (GST)
28
how do thiols create drug resistance
high reactivity towards electrophillic intermediates