Anthelmentics Flashcards

1
Q

how can nematodes be transmitted

A

ingestion from contaminated material
contaminated water
intermediate host
direct invasion through skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is a broad spectrum antihelmentic

A

benzimidazoles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the narrow spectrum antihelmentics

A

avermectins
milbemycins
ivermectin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

how do most antihelmentics act on parasites

A

by acting on their CNS/neuromuscular systems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is not an ionotropic receptor

A

GABA-B receptors
they are G-protein coupled receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what have been the main approaches used to study the pharmacology of anthelmentics

A

pharmacological studies in model nematodes
genetic studies in C. elegans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

how does lemavisole affect nematodes

A

causes spastic paralysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the mechanism of action of lemavisole in C. elegans

A

acts on nicotinic acetylcholine receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is an advantage of using C. elegans

A

it is a self-fertilising hermaphrodite

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

how was the physiochemical effect of lemavisole and what does it show

A

a patch clamp was used
typical ACh currents were observed under lemavisole
shows its a ACh agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

how is lemavisole absorbed in the host

A

absorbed across the gastro-intestinal tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are the side-effects of lemavisole and why they might be

A

usually well tolerated by the host
nausea/dizziness
probably due to activation of nicotinic receptors at the autonomic ganglia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the selective toxicity of lemavisole

A

relies on difference between host and parasitic nicotinic acetylcholine receptors
weak agonist of neuromuscular junction receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

how was the selective toxicity of lemavisole tested

A

the cDNA of mass nicotinic acetylcholine receptor subunits was injected in xenopus oocytes
they then express the receptors on their surface
can then be used for electrophysiological experiments - measure the sensitivity of lemavisole to those reseptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the effect of piperazine on nematodes and its proposed mechanism of action

A

causes flaccid paralysis
probably due to its similar structure to GABA - GABA agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

why can use of GABA cause piperazine to not work

A

cross-sensitivity of GABA and piperazine can cause the tissue to become desensitised

17
Q

how is piperazine absorbed in the host

A

well absorbed through the gastro-intestinal system

18
Q

what are the side effects of piperazine

A

usually well tolerated by the host
nausea/vomiting
contraindicated for epilepsy

19
Q

why is a contraindication of piperazine epilepsy even though it is a GABA (inhibitory) mimetic

A

piperazine is a partial agonist of GABA-A
partial agonists can act antagonists
further compromises an epileptic brain’s inhibitory mechanisms

20
Q

what is ivermectin

A

macrocylic lactone
semi-synthetic derivative of a natural compound

21
Q

what is ivermectin in/effective at targeting

A

effective only at targeting filarial nematodes and microfilariae
ineffective at targeting cestodes/trematodes

22
Q

what effects does ivermectin have on nematodes

A

paralysis
inhibits feeding
inhibits egg-laying

23
Q

what made ivermectin a breakthrough

A

it was resistance breaking
treated resistant nematodes

24
Q

what is the mechanism of action of ivermectin

A

very potent action
little effects on mammalian system
inhibits insect muscle by opening chloride channels

25
how was the mechanism of action of ivermectin studied and measured
dissected locust muscle tissue placed in physiological saline solution impaled the tissue with 2 glass microelectrodes connected to amplifiers one was used to record membrane potential and the other to inject currents
26
what cDNA produced a response to glutamate
GluCl-beta
27
what cDNA responded to ivermectin
GluCl-alpha
28
what insight on what receptor ivermectin acts on did iterative screening give us
that the receptor is most likely composed of an GluCl-alpha subunit which binds to ivermectin and a GluCl-beta subunit that binds glutamate leads to chloride mediated hyperpolarisation
29
what type of receptor is the ivermectin receptor
it is a glutamate-gated chloride channel consisting of 5 subunits of the GluCl-alpha/beta
30
why is ivermectin very effective against nematodes but not mammals/vertebrates
glutamate-gated ion channels exist in the invertebrate phyla but not in mammals/vertebrates
31
what is emodepside
a new generation anthelmentics resistance breaking - able to treat ivermectin resistant nematodes
32
what are the effects of emodepside on C. elegans
inhibits locomotion inhibits feeding inhibits egg-laying slows development
33
what mutation is resistant to emodepside
ion channel mutation on chromosome V several candidate genes including slo-1 slo-1 -/- are highly resistant to emodepside
34
what is slo-1
a calcium-activated K+ channel
35
name a new generation anthelmentic
amino-aceto-nitrile derivatives (AAD's) they have drug-breaking resistance properties
36
how do AAD's affect C. elegans
inhibit motility
37
what do AAD's target
nicotinic acetylcholine receptors only found in invertebrates