Anti-viral agents 1 and 2 Flashcards

1
Q

Give 2 examples of DNA viruses:

A

Herpes

Chickenpox

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2
Q

Give an example of a retrovirus:

A

HIV

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3
Q

Give 2 examples of RNA viruses:

A

influenza

ebola

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4
Q

Give an example of a virus which is DNA but with a retroviral phase:

A

HepB

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5
Q

Polio is a positive sense virus, what does this mean?

A

its RNA is the same as the mRNA so doesn’t have to go through an extra step

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6
Q

What is a negative sense virus?

A

where the RNA has to be copied to give the positive sense mRNA

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7
Q

What are the two main drugs to treat influenza?

A

Oseltamivir
Zanamivir
these are neuraminidase inhibitors (TS inhibitors)

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8
Q

What is the function of neuraminidase?

A

to cleave the sugar unit of sialic acid which is essential in the mucus lining of URT

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9
Q

How is zanamivir administered compared to oseltamivir?

A

zanamivir: inhalation (poor bioavailability)
oseltamivir: oral (pro-drug)

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10
Q

What causes the common cold?

A

human rhinoviruses (positive sense RNA virus)

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11
Q

What is idoxuridine used for?

A

HSV

toxic for internal use, therefore topical for eye infections and cold sores

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12
Q

How does acyclovir work?

A

it is a selective inhibitor of HSV DNA polymerase, leading to termination of a growing DNA strand (missing ‘3OH group)
targets thymidine kinase

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13
Q

If acyclovir targets thymidine kinase, how come it doesn’t target human cells?

A

as acyclovir has a much lower affinity to human cells compared to viral cells

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14
Q

What are side effects of acyclovir (esp. if injected)?

A

nausea, diarrhoea, headache, tremors, delirium

minimised if topical use (poorly absorbed therefore not not for oral use)

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15
Q

what is ganciclovir?

A

more toxic than acyclovir

used for cytomegalovirus (like HSV viruses)

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16
Q

define bioisosteric replacement:

A

replacing groups with other functional groups that don’t work as well (e.g. to block DNA synthesis like idoxuridine)

17
Q

What is famciclovir a pro-drug for?

A

penciclovir (activated in the body by esterases)