Cellular Targets of Drug Therapy Flashcards

0
Q

What are some common cellular targets of drug therapy?

A
  1. Cell wall/membrane.
  2. Ribosomes.
  3. Nucleus.
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1
Q

What is chemotherapy?

A

The treatment of disease by means of chemical (drugs) that have a specific toxic effect upon the disease-producing microorganisms, or that selectively destroy cancerous tissue.

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2
Q

What is the basis for selective toxicity of cell wall synthesis inhibitors?

A

Human cells do not have cell walls.

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3
Q

What is the fungal version of membrane cholesterol?

A

Ergosterol

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4
Q

What 2 enzymes create ergosterol?

A

Squalene epoxidase and CYP450.

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5
Q

What are 2 ways that fungal infections are treated by targeting ergosterol?

A
  1. Inhibiting the enzymes that create ergosterol.

2. By directly binding to ergosterol.

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6
Q

What are the 2 common antifungal mechanisms?

A
  1. Glucan synthase inhibitors.

2. Ergosterol inhibitors.

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7
Q

What is the dual function of inhibiting squalene epoxidase?

A

Drugs that inhibit squalene epoxidase not only reduce ergosterol synthesis but also cause a build up of squalene, which is toxic to fungal cells.

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8
Q

How have bacteria developed resistance towards penicillins?

A

By using enzymes called beta-lactamases, which break down the chemical structure of penicillin.

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9
Q

How do drugs that target ribosomes of bacteria inhibit protein synthesis?

A

By either binding to 50S or 30S subunits at either the A or P site.

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10
Q

What are the 2 enzymes that are inhibited with drugs that target purine synthesis?

A

Dihydropteroate synthase and dihydrofolate reductase (DHFR).

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11
Q

What are three classes of cell wall synthesis inhibitors?

A
  1. Penicillins
  2. Cephalosporins
  3. Glycopeptides
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12
Q

What is an example of a penicillin?

A

Amoxicillin

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13
Q

What is an example of a cephalosporin?

A

Cephalexin

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14
Q

What is an example of a glycopeptide?

A

Vancomycin

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15
Q

What are the classes of inhibitors of protein synthesis that bind the 50S ribosomal subunit?

A
  1. Oxozolidinones
  2. Macrolides
  3. Lincosamides
16
Q

What is an example of an oxozolidinone?

A

Linezolid

17
Q

What is an example of a macrolide?

A

Erthyromycin

18
Q

What is an example of a lincosamide?

A

Clindamycin

19
Q

What are the classes of inhibitors of protein synthesis that bind the 30S ribosomal subunit?

A
  1. Aminoglycosides

2. Tetracyclines

20
Q

What is an example of a tetracycline?

A

Tetracycline

21
Q

What is an example of an aminoglycoside?

A

Gentamycin

22
Q

What is the class of inhibitors of DNA synthesis that inhibits DNA gyrase?

A

Fluoroquinolones

23
Q

What is an example of a fluoroquinolone?

A

Ciprofloxacin

24
Q

What are the classes of DNA synthesis inhibitors that inhibit purine synthesis?

A
  1. Sulfonamides

2. Trimethoprim

25
Q

What is an example of a sulfonamide?

A

Sulfamethoxazole

26
Q

What is an example of a trimethoprim?

A

Tremethoprim

27
Q

What is Septra?

A

A combination of sulfamethoxazole and trimethoprim.

28
Q

What is the class of inhibitors of RNA synthesis that inhibits RNA polymerase?

A

Rifamycins

29
Q

What is an example of a rifamycin?

A

Rifampin