DNA Alkylating Agents Lapinsky Flashcards

1
Q

What type of drugs are DNA alkylating agents?

A

CCNS

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2
Q

How do DNA alkylating agents damage DNA?

A

alkylation (C,H) of DNA leads to cancer cell apoptosis

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3
Q

DNA alkylating agents are highly reactive ______ compounds

A

electrophilic

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4
Q

What type of ion is responsible for a partial of full positive charge on DNA alkylating agents?

A

Aziridinium ion (nitrogen mustards)

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5
Q

What types of compounds do DNA alkylating agents react with?

A

neutrophilic FGs (nucleic acid bases of DNA)

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6
Q

What is the on target effect of DNA alkylating agents?

A

Drug forms covalent irreversible bond with DNA

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7
Q

What are the off target effcts of DNA alkylating agents?

A
  1. Drug forms covalent bond with protein/enzyme (increases likelihood of long term toxicities)
  2. Drug forms covalent bond with water/ glutathione (inactive metabolites)
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8
Q

Why do DNA alkylating agents have such a hard time binding to the bases of nucleic acids?

A

Many nucleophiles in the human body (amino acids, water molecules)

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9
Q

What is the most important nucleophile (desired drug target)?

A

N7 atom of guanine within cancer cell DNA

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10
Q

Why does Drug-DNA complex result in cancer cell apoptosis?

A

DNA can no longer unwind to function as a template for DNA replication or translation to mRNA

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11
Q

Why can all DNA alkylating agents potentially cause more cancer?

A

Alkylated Guanine will base pair with Thymine instead of Cytosine this results in mutation

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12
Q

What can result from DNA mutations by alkylating agents?

A
  1. cell apoptosis
  2. cell senescence
  3. normal cell –> cancer cell
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13
Q

Why are DNA repair enzymes not as prominent in cancer cell as in normal healthy cells?

A

cancer cells divide at a rapid, heightened state and tends to induce apoptosis rather than DNA repair

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14
Q

DNA alkylating agents (nitrogen mustards) are ________ the aziridinium ion is the ______ _______

A

prodrugs; active agent

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15
Q

What drug has L-phenylalanine as the “R” group?

A

Melphalan

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16
Q

What drug has a benzimidazole ring that mimics a purine (A, G) as the “R” group?

A

Bendamustine

17
Q

How does incorporating a cellular metabolite into DNA alkylating agents help to target cancer cells?

A

cancer cells are more metabolically active, by using natural metabolites the cancer cell is tricked into taking up these DNA alkylating agents