Enzymes as Therapeutic Targets Flashcards

1
Q

General principles of drug design

A
  1. use knowledge of protein structure and enzyme mechanism to design enzyme inhibitors for use as drugs
  2. best inhibitors often mimic the TS conformation-competitive inhibitors
  3. overall strategy-model active site and active site conformation at TS
    - computer model molecules predicted to fit enzyme conformation
    - synthesize these molecules and a large number of derivatives with slight structural differences
    - test designed for inhibition of:
    - purified enzyme
    - enzyme in cells
    - function of target enzyme in animal models
    - function of target enzyme in humans
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2
Q

serine proteases

A
  • 3 H bonded amino acids at active site-asp, his, ser
  • serine in active site forms a covalent acyl enzyme intermediate
  • catalytic strategies:
  • preferential binding of TS
  • covalent catalysis
  • acid/base catalysis
  • electrostatic catalysis
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3
Q

aspartyl proteases

A

-2 H bonded asp at active site
-active site is formed from two homologous domains of protein, each of which provides one asp
-catalytic strategies-acid base catalysis
-some preferential binding of TS
HIV protease is one of these

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4
Q

mechanism of aspartyl protease

A
  • protein folds and makes deep cleft
  • HIV protease is a homo dimer that folds
  • active site has 2 asp, one carboxyl is protonated and the other isn’t when the substrate binds
  • the deprotonated Asp acts as a base and accepts H from water so water can attack the substrate
  • water attacks peptide bond and forms tetrahedral TS
  • the protonated Asp (from beginning) acts as acid and donates H to breakdown TS and release of split products
  • proton is shuttled to initial spot
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5
Q

overall strategy for designing HIV proteases

A
  • HIV protease is an aspartyl protease that is essential for maturation
  • design inhibitors that bind the active site of the HIV protease
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6
Q

problems in inhibitor design

A

can’t inhibit other aspartyl proteases in the body

-active site is hydrophobic, drugs must be hydrophilic enough to allow delivery in the body

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7
Q

successes in HIV protease inhibitors

A
  • at least 7 different inhibitors now on market
  • HAART-highly active anti retroviral therapy-combination of HIV protease inhibitors and other anti HIV drugs
  • extremely effective at reducing viral RNA levels and increasing CD4 levels
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8
Q

major HIV inhibitors

A
  • reverse transcriptase
  • integrase
  • protease
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9
Q

function of HIV protease

A
  • cleaves the polyprotein that is the translation product of the integrated viral DNA to release individual viral proteins essential for maturation and infectivity of the virus
  • loss-no mature/infectious virus
  • enzymes are inactive if not cleaved from polyprotein
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10
Q

structure of HIV protease

A
  • aspartyl protease
  • homodimer-two subunits each 1/2 size of most proteases
  • each subunit contributes 1 asp to the active site
  • 22kDA per dimer
  • limited homology except near active site
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11
Q

specificity of HIV protease

A
  • does not have absolute substrate specificity-must cleave at several different sequences in polyprotein
  • large, hydrophobic, active site crevice
  • formation of multiple hydrophobic contacts help dictate specificity
  • asp not involved in specificity
  • flaps allow entry of substrate that fold down to sequester it from the aq environment
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12
Q

natural cleavage sites

A
  • between Phe and pro, or Phe and tyr

- these have been incorporated into inhibitors

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13
Q

design TS analogs

A
  • design inhibitors that look enough like substrates to allow recognition by the enzyme
  • introduce a non-hydrolyzable bond where peptide bond would be
  • peptides cleaved by the aspartyl proteases go through testrahedryl transition state-incorporate that geometry into inhibitors
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14
Q

synthesize inhibitors and modified forms and test

A
  • inhibitory properties (Ki) for purified HIV protease
  • inhibition of virus production by infected cell culture
  • pharmacological properties
  • water solubility
  • stability
  • inhibition of other human proteases
  • effectiveness and toxicity in animal and human models
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15
Q

when all inhibitors look the same

A
  1. all inhibitors will bind at the active site
  2. all inhibitors will have some structural similarity
    - can lead to resistance
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16
Q

enzyme based inhibitor design

A
  • starts from enzyme structure and designs molecules that might “fit” based on computer modeling
  • not as successful as initial strategy for HIV protease inhibitors but has been very useful for a number of other targets
  • refinement of inhibitor structures has used information about enzyme structure
17
Q

clinical problems with HIV protease inhibitors

A
  1. resistance
  2. pharmacokinetics
  3. accessing reservoirs of virus
  4. cost and availability
  5. side effects/long term toxicity
  6. patient compliance
  7. when to initiate treatement
18
Q

resistance

A
  • high error rate by RT and large number of virus particles synthesized daily imply that virtually every possible viral sequence will have been synthesized in a patient within a very short time
  • some of these sequences will encode viral proteins that can perform their normal function in viral propagation, but not longer bind the inhibitor tightly
  • these viruses can multiply in presence of anti HIV drug
19
Q

acquisition of resistance

A
  • A and B can’t grow
  • C and D are resistant
  • D can not die and multiply (4-7 mutations)
  • D will predominate population
  • C can’t replicate-mutation that allows to to avoid inhibitor also harms normal function
  • still dangerous because replicates at low levels
  • can make new variants-that is drug resistant and better at dividing
  • can arise in patient after treatment
  • need two treatments
20
Q

pharmacokinetics

A

-problem with getting the drug to the virus

21
Q

Hep C

A
  • infects 2% of the general US population and 90% of long term injected drug users
  • transmitted through blood, new infections now decreasing in developed, but not developing nations
  • often asymptomatic for many years
  • causes long term liver damage in up to 20% of infected people-cirrhosis, can be followed by liver cancer or liver failure
  • current therapy is pegylated interferon and ribavirin have serious side effects and aren’t very effective
  • latest therapy is HCV protease inhibitor in combination therapy
  • life cycle resembles HIV
22
Q

regulation of enzyme activity

A
  1. allosteric regulation
  2. regulation by reversible covalent modification
  3. regulation by irreversible covalent modification
  4. regulation by protein-protein interactions
23
Q

regulation of enzyme availability

A
  1. regulation of enzyme synthesis
  2. regulation of enzyme degradation
  3. compartmentalization of enzyme activity
  4. differential activities of isozymes
24
Q

allosteric enzymes

A
  • operate at control points in metabolic pathways
  • usually the enzyme at the rate limiting step-regulated and for feedback
  • don’t follow michaelis menten
  • have pos modulators-inc affinity (dec K0.5)
  • and neg modulators-dec affinity (inc K0.5)
  • K0.5 is concentration of substrate giving half maximal activity
25
Q

aspartate transcarbamoylase (ATCase)

A
  • catalyzes first step in synthesis of CTP
  • CTP is allosteric inhibitor-preferentially binds and stabilizes T state
  • ATP is allosteric activator-binds and stabilizes R state