Exam 2: Lecture X, AntiHistamine Etc Med Chemistry Flashcards

1
Q

Molecules released due to mast cell degranulation include….

A

Preformed mediators

Newly formed lipid mediators

Cytokines

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2
Q

Preformed mediators

A

Histamine
Serine Proteases
Proteoglycans, mainly heparin

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3
Q

Newly formed lipid mediators

A

Leukotriene C4

Prostaglandins D2

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4
Q

Binding site of histamine?

A

in Aspartic Acid in third transmembrane domain of H1/H2

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5
Q

t form when…

A

NH on 3

preferred in solution state

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6
Q

pi form when…

A

NH on 1

preferred in solid state

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7
Q

H2 selectivity driven by…

A

methyl group at 4

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8
Q

H1 selectivity driven by…

A

alkylation at 1 positon

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9
Q

decreasing activity at H1/H2 by alkylating the…

A

NH on chain

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10
Q

Confirmation preferred at H1/H2?

A

Trans

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11
Q

Where is histamine synthesized?

A

Golgi of mast and basophils by enzymatic decarboxylation of histidine

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12
Q

Histamine metabolism

A

rapidly metabolized invite by 2 major pathways

1: N-Methylation
2: Oxidation

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13
Q

SAR Ethanolamine ethers

A

increasing alkyl group size at C2’ = large decreases in antihistamine activity and increase anticholinergic activity

Para/Ortho substition C4’ = increase antihistamine/anticholinergic activity

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14
Q

main metabolism of Histmaine?

A

CYP450

Oxidative N-Dealkylation

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15
Q

Which series of Alkyl amines has chiral center?

A

only Pheniramine

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16
Q

Piperazines should be used cautiously in pregnant women and children because….

A

teratogenic effects observed

17
Q

Tricyclic antihistamines have…

A

sedative effects and long duration of action

18
Q

piperazine used….

A

as antihistamines and as agents for treatment of motion sickness as they have central antiemetic effects

19
Q

metabolism tricyclic antihistamines?

A

oxidative N-demethylation
aromatic hydroxylation
sulfoxidation