Kinases and Cancer Flashcards

1
Q

what are the differences between conventional and modern cancer treatments

A

conventional - targets generic properties such as rapid proliferation
modern - targeting specific proteins/receptors - such as monoclonal antibodies

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2
Q

what occurs from paracrine ErbB stimulation

A

ERB ligands are released from stromal cells

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3
Q

what occurs from autokrin ErbB stimulation

A

activates metalloproteinases - cleaves pro-ERBB ligands

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4
Q

what is the basis and idea behind EGF/ErbB receptor and kinase receptor intervention

A

ErbB receptors are dysregulated in wide range of cancers
1 - inhibit dimerisation of EGF/ErbB receptors to suppress proliferation
2 - inhibit kinase activity via small molecule tyrosine kinase domain inhibitors

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5
Q

what is the mechanism of trastuzumab (herceptin) on Erb2

A

binds to the juxtamembrane region of Erb2 - inhibits proteolytic cleavage of Erb2 ectodomain
this is antibody-dependent cellular cytotoxicity

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6
Q

what is the mechanism of action of pertuzumab on Erb2

A

binds directly to the Erb2 dimerisation arm
blocks both dimerisation and activation

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7
Q

what is the mechanism of action of cetuximab (erbitux) on EGFR

A

competes with ligand for binding to EGFR
uses a dual mechanism:
- blocks the binding site on EGFR domain III
- steric inhibition of active EGFR conformaiton

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8
Q

what is the mechanism of matuzumab on EGFR

A

does not compete for binding but reduces affinity of EGF for EGFR - in matuzumab presence EGF can only contact EGFR domain III - reducing affinity
interferes with formation of active EGFR

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9
Q

what is the overall structure of kinases

A

N lobe and C lobe - hinge region in between
ATP binding site is located in the cleft between the lobes
N- lobe - 5 beta-pleated sheets and 1 alpha-helix
C lobe - mainly alpha helical

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10
Q

what are the residues important for catalysis in kinases

A

present on both lobes
N lobe:
P-loop (glycine rich)
beta-strand 3
alpha-helix C
C lobe:
beta-strands 6/7
A-loop (activation loop)

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11
Q

what is difference between an activated/inactive A-loop

A

inactive - tyrosine residues are unphosphorylated
active - tyrosine residues are phosphorylated
A-loop acts as a pseudo substrate

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12
Q

what does chronic myelogenous leukemias (CML) effect

A

early haematopoetic stem cells

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13
Q

what are the two phases of CML

A

acute - significant increase in immature white blood cells
chronic - elevated number of mature white blood cells

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14
Q

what causes CML

A

reciprocal translocation between chromosome 9 and 22

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15
Q

what are the key regulatory domains for Abl regulation and their functions

A

SH3 - poly-proline binding domain
SH2 - phosphotyrosine recognition domain

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16
Q

what are some of the features of Abl

A

Abl knockout in mice is lethal
ABL shuttles between the nucleus and the cytosol - in response to ECM adhesion

17
Q

features of the basal state of ABL and what maintains it

A

basal state - low phosphorylation activity, in an off state
maintained by:
cis - self interactions
trans - interactions with range of targets

18
Q

what are the essential features of maintaining the auto inhibited state of ABL

A

association of SH3 with its N-lobe
insertion of myristol group in the C-lobe

19
Q

outline partial activation of ABL

A

1 - unlatching - removal of myristyl group from C-lobe leads to partial activation
2 - unclamping - displacement of SH3 from N-lobe

20
Q

how is full activation of ABL achieved

A

switching - phosphorylation of tyr-412 on the activation loop and tyr-245 in the SH2 kinase linker

21
Q

how is cis/trans activation of ABL regulated

A

inhibitor and activator proteins

22
Q

how does ABL lead to cell survival

A

in response to growth factors concomitant with cytosolic localisation

23
Q

how can ABL lead to cell death

A

in response to DNA damage and oxidation concomitant with nuclear accumulation

24
Q

what odes the lack of SH3 domain of GAG-ABL indicate

A

suggests that the lack of SH3 - N lobe interaction leads to constitutive activity

25
what does the lack of a myristate group in the BCR-ABL group suggest
suggests that lack of myristate group insertion in C lobe leads to constitutive activity
26
function of the BCR domain
mediates dimerisation and association of effector proteins
27
what are the main problems for targeting ATP to inhibit tyrosine kinase phosphorylation
specificity problem - 512 kinases and ABL and BCR-ABL share the same ATP binding site abundancy - ATP is present at 2-5nM so need a very high affinity substrate to compete
28
what is able to inhibit the ATP phosphorylation of Abl
Imatinib - inhibits it 50%
29
how odes imatinib inhibit ABL kinase domain
targets the conserved nucleotide-binding pocket of ABL with high specificity
30
what other tyrosine kinases does imatinib inhibit
platelet derived growth factor receptor stem cell factor receptor
31
what type of inhibitor is imatinib
it is an inactive state inhibitor (type 2) exposes the allosteric pocket by removing DFG
32
what inhibitors does ABL 1 complex with
type 2 imatinib mesylate type 1 TKI (active state inhibitor)
33
what are the 2nd generation TKI's and their specific purpose
nilotinib/bosutinib - against non-ABL dependent resistance (efflux pumps) dasatinib/ponatinib - SRC-ABL T351 mutations, lower IC50s for almost all mutations
34