Lab 1 - nematode pharmacology Flashcards

1
Q

Name the “big three” antiparasitic agents for treating nematode infections.

A

Macrocyclic lactones

Benzimidazoles

Nicotinic agonists

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2
Q

What is the mode of action of the macrocyclic lactones?

A

Bind glutamate-gated chloride ion channels, opening them and eventually causing paralysis in the parasite.

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3
Q

Avermectins and Milbemycins belong to which major class of antiparasitic drugs?

A

Macrocyclic lactones

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4
Q

List the species and/or breeds that may experience toxicity from Ivermectin.

A

Collies, when used at doses higher than for heartworm prevention.

Turtles

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5
Q

Why are certain species of dog vulnerable to Ivermectin toxicity?

A

GABA-gated chloride ion channels in mammals are found in the CNS. In normal animals, the drug is pumped out of the blood-brain-barrier by permeability glycoprotein (P-gp).

Collies and some other dog breeds have a mutant P-gp that allows neurotoxicity to occur.

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6
Q

List the helminths against which macrocyclic lactones have no effect.

A

Cestodes

Trematodes

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7
Q

In which clade might you find glutamate-gated chloride channels?

A

Only in the protostome invertebrate phyla.

This is why you can treat mammals with Ivermectin and only see toxic effects in their parasitic nematodes.

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8
Q

What is the mode of action of the benzimidazoles?

A

Binds beta-tubulin, preventing microtubule formation and treadmilling. This in turn prevents cell division.

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9
Q

Why are benzimidazoles not toxic (for the most part) in mammals?

A

Benzimidazoles have a higher affinity for nematode beta tubulin than mammalian beta tubulin.

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10
Q

Fenbendazole, Oxfendazole, Albendazole, and Febantel are examples of what major class of antiparasitic drug?

A

Benzimidazoles

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11
Q

Which benzimidazoles can have teratogenic effects on a fetus?

A

Albendazole

Oxfendazole

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12
Q

Febantel is a pro-drug (i.e. metabolized into drug components) for which two benzimidazoles?

A

Fenbendazole

Oxfendazole

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13
Q

Against which other organisms does fenbendazole have activity?

A

Protozoa

Flatworms

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14
Q

Against which other organisms does Albendazole have activity?

A

Protozoa

Flatworms

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15
Q

What is the action of Nicotinic Agonist drugs?

A

Activates nicotinic ACh receptors, opening ion channels and causing muscle contraction, leading to paralysis in the worm.

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16
Q

Levamisole, Pyrantel, and Morantel are examples of which major class of antiparasitic drug?

A

Nicotinic Agonists

17
Q

In which species is Levamisole used?

A

Ruminants

Pigs

18
Q

In which species is Pyrantel used?

A

Dog

Cat

Horse

Pig

19
Q

In which species is Morantel used?

20
Q

Against which nematode are the Nicotinic Agonists ineffective?

A

Trichuris (whip worms)

21
Q

Nicotinic Agonists may have some activity against which other helminths?

A

Cestodes in horses (?)

22
Q

Name the “three little drugs” used in treating nematode infections.

A

Emodepside

Piperazine

Dichlorvos

23
Q

What is the mode of action of Emodepside?

A

Agonist of presynaptic latrophilin receptor (which is a GPRC), which causes increased release of inhibitory neuropeptides.

The net result is paralysis

24
Q

Emodepside is used for nematode treatment in which species?

How is it administered?

A

Cats

Topical

25
What are the effects of overdosing with Emodepside?
Tremors Can also cause vomiting and salivation if application site is licked
26
What is the mode of action of Piperazine?
GABA receptor agonist. Hyperpolarizes muscles, resulting in paralysis.
27
What are the primary uses of Piperazine, and in which species is it used?
Primarily kills ascarids. Mostly used in pigs. Some OTC products for dogs and cats.
28
What is the mode of action of Dichlorvos?
Organophosphate. Inhibits ACh-esterase. Causes of a buildup of ACh in the nematode.
29
In which species is Dichlorvos used?
Only in pigs.