Lecture 2: Drug Targets Flashcards

1
Q

T or F

When a GPCR is activated the affinity of its G-protein alpha subunit for GDP is decreased

A

True

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2
Q

The receptors for a group of signaling molecules known as GFs are often:

A) Ligand-gated ion channels

B) GPCRs

C) Nuclear receptors

D) Membrane transporters

E) Receptor tyrosine kinases

A

E. Receptor tyrosine kinases

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3
Q

What are 3 targets of targeted anticancer drugs?

A

1) Monoclonal antibodies to GF receptors
2) Monoclonal antibodies to ligands of GF receptors
3) Multikinase inhibitors

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4
Q

What is inhibited by targeted anticancer drugs?

A

Upregulated GF signaling

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5
Q

Spironolactone is what type of drug?

Used to treat what?

A
  • Aldosterone receptor antagonist
  • Tx for chronic HTN and alleviates chronic heart failure
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6
Q

What is the MOA of the drug Verapamil?

A
  • Blocks L-type calcium channels = Calcium antagonist
  • Used to tx atrial and supraventricular arrythmia, angina pectoris, and HTN
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7
Q

What is an adverse effect of Verapamil?

A

Constipation

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8
Q

What is the MOA of Digoxin?

A

Inhibits Na+/K+-ATPase –> enhances cardiac contractility

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9
Q

Which pathology is Digoxin used to treat?

A

CHF

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10
Q

What do TF’s regulate the recruitment of?

A

Either promote (activators) or inhibit (repressors) the recruitment of RNA polymerase to specific genes

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11
Q

What are 5 GPCR ligands?

A

1) Biogenic amines
2) Peptides/proteins
3) AAs
4) Lipids
5) Nucleotides

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12
Q

What are the classes of GPCRs and their functions?

A
  • Gs: activates adenylyl cyclase and Src tyrosine kinase
  • Gi: inhibits adenylyl cyclase but activates Src tyrosine kinase
  • Gq: activates phospholipase C
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13
Q

What specific DNA sequence do TF’s bind to?

A

Response element

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14
Q

What is unique about insulin and IGF RTKs?

A

Contain 2 polypeptide chains, α and β, linked by disulfide bond

*Most RTKs possess a single polypeptide chain

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15
Q

List 5 hormones/cytokines that utilize a JAK-STAT pathway for signaling?

A

1) GH (somatotropin)
2) Erythropoietin
3) Leptin
4) Interferons
5) IL-2 to 10, and 15

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16
Q

IGF-1, VEGF, EGF, NGF, and PDGF are able to assert their actions through the use of which type of receptor?

A

Receptors with tyrosine kinase activity (RTK)

17
Q

What is the defining feature of a TF?

A

Presence of the DNA-binding domain

18
Q

What is unique about the effects of nuclear receptor drugs?

A

Effects can persist after the agonist concentraton has been reduce to zero

19
Q

Describe the mechanism of a steroid hormone activating its receptor?

How is the receptor inactivated?

A
  • In absence of hormone, hsp90 is bound and prevents folding into active conformation
  • Binding of a hormone ligand (steroid) dissociates hsp90 and permits conversion to active configuration
20
Q

What 3 types of drugs are inhibitors of voltage-gated Na+ channels?

A

1) Local anesthetics
2) Antiarrythmia drugs
3) Epilepsy drugs

21
Q

Activation of a Nicotinic acetylcholine receptor induces influx of?

Causes?

A
  • Na+
  • Membrane depolarization
22
Q

Nicotinic acetylcholine receptors are pentameric receptor found in what 2 locations?

A

1) Skeletal muscle
2) Neuronal cells

23
Q

What is the differene between the actions of excitatory and inhibitory NTs in terms of channels they open?

A
  • Excitatory (ACh and Glutamate) open cation channels –> depolarization –> APs
  • Inhibitory (GABA and Glycine) open anion channels –> hyperpolarization –> prevent APs
24
Q

GABA-A receptors are what type of channels and cause the influx of what?

Affects membrane potential how?

A

Anionic channels causing inward Cl- influx and hyperpolarization

25
What 4 things are GABA-A receptors a target for?
1) Inhalation anesthetics 2) IV anesthetics 3) Ethanol 4) Hypnotic and anti-anxiety benzodiazepine drugs
26
Propofol and neurosteroids modulate which subunit of GABA-A channels?
β subunit
27
Ethanol and volatile anesthetics modulate which subunit of GABA-A channels?
α subunit
28
Benzodiazepines modulate which subunit of GABA-A channels?
γ-subunit
29
Point mutations in Ras are found in 90% of what type of cancer?
Pancreatic adenocarcinomas
30
Point mutations in Raf are found in 70% of what type of cancers?
Melanomas
31
Spironolactone targets which ion channels? Leads to?
- ENaC and Na+, K+ ATPase - Decreases reabsorption of Na+, decreasing BP, and helps to alleviate heart failure
32
What is the effect of Verapamil on the SA and AV node; used therapeutically for what?
- SA node = decreased HR - AV node = decreased AV contractility - Tx for atrial and supra-ventricular arrhythmia
33
What is the effect of Verapamil on cardiomyocytes; used therapeutically for what?
- Decreased contractility and O2 demand - Tx for Angina pectoris
34
What is the effect of Verapamil on vascular smooth muscle; used therapeutically for what?
- Vascular smooth muscle relaxation - Tx for HTN
35
What is the effect of Digoxin on GI smooth muscle, brain nuclei and the SA and AV nodes? Producing what side effects?
- **GI smooth muscle:** increased contractility --\> vomiting and diarrhea - **Brain nuclei:** enhanced neuronal activity and increased vagal activity --\> vomiting, diarrhea, disorientation, confusion, visual disturbances, bradycardia, and slowed AV conductivity - **SA and AV node:** bradycardia and slowed AV conductivity
36
What is the MOA of Etoposide?
Topoisomerase **type II** inhibitor --\> DNA damage --\> induction of p53 --\> triggers apoptosis of cancer cells
37
How does Etoposide work? What are its therapeutic uses?
- Causes **DNA damage** as a topoisomerase inhibitor leading to **activation of p53** - p53 induces expression of proteins causing **release of proapoptotic proteins** from mitochondria into cytosol - These proteins activate caspases to trigger **apoptosis of a cancer cell**
38
What do SH2 and SH3 bind to, respectively
SH2: tyrosine kinases SH3: proline rich
39
What is SOS? Actvates?
- Encodes guanine nucleotide exchange factor - Activates Ras