Lecture 4: Kinase Inhibitors Flashcards

1
Q

What cellular processes are tyrosine kinases highly involved in?

A
  • Metabolism
  • Transcription
  • Cell division and movement
  • Apoptosis
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2
Q

What determines whether a protein can be phosphorylated by a tyrosine kinase?

A

If the protein has an exposed hydroxyl group to target.

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3
Q

How many tyrosine kinases do humans have usually?

A

Around 90 tyrosine kinases, with about 58 of these being receptor tyrosine kinases.

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4
Q

How many protein kinases do humans usually have?

A

Around 538.

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5
Q

What two conditions are related to protein kinase dysfunction?

A

Cancer and inflammatory disorders.

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6
Q

What is the reaction of protein kinases?

A

(MgATP 1−) + (protein-O:H) –> (O:PO3 2-) + (MgADP) + H+

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7
Q

What is required for the phosphorylation reaction of a protein by a protein kinase?

A

Presence of a divalent cation such as Mg2+. (And presence of free hydroxyl group).

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8
Q

What types of kinases are there?

A

Serine threonine kinases.

Tyrosine kinases.

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9
Q

Why are different kinases required for serine, threonine, and tyrosine?

A

Because the hydroxyl groups of serine and threonine are similar in size, they are both more polar than tyrosine, which is aromatic and thus less polar and larger.

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10
Q

What do 30% of human cancers contain in regards to MAP kinase cascade? What does this affect?

A

A mutation in the Ras GTPase, the in-built timer that will dephosphorylate Ras thus turning it off after a certain amount of time. This mutation means Ras is always active once phosphorylated, and results in cell proliferation.

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11
Q

What is the Philadelphia chromosome? How is it formed? What disease is it involved in?

A

BCR-ABL is a mutated tyrosine kinase found in 90% of CML cases.

It is formed in an error during recombination, resulting in the ABL gene, a tyrosine kinase on chromosome 9 being translocated to the end of chromosome 22, directly next to BCR, another gene coding for a serine/threonine kinase.

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12
Q

What specific changes occur between the ABL and BCR-ABL proteins?

A

The ABL protein normally has a myristate group that is membrane-bound, and in the inactive state, ABL will be closed next to the membrane. In an active state, this arm/cap will extend and project the ABL more into the cytoplasm, and other conformational changes open/activate the active site.

In BCR-ABL, the

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13
Q

What phases of CML are there?

A
  • Chronic Phase
  • Accelerated Phase
  • Blast Phase
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14
Q

What is the survival rate of CML with and without Imatinib?

A

The 6-year survival rate is >75% with imatinib, when the survival rate would normally be around 2 years or so.

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15
Q

How was such a large drug as imatinib made to be more easily taken in by the body?

A
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16
Q

Why did Gleevec (imatinib) fast-track clinical trials within 3 years?

A

Bec

17
Q

What else can imatinib be used to treat? What mechanism is involved?

A

GISTs (gastrointestinal stromal tumours). As mutant KIT protein active sites can be blocked by imatinib.

(proto-oncogene is c-KIT, a receptor tyrosine kinase, KIT is mutant RTK that is always dimerised).

18
Q

Why are protein kinases attractive targets for drug therapy?

A
19
Q
A