Selective Toxicity Flashcards

1
Q

Define the term chemotherapy

A

The use of synthetic chemicals to destroy infective agents

Also applied to the use of chemicals (natural or synthetic) used to inhibit the growth of cancer cells

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2
Q

Antibiotics

A

Substances produced by some micro-organisms that kill or inhibit the growth of other microorganisms

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3
Q

Chemotherapeutic Agents

What do these depend on?

A

Chemicals intended to be toxic for parasitic cells but harmless for the host

Depends on existence of biochemical differences between the parasite and host cell

Differences depends on how far apart host and parasite are evolutionary

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4
Q

Describe Class I Biochemical Reactions

A

Generation of energy and small carbon compounds

No marked differences between bacteria and human cells in mechanisms used to derive glucose

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5
Q

Describe Class II Biochemical Reactions

A

Generation of necessary small molecules (eg amino acids, nucleotides, amino sugars etc)

Better targets as some differences (eg folate synthesis, inhibited by sulphonamides. Dihydrofolate reductase more sensitive to folate antagonist trimethoprim in bacteria than in man.

Example of differential sensitivity

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6
Q

Describe Class III Biochemical Reactions

A

Generation of macromolecules (eg proteins, RNA, DNA etc)

Good targets due to very distinct differences between bacteria/viruses and human cells

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7
Q

State and describe two examples of Class III Biochemical Reactions

A
  1. Penicillin inhibits the synthesis of bacteria cell wall peptidoglycan (via inhibition of the Penicillin binding protein, PBP)
  2. Protein Synthesis Inhibitors- structural differences in ribosomal structure (bacterial= 50S and 30S; mammalian= 60S and 40S subunits)
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8
Q

State the five examples of targeting nucleic acids

A
  1. Inhibit nucleotide synthesis
  2. Altering the base-pairing properties of the template
  3. Inhibition of DNA polymerase and RNA polymerase
  4. Inhibition of DNA gyrase
  5. Direct effects on DNA itself- alkylating agents
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