Targeted therapy Flashcards

1
Q

What are the two types of molecule seen in targeted therapy

A

small molecules
large molecules

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2
Q

what are small molecules referred to as

A

tyrosine kinase inhibitors

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3
Q

what are large molecules referred to as

A

monoclonal antibodies

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4
Q

what is the suffix of a tyrosine kinase inhibitor

A

nib

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5
Q

how are small molecule drugs delivered vs large molecule drugs

A

oral for small
parenteral for big

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6
Q

How do small molecules exert an affect

A

they affect the intracellular mechanisms

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7
Q

how do large molecules cause an effect

A

they target extracellular targets and enable a change within the cell

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8
Q

what is the primary intra cellular target of small molecules

A

protein kinase

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9
Q

what does protein kinase do

A

when it is dysregualted leading to an increase in proliferative signalling

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10
Q

how to protein kinase inhibitors work

A

they inhibit the phosphorylation of proteins that are involve in cellular signal transduction pathways

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11
Q

what is the most common small molecule drug

A

imatinib

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12
Q

what is a monoclonal antibody

A

they are a type of y shaped antibody that are man made and are involved in eliminating pathogens.

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13
Q

what are the different sources that monoclonal antibodies produce copies from in the lab.

A

animals
mice
humanized
human

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14
Q

what are the two ways in which monoclonals work

A

direct and indirect mechanism

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15
Q

outline the two direct mechanisms of monoclonal antibodies

A

monoclonal antibodies bind with a target receptor and block the signals needed for growth

monoclonal antibodies combine with other cytotoxic agents and facilitate the direct delivery of a toxic substance to the cell

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16
Q

what are the 5 types of indirect mechanism of monoclonal antibodies

A

antibody dependent cellular cytotoxicity

complement dependent cytotoxicity

antibody dependent cellular phagocytosis

immune checkpoint blockade

binding and delivery

17
Q

what is antibody dependent cellular cytotoxicity

A

activation of NK, macrophage and neutrophils leading to apoptosis

18
Q

what is complement dependent cytotoxicity

A

activate cytokines that attack the cell leading to apoptosis

19
Q

what is antibody dependent cellular phagocytosis

A

engagement of macrophages which phagocytose the cancer

20
Q

what is immune checkpoint blockade

A

involves interruption of immunosuppresive extracellular signallingw

21
Q

what is binding and delivery

A

mab carries the cancer cell to the immune effect to enable immune mediated tumour cell

22
Q

what is CD20 a common antigen of

A

non hodjkins lymphoma

23
Q

where can CD20 be found

A

surface of beta cells

24
Q

what type of drugs interact with CD20

A

rituximab
obinutuzumab
brentuximab

24
Q

what does cd20 do

A

proliferation
differention

25
Q

how does angiogenesis occur

A

due to the need for blood and tumours growth they release

VEGF
FGF
transforming growth factor beta

this stimulates endothelial cell proliferation and formation of new blood vessels

26
Q

How can drugs interact with VEGF

A

bind to VEGF itself and restrict its ability to bind

inhibit the activation of VEGF receptors