Topoisomerases Flashcards

1
Q

T/F: Anti-cancer topoisomerase drugs work by converting the enzyme into a target that damage DNA rather than by simply inhibiting enzyme activity

A

True

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2
Q

What are the major classes of topoisomerases targeting agents

A

Camptothecins, Epidophyllotoxins, anthracyclines

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3
Q

What are catenanes, what must happen for seperation

A

double stranded DNA linked, cutting

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4
Q

What are the enzymes that transiently cut DNA, how

A

Topoisomerases, tyrosine apart of topoisomerases attacks the phosphodiester backbone of DNA forming a covalent bond and “cutting” the DNA

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5
Q

Which topoisomerases cut single strand DNA, which cut DS DNA

A

Toposisomerases 1, topoisomerases 2

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6
Q

What are the topoisomerases targeted in drug therapy

A

Topoisomerase 1B

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7
Q

What are the two types of topoisomerases and what are they used for

A

Top-2 alpha: replication and cell division, Top-2 beta: transcription

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8
Q

What anticancer class target topoisomerase 1, caveat

A

Campothothecins, not approved by FDA (failed due to unpredictable toxicities)

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9
Q

What are three known topoisomerase 2 anti-cancer drugs

A

Etoposide, doxorubicin, and mAMSA

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10
Q

What is interacalation

A

The drug binds to DNA through pi-pi interactions with DNA bases due to a planar structure

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11
Q

What common top-2 anticancer drug does not intercalate despite its planar structure

A

Etoposide

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12
Q

T/F: Top-1 is not essential for life but Top-2 is

A

True

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13
Q

What is the MOA of campotheticans

A

Top-1 cleaves DNA then Campotheticins slide into to intercalate with DNA causing Top-1 to no longer be able to seal the break

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14
Q

T/F: Topoisomerase poisons are irreversible

A

False: If the drugs are washed away damages made can be fixed

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15
Q

What is the enzyme that is known for fixing topoisomerase damage, MOA

A

Tyrosyl DNA phophodeisterase (TDP1), offers histidine for a replacement for tyrosine

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16
Q

What are the drug resistance of efflux for doxorubicin, etoposide, and camtothecins

A

Doxorubicin is a substrate for Pgp/MDR1/ABCB1, etoposide is a substrate of Mrp/ABCC1, Camptothecins are substrates for BCRP/ABCG2

17
Q

What is a major drug resistance mechanism for topoisomerase

A

Reduced toposiomerase expressions or mutations can confer resistance

18
Q

T/F: Drugs targeting Top2 can cause translocations that lead to secondary malignancies

A

True

19
Q

Which anti-topo drug is cardiotoxic

A

Anthracycline (lifetime dose)

20
Q

T/F: Topoisomerase drugs are given in combination (usually with platinum agents)

A

True

21
Q

What is the major risk of using doxorubicin, what is the rescue

A

doxorubicin is cariotoxic/ dexrazoxane