Unit 3 - Week 2 Flashcards

1
Q

what do the best drug inhibitors look like?

A

mimic the transition state conformation (since preferential binding to transition state)

  • such inhibitors are competitive inhibitors
  • create large number of derivatives with slight structural differences
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2
Q

what designed inhibitors should be tested for (4 things)

A
  1. purified enzyme
  2. enzyme in cells
  3. function of target enzyme in animal models
  4. function of target enzyme in humans
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3
Q

serine protease VS aspartyl proteases

  • active site H-bonds and functions
  • catalytic strategies
A

3 H-bonded AA (catalytic triad of asp, his, ser) VS 2 H-bonded asp
ser in active site forms covalent acyl enzyme intermediate VS 2 homologous domains of PRO
both have preferential binding of transition state and acid-base catalysis, but only SP has covalent and electrostatic catalysis

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4
Q

HIV protease mechanism

A

aspartyl protease (exception b/c homodimer) essential for viral maturation

  • asp X carboxyl is protonated (activates H2O to attack peptide bond), Y is deprotonated when substrate binds (base catalysis)
  • creates tetrahedral transition state (highest peak of diagram) when H2O attacks
  • asp Y acts as acid to breakdown intermediate (acid catalysis), donating H+ to newly formed amino group
  • shuffling of H+ from X to Y restores protease to original state
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5
Q

problems in inhibitor design of HIV protease inhibitors

A
  • can’t inhibit other aspartyl proteases in body

- active site is hydrophobic, but drugs must be hydrophilic enough to be delivered throughout body

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6
Q

successes in HIV protease inhibitors

A

7-10 different HIVPIs on market

-combined HAART or ART has been responsible for transforming death sentence to manageable disease

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7
Q

HAART/ART

A

(highly active) antiretroviral therapy

  • combination of HIV protease inhibitors and other anti-HIV drugs
  • extremely effective in reducing viral RNA levels and increasing CD4 cell levels
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8
Q

3 enzymes targeted for HIV therapy

A
  1. reverse transcriptase - makes DNA strand using ssRNA as template
  2. integrase - catalyzes integration of dsDNA into host DNA
  3. HIV-1 protease - processing of viral polyPRO crutial for maturation/infectivity of virus
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9
Q

HIV-1 protease function

A

cleaves polyPRO that is translation product of integrated viral DNA to release individual viral PRO essential for maturation/infectivity of virus

  • must cleave several different sequences to process polyPRO
  • inhibition results in formation of immature virions were not competent for further infection (since both integrase and reverse transcriptase were not released)
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10
Q

HIV-1 protease structure

A

approximately half the size of typical aspartyl proteases, and symmetrical homodimer

  • limited sequence homology except for sequences at/near active site
  • 3D structure similar to other aspartyl proteases
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11
Q

HIV-1 protease specificity

A

does not have absolute sequence specificity, although all proteases have some degree

  • large active site crevice that is highly hydrophobic
  • multiple tight hydrophobic contacts
  • asp 25 and asp 25’ in active site give specificity due to multiple interactions with AA around them
  • flaps allow entry of substrate, then fold down on substrate to sequester it from aqueous environment
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12
Q

HIV-1 protease inhibitor target sites

A

in vivo: natural cleavage sites between phe and pro, or phe and tyr
in vitro: use peptide that can be cleaved efficiently between beta-naphthylalanine (similar to phe) and pro
-cleavage product formation is detected by chromatography

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13
Q

substrate-based inhibitor design

A
  • starts from sequences of known substances (must have specificity for enzyme)
  • insert non-hydrolyzable bond where peptide bond would be (resemble transition state)
  • peptides cleaved by aspartyl proteases go thru tetrahedryl transition state to incorporate tetrahedryl geometry into inhibitors
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14
Q

what to test inhibitors for

A
  • Ki for purified HIV-1 protease
  • inhibition of virus production by infected cell culture
  • pharmacological properties
  • water solubility
  • stability
  • inhibition of other human aspartyl proteases
  • effectiveness and toxicity in animal/human models
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15
Q

what does predominant use of substrate-based design for virtually all HIV protease inhibitors mean?

A
  1. all inhibitors bind at enzyme active site

2. all inhibitors have some structural similarity

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16
Q

structure-based inhibitor design VS enzyme-based inhibitor design

A

SBID: starts from substrate structures, and is predominant strategy used
EBID: start s from enzyme structure and designs molecules that might “fit” based on computer modeling (may have no obvious resemblance, but can conform to active site)
-not as effective as initial strategy for HIV protease inhibitors, but useful for toher things
-refinement of inhibitor structures has used information about enzyme structure

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17
Q

clinical problems with HIV-protease inhibitors and HAART (7 problems)

A
  1. resistance
  2. pharmacokinetics - getting drug to virus
  3. accessing reservoirs of virus
  4. cost/availability
  5. side-effects/long-term toxicity - liver damage
  6. patient compliance
  7. when to initiate treatment (used to wait until CD4 levels <500 cells/mm3)
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18
Q

why do patients become resistant to HIV-1 drugs?

A

high error rates of RT and large number of virus particles made daily
-some sequences encode viral PRO that can perform normal function in viral propagation, but no longer bind inhibitor tightly, thus multiply even if drug

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19
Q

requirements for an HIV-1 protease-resistant virus

A
  • replicate at high levels
  • insensitive to drug (high Ki)
  • able to carry out normal catalytic activity with reasonable efficiency
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20
Q

solution to HIV-1 protease inhibitor resistance

A

shut down viral replication as completely as possible via combos of anti-HIV drugs against different targets (HAART/ART)

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21
Q

hepatitis C latest therapy

A

HCV (serine) protease inhibitor (teleprevir, boceprevir) in combination therapy
-viral life-cycle resembles HIV-1

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22
Q

regulation of enzyme activity (4) and regulation of enzyme availability (4)

A
  1. allosteric regulation
    2/3. regulation by reversible AND irreversible covalent modification
  2. regulation by PRO-PRO interactions
    ~~~
    5/6. regulation of enzyme synthesis AND degredation
  3. compartmentalization of enzyme activity
  4. differential activities of isozymes
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23
Q

allosteric enzymes

A

frequently operate at control points in metabolic pathways (rate-limiting steps; feedback inhibition)

  • modulated by levels of own substrate, or other activating/inhibitory molecules
  • DON’T follow Michaelis-Menten, but have multiple active sites and subunits
  • -either activate or inhibit (binding changes conformation of enzyme so binding to other sites is affected)
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24
Q

K0.5 and relationship to allosteric modulators

A

concentration of substrate giving half-maximal activity (similar to Km, but related equations don’t count b/c not related to Michaelis-Menten)

  • allosteric activators decrease K0.5
  • allosteric inhibitors increase K0.5
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25
Q

apsartate transcarbamoylase (ATCase)

A

catalyzes first step in synthesis of CTP for RNA synthesis

  • classic allosteric enzyme (feedback inhibition: high CTP slows down ATCase, high ATP vice versa)
  • due to 6 regulatory and 6 catalytic subunits arranged in rings
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26
Q

ATCase allosteric properties

A

CTP - allosteric inhibitor (preferentially binds and setabilizes a low-affinity conformation of ATCase - T state)
ATP - allosteric activator (preferentially binds and setabilizes high affinity conformation of ATCase - R state)
NEITHER CTP NOR ATP ARE SUBSTRATES FOR ATCASE, so must bind at locations other than active site

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27
Q

ways for regulation by reversible covalent modification

A
  • causing conformational change that affects catalysis
  • altering cellular localization of the enzyme
  • altering interactions with other PRO
  • commonly phosphorylation, methylation, acetylation, glutathionylation, ubiquitination
28
Q

glycogen phosphorylase

A

reversible covalent modification

  • catalyzes degradation of glycogen into glucose-1-phosphate
  • needs to be phosphorylated to become active, via glycogen phosphorylase kinase
  • -reversed by phosporylase phosphatase
29
Q

regulation by irreversible covalent modification

A

enzymes are made in inactive form (zymogen) and activated irreversibly in time/place needed
-kept in zymogen granules

30
Q

enteropeptidase and subsequent cascade

A

cleaves trypsinogen –> trypsin
-trypsin then cleaves chymotrypsinogen et al
rapid activation of all; irreversible

31
Q

maintenence of blood volume requires what 3 rapid responses to blood vessel injury? and are they reversible or irreversible?

A
  • rapid activation of blood coagulation - irreversible covalent modifications
  • localization of clot to site of injury - reversible covalent modifications)
  • rapid termination after clot formation to prevent thrombosis - irreversible covalent modifications
32
Q

factor VIIIa

A
modulator PRO (not an enzyme) that is needed for the clotting cascade
-missing in hemophiliacs
33
Q

localizations of blood clots mechanism

A

clotting PRO are converted to gamma-carboxyglutamates via vit K-dependent enzyme
-the subsequent GLA modification allows interaction with Ca and binding to phospholipid membranes to localize

34
Q

inhibition of coagulation

A

dicoumarol (coumadin; vit K analog), warfarin
-competitive inhibitors of vit K-dependent enzymes for GLA, to prevent the modification and subsequent binding to Ca and phospholipid membranes

35
Q

how is clotting terminated?

A

opposing cascade with other serine protease inhibitors

-TPA converts plasminogen to plasmin, which causes fibrins to hydrolyze clot

36
Q

tissue plasminogen activator (TPA)

A

serine protease that activates plasminogen –> plasmin, which allows fibrins to hydrolyze clots
-administered therapeutically for heart attack/stroke within hours

37
Q

regulation by PRO-PRO interactions

A

while zymogen activation is irreversible, activated proteases can be turned off by interaction with inhibitor proteins

38
Q

pancreatic trypsin inhibitor

A

inhibits inappropriately activated digestive proteases in pancreas

39
Q

anti-thrombin (AT III)

A

serpin that inactivates thrombin and other proteases (by binding active sites) of clotting cascade to arrest inappropriate clotting, as long as heparin is present to stabilize protease-inhibitor complex

40
Q

alpha-antitrypsin (or alpha-antiproteinase)

A

elastase inhibitor that protects tissues from neutrophilic elastase

41
Q

anti-thrombin deficiency

A

AD genetic deficiency

  • excessive, inappropriate clotting (thrombosis) in legs/lungs
  • observed after serious injury or oral contraceptives
  • may be fatal, so treat with long-term anticoagulants
42
Q

a1-antitrypsin defiency

A

very common due to too much elastase in lung (from MPs recruited to lungs) –> COPD/emphysema (smoking, infection)

  • can’t inhibit elastase, causes SOB
  • severe deficiency also causes liver disease (misfolding in ER)
43
Q

PRO kinase A

A

regulated by interaction of cAMP with regulatory subunits

-cAMP binding releases inhibition by regulatory subunits and activates catalysis

44
Q

calmodulin

A

shows Ca2+ dependent interactions with multiple enzymes

45
Q

how can enzymes be used as diagnostic tools?

A
  • diagnostic measurement of enzyme levels
  • measurement of substrate or metabolite levels
  • diagnosis of tissue damage or tumors by isozyme distribution

all are measured over time

46
Q

usage of lactate dehydrogenase for enzymatic assay

A

measure product (NADH) formation directly via absorbance at 340 nM (rate of appearance = enzyme activity)

  • has greater rate of absorbance than NAD precursor
  • requires excess concentration of lactate added to serum
47
Q

why do we start enzyme assays at saturating [substrate]?

A

because both [S] and [P] are linear with time under these conditions, and Vmax is directly proportional to total [E]

48
Q

SGPT (ALT; ala aminotransferase) usage in enzymatic assays

A

liver enzyme that converts glutamate and pyruvate to alpha-ketoglutarate and alanine

  • products not measured easily, so use coupled enzyme assay with alpha-detoglutarate dehydrogenase to make succinate and NADH
  • requires excess of secondary materials
49
Q

use of enzymes to measure metabolite or drug levels

A

fast, accurate, cheap quantification of small molecule in complex mixture (serum, urine)

  • use a large excess of enzyme specific for the substance measured to convert substrate completely to product in a short time
  • measure amount of product formed, directly or indirectly
  • cons: other factors in sample can interfere with enzyme activity
50
Q

measurement of blood glucose levels

A

coupled enzyme assay detecting colored NADPH

  • G6P, ATP, NADP, hexokinase are added in excess
  • easy dipstick measurement b/c [NADPH] proportional to [glucose]
51
Q

non-plasma-specific enzymes appearing in plasma and how to detect

A

damage to tissue of origin or because of “spillover” due to overproduction in tissue of origin or tumor in tissue

  • level of enzyme activity
  • timing of appearance of activity
  • presence of tissue-specific isozymes
52
Q

diagnostic use of alanine aminotransferase (ALT, SGPT)

A

viral hepatitis

53
Q

diagnostic use of amylase

A

acute pancreatitis

54
Q

diagnostic use of lipase

A

acute pancreatitis

55
Q

diagnostic use of creatine kinase

A

muscle disorders and myocardial infarction

-is more common in skeletal

56
Q

diagnostic use of lactate dehydrogenase isozyme 5

A

liver diseases

57
Q

diagnostic use of phosphatase acid VS phosphatase alkaline (isozymes)

A

acid: metastatic carcinoma of prostate
base: various bone disorders, obstructive liver disease

58
Q

enzyme levels in plasma following myocardial infarction

A

peaks of creatine kinase, aspartate aminotransferase, and lactate dehydrogenase
-timing of rise/fall are characterstic of MI, so must measure levels at multiple times

59
Q

isozymes

A

different forms of enzyme that carry out same RXN

  • have different AA sequences, diff chemical properties, and diff enzymatic characteristics
  • may have specific expression in different tissues, or specific pattern of expression during development
60
Q

how can different isozymes be distinguished? (4 ways)

A
  • charge differences (electrophoresis)
  • specific monoclonal Abs
  • differences in enzymatic properties
  • inhibitor sensitivities
61
Q

lactate dehydrogenase isozymes (the ones in heart and muscle/liver)

A

heart: LDH-1 - alpha tetramer
lung: LDH-5 - beta tetramer
(other 3 are different subunits, elsewherei n body)

62
Q

creatine kinase isozymes (in heart and muscle)

A

heart only: CK-2 - beta-alpha subunits

skeletal/cardiac muscle: CK-3 - alpha dimer

63
Q

separation of LDH isozymes by electrophoresis

A

they will migrate to the negative end

64
Q

use of LDH and CK in MI diagnosis

A

CK-2 and LDH-1 (heart) in plasma

-timing of appearance: both enzyme activities appear transiently after attack and fade away

65
Q

use of LDH and CK in muscular dystrophy diagnosis

A

CK-3 (from muscle) is present in plasma, with a long-term rise over weeks