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Medicinal Chemistry Final

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Question
Answer
What is the significance of molecular orbitals?   Tells us something about molecular reactivity   Can be calculated through quantum mechanics   Care about where electrons are    
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What is the significance of molecular dynamics?   Used to probe structure and dynamics   Don't care where electrons are      
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What is High Throughput Screening (HTS)?   Actual experimental approach that tests tons of compounds to find a hit   Very rapid way of performing synthesis      
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What is virtual screening?   Only test top compounds that will actually be likely binders   Predicted from a computer      
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What are some different ways to generate lead compounds?   Take an already approved drug and modify it   De novo approach (LUDI) - link small molecules together on a computer   Natural products - gives us interesting compounds   Combinatorial chemistry  
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What is a hit?   Most initial compound   PK/binding to a target hasn't been optimized      
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What is a lead?   A hit that has been researched   May have PK/binding features      
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What is combinatorial chemistry?   Uses molecular scaffolds to construct libraries of similar compounds   Can synthesize and test mixtures of compounds in parallel   Cool instruments to run HTS   Success depends on complexity of library  
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What is a solid phase technique?   Reactions are carried out on solid support (i.e. resin bed)   Protective group prevents reactions from happening on a certain group   Link peptides and use acid to cleave off initial bead/peptide    
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What is a bead-linker synthesis?   Bead: a penetrable polymer that "swells" and allows access to interior functional groups   Linker: a unit covalently attached to bead that constitutes solid support   Good for peptide synthesis   N-protected AA linked to resin via ester link  
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How does a split and mix work?   Produces a mixture of products in each reaction vessel   Makes large libraries of compounds      
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How does photolithography work?   Products made on a plate of immobilized solid support   Put a mask with holes and reveal locations of reaction   Light is exposed --> deprotected groups are revealed   Incubation of plate with fluorescent tagged receptor --> easy detection of active compounds  
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What is dynamic combichem?   Synthesize all compounds in one flask simultaneously and ID most active ones as they're being formed   Amplifies active compounds   Alternative to split and mix approach   Target molecule selects out ligand from equilibrium mixture --> shifts population  
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What is a vancomycin dimer?   Include tripeptide substrate --> increase rate of "bridge formation" and promote dimer formation   Binds to biochemical precursors   Doesn't inhibit a protein/receptor    
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What are protein kinases?   Catalyze phosphorylation reactions on protein substrates   Found in cytoplasm   Overexpression --> cancer    
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What are the 3 classes of protein kianses?   Tyrosine kinases   Serine-threonine kinases   Histidine kinases    
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What is the structure and function of the active site of protein kinases?   Contains binding site for protein substrate and ATP cofactor   Targeted by clinically useful inhibitors   Similar, but not identical for all protein kinases    
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What is a Gefitinib?   A kinase inhibitor based on ATP   Aniline binds to hydrophobic pocket, which isn't taken advantage of by ATP   Blocks binding of drug molecule with kinase   Doesn't mess with ability to bind ATP  
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What are some challenges of Gefitinib analogs?   Gefitinib analog: drug-resistant mutation of Thr-->Met in binding site   Produces a steric clash with drug   Met blocks active site where drugs normally bind    
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What are suicide inhibitors?   T338M: drug-resistant mutation   Irreversible inhibitor is active against T338M mutation   Covalently attaches to kinase and still be active against mutation    
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What is the key concept of AbI and Src?   Structures look more different in inactive state than in active state   Drug binds inactive state --> increase selectivity   ex: Imatinib (a protein kinase inhibitor selective for Bcr-AbI which is active in tumor cells)    
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What is angiogenesis?   When tissue is large enough, it creates its own vascular system   ex: VEGF      
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What are oncogenes?   Regulators of cell communication with outside environment   Derived through mutation of proto-oncogenes   stimulated by exposure to carcinogens --> cancer    
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What are the functions of tumor suppressor genes (anti-oncogenes)?   Halt uncontrolled growth   Suppressed/inactivated --> cancer   ex: p53    
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What is the role of p53 in cancer?   A tumor suppressor gene that prevents cancer   Triggers cell cycle arrest/apoptosis by: oncogene activation, DNA damage, cellular stress      
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What are some common defects in cancer?   Abnormal signaling: can change growth factor/chemical messengers; make growth factor receptors constantly on --> insensitivity to growth inhibition   Abnormal cell cycle regulation: cyclins/cyclin-dependent kinases/inhibitors can change which cycle cell should be in   Abnormal chromosome maintainence: telomere stabilizes and protects DNA; telomerase keeps chromosome ends from shrinking   Abnormal and increased angiogenesis: as tumor grows, it grow its own vascular system via extending existing capillaries  
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What are DNA cross-linking agents and their role in anti-cancer drugs?   Extremely reactive electrophilic reagents   React with DNA nucleobases, which get alkylated   Aromatic N mustards are less reaction --> permits oral administration and transport by AA transporters --> ADME   Halogen = Cl  
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What are some DNA intercalating agents and their functions?   Dactinomycin: minor groove binding; complex is very stable --> prevents unwinding   Doxorubicin: major groove binding; charged AA group on sugar is important because phosphate backbone is negatively charged   Morpholino doxorubicin: morpholino increases solubility; better interactions with DNA --> more efficacious    
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What are antimetabolites and their role in anti-cancer drugs?   Methotrexate with dihydrofolate reductase (DHFR) and NADPH - required for DNA synthesis   5-fluorouracil - inhibits thymidylate synthase   Inhibits cell metabolism of pathogen; host's metabolism remains unaffected    
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What is Tamoxifen?   A hormone antagonist of (o)estrogen receptor in breast tissue   Prevents binding of (o)estradiol   Take 1-2 pills/day, but don't exceed 6 months    
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What is Aromatase?   A hormone-based therapy that catalyzes biosynthesis of androgens --> estrogens   Uniquely highly substrate specific   An example of a non-metabolizing P450   Inhibition --> chemotherapy for estrogen-dependent breast cancer  
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What is Femara (Letrozole)?   A reversible competitive inhibitor of aromatase   Binds to other CYP450 --> undesirable side effects   Prescribed after 6 months of taking Tamoxifen    
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What is Herceptin (Trastuzumab)?   Monoclonal antibody that binds to HER2 (Human Epidermal growth factor Receptor 2)        
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How does Herceptin compare to Femara?   More specific (using antibodies vs. small molecules)   More expensive (making antibodies costs money)   Can alter receptors in heart, if taken for too long   PK issues; very big structure --> can't cross BBB --> may cause brain cancer  
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When would Herceptin not work?   No HER2 gene   When receptor is mutated   When cancer has progressed to a point beyond treatment (stage 4)   When cancer is constitually active (whether messenger is present or not, receptor is turned on)  
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What is cell wall biosynthesis?   Building block is constructed from 2 sugars (NAG, NAM) + peptide chain in cytoplasm   Transported across cell membrane and completed   Linked to growing cell wall by enzyme (transglycosidation)   Final cross-linking reaction catalyzed by transpeptidase enzyme  
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What is penicillin?   An antibacterial agent that inhibits cell wall synthesis        
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How does penicillin work?   Inhibit a bacterial enzyme (transpeptidase) involved in synthesis of bacterial cell wall   b-lactam ring involved   Covalently link to enzyme's active site --> irreversible inhibition    
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How do Gram +/- cell walls influence penicillin?   Gram +: thick, but porous cell wall; no hydrophobic barrier --> more susceptible to penicillin   Gram -: Has a thin cell wall and a hydrophobic layer --> less susceptible to penicillin      
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What are the problems with penicillin?   Sensitive to stomach acids   Sensitive to b-lactamases (enzyme that hydrolyze b-lactam ring)   Has a limited range of activity    
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How is penicillin's sensitivity to b-lactamases a problem?   Opens b-lactam ring --> inactivates penicillin   Allows bacteria to be resistant to penicillin   Transferrable between bacterial strain    
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How does penicillin's sensitivity to b-lactamases work?   Blocks access of penicillin to active site of enzyme by introducing bulky groups to side chain   Size of shield is important to inhibit reaction of penicillins with b-lactamases      
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What is a pharmacaphore?   Abstract description of molecular features necessary for recognition of a ligand by a receptor   Maps important sites to target   Can be ligand-based/receptor-based    
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What is docking?   Prediction of a ligand conformation/orientation within a binding site        
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What is AutoDock?   A rough estimate of a protein's free energy   Freezes protein --> dock structure   Restrain free molecule --> increase binding affinity    
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