39/40 - Medchem AntiVirals Flashcards

1
Q

Process of AV Drug Discovery

Acquiring Chemicals

A

Random Design

Analog Approach

Bio-Structural Approach

Isolation from Natural Sources

Screening
HTS in vitro / Animal Models

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2
Q

Process of AV Drug Discovery

IDENTIFYING LEADS

A

Structural Modifications

Understanding the
Molecular Mechanism –> Interaction w/ Active Site

OPTIMIZING
lead molecules

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3
Q

Nucleoside Analogs

  • *What modification gave GREATER SELECTIVITY** for
  • *Viral Thymidine Kinase?**
  • OH –> monophosphate
A

Iodo Group of Idoxuridine
REPLACED by:
-CH2Ch3** or **CH=HBR

Compound has higher affinity for viral thymidine kinase

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4
Q

Nucleoside Analogs

What modification gave
PROTECTION FROM DEACTIVATION?

& by what enzyme?

A

Iodo Group of Idoxuridine
REPLACED by a:
strong EWG substituent
-F / -CF3 / -NO2
these compounds could
INHIBIT - THYMIDYLATE SYNTHASE
Monophosphate –> INACTIVE form

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5
Q

Nucleoside Analogs
LAMIVUDINE + EMTRICITAMINE
NRTI’s

What improvements were made?

A

Modification of the SUGAR structure
C-OH –> S

Deoxyribose is replaced by a:
1,3 - oxothiolane** = **NO 3-OH group
VVV
PREVENTS the 5’-3’ phos linkage for DNA chain elongation
CHAIN TERMINATOR OF DNA SYNTHESIS

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6
Q

Nucleoside Analogs
ENTECAVIR

What improvements were made?

A

Modification of the SUGAR backbone
O -> C=C

Furonose Oxygen** –> **Methylene Group
Creating a Carbocyclic Ring that can
Overcome the degradation problem in normal nucleosides
phosphorolyases would normally CLEAVE the N-glycosidic linage

Entacavir Triphosphate INHIBITS:
HBV Polymerase Activities

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7
Q

Nucleoside Analogs
ACYCLOVIR
Guanine Derivative

A
  • *Inhibition of Viral-coded DNA polymerase:**
  • *Removes 2 Carbons** from Sugar Base
  • 3-OH is now MISSING* -> addition of other N’s prevented
  • *= CHAIN TERMINATION**

More SELECTIVE to Infected cells:
Requires Metabolism –> MONOPhosphate by:
VIRAL Thymidine Kinase
followed by host-cell kinases –> triphosphate for activity

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8
Q

Nucleoside Analogs
Acyclovir + Ganciclovir + Penciclovir

What ESSENTIAL function groups are retained?

A

Hydroxy-group = “Sugar-Like”

Guanine Nucleoside base

  • *Guanine** substituted at:
  • *N-9 Position**

Ganciclovir:
extra hydroxymethylene –> CMV infection

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9
Q

1st Prodrug strategy for Nucleoside Analogues

ESTER ANALOGS

MoA / Drugs

A
  • *Ester Analogs** are bioconverted/hydrolyzed by
  • *ESTERASES** –> active acid form

Ex:
VALACYCLOVIR = L-valvyl ester prodrug of acyclovir
Valganciclovir = “ of ganciclovir
Famciclovir
=DiAcetyl esters, ofpenciclovir

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10
Q

3rd Prodrug Strategy for Nucleoside Analogs

Avoiding the 1st Phosphorylation Step
= Rate-limiting step

A

Nucleosides have 2 major problems as drugs:

1) NEG CHARGE @phys pH PREVENTS the crossing of biological membranes –> poor ORAL absorption
2) RAPID degradation by PHOSPHOTASES

Prodrug strategy:

1) MASK phosphate group w/ Protecting groups = LIPOPHILIC
2) Removal of protecting group by enzymes –> traps anionic monophosphate INSIDE cell
3) still prodrug –> needs triphosphate to be active

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11
Q

Nucleoside Analogs
ADEFOVIR & TENOFOVIR ALEFENAMIDE/Disoproxil

What 3 IMPROVEMENTS were made?

A

Nucleoside PHOSPHONATE prodrugs

1st Phosphorylation (rate-limiting step) is BYPASSED
delivered as 5’-monophosphate form
+
Neg Charge of PHOS is MASKED –> ↑Lipophilicity
+
Addition of CARBON b4 Phosphate –> ↑antiviral activity

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12
Q

Neuraminidase Inhibitors
VIRMIDINE (Taribarvirin) –> RIBAVARIN (Tribavirin)

What Improvements were made?

A

Ribavirin = RBC toxicity

Taribavirin = PRODRUG of Ribavirin
w/ better LIVER-targetting + safety
@physiologic pH:
+pos+ charge from partial protonation of carboximide group
contributes to the relative slowness –> drug cross cell membrane (RBC)
first pass metabolism:
C=O –> C=NH

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13
Q

Drug Targets for Influenza Virus

AMANTADINE + RIMANTADINE

what do they target?

A

M2 ION CHANNEL
Amantadine + Rimantadine

no longer used due to RESISTANCE

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14
Q

Drug Targets for Influenza Virus
Oseltamivir = Tamiflu

MoA

A

COMPETITIVE INHIBITOR of:
Viral NEURAMINIDASE
normally removes SIALIC ACID from glycoproteins on the surface of human cells that help new virions EXIT the cell

  • *PRODRUG:**
  • *hydrolyzed** –> active carboxylic acid derivative
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15
Q

Drug Targets for Influenza Virus
Oseltamivir = Tamiflu

What MAJOR CHEM. MODS were made to make the drug?

A

SIALIC ACID –> Oseltamivir

Cyclohexene Ring** = **TRANSITION STATE MIMIC
mimics transition state of sialic acid

Sialic Acids: Glycerol Moiety (2x -OH)

  • -> ​3-Pentyl Ether side chain (2x - CH3)
  • *↑LIPOPHILICITY**
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16
Q
_NRTI = Nucleoside Reverse Transcriptase Inhibitors_
**ZIDOVUDINE = AZT**

What improvements were made?

A

1st HIV approved treatment

THYMIDINE** –> **AZIDO (N=N=N)
OH –> -NNN
targets the catalytic site of HIV RT

  • *DNA Synth + Replication is terminated**
  • because nucleosides canNOT bind to NITROGEN group of AZT*
17
Q
_NNRTI = NON-Nucleoside RT inhibitor_
**EFAVIRENZ = EFV**

Modifications

A

TRIFLUOROMETHYL GROUP
+
CycloPropylAcetylene group
on a:
Benzoxazinone Nucleus

makes A LOT of interactions w/ neighboring contacts
hydrophobic contacts
BioIsosterism Approach** + **SAR modifications

18
Q

HIV Protease Inhibitors

MoA / Structural types

A

Blocking proteolytic cleavage of protein precursurs
that are NECESSARY for the production of:
infectious viral particals

MIMIC the Substrate TRANSITION STATE

2 Types:

  • *Pepitidal (Peptidomimetics) = ATAZANAVIR**
  • *NON-Peptidal = DARUNAVIR**
19
Q

HIV Protease Inhibitors
ATAZANAVIR

Type / Improvements

A
  • *AZA-Dipeptide** = PEPTIDE ANALOG
  • *PyridinylPhenyl side chain**
20
Q

HIV Protease Inhibitors
DARUNAVIR

Improvements / Features

A

NON-PEPTIDIC protease inhibitor
design based on the:
“BACKBONE BINDING CONCEPT

Hydrogen Bonds between:
Bis-THF**+**p-aminosulfonamide

in the backbone of the enzyme active site

21
Q

What are the:
Two structural components are necessary for integrase binding?

Integrase Inhibitors
Elvitegravir / Raltegravir / Dolutegravir

A

HydroPHOBIC BENZYL moiety
buries the highly hydrophobic pocket near the active site
+
CHELATING TRIAD
that binds the 2 Mg2+ ions in a hydropholic region, anchoring the inhibitor on the protein surface

Mg2+ & Mn2+ are critical cofactors in the integration phase“Strand Transfer Inhibition”

22
Q

HIV Entry Inhibitors
ENFUVIRTIDE

Features / MoA

A

1st HIV fusion inhibitor
prevents uninfected cells from being infected

Enfuviritide:
MIMICS gp41 components and displaces them
+
binds gp41 –> prevents change in shape
VVV
INHIBITS FUSION of the VIRUS + CELL MEMBRANE

23
Q

HIV Entry Inhibitors
MARAVIROC

MoA / Features

A

CCR5 ANTAGONIST
coreceptor needed for cellular HIV entry
by
Blocking Viral GP120 protein from associating w/ CCR5