Anthelmintics Flashcards

(26 cards)

1
Q

Benzimidazoles (group) BZ

A
eg Thiabendazole and fenbendazole
Act against cellular integrity
Inhibitors of tubulin polymerisation
Bind beta-tubulin at growing end - prevent elongation
Deplete energy reserves
Inhibit excretion of waste
Slow starvation
Slow release boluses or prodrugs
Poorly soluble in water and given orally
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2
Q

Thiabendazole

A

A benzimidazole
Act against cellular integrity
Inhibitors of tubulin polymerisation
Slow

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3
Q

Fenbendazole

A
A benzimidazole
Act against cellular integrity
Inhibitors of tubulin polymerisation
Febantel hydrolysed to active fenbendazole
Slow
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4
Q

Salicylanilides (group)

A

eg Closantel
Act against cellular integrity
Uncoupler of oxidative phosphorylation
Cause fall in tegument pH in liver fluke
Lipophilic H+ moiety allows to act as protonophores
Bind plasma proteins - ingested by blood sucking helminths
Lipophilic - can cross biological membranes
Similar effects on mammalian mitochondria
Slow

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5
Q

Clorsulon

A

Act against cellular integrity
Inhibit enzymes in glycolytic pathway
Inhibits phosphoglycerate kinase and mutase
Binds plasma proteins - blood ingesting helminths

Slow

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5
Q

Praziquantel

A
Act against cellular integrity
Tegument disruption and vacuolisation
Ca2+ permeabilisers - cause Ca influx 
Spastic paralysis
Slow
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6
Q

Proteinases

A

Act against cellular integrity
Tegument disruption
Maybe Ca2+ permeabilisers
Slow

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7
Q

Organophosphates

A

Affect NM coordination
Cholinesterase inhibitors
Phosphorylate active site serine residue
Alkaline secretions of host GI tract hydrolyze and inhibit them
Fast and irreversible
Pralidoxime chloride antidote - reactivates AChEs by cleaving phosphate ester bond

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8
Q

Imidazothiazoles (group)

A
eg levamisole
Affect NM coordination
Cholinergic agonist
Depolarisation, muscle contraction, spastic paralysis, rapid expulsion
GI helminths and lungworms
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9
Q

Levamisole

A
An imidazothiazole
Affect NM coordination
Cholinergic agonist
Depolarisation, muscle contraction, spastic paralysis, rapid expulsion
GI helminths and lungworms
Water solube
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10
Q

Tetrahydropyrimides (group)

A
eg pyrantel
Affect NM coordination
Cholinergic agonist
Depolarisation, muscle contraction, spastic paralysis, rapid expulsion
GI helminths and lungworms
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11
Q

Pyrantel

A
A tetrahydropyrimide
Affect NM coordination
Cholinergic agonist
Depolarisation, muscle contraction, spastic paralysis, rapid expulsion
GI helminths and lungworms
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12
Q

Paraherquamide (PHQ)

A
Affect NM coordination
Cholinergic antagonist
Oxindole alkaloids
Flaccid paralysis
1000fold more active at parasitic nACHR than mammalian
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13
Q

Piperazine

A
Affect NM coordination
Muscle hyperpolarisation
GABA agonist
Opens ligand gated Cl- channels
Flaccid paralysis
Also inhibits succinate production and depletes ATP
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14
Q

Avermectins

A

-Macrocyclic lactones
Affect NM coordination
Potentiation of inhibitory transmitters
eg Ivermectin
Increase Cl- permeability -> hyperpolarisation and flaccid paralysis (of pharynx)
Glutamate gated Cl- channels - invertebrate specific

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15
Q

Milbemycins

A

Affect NM coordination

Potentiation of inhibitory transmitters

16
Q

Emodepside

A
A cyclooctadepsipeptide
Affect MN coordination
Acto on latrophilin-like receptor/K channels 
Hyperpolarisation and flaccid paralysis
Can form a pore/ionophore
17
Q

Amino-acetonitrile derivatives

A

Affect NM coordination

Novel AChR subunits

18
Q

Triclabendazole TCBZ

A

BZ selective against flukes

19
Q

Triclabendazole TCBZ

A

BZ selective against flukes

20
Q

Diamphenithide

A

Against flukes

Increase malate concentration, so inhibit glucose metabolism

21
Q

Diamphenithide

A

Against flukes

Increase malate concentration, so inhibit glucose metabolism

22
Q

Cysteine proteinases

A

From plants - resistant to acid digestion
Attack cuticle and reduce egg production
Unlikely to become resistant
Cysteine residue hydrolyses peptide bonds in helminth proteins
Must be protected from oxidation for activity

23
Q

Cysteine proteinases

A

From plants - resistant to acid digestion
Attack cuticle and reduce egg production
Unlikely to become resistant
Cysteine residue hydrolyses peptide bonds in helminth proteins
Must be protected from oxidation for activity

24
Carbamates
Cholinesterase inhibitor | Carbamylate active site serine residue
25
Carbamates
Cholinesterase inhibitor | Carbamylate active site serine residue