Drug Mechanisms and Drug Resistance Flashcards

(30 cards)

1
Q

Energy of ionic bond

A

16-28 kJ/mol

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2
Q

Energy of Van der Waals interaction

A

4 kJ/mol

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3
Q

Nitrogen-hydroxyl hydrogen bond energy

A

28 kJ/mol

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4
Q

Hydroxyl-oxygen hydrogen bond energy

A

20 kJ/mol

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5
Q

Amine-nitrogen hydrogen bond energy

A

12 kJ/mol

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6
Q

Amine-oxygen hydrogen bond energy

A

8 kJ/mol

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7
Q

Thioester bond energy

A

31 kJ/mol

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8
Q

Free energy of ATP hydrolysis

A

30 kJ/mol

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9
Q

Free enery of phosphocreatine hydrolysis

A

44 kJ/mol

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10
Q

ΔG from Kd

A

ΔG’o = - RT ln(Keq’)

Keq’ = 1 / Kd

Ergo, alternatively:

ΔG’o = RT ln(Kd)

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11
Q

If Kd = 1 mM, ΔG’o =

A

If Kd = 1 mM, ΔG’o = -17 kJ/mol

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12
Q

If Kd = 1 nM, ΔG’o =

A

If Kd = 1 nM, ΔG’o = -51 kJ/mol

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13
Q

If Kd = 1 μM, ΔG’o =

A

If Kd = 1 μM, ΔG’o = -34 kJ/mol

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14
Q

ΔG’o

A

pH = 7.00

[Components] = 1 mM

T= 25oC or 298K

P = 1 atm

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15
Q

R

A

8.314 J / mol K

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16
Q

A drop in Kd by one order of magnitude (e.g., by 10-3) corresponds to a change of ___ kJ/mol in ΔG’o

A

A drop in Kd by one order of magnitude (e.g., by 10-3) corresponds to a change of -17 kJ/mol in ΔG’o

17
Q

What problem do proteases solve?

A

Hydrolysis of proteins is thermodynamically favorable, but kinetically extremely slow.

This is because water is a bad nucleophile and amide carbonyls are bad electrophiles.

18
Q

Hydrolysis by a protease occurs at the ___ bond

A

Hydrolysis by a protease occurs at the scissile bond

19
Q

Aspartyl protease mechanism

20
Q

Protease “flaps”

21
Q

Flap-peptide interaction

22
Q

Classes of HIV antivirals

23
Q

Actions of HIV protease

24
Q

HAART

A

Highly active antiretroviral therapy

  • Combination of drugs targeting HIV at different stages in lifecycle
  • Started as early as possible after diagnosis
  • Latent virus cannot be eliminated, so treatment must continue for life
25
HIV Reverse Transcriptase mutations providing protection against NRTIs and NNRTIs
26
Mechanisms of HIV resistance to NRTIs
27
Q151M complex
A **set of 4 mutations** in HIV reverse transcriptase that **confers resistance to all** currently FDA-approved **NRTIs** **except _tenofovir_**
28
Mutations conferring resistance to retonvair
29
Cross-resistance
Resistance to an antiviral to which a virus has never been exposed, as a result of mutations positively selected for by application of another antiviral Always drug-class restricted. Often spans an entire drug class, but not always
30
Methodology for testing LoF in aspartyl proteases
ASP → ASN directed mutagensis in active-site aspartates