Lecture 16 - Structure Activity of Antivirals Flashcards

1
Q

Key enzymes in HIV?

A

protease

reverse transcriptase

integrase

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2
Q

What are nucleoside reverse transcriptase inhibitors?

A

they mimic the natural nucleosides that are incorporated into the double helix chain formation of DNA-RNA and DNA

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3
Q

What type of drugs are nucleoside reverse transcriptase inhibitors?

A

prodrugs metabolised to give non-functional nucleotides

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4
Q

What happens when NRTIs are incorporated into the growing chain?

A

it causes chain termination

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5
Q

What does chain termination cause?

A

no more HIV can be made and CD4 cells are not further compromised

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6
Q

What happens when a nucleoside is phosphorylated?

A

it becomes a nucleotide

there are 3 phosphate groups required for the molecule to be incorporated into the growing chain

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7
Q

Examples of NRTIs?

A

deoxythymidine

zidovidine

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8
Q

What is the key part of an NRTI molecule?

A

the azide

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9
Q

What is required to make the growing chain?

A

a neighbouring hydroxyl group from another nucleosides, attacks and makes the growing chain

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10
Q

Further examples of NRTIs?

A

lamivudine (epivir)

zalcitabine (Hivid)

stavudine (Zerit)

abacavir (Ziagen)

didanosine (Videx)

emtricitabine (emtriva)

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11
Q

What are the two targets of NRTIs?

A

protease and reverse transcriptase

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12
Q

What is remdesivir?

A

an NRTI used in covid-19

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13
Q

What does the hydroxyl group on remdesivir do?

A

this is a non obligate chain terminator

although it may bond to another nucleoside, it does NOT

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14
Q

What does the adenosine like moiety in remdesivir do?

A

it is involved in base paring with uracil

this is very similar to how adenosine makes base pairs, this is possibly why it gets incorporated by viral polymerase

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15
Q

What is the ‘glycosidic bond’ in remdesivir?

A

normally is from ribose C to a base N

in this it is C-C and so it is more stable against nucleases as it is not a hemi-aminal bond

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16
Q

What does the cyano group in remdesivir do?

A

provides less toxicity as it is not incorporated into the host polymerases

only possible by iterations and cell evaluation

17
Q

What is the phosphamide in remdesivir?

A

protide protecting group

more lipophilic than monophospate helping uptake across the cell membrane

18
Q

What does the phosphamide group on remdesivir help with?

A

activation at first and the difficult, kinase phosphorylation (first phosphate group) is already done

19
Q

What are non-nucleoside reverse transcriptase inhibitors?

A

known as allosteric inhibitors

bind to a lipophilic pocket at the base of the thumb area of the RT enzyme

20
Q

How do NNRTI’s work?

A

conformationally prevents the enzyme from allowing the single strand of RNA to be transcribed

prevents replication and protects CD4 cells

21
Q

What do 1st generation NNRTIs have?

A

butterfly wing lipo, H bond and pi pi stacking

22
Q

What do 2nd generation NNRTIs have?

A

horse shoe like shape

23
Q

What do NNRTI’s target?

A

polymerase during transcription as allosteric inhibitors

24
Q

What is made following transcription and translation?

A

large proteins

25
What makes a virion?
when these large proteins are processed into smaller proteins
26
What does protease do?
cleaves the larger proteins, hydrolysis of the protein peptide bond
27
What is HIV protease?
a much smaller enzyme than the equivalent host aspartate proteases
28
What does HIV protease do?
cleaves substrates N terminal to proline residues unlike mammalian proteases
29
What is the cleave site for HIV protease?
Try-Pro
30
What was the rationale for inhibitor design based on?
Phe-Pro or Tyr-Pro motif
31
What do protease inhibitors do?
mimic the substrate with non-hydrolysable functionality
32
Examples of protease inhibitors?
ritonavir indinavir saquinavir
33
Drug used in the herpes simples and varicella zoster infection?
aciclovir
34
Example of an NNRTI?
nevirapine