MOA of viruses Flashcards

1
Q

compare the virus and host targeting antiviral approaches, analysing pros and cons

A

virus target e.g. HCV - nucleotide inhibitor class (inhibition of the viral polymerase)

adv - potential selective toxicity towards the virus and reduced toxicity.
disadv - risk of developing drug resistance

Cell-host target e.g. HIV - targets human CCR5 protein (blocking viral entry)

adv - reduced risk of drug resistance and targets multiple viruses

disadv - reduced specificity

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2
Q

Outline the main MOA and targets of the different classes of antiviral drugs

A

1- viral attachment
2-viral penetration
3-viral uncoating
4-viral genome replication and transcription
4b-viral DNA integration
5-protein synthesis and processing
6-viral budding

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3
Q

HIV entry mechanism

A

HIV gp120 proteins bind to CD4 receptor on T-immune cells.
CD4 binding -> enables gp120 to interact with a coreceptor protein of the host cell.

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4
Q

Virus target of HIV

A

Fostemsavir
targets the HIV gp120
prevents its binding to CD4 cellular receptor

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5
Q

cell host target of HIV

A

Maraviroc
CCR5 antagonist
prevents the HIV-1 gp120/CCR5 interaction

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6
Q

How does HIV fusion step work

A

coreceptor binding induces insertion of gp41 fusion peptide into the cell membrane
this promotes fusion between viral envelope and host membranes

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7
Q

what drug prevents HIV fusion step

A

Enfuvirtide - mimics components of the HIV-1 fusion machinery binding to gp41, preventing fusion of envelope and membrane

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8
Q

How do viral coating inhibitors work and give an example

A

-bind and block the M2 channel lumen - preventing virus uncoating
-M2 blockers e.g. Amantadine

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9
Q

How do viral polymerase inhibitors work?

A

Nucleoside analogues - contain modifications to stop or impair synthesis of nucleic acids (selective for viral polymerases). Hijack polymerase elongation and require activation by host kinases.

Non - nucleoside HIV - do not resemble natural nucleotides. Bind to allosteric site, not incorporated into nucleic acid chain. Indirectly inhibit its function and doesn’t need activation steps.

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10
Q

How do integrase inhibitors of HIV work

A

e.g. Raltegravir - block the strand transfer step of HIV DNA integration by chelating the Mg2+ in the active site

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11
Q

how do viral protease inhibitors work

A

selectively bind to viral proteases stronger than natural substrate. peptidomimetics –> contain non - cleavable groups to block their active site. Inhibiting precursors into key proteins

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12
Q

how do viral release inhibitors work

A

bind to neuraminidase and block the active site - preventing the release and spread of viral progenies

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