Shared Flashcard Set

Details

MOA of bug drugs
2010
41
Pharmacology
Graduate
08/28/2010

Additional Pharmacology Flashcards

 


 

Cards

Term
penicillins
Definition
covalently bind to the enzymatic site fo penicillin-binding proteins to produce an irreversible inhibition of PG transpeptidase and thus prevent PG cell wall synthesis
Term
cabapenems
Definition
covalently bind to the enzymatic site fo penicillin-binding proteins to produce an irreversible inhibition of PG transpeptidase and thus prevent PG cell wall synthesis 
Term
aztreonam
Definition
covalently bind to the enzymatic site fo penicillin-binding proteins to produce an irreversible inhibition of PG transpeptidase and thus prevent PG cell wall synthesis 
Term
cephalosporins
Definition
covalently bind to the enzymatic site fo penicillin-binding proteins to produce an irreversible inhibition of PG transpeptidase and thus prevent PG cell wall synthesis 
Term
vancomycin
Definition
covalently binds the D-ala-D-ala terminus of the peptide side chain: this binding prevents the binding of the Dala-D-ala terminus to the enzymatic site of PG transpeptidase. Cell wall synthesis is hinibited
Term
tetracyclines
Definition
binding to the A site o the 30S subunit of the bacterial ribosome prevents the binding of the aminoacyl tRNA
protein synth is inhibitied
Term
macrolides
Definition
binding to the 50S subunit of the bacterial ribosome inhibits translocation of the most recently added amino acid from the A site to the P site:
protein synth is inh
Term
clindamycin
Definition
the same as macrolides, bind 50S subunit preventin A to P translocation
Term
fluoroquinolones
Definition
inhib of Topo II (DNA gyrase) and
topo IV prevents the relaxation of positively supercoiled DNA needed for replication and separation of the replicated chromosomal DNA required for cell division, respectively
Term
aminoglycosides
Definition
bind to the 30S subunit to block formation of the initiation complex, cause misreading of mRNA and break polysomes into non-funtional monosomes
Term
linezolid
Definition
binding to the
23S ribosomal RNA of the
50S subunit blocking the assemply of the 70s complex
Term
daptomycin
Definition
binding to the bacterial membranes causes depolarization, loss of membrane potential and cell death
Term
Trimeth-Sulfa
Definition

sulfamethoxazole inhibits dihydropteroate synthetase blocking the synthesis of dihydrofolate(DHF), and trimethoprim inhibits dihydrofolate reductase(DHFR) blocking the synthesis of tetrahydrofolate(THF) is blocked

 

NB1: methotrexate also inhibits dihydrofolate reductase(DHFR), but can be overcome in non-tumor cells with leucovorin rescue.

NB2: No leucovorin rescue for 5-FU thymidylate synthetase inhibition. 

Term
pyrimethamine-sulfadiazine
Definition

sulfadiazine inhibits DHopteroate synthetase blocking the synthesis of dihydrofolate(DHF) and pyrimethamine blocks DHfolate reductase blocking the synthesis of tetrahydrofolate(THF)

 

NB: This is the same pathway inhibition as Trim-Sulfa, just with different drugs.

Term
pyrimethamine-sulfadiazine
Definition
sulfadiazine inhibits DHopteroate synthetase and pyrimethamine blocks DHfolate reductase: the synth of THF is blocked
Term
nitrofurantoin
Definition
bacterial enzymes reduce nitrofurantoin to a highly reactive intermediate which damages bacterial DNA to cause cell death
Term
isoniazid
Definition

after bioactivation by mycobacterial catalase-peroxidase, the active metabolite covalently binds to the acyl carrier protein and the B-ketoacyl carrier protein synthetase to:

"prevent the synthesis of mycolic acid" which is the major component of TB cell membranes

 

NB: this is the 'i' in S.H.I.P. drugs, which are more slowly inactivated/acetylated in certain races/people, leading to hepatotoxicity with this drug

Term
rifampin rifabutin
Definition
binding to the B-subunit(beta) of bacterial DNA-dependent RNA polymerase prevents RNA synthesis
Term
pyrazinamide
Definition
interferes with the synthesis of mycolic acid by affecting the gene for fatty acid synthase I
Term
ethambutol
Definition
inhibits arabinosyl transferase to prevent the polymerization of arabinoglycan, an essential component of the mycobacterial cell wall
Term
streptomycin
Definition
binds to the 30S subunit to block formation of the initiation complex, cause misreading of mRNA and break polysomes into non-functional monosomes
Term
amphotericin B
nystatin
Definition
binding to ergosterol in fungal cell membranes creates pores which increases the permeability of the cell wall: the loss of intracellular macromolecules and ions causes cell death
Term
-azoles. e.g. fluconazole
Definition
inhibition of CYP450 lanosterol 14alpha-demethylase blocks the synthesis of ergosterol
Term
echinocandins
Definition
inhibit cell wall synthesis by blocking the enzyme 1,3-beta-D-glucan synthetase: called penicillins for fungi
Term
flucytosine 5-FC
Definition

5-FC -> to 5-FU by fungi; 5-FU -> to RdUMP which blocks fungal thymidylate synthetase; lack of thymidine prevents DNA synthesis

 

NB: non-tumor cells cannot be saved with leucovorin like in methotrexate treatment

Term
griseofulvin
Definition
fungistatic: binds to microtubules to prevent fungal mitosis
Term
terbenafine
tolnaftate
Definition
fungicidal: block squalene-2,3-epoxidase to block ergosterol synthesis
Term
oseltamavir
Definition
blocks the release fo new viral particles from infected cells via the inhibition of viral neuraminidase
Term
acyclovir ganciclovir penciclovir
Definition
all are converted to monophosphates by HSV and CMV kinases followed by conversion to triphosphates by host cell kinases: triphosphates inhibit viral DNA polymerase and result in "chain termination"
Term
fomicirisen
Definition
an antisense oligonucleotide which binds viral mRNA and prevents its translation
Term
trifluridine
Definition

converted to trifluridine triphosphate by host-cell kinases: the active metabolite inhibits viral DNA polymerases

 

chain terminator just like acyclovir, first phosphorylation step for these compounds occurs at higher rates in virus infected cells.

Term
foscarnet
Definition

directly inhibits viral DNA polymerase

 

NB: used to treat CMV retinitis in AIDS patients, otherwise usually used topically for Herpes outbreaks

Term
trifluridine
Definition
concerted to trifluridine triphosphate by host cell kinases: the active metabolite inhibitis viral DNA polymerase
Term
enfuvirtide
Definition
blocks the fusion of the viral and T-cell membranes, so HIV cannot enter the CD4+ T cell
Term

zidovudine lamivudine abacavir tenofovir

 

 

Definition

after conversion to "false" nucleotides (triphosphates) by intracellular kinaeses, these false nucleotides competitively inhibit HIV reverse transcriptase and their incorporation in to the DNA chain causes chain termination

 

NB: these are the NRTI's nucleoside analog reverse transcriptase inhibitors, all RTIs are chain terminators, when they are incorporated they block elongation of the growing DNA or RNA molecule

Term
nivirapine efavirenze
Definition

directly inhibit reverse transcriptase: they block RNA and DNA dependent polymerase

 

NB: these are the NNRTI's non-nucleoside reverse transcriptase inhibitors, all RTIs are chain terminators, when they are incorporated they block elongation of the growing DNA or RNA molecule

Term
raltegravire
Definition
blockade of the viral integrase prevents the insertion of viral DNA into human DNA
Term
saquinavir
ritonavir
lopinavir
Definition
blockade of viral protease prevents the cleavage of viral polyproteins into the functional subunits needed to assemble new functional, infectious viral particles
Term
metronidazole
Definition
protozoal and bacterial ferredoxins reduce the nitro group to produce a highly-reactive radical which attacks DNA and destroys its helical structure; also causes DNA mutations
Term
nitazoxanide
Definition
interferes with pyruvate: ferrodoxin oxidoreductase-dependent electron transfer reaction
Term
pentamidine
Definition
MOA unknown
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