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Part 3: DNA Binding Agents
N/A
30
Pharmacology
Graduate
01/05/2011

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Term
What are nuclear enzymes that reduce the supercoiled DNA torsional stress, allowing selected regions of DNA to become sufficiently untangled and relaxed to permit replication, recombination, repair and transcription to occur?
Definition
DNA Topoisomerases
Term
What allows for relaxation of the DNA torsional strain, either by passage of the intact single-strand through the nick, or by free rotation of the DNA about the non-cleaved strand?
Definition
The cleavable complex that is formed when Topoisomerase I binds to the double stranded DNA through a reversible transesterification reaction that yields an intermediate complex in which the tyrosine of the enzyme is bound to the 3-Phosphate end of the DNA strand, creating a single strand DNA break
Term
What are the only topoisomerase I inhibitors used in cancer chemotherapy derivatives of?
Definition
camptothecin
Term
What two camptothecin derivatives are more water soluble and less toxic than the parent compound?
Definition
irinotecan and topotecan
Term
Irinotecan is metabolized by cleavage of the R3 group to yield the active compound sometimes referred to as...
Definition
SN-38
Term
Intestinal bacteria can enzymatically hydrolyze off the glucuronide to reform SN-38 in the GI tract, giving rise to...
Definition
severe diarrhea
Term
What is known to reduce levels of SN-38 by induction of cytochrome P450 and P-glycoprotein?
Definition
St. John's Wort
Term
What enzyme forms a covalent linkage to both strands of the DNA helix at the same time, making a transient double-strand break in the helix?
Definition
Topoisomerase II
Term
What were the first two drugs of the anthracycline class discovered as antibiotics produced by Streptococcus peucetius?
Definition
doxorubicin and daunorubicin
Term
What are the drugs in the anthracycline class that are produced synthetically?
Definition
Idarubicin
Valrubicin
Epirubicin
Term
The quinone-hydroquinone system is responsible for this color of the anthracyclines
Definition
deep red
Term
A liposomal form of doxorubicin is available for the treatment of...
Definition
Kaposi's Sarcoma
Term
Use of the liposomal form of doxorubicin can give rise to...
Definition
hand-foot syndrome
Term
What enzyme causes the dismutation of superoxide and produces highly reactive hydroxyl radicals and hydrogen peroxide?
Definition
superoxide dismutase
Term
What is a major side effect associated with anthracyclines?
Definition
cardiomyopathy
Term
The chronic form of _______ is cumulative dose related in association with anthracyclines.
Definition
cardiomyopathy
Term
What is the mortality rate of the chronic form of cardiomyopathy in association with anthracyclines?
Definition
50%
Term
This iron chelator can be used to protect against cardiomyopathy associated with anthracyclines.
Definition
dexrazoxane
Term
This anthracenedione derivative has limited ability to produce quinone-type free radicals and causes less cardiotoxicity than does doxorubicin.
Definition
Mitoxantrone
Term
Mitoxanthrone is approved for reducing neurologic disability in some forms of...
Definition
multiple sclerosis
Term
This agent was extracted from the mandrake plant.
Definition
Podophyllotoxin
Term
What two derivatives of podophyllotoxin have their antitumor properties derive from their ability to complex with DNA and topoisomerase II, resulting in double strand breaks and cell death?
Definition
etoposide and teniposide
Term
The most important use of dactinomycin is in the treatment of _____
Definition
rhabdomyosarcoma and Wilms' tumor
Term
What antibiotic intercalates into DNA between adjacent G-C base pairs of DNA and block transcription of DNA by RNA polymerase?
Definition
dactinomycin
Term
Bleomycin is a mixture of what two water-soluble glycopeptide antibiotics?
Definition
bleomycin A2 and bleomycin B2
Term
What drug is highly active in combination with other drugs in squamous cell carcinomas of the head and neck, esophagus, and genitourinary tract?
Definition
bleomycin
Term
What drug causes scission of DNA by interacting with O2 and Fe to generate free radicals that cut the deoxyribose backbone of the DNA chain?
Definition
bleomycin
Term
What is the most serious adverse reaction to bleomycin?
Definition
pulmonary toxicity
Term
What enzyme is bleomycin degraded by?
Definition
hydrolase
Term
Hydrolase, which degrades bleomycin, has low activity in what organs, causing toxicity in these organs?
Definition
skin and lung
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