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MODA Chemotherapy

Quiz by yeahbutyou
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Last updated: May 28, 2023
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First submittedMay 28, 2023
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Antibiotics - Cell wall biosynthesis inhibitors
Bactoprenol dephosphorylation inhibitor (prevents recycling)
Made through Lipid I and II intermediates ad bactoprenol carrier
Bacitracin
 
D-alanyl-D-alanine synthase +ligase inhibitor
D-Cycloserine
 
mimics D-ala-D-ala to inhibit transpeptidase action (beta-lactam ring)
Penicillin
 
Binds D-ala-D-ala to modify lipid 2 and inhibit transglycosylase action
Vancomycin
Ribosome Targeters
Aminoglycoside binds A site on 16s rRNA on 30s (bacteriostatic)
Tetracycline
 
Aminoglycoside binds 30s + nephrotoxic + ototoxic
Streptomycin
 
Less toxic aminoglycoside
Gentamycin
 
Inhibits elongation factor G
Spectinomycin
 
Binds co-operativley on A site with Streptomycin
Paromomycin
50s targeters
Macrolide, binds E site via 23s rRNA on 50S overlaps P site to compete vs peptidyl transferase inhibitors (lincomycin)
Erythromycin
 
binds A site to inhibit peptidyl transferase on 50s (overlaps binding site with clindamycin)
Chloramphenicol
 
Prevents translocation via GTPase+efG inhibition
Fusidic acid
 
blocks translocation at 50s (is synergistic combination)
Synercid
Protein Synthesis inhibitors
Inhibits GyrB (topo II ATP binding portion) aminocoumarin
Novobiocin
 
Aminocoumarin, inhibits GyrB
Coumermycin
 
Chloroquine by product, inhibits GyrB
Nalidixic acid
 
Flouroquinolone, inhibits DNA Gyrase
Ciprofloxacin
 
Flouroquinolone, inhibits DNA gyrase
Levofloxacin
 
Inhibits DNA-dependent RNA Polymerase, binds exit tunnel to prevent elongation
Rifampin
DNA Binding molecules
Intercalates with bases to stretch backbone
Daunomycin
 
metal chelating glycoprotein that intercalates minor groove
Bleomycin
 
Alkylates DNA (forms G-G crosslinks between strands)
Mitomycin C
Anti-metabolites
Inhibits Dihydropteroate Synthase (sulfonamide)
Sulfamethazole
 
Inhibits Dihydrofolate reductase (diaminopyrimidines)
Trimethoprim
 
Formulation of the above
Co-trimoxazole
Membrane targetting drugs
Forms potassium uniport
Valinomycin
 
Forms transmembrane ion channel upon dimerisation
Gramicidin A
 
Potassium antiporter
Nigericin
 
Sodium antiporter
Monesin
 
Binds Lipid A of LPS to form leaky envelope (polymyxin E)
Colistin
Anti-fungals
Forms pores via ergosterol binding
Amphotericin B
 
Forms pores via ergosterol binding
Nystatin
 
Triazole that inhibits ergosterol synthesis
Fluconazole
 
Imidazole that inhibits ergosterol synthesis
Miconazole
Anti-protozoal
Arsenic pro-drug that inhibits ATP synthesis via TCA cycle, PFK, PDH, Pyruvate kinase inhibition (accumulates in Trypanosomes)
Melarsoprol
 
Inhibits reoxidation of NADH and ATP synthesis
Suramin
Leishmaniasis (has ergosterol in membrane)
Inhibits Topo I and ATP synthesis
Sodium Stibogluconate
Anti-malarials
Inhibits haemozin formation (store of toxic haem from Hb digestion by parasite)
Chloroquine
 
Activated by iron in haem to form free radicals
Artemisinin
 
DHFS inhibitor
Sulfadoxin
 
DHFR inhibitor
Pyrimethamine
 
DHFR inhibitor pro-drug
Proguanil
 
Hydroxynapthoquinone that mimics ubiquinone to inhibit etc
Atavoquone
 
Tetracycline Analogue
Doxycycline
 
Chloramphenicol Analogue
Clindamycin
Anti-herpes
Purine analogue activated by viral thymidine kinase
Acyclovir
Hint
 
Answer
 
Competitive inhibitor of DNA polymerase
Ganciclovir
 
Pyramidine analogue - doesn't need viral kinase
Trifuridine
 
Pyramidine analogue - needs viral kinase
Idoxuridine
 
Cytosine analogue vs CMV
Cidofovir
 
DNA pol inhibitor, pyrophosphate analogue
Foscarnet
Anti-HIV
Gp41 analogue - fusion inhibitor
Enfuvirtide
 
Reverse transcriptase inhibitor
Nevirapine
 
Thymidine analogue chain terminator
Azidothymidine
 
Protease inhibtor
Saquinavir
 
Protease inhibitor
Ritonavir
 
vDNA integrase inhibitor
Ratelgravir
 
CCR5/CXCR4 antagonist
Maraviroc
Anti-influenza (-ve ss RNA)
Inhibits M2 and HA to prevent fusion
Amantadine
 
Guanine analogue which inhibits end capping and vRNAPol
Ribavirin
 
Cytidine Analogue to inhibit RdRP
Molnupiravir
 
Sialic Acid analogue to inhibit NA
Zonamivir
 
Sialic Acid analogue, pro-drug
Oseltamivir
Anti-Neoplastic Drugs
Alkylating agent, phosphoramide mustard (can't cross BBB)
Cyclophosphamide
 
Alkylating agent, melanin precursor analgoue
Melphalan
 
Alkylating and Carbamoylating agents (can cross BBB)
Nitrosourea
 
IV Nitrosourea
Carmustine
 
Oral Nitrosourea
Lomustine
 
Platinum based inhibitor of DNA Pol binding
Cisplatin
 
Aziridine antibiotic, alkylates DNA
Mitomycin C
 
Intercalating Anthracycline (Produces ROS)
Doxorubicin
 
Intercalating Anthracycline (Produces ROS)
Actinomycin D
 
Intercalating Anthracycline, no ROS production
Mitoxantrone
 
DHFR Inhibitor
Methotrexate
 
Pyrimidine analogue (also inhibits folate synthesis)
FlouroUracil
 
Drug to preserve some folate synthesis (formyl derivative)
Leucovorin
 
Topo I inhibitor (+camptothecin)
Topotecan
 
Topo II Inhibitor (Mitoxantrone, anthracyclines, epipodophyllotoxin)
Etoposide
 
Vinca alkaloid inhibitor of tublin polymerisation
Vinblastine
 
Vinca alkaloid
Vincristine
 
Prevents remodelling of microtubules
Taxol
 
ER Antagonist
Tamoxifen
 
Aromatase Inhibitor (inhibits Oestrogen Synthesis)
Anastrazole
 
Testosterone competitor
Flutamide
 
GnRHR Agonist to increase and inhibit testosterone synthesis
Goserelin
 
Glucocorticoid Agonist to repress lymphocyte growth
Prednisone
 
EGFR (HER2) inhibitor
Trastuzumab
 
EGFR Inhibitor vs colorectal
Cetuximab
 
VEGF Inhibitor vs angiogenesis
Bevacizumab
 
BCR-Abl Inhibitor (TyrK)
Imatinib
 
EGFR TyrK Inhibitor
Erlotinib
 
EGFR TyrK Inhibitor
Gefitinib
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