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Chemotherapy Drugs (modes of action) I
Learning objectives:
- Understand the relationship between DNA structure and modes of intercalation
- Have an insight into the therapeutic mode of action of Doxorubicin
- Know the sites of alkylation in DNA
- Describe DNA alkylation with chlorambucil and cyclophosphamide
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Chemotherapy Drugs (modes of action) I
Learning objectives:
- Understand the relationship between DNA structure and modes of intercalation
- Have an insight into the therapeutic mode of action of Doxorubicin
- Know the sites of alkylation in DNA
- Describe DNA alkylation with chlorambucil and cyclophosphamide
1
Doxorubicin
adenine
planar
bacteria
cytosine
Electrostatic
Understand
the
relationship
between
DNA
structure
and
modes
of
intercalation
Intercalating
agents
:
Intercalating
drugs
contain
a
aromatic
or
hetero
-
aromatic
ring
system
which
can
fit
into
the
double
helix
of
DNA
and
distort
its
structure
.
Once
bound
,
the
drug
can
inhibit
the
enzymes
involved
in
replication
and
transcription
processes
.
Anthracyclines
are
a
set
of
naturally
occurring
antibiotics
isolated
from
which
have
anti
-
cancer
properties
with
a
mode
of
action
involving
DNA
intercalation
.
Have
an
insight
into
the
therapeutic
mode
of
action
of
Doxorubicin
is
an
Anthracycline
which
intercalates
DNA
.
During
replication
Doxorubicin
interferes
with
the
activity
of
the
DNA
-
topoisomerase
II
complex
which
cuts
and
reseals
DNA
to
relieve
tension
during
uncoiling
.
DNA
often
remains
cut
.
This
prevents
DNA
replication
and
prevents
cell
replication
.
It
usually
causes
cell
death
.
Doxorubicin
:
-
Isolated
from
streptomyces
peucetius
in1967
-
One
of
the
most
effective
anti
-
cancer
agents
,
used
to
treat
a
broad
spectrum
of
solid
tumors
-
Intercalates
into
DNA
and
acts
as
a
topoisomerase
II
(
an
enzyme
involved
in
DNA
replication
process
)
poison
as
it
stabilizes
the
complex
formed
between
DNA
and
topoisomerase
II
-
Excessive
number
of
stabilized
DNA
-
enzyme
complexes
triggers
apoptosis
Doxorubicin
Bound
to
DNA
:
Inserts
at
GC
and
CG
base
pairs
causing
a
'buckle'
-
prevent
van
der
Waals
contacts
between
NBs
.
-
distort
DNA
structure
Stabilized
by
-
interaction
(
-
NH3
+
amino
sugar
with
phosphate
)
-
H
-
bonding
-
Aromatic
pi
-
pi
interactions
Know
the
sites
of
alkylation
in
DNA
N7
of
guanine
,
N1
,
N3
,
and
N7
of
,
and
N3
of
.
Describe
DNA
alkylation
with
chlorambucil
and
cyclophosphamide
It
is
explained
somewhere
else
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