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what is in between your IND and NDA
clinical trials
a description of molecular features that are necessary for molecular recognition of a ligand by the target protein
pharmacophore
the five rules
low molecular weight
good solubility: low log P
fewer than 10 hydrogen bond acceptors
fewer than 5 hydrogen bond donors
2 ways to start from natural substances in drug design
natural substrate , natural product
drugs that came from natural substances
penicillin, taxane
2 ways to start from existing molecules in drug design
start from another companies compound
drug repurposing
a compound resulting from the exchange of an atom or a group of atoms in a molecule with another atom that is chemically or physically similar enough to retain the molecule'a biological properties
bioisotere
drug from existing molecules
enzalutamide
2 ways to start from rational design in drug design
ligand based
structure-based drug design
drug from rational design (ligand)
albuterol
drug from rational design (SBDD)
gleevec
what drug is designed against BCR-AbI
gleevec (imatinib)
a new strategy for targeting protein-protein interactions
fragement-based drug design
goal of HIt to LEAd
Validate hits from screening
should know target now
enhance potency/selectivity
goal of Lead optimization
refine leads into a preclinical candidate
improve PK and PD in animals
FdUMP is a suicide inhibitor of
thymidylate synthase
What enzyme converts 5-Fu to 5-fluorodeoxyuridine (FdUrd)
thymidine phosophorylase
does thymidaine kinase activate or deactivate FdUrd
activate
thymidine kinase
converts FdUrd to FdUMP by adding a phosphate to the 5' position on ribose
what is the inactivator of 5-FU
DPYP
DPYD converts 5-FU to
an inactive metabolite
reduces double bond
what inactivates thiopurine therapeutics
thiopurine transmethyltransferase (TPMT)
how does NUDT15 inactive thiopurines
converts triphosphate into monophosphate
what compounds can be reabsorbed back into the bloodstream
lipophilic
What is the structure of CYP450
heme and cysteine residues (SH)
what enzyme is required for sulfur oxidation/reduction
flavin monooxygenases
sulfoxide
prodrug that gets reduced
sulfide
active drug that is oxidized to sulfone
ester and amide hydrolysis is phase 1 or 2
1
RNO2 to RNH2 is
phase 1
glucuronidation
phase 2
enzyme donates glucuronic acid
sulfation
phase 2
what two enzymes are important in enterohepatic circulation
beta-glucuronidases and sulfatases
what amino acid participates in amino acid conjugation with aspirin
glycine
what can detoxify NAPQI
glutathione
gluathione reacts with
electron seeking carbons
the study of how an individual's genetic inheritance affects the body's response to drugs
pharmacogenomics
the study of the variation in a targeted gene
pharmacogenetics
MR
unmetabolized/metabolized
we don't want high
when fluoxetine is metabolized what is produced
norfluoxetine (toxic)
what drug requires metabolizing
codeine to morphine (activation)
CYP2D6 is needed for the _______ of nortriptyline
deactivation
what is the prodrug created from the metabolism of tamoxifen
endoxifen