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The vast majority of drugs used in medicine are targeted to ______
proteins (receptors, ion channels, enzymes, and transport proteins)
It is important to understand protein ______ in order to understand drug action on proteins
structure
Regardless of their function, all proteins have
similar structure and are made up of amino acid linked together in a long chain
Proteins are _______ of alpha amino acids
linear heteropolymers
______ are bifunctional
amino acids
Amino acids contain both a ______ and _____ group
basic amino group
acidic carboxyl group
____ is the smallest and simplest of all the amino acids
Glycine

glycine
Glycine is essentially ______ in terms of electronic or solubility effects
neutral
_____ has no steric hindrance and conveys flexibility to a peptide chain
glycine

Alanine

Valine

Leucine

Isoleucine
What AAs have aliphatic, lipid soluble, hydrocarbon side chain?
Alanine, valine, leucine, and isoleucine
The side chains on alanine, valine, leucine, and isoleucine are most important for forming _______ within a protein or enzyme
lipid soluble pockets
The _________ on alanine, valine, leucine, and isoleucine can either block or allow access to certain portions of a protein
varying steric bulk

Proline
______ is a unique AA that contains a secondary amine
Proline
Proline has a __________ side chain that forms an
lipid soluble hydrocarbon side chain
alicyclic ring (pyrrolidine)
What is the most important feature of proline?
The alicyclic ring produces a significant steric effect that causes protein chains to bend
Natural human proteases cannot cleave peptide bonds that include which AA?
proline

Phenylalanine

Trytophan
Phenylalanine and tryptophan contain aromatic rings and are _____ soluble
lipid
Phenylalanine and tryptophan have a greater electronic nature and can interreact with
aromatic rings on drug molecules
Tryptophan contains an indole ring which makes the ring ______ than the phenyl ring
more electron rich
Nitrogen atom in the indole can act as a
hydrogen bond donor

Serine

Threonine

Tyrosine

Phosphoserine
Serine, threonine, and tyrosine all contain
hydrozyl groups
__________ are classified as water soluble uncharged AAs
serine and threonine
_____ is an AA with aromatic rings that is more water soluble than phenylalanine
tyrosine
Why are hydroxyl functional groups important?
Due to their ability to form hydrogen bonds as both acceptors and donors
The hydroxyl groups for serine, threonine, and tyrosine are ________ so they are often _________ as part of a regulatory mechanism
nucleophiles
phosphorylated
Tyrosine phosphorylation is the addition of a
phosphoryl group (PO3)-2
Tyrosine phosphorylation is made possible through enzymes called
tyrosine kinases
______ is a key step in signal transduction and the regulation of enzymatic activity (eg cell growth)
Tyrosine phosphorylation
TK inhibitors are drugs that inhibits tyrosine kinases are typically used as
anticancer drugs (gefitinib)

Cysteine

Methionine

Homocysteine
_____ is a precursor to methionine
Homocysteine
_________ are water soluble uncharged AA
Cysteine and methionine
-SH containing AA ability to form hydrogen bonds is ______ than -OH containing AA
weaker
Cysteine and methionine are
nucleophilic
The ability of cysteine to form disulfide bonds is essential for the ________ of proteins
three dimensional confomation

Aspartic Acid

Glutamic Acid
In acidic AAs, the carboxylic acid side chain is primarily ________ (except stomach)
ionized
Aspartic and glutamic acid are ____ soluble and provide ______ for ionic interactions
water
negative charges

Asparagine

Glutamine
Asparagine and glutamine are ___ soluble and not able to be ______
water
ionized
In asparagine and glutamine, the amine groups serve as
hydrogen bond donors and acceptors
Asparagine and glutamine are not very necleophilic because
the lone pair of non bonding electrons on amide are involved in resonance

Lysine

Arginine

Histidine
Lysine and arginine are primarily _____ in all physiological environments and provide _____ for ionic interactions
ionized
positive charges
Histidine (imidazole ring) is ____ basic than lysine/arginine and is primarily _________
less
unionized
Lysine, arginine, and histidine enhance
water solubility
Histidine can act as a hydrogen bond
acceptor or donator
The carboxyl group of AA is _________ and exists as ______ at physiological pH
deprotonated
carboxylate anion
The amino group of AA is _______ and exists as the _______ at pphysiological pH
portonated
ammonium cation
AAs exist in aqueous solution primarily in the form or a
dipolar ion (Zwitterion)

________ is the pH at which a particular molecule carries no net electrical charge
Isoelectric point
For the neutral AA side chain, pI is the avaergae of
pKa1 and pKa2
The AAs with acidic chains, the pI is the average of _______
the two lowest pkA
For the AA with basic side chain, p! is the average of
the two highest pkA
A _____ bond is a chemical bond formed between two AA molecules when the carboxyl groups of one reacts with the amino group of the other and releases a molcule of water
peptide
The ____ structure of a protein is the order in which the individual AAs making up the protein are linked together through peptide bonds
primary
What are the three main secondary stuctures?
alpha helix, beta pleated sheet, and beta turn
The _______ structure is the overall 3D shape of a protein
tertiary
The _____ structure of proteins is crucial to their function and interaction with drugs
tertiary
Only proteins that are made up of a number of protein subunits have a _____ structure
quaternary
________ structure involves interactions between the exterior surfaces of proteins and it is also possible for protein molecules to interlock
quaternary

_______ is a tripeptide mimic that inhibits the angiotensin converting enzyme (ACE) and is used to treat high blood pressure
Enalaprilat
What are the four protein receptors drug targets?
Ligand gated ion channels
G protein coupled receptors
Kinase linked receptors
Nuclear receptors
Cancer drugs target _____ receptors
kinase linked
Hydrolase, isomerase, ligase/polymerase, lyase, oxidoreductase, and transferase are _______ drug targets
enzymes
Group ______ are protein therapeutics with enzymatic or regulatory activity
I
_____ replacing a protein that is deficient or abnormal
Ia
_____ augmenting an existing pathway
Ib
___ providing a novel function or activity
Ic
Protein therapuetics with special targeting activity
Group II
___ interfering with a molecule or organism
IIa
_____ delivering other compounds or proteins
IIb
Protein vaccines group
Group III
_____ protecting against a deleterious foreign agent
IIIa
_____ treating an autoimmune disease
IIIb
_____ treating cancer
IIIc
Protein diagnostics group
Group IV

How does Lispro (fast acting insulin) differ from the beta chain of human insulin?
28 - lys
29 - pro

Who does Aspart (fast acting) differ from beta chain of human insulin?
28 - asp

How does Glulisine (fast acting) differ from beta chain of human insulin?
29 - Glu
How does long lasting insulin work?
Adding AAs (glycine or asparagine) delays insulin release in body
____ is the study of the biochemical and physiologic effects of drugs
Phharmacodynmanics