Cancer Chemotherapeutic Agents Lecture 3 Quiz
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Questions and Answers

What is the main focus of the lecture on Cancer Chemotherapeutic Agents?

  • Detailing the mechanism of action of DNA intercalating agents
  • Discussing the therapeutic properties of reductively activated anticancer agents (correct)
  • Exploring the DNA of mitomycin C
  • Understanding the vascular network of tumor tissue

Why do areas of hypoxia and necrosis often develop in tumor tissue?

  • Tumor cells receive adequate nutrient and oxygen supply
  • Normal tissue vessels are far apart
  • Vasculature in tumors is hierarchically organized
  • Tumor cells are chaotic and have sluggish blood flow (correct)

Which characteristic distinguishes normal vasculature from tumor vasculature?

  • Dilated and tortuous vessels (correct)
  • Close proximity to blood vessels
  • Adequate nutrient supply to all cells
  • Hierarchical organization

What is the significance of DNA intercalating agents in cancer treatment?

<p>They disrupt DNA structure in tumor cells (A)</p> Signup and view all the answers

Which type of anticancer agents are reductively activated, such as mitomycin C?

<p>DNA intercalating agents (C)</p> Signup and view all the answers

What structural units are present in Mytomycin C?

<p>Quinone and aziridine (A)</p> Signup and view all the answers

Which type of cancer is porfiromycin in phase III trials for according to the text?

<p>Head and neck cancer (C)</p> Signup and view all the answers

What is the main limitation mentioned in the text regarding the effectiveness of Mitomycin C and similar compounds?

<p>They require bioreductive activation (C)</p> Signup and view all the answers

What is the active species formed after the reduction of Mitomycin C?

<p>Hydroquinone (D)</p> Signup and view all the answers

How does Mitomycin C react with DNA according to the text?

<p>Forms bridges between two complementary DNA strands (C)</p> Signup and view all the answers

What is the mechanism of action of Mytomycin C's indole derivative?

<p>Creates electrophilic iminium species (A)</p> Signup and view all the answers

Which structural feature is most common in compounds like Mitomycin C?

<p>'Quinone unit' (A)</p> Signup and view all the answers

Which type of bonding is primarily responsible for the stabilization of the intercalated complex of doxorubicin with DNA?

<p>Electrostatic interactions (A)</p> Signup and view all the answers

Which of the following processes does doxorubicin NOT participate in to cause DNA damage?

<p>Causing the formation of hydrogen peroxide (H2O2) (A)</p> Signup and view all the answers

Which of the following factors contributes to doxorubicin-induced cardiotoxicity?

<p>The presence of Fe2+, which converts H2O2 to the highly toxic .OH radical through the Fenton reaction (D)</p> Signup and view all the answers

Which of the following statements best describes dexrazoxane in relation to doxorubicin-induced cardiotoxicity?

<p>Dexrazoxane is an antioxidant and iron chelator that minimises cardiac toxicity caused by doxorubicin (D)</p> Signup and view all the answers

Which enzyme is involved in the conversion of H2O2 to water and oxygen in the presence of dexrazoxane?

<p>Catalase (A)</p> Signup and view all the answers

Which of the following does NOT contribute to the mechanism of action of doxorubicin in treating cancer?

<p>Direct binding to and inhibition of cell membrane proteins, leading to cell death (A)</p> Signup and view all the answers

What is a common structural feature of mitomycin analogs designed for activity in nonhypoxic cells?

<p>Aminoethylene disulfide side chain (B)</p> Signup and view all the answers

Which compound is exemplified by KW-2149, known to cause interstrand DNA cross-links and DNA–protein cross-links?

<p>KW-2149 (A)</p> Signup and view all the answers

What is the process through which DNA intercalating agents interact with DNA?

<p>Intercalation (D)</p> Signup and view all the answers

What is the term used to describe the perpendicular insertion of aromatic ring systems between DNA base pairs?

<p>Intercalation (D)</p> Signup and view all the answers

Mitoxantrone is more efficient as a DNA intercalator due to its interaction with which part of the DNA?

<p>Sugar phosphate backbone (C)</p> Signup and view all the answers

Which type of interactions stabilize the complex formed between a DNA intercalating drug and DNA?

<p>Van der Waals, π- π stacking interactions, ionic interactions, hydrogen bonding (D)</p> Signup and view all the answers

What structural characteristic makes cationic species more efficient DNA intercalators?

<p>+vely charged groups that interact with DNA sugar phosphate backbone (B)</p> Signup and view all the answers

Which molecules are typically distorted by the insertion of DNA intercalators between base pairs?

<p>-vely charged sugar phosphate backbone (C)</p> Signup and view all the answers

What specific structural changes induced by DNA intercalation interfere with the function of DNA-associated proteins?

<p>Unwinding of the double helix (B)</p> Signup and view all the answers

What term best describes the process where DNA undergoes a conformational change involving an increase in vertical separation between base pairs upon intercalation?

<p>Unwinding (C)</p> Signup and view all the answers
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