Cancer Development and Infectious Agents
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Questions and Answers

What is the primary consequence of cancer cells being diagnosed late?

  • Increased chance of successful treatment
  • Higher risk of metastasis (correct)
  • Reduced risk of invasion
  • Increased risk of encapsulation
  • What is the mechanism of action of alkylating agents in chemotherapy?

  • Modification of DNA structure (correct)
  • Inhibition of dihydrofolate reductase
  • Induction of apoptosis
  • Inhibition of DNA synthesis
  • Which type of chemotherapy is specific to the M-phase of the cell cycle?

  • Glucocorticoids
  • Vinca alkaloids (correct)
  • CDK inhibitors
  • Taxanes
  • What is the primary function of death receptors in cancer cells?

    <p>To induce apoptosis</p> Signup and view all the answers

    What is the characteristic of invasive cancer cells?

    <p>They move outside a tumour 'capsule' to metastasize</p> Signup and view all the answers

    What is the primary mechanism of action of mercaptopurine?

    <p>Inhibition of DNA synthesis</p> Signup and view all the answers

    What is a key aspect of cancer development that treatment strategies should take into account?

    <p>Distinctive features of normal cells</p> Signup and view all the answers

    What is a primary goal of cancer treatment strategies?

    <p>To tailor treatment to principles of cancer development</p> Signup and view all the answers

    What is a key aspect of antibacterial therapy?

    <p>Targeting key bacterial processes</p> Signup and view all the answers

    What is the primary mechanism of action for β-Lactam Antibiotics?

    <p>Inhibition of cell wall biosynthesis</p> Signup and view all the answers

    Which of the following medications is used to treat Methicillin-resistant Staphylococcus aureus (MRSA)?

    <p>Ceftaroline</p> Signup and view all the answers

    What is the function of DNA gyrase in prokaryotic DNA replication?

    <p>Introducing negative supercoils into a relaxed closed circular DNA molecule</p> Signup and view all the answers

    What is the primary difference between bacteriostatic and bactericidal antibiotics?

    <p>Bacteriostatic antibiotics inhibit bacterial growth, while bactericidal antibiotics kill bacteria</p> Signup and view all the answers

    What is the function of DnaA in prokaryotic DNA replication?

    <p>Binding at the origin of replication</p> Signup and view all the answers

    Why has the use of sulphonamides decreased over time?

    <p>Resistance to sulphonamides has increased</p> Signup and view all the answers

    Which of the following resources provides information on drug-drug interactions, side effects, and combinations?

    <p>British National Formulary (BNF)</p> Signup and view all the answers

    What is the mode of action of nalidixic acid?

    <p>Inhibition of DNA gyrase</p> Signup and view all the answers

    What is the significance of identifying differences between host and pathogen?

    <p>To design drugs that target the pathogen</p> Signup and view all the answers

    What is the common side effect of nalidixic acid?

    <p>GI tract hypersensitivity</p> Signup and view all the answers

    What is the rationale behind infective drug design?

    <p>To design drugs that target specific pathogens</p> Signup and view all the answers

    What is the challenge in antibiotic therapy?

    <p>Development of antibiotic resistance</p> Signup and view all the answers

    What is the concept of risk versus benefit in drug prescription?

    <p>Assessing the potential risks against the potential benefits of a drug</p> Signup and view all the answers

    Pro-caspase 8 is activated by proteolytic cleavage in the intrinsic pathway.

    <p>False</p> Signup and view all the answers

    Caspase 3 is activated by caspase 9 in the extrinsic pathway.

    <p>False</p> Signup and view all the answers

    BAX, BAD, and BID are proteins that inhibit apoptosis.

    <p>False</p> Signup and view all the answers

    DNA damage causes rapid p53 phosphorylation and inhibition.

    <p>False</p> Signup and view all the answers

    CD95L is involved in the intrinsic pathway of apoptosis.

    <p>False</p> Signup and view all the answers

    Pro-caspase 9 is activated by caspase 8 in the intrinsic pathway.

    <p>False</p> Signup and view all the answers

    Tailoring treatment strategies to distinctive features of cancer cells is not a viable approach.

    <p>False</p> Signup and view all the answers

    Antibiotics are a type of anti-infective that targets cancer cells.

    <p>False</p> Signup and view all the answers

    Metastasis occurs when cancer cells move inside a tumour 'capsule'

    <p>False</p> Signup and view all the answers

    Glucocorticoids are a type of antibiotic used in chemotherapy

    <p>False</p> Signup and view all the answers

    Inhibiting Dihydrofolate reductase is a mechanism of action of alkylating agents

    <p>False</p> Signup and view all the answers

    Vinca alkaloids are cell cycle nonspecific chemotherapy agents

    <p>False</p> Signup and view all the answers

    Mercaptopurine is a CDK inhibitor

    <p>False</p> Signup and view all the answers

    Death receptors trigger apoptosis when DNA is damaged

    <p>True</p> Signup and view all the answers

    Ceftaroline is a type of β-Lactam Antibiotic that is used to treat methicillin-sensitive Staphylococcus aureus (MSSA).

    <p>False</p> Signup and view all the answers

    Sulphonamides are a type of bactericidal antibiotic that inhibits nucleic acid synthesis.

    <p>False</p> Signup and view all the answers

    DNA ligase is an enzyme that introduces negative supercoils into a relaxed closed circular DNA molecule.

    <p>False</p> Signup and view all the answers

    Cotrimoxazole is a combination of a sulphonamide and a β-Lactam Antibiotic.

    <p>False</p> Signup and view all the answers

    DnaB is an enzyme that synthesizes RNA primers during prokaryotic DNA replication.

    <p>False</p> Signup and view all the answers

    Penicillins are a type of β-Lactam Antibiotic that can be used with or without a beta-lactamase inhibitor.

    <p>False</p> Signup and view all the answers

    Study Notes

    Targeting Replicating Cells

    • Cancer development: involves cells that move outside a tumour "capsule" and cause metastasis through the body
    • Cancer diagnosis: often late, resulting in a high chance of metastasis
    • Chemotherapy: targets cell cycle, modifying DNA structure, inhibiting DNA synthesis, and inhibiting protein synthesis

    Cell Cycle Inhibitors

    • Alkylating agents: modify DNA structure
    • Antibiotics: inhibit DNA synthesis
    • Inhibit DNA polymerase: prevent DNA replication
    • Inhibit Dihydrofolate reductase: prevent DNA synthesis
    • Inhibit thymidylate synthetase: prevent DNA synthesis
    • Inhibit topoisomerase: prevent DNA synthesis
    • Steroid hormones and antagonists: target specific proteins (e.g. glucocorticoids, anti-oestrogens, androgens/anti-androgens)
    • M-Phase Specific: Vinca alkaloids, M Taxanes
    • Cell cycle inhibitors: CDK inhibitors, S Purines, Pyrimidines
    • Many drugs not cell cycle specific: target specific proteins (e.g. G0, monoclonal antibodies, inducers of ROS, etc.)

    Death by Apoptosis

    • Cell death: involves death receptor (e.g. CD95)
    • CD95L: extrinsic pathway, activates caspase 3, 6, 7, and leads to DNA degradation
    • DNA damage: activates p53, which phosphorylates and activates BAX, BAD, and BID, leading to apoptosis
    • Intrinsic pathway: involves DNA damage, p53 activation, and BAX, BAD, and BID activation

    Anti-Infectives

    • Antibiotics: target bacterial cell wall synthesis, nucleic acid synthesis, and protein synthesis
    • Inhibition of cell wall synthesis: β-Lactam antibiotics, cephalosporins, carbapenems, and monobactams
    • Inhibition of nucleic acid synthesis: sulphonamides, trimethoprim, cotrimoxazole-combo
    • Inhibition of protein synthesis: tetracyclines, aminoglycosides, macrolides, and chloramphenicol
    • Bacterial DNA replication: requires proteins DnaA, DNA gyrase, DNA ligase, DnaB, DnaC, DNA polymerase III, and DnaG (primase)
    • DNA Gyrase Inhibitors: target bacterial DNA gyrase, necessary for DNA synthesis

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    Description

    Explore the connection between cancer cells and infectious agents. Learn about the principles of cancer development and how cancer occurs. This quiz covers the differences between encapsulated and invasive cancer.

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