Etoposide-TopIIα Binding Interactions Quiz
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Questions and Answers

What nucleophiles can the aziridinium ion react with?

  • SH, OH, and NH groups only
  • Water only
  • DNA only
  • Unpaired DNA and/or cell nucleophiles such as SH, OH, and NH groups (correct)

How does an aromatic nitrogen substituent R, like phenyl, stabilize the aziridinium ion?

  • By forming inactive dehalogenated diol
  • By destabilizing the lone pair of electrons
  • Through resonance and stabilizing the lone pair of electrons (correct)
  • By increasing its reactivity

How does resonance delocalization affect the rate of intramolecular nucleophilic attack?

  • It significantly slows the rate (correct)
  • It stops the reaction completely
  • It has no impact on the rate
  • It accelerates the rate

What can act as nucleophiles to advance the degradative process in aqueous media?

<p>Both mustard nitrogen and oxygen of water (C)</p> Signup and view all the answers

How can the decomposition reactions of nitrogen mustards be inhibited?

<p>By protonation to eliminate nucleophilic character (C)</p> Signup and view all the answers

Which factor helps enhance stability in aqueous solution for nitrogen mustards?

<p>Acidic pH (e.g., 3-5) (C)</p> Signup and view all the answers

What is a characteristic feature of Chlorambucil among aromatic nitrogen mustards?

<p>Resonance-stabilized amine structure (C)</p> Signup and view all the answers

Which phase of the cell cycle do epipodophyllotoxins have the most devastating impact on?

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

What is a common mechanism of resistance to epipodophyllotoxins?

<p>Enhanced DNA repair mechanisms (A)</p> Signup and view all the answers

How is a water-soluble phosphate ester analogue of etoposide administered?

<p>In aqueous vehicles (C)</p> Signup and view all the answers

What is the major metabolite generated by lactone hydrolysis of etoposide and teniposide?

<p>Inactive hydroxy acid (B)</p> Signup and view all the answers

Which enzyme catalyzes the O-demethylation of epipodophyllotoxins?

<p>CYP3A4 (D)</p> Signup and view all the answers

What is the purpose of glucuronide or sulfate conjugation in the metabolism of epipodophyllotoxins?

<p>Inactivation and excretion of metabolites (A)</p> Signup and view all the answers

What is an isoform where etoposide was found in a ternary complex according to the text?

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

How is the area that binds the glycoside moiety of epipodophyllotoxins described according to the text?

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

Which protein mediates compromised carrier-mediated cellular transport of cisplatin?

<p>CTR1 (D)</p> Signup and view all the answers

What is one of the mechanisms of resistance to cisplatin therapy mentioned in the text?

<p>Uncontrolled expression of noncoding RNA (lncRNA) (B)</p> Signup and view all the answers

Which proteins are responsible for cellular efflux in cisplatin-resistant tumors?

<p>P-type ATP 7A/7B and multidrug resistance proteins (D)</p> Signup and view all the answers

What cellular process can lead to increased DNA repair and/or tolerance to cisplatin-induced DNA damage?

<p>Uncontrolled expression of noncoding RNA (lncRNA) (C)</p> Signup and view all the answers

Which repair proteins remove platinum-damaged segments from DNA in cisplatin-resistant tumors?

<p>Mismatch repair proteins (D)</p> Signup and view all the answers

What interaction reduces the number of drug-DNA adducts when amifostine is activated?

<p>Interaction with cisplatin (C)</p> Signup and view all the answers

Which mechanism contributes to acquired resistance after multiple courses of cisplatin therapy in ovarian cancer?

<p>Uncontrolled expression of noncoding RNA (lncRNA) (B)</p> Signup and view all the answers

What is a mechanism that leads to enhanced intracellular inactivation of cisplatin?

<p>Vesicle drug trapping (D)</p> Signup and view all the answers

What is the mechanism for testosterone reduction to DHT?

<p>Hydrogen transfer from NADPH to the 5α-position of testosterone (A)</p> Signup and view all the answers

Which enzyme is responsible for the conversion of testosterone into DHT?

<p>5α-reductase (B)</p> Signup and view all the answers

What are finasteride and dutasteride known as?

<p>5α-reductase inhibitors (B)</p> Signup and view all the answers

Which inhibitor is a selective inhibitor of 5AR2?

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

What happens when 5AR2 is inhibited with finasteride or dutasteride?

<p>Decreases in plasma and intraprostatic DHT concentrations (B)</p> Signup and view all the answers

What do finasteride and dutasteride have the ability to do, besides being competitive inhibitors of 5α-reductase?

<p>Inactivate 5AR through irreversible modification of the enzyme (B)</p> Signup and view all the answers

What does the inhibition constant (IC50) for finasteride suggest?

<p>Finasteride is more potent as an inhibitor of 5AR2 than 5AR1 (C)</p> Signup and view all the answers

How do finasteride and dutasteride mimic the pathway of testosterone reduction to 5α-dihydrotestosterone?

<p>By binding to the same site on 5α-reductase where testosterone binds (D)</p> Signup and view all the answers

What is the primary metabolic pathway of finasteride in the liver?

<p>Formation of a monocarboxylic acid from monohydroxylation of the t-butyl side chain (A)</p> Signup and view all the answers

What role do lipophilic groups at the 17β position play in improving the biological activity of finasteride?

<p>Improving its biological activity (A)</p> Signup and view all the answers

How does finasteride's mechanism-based inhibition explain its potency and specificity in treating benign prostatic hyperplasia?

<p>By forming an enzyme-bound dihydrofinasteride-NADP adduct (A)</p> Signup and view all the answers

What does dutasteride's inhibition of 5AR2 compared to 5AR1 imply?

<p>Dutasteride is less potent as an inhibitor of 5AR2 than 5AR1 (B)</p> Signup and view all the answers

What prevents enol tautomerization to a keto group in finasteride?

<p>4-aza functional group (D)</p> Signup and view all the answers

What is formed when finasteride accepts a H- transfer from NADPH to the 1α-position of its A-ring?

<p>$\text{Enol intermediate}$ (A)</p> Signup and view all the answers

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