W31. peptide drug
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Questions and Answers

Considering the challenges associated with peptide and protein drugs, which of the following enzymatic activities would LEAST likely contribute to the degradation of a peptide-based therapeutic administered intravenously?

  • Dipeptidyl carboxypeptidases sequentially cleaving dipeptides from the C-terminus
  • Carboxypeptidases acting on the C-terminal residue
  • Aminopeptidases removing amino acids from the N-terminal end
  • Endopeptidases within erythrocytes exhibiting broad substrate specificity (correct)

Given the enzymatic specificities within the gastrointestinal (GI) tract, which strategy would MOST effectively protect a peptide drug from degradation in BOTH the stomach and the small intestine?

  • Modifying the peptide to contain only amino acids with small, sterically unhindered side chains
  • Encapsulating the peptide in a pH-sensitive polymer that dissolves only in the small intestine.
  • Formulating the peptide with a competitive inhibitor of trypsin.
  • Replacing all L-amino acids with their D-amino acid counterparts. (correct)

A novel peptide therapeutic is designed to target a receptor in the central nervous system. Considering the various strategies to enhance its bioavailability, which approach would MOST directly address the challenge of poor passage through lipid membranes?

  • Replacing selected L-amino acids with D-amino acids.
  • Modifying key cleavage sites to secondary amides.
  • Incorporating lipophilic moieties into non-pharmacophoric regions of the peptide. (correct)
  • Co-administration with protease inhibitors.

In the context of peptidomimetic design, which of the following modifications would be MOST likely to confer resistance to enzymatic hydrolysis while preserving the essential binding interactions with the target receptor?

<p>Incorporation of a retro-inverso peptide bond at a non-critical position within the sequence. (D)</p> Signup and view all the answers

Considering the diverse routes of administration for peptide drugs, which route would MOST likely result in the HIGHEST percentage of dose absorbed for a poorly stable peptide, assuming no additional formulation strategies are employed?

<p>Subcutaneous (B)</p> Signup and view all the answers

A research team aims to develop a peptidomimetic to inhibit a protease. Which design strategy would be MOST effective in achieving competitive inhibition?

<p>Synthesizing a non-hydrolysable analogue that binds to the protease active site. (C)</p> Signup and view all the answers

When designing peptidomimetics with unnatural amino acids, what is the MOST critical consideration for maintaining target binding affinity?

<p>Maintaining similar conformational restriction profiles and lipophilicity to the natural substrate. (A)</p> Signup and view all the answers

To enhance the proteolytic stability of a peptide therapeutic, a medicinal chemist proposes N-methylation at a specific amide bond. What is the MOST likely rationale for this modification?

<p>To sterically hinder protease access to the amide bond. (D)</p> Signup and view all the answers

In the context of 'scaffold mimics,' such as RGD-based peptidomimetics, what is the MOST crucial design objective?

<p>To mimic the spatial arrangement of key functional groups required for target interaction. (C)</p> Signup and view all the answers

A research group is designing a peptidomimetic somatostatin agonist. Which characteristic would be MOST important for the peptidomimetic to effectively mimic somatostatin's function?

<p>Ability to induce the same conformational changes in the somatostatin receptor. (B)</p> Signup and view all the answers

What is the MOST significant advantage of using combinatorial chemistry in the context of peptidomimetic drug discovery?

<p>It allows for the rapid synthesis and screening of a large number of diverse compounds. (B)</p> Signup and view all the answers

In the design of HIV protease inhibitors, what is the PRIMARY rationale for targeting the active site of the protease with peptidomimetic molecules?

<p>To competitively inhibit the cleavage of viral polyproteins, thus preventing viral maturation. (D)</p> Signup and view all the answers

Considering the mechanism of action of HIV protease, what is the function of the bound water molecule in the active site during proteolysis?

<p>It directly hydrolyzes the amide bond of the substrate. (C)</p> Signup and view all the answers

A medicinal chemist is designing a transition state analogue inhibitor for an aspartyl protease. What characteristic is MOST crucial for the analogue to mimic the transition state effectively?

<p>Tetrahedral geometry at the scissile carbon atom. (A)</p> Signup and view all the answers

Given the structure of Saquinavir, what is the MOST likely role of the quinoline moiety (S3 subsite) in its interaction with HIV protease?

<p>It occupies a hydrophobic pocket to enhance binding affinity. (A)</p> Signup and view all the answers

Regarding the ADME properties of peptide drugs, which statement is LEAST accurate?

<p>Peptides are generally well-absorbed orally due to their small size. (D)</p> Signup and view all the answers

Which of the following is NOT used as an approach to modify the peptide backbone in peptidomimetic design?

<p>Quaternary ammonium salts. (D)</p> Signup and view all the answers

What is the key difference between azapeptides, azatides, and peptoids?

<p>Azatides contain a modified peptide bond where a nitrogen atom is inserted into the backbone, azapeptides involve insertion of a nitrogen atom, whereas peptoids have side chains attached to the nitrogen of the peptide backbone. (A)</p> Signup and view all the answers

Elastase cleaves at small, sterically unhindered residues (Ala, Gly & Ser). Which of these peptides would be cleaved most rapidly by elastase:

<p>Ala-Gly-Ser (B)</p> Signup and view all the answers

What is the MOST accurate description of the role of proline in decreasing proteolysis?

<p>Proline sterically hinders proteolytic enzymes due to its cyclic structure and disrupts the amide plane. (A)</p> Signup and view all the answers

Which of the following statements BEST captures the essence of rational drug design in the context of peptidomimetic development?

<p>Iteratively optimizing the structure of a lead compound based on its interactions with a known biological target. (C)</p> Signup and view all the answers

What key property differentiates pseudopeptides from conventional peptides?

<p>Pseudopeptides have altered or non-amide backbone linkages, enhancing stability and bioavailability compared to conventional peptides. (D)</p> Signup and view all the answers

Considering the challenges related to oral administration of peptide drugs, which of the following strategies would be LEAST effective in improving oral bioavailability?

<p>Administering the peptide with a potent inhibitor of cytochrome P450 enzymes. (B)</p> Signup and view all the answers

Leuprolide is an analogue of gonadotropin-releasing hormone (GnRH). Given its route of administration and percentage dose absorbed, how is it BEST administered?

<p>Subcutaneously, offering a balance between absorption and ease of administration. (B)</p> Signup and view all the answers

Considering the enzymatic degradation pathways of peptide drugs, which of the following modifications would MOST effectively prevent both N-terminal and C-terminal degradation?

<p>Replacing the N-terminal amine with an N-alkyl group and conjugating a bulky protecting group to the C-terminal carboxylate. (D)</p> Signup and view all the answers

Given the challenges of oral bioavailability for peptide drugs, which formulation strategy would MOST effectively address BOTH enzymatic degradation and poor membrane permeability?

<p>Complexation with cyclodextrins modified with cell-penetrating peptides (CPPs). (B)</p> Signup and view all the answers

In designing a peptidomimetic to inhibit protein-protein interaction, what strategy would MOST effectively disrupt the hydrophobic effect driving the interaction while maintaining specificity?

<p>Designing a macrocyclic peptidomimetic with constrained conformational flexibility and charged side chains. (D)</p> Signup and view all the answers

A research team is developing a peptidomimetic agonist for a G protein-coupled receptor (GPCR). Considering the complexities of GPCR activation, which design strategy would be MOST critical for achieving sustained receptor activation and downstream signaling?

<p>Engineering the peptidomimetic to induce receptor dimerization and biased signaling. (A)</p> Signup and view all the answers

Considering the challenges associated with targeting intracellular protein-protein interactions with peptidomimetics, which strategy would MOST effectively enhance cellular uptake while maintaining target specificity?

<p>Modifying the peptidomimetic with a cleavable linker to release the active compound intracellularly. (D)</p> Signup and view all the answers

In the context of designing peptidomimetic inhibitors for metalloproteases, which of the following functional groups would MOST effectively coordinate with the catalytic metal ion?

<p>A hydroxamic acid group, due to its bidentate chelation and enhanced binding affinity. (C)</p> Signup and view all the answers

Given the structural diversity of β-turns in peptides, which peptidomimetic scaffold would MOST effectively mimic a Type VIa β-turn conformation?

<p>A bicyclic lactam bridge between the <em>i</em> and <em>i</em>+3 residues imposing a <em>cis</em> conformation. (D)</p> Signup and view all the answers

Considering the role of specific water molecules in enzyme active sites, which peptidomimetic design strategy would be MOST effective in mimicking the hydrogen bonding network of a catalytically essential water molecule?

<p>Introducing a modified amino acid with multiple hydroxyl groups capable of forming a similar hydrogen bonding pattern. (A)</p> Signup and view all the answers

In the context of developing peptidomimetic inhibitors of the MDM2-p53 interaction, which strategy would be MOST effective in mimicking the key hydrophobic residues of p53 that bind to the MDM2 hydrophobic pocket?

<p>Designing a macrocyclic peptidomimetic with constrained conformational flexibility and non-natural amino acids with bulky hydrophobic side chains. (D)</p> Signup and view all the answers

When designing a peptidomimetic to disrupt a signaling pathway mediated by protein phosphorylation, which modification would MOST effectively mimic the phosphorylated residue?

<p>Replacing the phosphorylated residue with a phosphonate group to mimic the negative charge and geometry. (C)</p> Signup and view all the answers

Considering the dynamic nature of protein conformations, which peptidomimetic design approach would be MOST effective in targeting an intrinsically disordered protein (IDP)?

<p>Creating a macrocyclic peptidomimetic that mimics a transient, partially folded state of the IDP. (D)</p> Signup and view all the answers

Given the role of glycosylation in modulating protein function, which peptidomimetic strategy would be MOST effective in mimicking a specific glycan moiety?

<p>Synthesizing a glycopeptide mimetic using unnatural amino acids and modified sugar residues. (A)</p> Signup and view all the answers

In the context of designing peptidomimetic inhibitors for epigenetic targets such as histone deacetylases (HDACs), which functional group is MOST critical for interacting with the catalytic zinc ion in the HDAC active site?

<p>A hydroxamic acid moiety, due to its ability to chelate the zinc ion with high affinity. (D)</p> Signup and view all the answers

Considering the challenges of crossing the blood-brain barrier (BBB) with peptide therapeutics, which strategy would be MOST effective in enhancing BBB permeability while maintaining target specificity?

<p>Conjugating the peptide to a transferrin receptor antibody for receptor-mediated transcytosis. (B)</p> Signup and view all the answers

In designing a peptidomimetic to inhibit a protein kinase, which strategy would be MOST effective in mimicking the ATP-binding site while maintaining selectivity over other kinases?

<p>Designing a multi-substrate kinase inhibitor (MSKI) that mimics both ATP and the target substrate. (B)</p> Signup and view all the answers

When developing a peptidomimetic to modulate immune responses, which strategy would be MOST effective in mimicking a T-cell epitope presented on MHC molecules?

<p>Designing a constrained peptide scaffold that mimics the conformation of the T-cell epitope bound to the MHC molecule. (B)</p> Signup and view all the answers

In the context of designing peptidomimetic antagonists for chemokine receptors, which modification would MOST effectively block receptor activation without inducing downstream signaling?

<p>Designing a biased antagonist that selectively blocks specific signaling pathways downstream of the receptor. (C)</p> Signup and view all the answers

Considering the challenges of targeting RNA with small molecules, which peptidomimetic strategy would be MOST effective in recognizing and binding to a specific RNA secondary structure?

<p>Designing a peptide nucleic acid (PNA) that complements the RNA sequence and forms a stable duplex. (D)</p> Signup and view all the answers

When designing a peptidomimetic to inhibit viral entry, which strategy would be MOST effective in mimicking the viral fusion peptide and preventing membrane fusion?

<p>Designing a constrained peptide scaffold that mimics the conformation of the viral fusion peptide during membrane fusion. (D)</p> Signup and view all the answers

In the context of developing peptidomimetic inhibitors for bacterial quorum sensing, which strategy would be MOST effective in disrupting the bacterial communication system?

<p>Designing a peptidomimetic that mimics the structure of the autoinducer molecule and blocks the receptor binding site. (B)</p> Signup and view all the answers

Considering the role of protein misfolding in neurodegenerative diseases, which peptidomimetic strategy would be MOST effective in preventing the aggregation of amyloid-beta peptides?

<p>Designing a peptide that binds to the hydrophobic core of the amyloid-beta peptide and prevents self-assembly. (B)</p> Signup and view all the answers

When designing a peptidomimetic to inhibit a ubiquitin ligase, which strategy would be MOST effective in blocking the interaction between the E3 ubiquitin ligase and its substrate?

<p>Designing a peptidomimetic that mimics the binding interface between the E3 ubiquitin ligase and its substrate. (D)</p> Signup and view all the answers

In the context of developing peptidomimetic inhibitors for immune checkpoint proteins such as PD-1 and CTLA-4, which strategy would be MOST effective in blocking their interaction with their respective ligands?

<p>Designing a peptidomimetic that mimics the binding interface between the immune checkpoint protein and its ligand. (C)</p> Signup and view all the answers

Considering the challenges of targeting protein aggregates in lysosomes, which peptidomimetic strategy would be MOST effective in enhancing lysosomal degradation of aggregated proteins?

<p>Designing a lysosome-targeting chimera (LYTAC) that promotes the degradation of aggregated proteins in lysosomes. (B)</p> Signup and view all the answers

Describe the mechanistic rationale behind replacing L-amino acids with their D-counterparts to decrease proteolysis of peptide drugs, considering enzyme-substrate interactions in chiral environments.

<p>D-amino acids are not readily recognized by proteases, which are stereospecific for L-amino acids. This reduces proteolytic degradation.</p> Signup and view all the answers

Elaborate on the practical, synthetic, and regulatory challenges associated with large-scale manufacturing of peptide drugs incorporating multiple unnatural amino acids.

<p>Challenges include cost effectiveness of unnatural amino acids, maintaining stereochemical purity during synthesis, and meeting regulatory requirements for novel entities.</p> Signup and view all the answers

Discuss the implications of 'backbone grafting' in peptidomimetic design on the conformational space sampled by the resulting molecule, and its subsequent effect on receptor selectivity and off-target pharmacology.

<p>Backbone grafting can restrict conformational freedom, potentially increasing receptor selectivity but also altering the molecule's interaction profile, possibly leading to unforeseen off-target effects.</p> Signup and view all the answers

Explain why $N$-methylation at key cleavage sites leads to decreased proteolysis, detailing the structural and electronic effects that contribute to this phenomenon.

<p>$N$-methylation sterically hinders protease access and disrupts the hydrogen bonding pattern required for protease activity, thus reducing proteolysis.</p> Signup and view all the answers

Describe the role of lipophilic modification of polar, non-pharmacophoric regions of peptide drugs in enhancing bioavailability, accounting for both transcellular and paracellular transport mechanisms.

<p>Lipophilic modification facilitates transcellular transport by increasing membrane permeation while potentially disrupting paracellular transport if it significantly increases the compound's size or alters its polarity.</p> Signup and view all the answers

Propose a peptidomimetic design strategy to target a protein-protein interaction (PPI) known to be 'undruggable,' outlining specific chemical modifications and rationale for optimized binding affinity and drug-like properties.

<p>Design a stapled peptide to mimic an $\alpha$-helix, incorporating unnatural amino acids for optimized binding affinity and PEGylation to enhance drug-like properties and prolong half-life.</p> Signup and view all the answers

Critically evaluate the use of in silico methods, such as molecular dynamics simulations and free energy perturbation calculations, in predicting the proteolytic stability of modified peptide drugs a priori.

<p>These methods can provide valuable insights but are limited by the accuracy of force fields and the computational cost of simulating long-timescale events like proteolysis, thus requiring experimental validation.</p> Signup and view all the answers

Explain the concept of 'conformational restriction' in the context of peptidomimetic design, and provide a detailed example of how strategic cyclization can modulate both potency and selectivity.

<p>Conformational restriction involves limiting the flexibility of a peptide, often via cyclization which pre-organizes the molecule for binding, enhancing potency and potentially increasing selectivity by favoring interactions with the target.</p> Signup and view all the answers

Discuss the challenges and strategies for designing orally bioavailable peptide drugs, addressing both enzymatic degradation and poor membrane permeability.

<p>Strategies involve incorporating D-amino acids or $N$-methylation to resist degradation, and adding lipophilic groups or using cyclic peptides to improve membrane permeability, often in combination with formulation approaches.</p> Signup and view all the answers

Describe advanced drug delivery system principles such as receptor-mediated endocytosis or stimuli-responsive release, and how they could be adapted for targeted delivery of peptide or peptidomimetic drugs to specific tissues or cells.

<p>Ligands targeting specific cell-surface receptors can be conjugated to peptide-loaded nanoparticles to facilitate receptor-mediated endocytosis; stimuli-responsive linkers within the delivery system can then trigger peptide release in response to local conditions (e.g., pH, enzymes).</p> Signup and view all the answers

What are the key differences in substrate specificity between trypsin, chymotrypsin, and elastase, and how are these differences exploited in enzymatic synthesis or degradation studies of peptide drugs?

<p>Trypsin cleaves at basic residues (Lys, Arg), chymotrypsin at aromatic residues (Tyr, Phe, Trp), and elastase at small, non-bulky residues (Ala, Gly, Ser). These specificities can be utilized for controlled peptide cleavage or synthesis.</p> Signup and view all the answers

How does the compact, globular tertiary structure of full-sized proteins affect their resistance to enzymatic degradation compared to smaller peptides and polypeptides?

<p>The compact structure hinders enzyme access to cleavage sites, providing greater resistance to degradation than smaller, more flexible peptides.</p> Signup and view all the answers

What are the mechanistic implications of designing a non-hydrolysable peptide mimic for an enzyme target and how does this strategy affect the enzyme's catalytic cycle?

<p>A non-hydrolyzable mimic binds to the active site without undergoing hydrolysis, acting as a competitive inhibitor which prevents substrate turnover, effectively halting the enzymatic reaction.</p> Signup and view all the answers

Describe the role and mechanism of action of carboxypeptidases, dipeptidyl carboxypeptidases, aminopeptidases, and amidases in the context of peptide drug metabolism.

<p>Carboxypeptidases cleave C-terminal residues, dipeptidyl carboxypeptidases remove dipeptides from the C-terminus, aminopeptidases cleave N-terminal residues, and amidases cleave internal peptide bonds, all contributing to peptide degradation.</p> Signup and view all the answers

Discuss the advantages and disadvantages of Solid Phase Organic Synthesis (SPOS) in the context of producing diverse libraries of peptidomimetics, compared to traditional solution-phase synthesis.

<p>SPOS allows for automation and high-throughput synthesis of diverse libraries, but can suffer from lower yields and challenges in purifying complex peptidomimetics compared to solution-phase synthesis.</p> Signup and view all the answers

Compare and contrast the use of $\beta$-turn mimetics, $\alpha$-helix mimetics, and $\beta$-sheet mimetics in stabilizing specific protein conformations for therapeutic purposes, focusing on mechanisms of action and limitations.

<p>$\beta$-turn mimetics disrupt or stabilize loops; $\alpha$-helix mimetics stabilize helical regions critical for protein-protein interactions; $\beta$-sheet mimetics stabilize extended structures. Each has limitations in terms of size, complexity, and achieving native-like interactions.</p> Signup and view all the answers

Describe the chemical principles behind 'stapled peptides,' and explain how these modifications enhance the therapeutic potential of peptides targeting intracellular protein-protein interactions.

<p>Stapled peptides use hydrocarbon tethers to constrain the peptide into an $\alpha$-helical conformation, enhancing binding affinity, proteolytic stability, and cell permeability, thus improving their ability to disrupt intracellular protein-protein interactions.</p> Signup and view all the answers

Explain the role of Arginine-Glycine-Aspartic acid (RGD) sequence in cellular adhesion and how RGD-based peptidomimetics are designed to modulate integrin-mediated cell interactions in diseases such as cancer and thrombosis.

<p>RGD promotes cell adhesion by binding to integrins. RGD mimetics can block integrin binding, preventing cell adhesion and aggregation, which is useful in treating cancer metastasis or thrombosis.</p> Signup and view all the answers

What are 'azapeptides,' 'azatides,' and 'peptoids,' and how do these structural modifications impact the proteolytic stability and conformational properties of peptide drugs?

<p>Azapeptides have a nitrogen atom inserted into the peptide backbone, azatides replace an \alpha-carbon with a nitrogen, and peptoids replace the amine hydrogen with a side chain. These modifications increase proteolytic stability and alter conformational properties.</p> Signup and view all the answers

Explain how transition state analogue inhibitors of HIV protease function at a molecular level, and describe the key structural features that contribute to their high binding affinity and specificity.

<p>Transition state analogues mimic the tetrahedral intermediate formed during peptide bond hydrolysis, exhibiting high affinity for the protease active site due to complementary electrostatic and steric interactions; key features include hydroxyl groups and non-cleavable scaffolds.</p> Signup and view all the answers

Describe the potential benefits and drawbacks of 'retro-inverso' peptides in drug design, considering their altered chirality and impact on enzymatic recognition and receptor binding.

<p>Retro-inverso peptides have increased stability but altered chirality, potentially reducing enzyme recognition and receptor binding affinity. However, this can be advantageous if the target is not chiral-specific and enhanced stability is desired.</p> Signup and view all the answers

Detail the mechanisms by which protease inhibitors and permeation enhancers can be co-administered to improve nasal delivery of peptide drugs, addressing both enzymatic degradation and epithelial barrier permeability.

<p>Protease inhibitors reduce enzymatic degradation in the nasal cavity, while permeation enhancers disrupt tight junctions and increase transcellular transport, improving overall peptide absorption through the nasal mucosa.</p> Signup and view all the answers

Explain how the displayed structures of phenylalanine analogues can influence both their conformational flexibility and lipophilicity, and how these properties affect their interactions with biological targets.

<p>Different substitutions and cyclizations alter conformational flexibility and lipophilicity; bulky groups can restrict rotation, while lipophilic groups increase membrane permeability and hydrophobic interactions with targets.</p> Signup and view all the answers

Describe strategies for rationally designing glucose scaffold analogues of cyclic peptides, focusing on maintaining similar spatial arrangements of key pharmacophoric groups, and predicting their effects on receptor binding.

<p>By using glucose as a scaffold, one can attach functional groups to mimic the spatial arrangement of amino acid side chains in the native cyclic peptide. Maintaining key pharmacophores in similar orientations allows for comparable receptor binding.</p> Signup and view all the answers

Explain how combinatorial chemistry and rational drug design differ in their approaches to discovering peptide and peptidomimetic drugs, and discuss the advantages and limitations of each method.

<p>Combinatorial chemistry synthesizes diverse libraries for high-throughput screening, while rational drug design uses structural information to design specific molecules. Combinatorial chemistry casts a wide net, rational drug design is targeted.</p> Signup and view all the answers

The compact ______ nature of many full-sized proteins increases their resistance to degradation compared to smaller proteins and polypeptides.

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

Key metabolic enzymes such as carboxypeptidases, dipeptidyl carboxypeptidases, aminopeptidases, and ______ are responsible for peptide and protein breakdown.

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

Replacing selected L-amino acids with D-amino acids can increase resistance to ______ while potentially maintaining biological activity.

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

One strategy to decrease proteolysis involves changing primary amides to secondary amides, often through N-______ or the replacement of a natural residue with proline.

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

The oral administration of peptides is limited due to enzymatic ______ of peptide bonds within the gastrointestinal tract, kidneys, and liver.

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

Modifying peptides to be less polar is crucial for improving their passage through ______ membranes and increasing bioavailability.

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

[Blank] mimic the structures of particular peptides to fool a receptor into thinking it is binding with the actual peptide and induce the same biological effect.

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

For enzymes, a non-hydrolysable peptide mimic that binds to the active site would serve as a ______ inhibitor of the hydrolysis of the real substrate.

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

Replacing non-pharmacophoric polar sections of a natural molecule with ______ moieties can often increase membrane permeation and bioavailability.

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

The use of unnatural amino acids in peptidomimetics can lead to different conformational restriction profiles and varying degrees of ______.

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

Structural extension in peptidomimetics reinforces interactions with the target binding site, potentially leading to ______ affinity compared to the natural substrate.

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

The one letter code RGD represents the amino acid sequence ______, which is known to block the binding of fibrogen to its receptor.

<p>arginine-glycine-aspartic acid</p> Signup and view all the answers

Blocking the binding site of fibrogen to its receptor prevents platelet ______, an action valuable in treating stroke and heart attacks.

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

Somatostatin is a 14-residue peptide macrocyclized through a Cys-Cys ______ bridge.

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

Thyrotropin-releasing hormone (TRH) derivatives show promise as leads for treating ______ disease and other cognitive disorders.

<p>Alzheimer's</p> Signup and view all the answers

In pseudopeptides, modification to the peptide backbone via isosteric replacement, chain extension and amide ______ can improves drug-like qualities.

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

[Blank] and Rational Drug Design represent two major approaches in drug discovery, each with unique strengths and applications.

<p>combinatorial chemistry</p> Signup and view all the answers

The binding pocket of HIV protease can be mapped by defining subsites such as $S1$, $S2$, $S3$, $S1\$, \$S2$ and $S3`$, useful for new peptedomimetic design, but what does the acronym HBA stand for in this context, i.e. which part of the molecule is it describing?

<p>hydrogen bond acceptor</p> Signup and view all the answers

Many peptidomimetics can block platelet aggregation, which is valuable in the treatment of ______ and heart attacks.

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

What class of proteases are responsible for peptide breakdown in the GI tract?

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

An advantage of using non-hydrolyzable peptidomimetics is that they may act as ______

<p>competitive inhibitors</p> Signup and view all the answers

What is the name of the process when non-pharmacophoric polar sections of therapeutic peptides get replaced with lipophillic moieties?

<p>permeation enhance</p> Signup and view all the answers

Briefly, summarise the function of glycoprotein IIb/IIIa.

<p>Blocks the binding of fibrinogen</p> Signup and view all the answers

What type of amino acids leads to different conformational restriction profiles and differ in lipophilicity. The most common example is Phenylalanine.

<p>Unnatural amino acids</p> Signup and view all the answers

Why is solid phase organic synthesis important?

<p>Used widely in Combinatorial Chemistry</p> Signup and view all the answers

Flashcards

Oral Administration of Peptides

Enzymatic hydrolysis of peptide bonds in the gastrointestinal tract, kidney, and liver after oral administration.

Peptide Metabolism

Metabolism occurs in the lung, nasal mucosa, and blood after administration through other routes other than oral.

Key Metabolic Enzymes

Key metabolic enzymes that cleave peptide bonds include carboxypeptidases, dipeptidyl carboxypeptidases, aminopeptidases, and amidases.

Hydrophilic Nature of Peptides

Peptides are significantly hydrophilic, which results in poor passage through lipid membranes.

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Pepsin

The gastric mucosa secretes pepsin which is an endopeptidase that cleaves at the carbonyl side of aromatic and acidic residues.

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Trypsin

Encountered in Small intestine, it cleaves at carbonyl side of basic (Lys & Arg) residue.

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Chymotrypsin

Cleaves at aromatic (Tyr, Phe, Trp) residues.

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Decreasing Proteolysis

Replaces selected L-amino acids with their D-counterparts. to increase resistance to proteolysis.

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Peptidomimetics

Mimic the structures of particular peptides and induce the receptor to think it is binding with the actual peptide.

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Non-Hydrolysable Peptide Mimic

For enzymes, a non-hydrolysable peptide mimic would act as a competitive inhibitor of the hydrolysis of the real substrate.

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Bioavailability

Replacement of non-pharmacophoric polar sections of the natural molecule with lipophilic moieties will often increase bioavailability.

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Phenylalanine Analogues

Phenylalanine analogues display different conformational restriction profiles and differ in lipophilicity.

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RGD Sequence

The one letter code for the sequence arginine-glycine-aspartic acid is RGD.

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TRH Derivatives

These compounds are leads for treating Alzheimer's disease and other cognitive disorders.

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Combinatorial Chemistry

Produce 100's → 1000's new compounds using Solid Phase Organic Synthesis (SPOS).

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Rational design drug discovery

Design drugs to fit receptor or active site

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Protease Function

Proteases cleave amide bonds in other peptides.

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Common methods of Drug discovery

Solid Phase Organic Synthesis and Rational Drug Design

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Solid Phase Organic Synthesis

Solid Phase Organic Synthesis is used widely in Combinatorial Chemistry.

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Protein Resistance

Compact globular proteins are generally more resistant to enzymatic breakdown compared to small proteins and polypeptides.

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Proteolysis Strategy

Change primary amide to secondary amides at key cleavage sites through N-methylation or proline replacement to create an alternative proteolysis approach.

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Nasal Delivery Enhancers

Co-administering protease inhibitors and permeation enhancers can improve nasal drug delivery.

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Peptide Backbone Replacement

Most peptide backbones can be replaced with alternate atoms/groups to enhance stability and bioavailability

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Structural Extension Benefits

Structural extension can enhance binding affinity.

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RGD Mechanism

RGD blocks fibrinogen binding to glycoprotein IIb/IIIa, preventing platelet aggregation.

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Somatostatin Structure

Somatostatin is a 14-residue peptide macrocyclised through a Cys-Cys disulphide bridge.

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Intact Peptide Drugs

Some peptides and proteins can be administered unchanged as drugs.

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Transition State Mimicry

Protease inhibitors are designed to mimic the transition state of peptide cleavage to bind tightly to the active site.

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HIV Protease Inhibitor Function

HIV protease inhibitors are crucial for maturation of infectious virions by cleaving viral polyproteins.

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Trypsin, Chymotrypsin and Elastase

Enzymes secreted by the pancreas that are encountered in the small intestine.

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Pharmacophore

Analogues of active peptides that retain activity through appropriate display of the binding subunits in 3-dimensional space.

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Somatostatin

Growth Hormone Inhibiting Hormone which is a 14-residue peptide macrocyclised through a Cys-Cys disulphide bridge.

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HIV Protease Selectivity

HIV protease is selective for this specific peptide sequence.

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Protease Mechanism Key

A key diol intermediate, uses a bound water molecule present in the active site.

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Replacement Strategy

A strategy that maximises hydrolytic stability and improve drug passage through biological membranes by tuning lipophilicity.

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What is RGD?

A one letter code for Arginine-glycine-aspartic acid.

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Glucose Scaffold Analogue

A small cyclic peptide agonist that displays effective growth hormone inhibition.

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What is Leuprolide?

An analog of gonadotropin releasing hormone.

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Peptide modification.

Common modifications using unnatural amino acids, conformational restrictions, or backbone changes to improve drug properties.

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Combinatorial Approach

Uses high throughput screening assays to test activity levels.

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D-Amino Acids Use

Amino acid replacement in peptides to resist breakdown.

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Lipophilic Modification

Replacing or modifying specific parts of a molecule to increase its lipophilic properties and improve cell membrane penetration.

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Study Notes

  • Peptides and proteins have issues as drugs due to enzymatic hydrolysis and poor passage through lipid membranes
  • Metabolism of peptides occurs in the gastrointestinal tract, kidney, liver, lung, nasal mucosa, and blood
  • Full-sized proteins have a compact globular nature, making them more resistant to breakdown than smaller peptides and polypeptides
  • Key metabolic enzymes that break down peptides include carboxypeptidases (C-terminal residue cleavage), dipeptidyl carboxypeptidases, aminopeptidases (N-terminal cleavage), and amidases (internal cleavage)
  • The stomach's gastric mucosa secretes pepsin

pH levels in digestion

  • Stomach: pH ~2
  • Small intestine: pH ~7

Enzymes

  • Pepsin cleaves at carbonyl side of aromatic (Phe, Tyr & Trp) and acidic (Glu, Asp) residues
  • Trypsin cleaves at carbonyl side of basic (Lys & Arg) residues
  • Chymotrypsin cleaves at aromatic (Tyr, Phe, Trp) residues
  • Elastase cleaves at small, sterically unhindered residues (Ala, Gly & Ser)
  • Carboxy- and aminopeptidases further attack small units from the first wave of digestion

Decreasing Proteolysis

  • Replacing L-amino acids with D-counterparts increases resistance to proteolysis
  • This may increase resistance to proteolysis while retaining intended activity.
  • Changing primary amide to secondary amides at key cleavage sites
  • N-methylation or replacement of natural residue (wt) with proline is a common way to change a primary amide
  • Other strategies include reversing the peptide bond or using pseudo peptides
  • Co-administration of protease inhibitors and permeation enhancers aids in nasal delivery

Route Comparison Absorbed % Dose

  • Oral: Insulin (0.05), Leuprolide (0.05)
  • Nasal: Insulin (30), Leuprolide (2-3)
  • Buccal: Insulin (0.5), Leuprolide (n/a)
  • Rectal: Insulin (2.5), Leuprolide (8)
  • Vaginal: Insulin (18), Leuprolide (38)
  • Subcutaneous: Insulin (80), Leuprolide (65)
  • Leuprolide is an analogue of gonadotropin-releasing hormone (GnRH)

Mimicking Peptides to use as Drugs

  • Peptidomimetics mimic the structures of particular peptides
  • Mimicry can fool a receptor into thinking it is binding the actual peptide
  • A non-hydrolysable peptide mimic can act as a competitive inhibitor
  • Replacing non-pharmacophoric polar sections with lipophilic moieties increases membrane permeation and bioavailability
  • Most of the peptide backbone can be replaced with alternate atoms / groups
  • Replacing phenylalanine analogues change conformational abilities and alter lipophilicity
  • Structural extension can result in reinforcing interactions, resulting in higher affinity

RGD Scaffold Mimics

  • RGD codes for the sequence arginine-glycine-aspartic acid
  • It can block the binding of fibrinogen to its receptor, glycoprotein IIb/IIIa
  • Blocking this binding prevents platelet aggregation
  • Valuable in the treatment of stroke and heart attacks

Somatostatin

  • Somatostatin (Growth Hormone Inhibiting Hormone) is a 14-residue peptide macrocyclised through a Cys-Cys disulphide bridge
  • Ala-Gly-Cys-Lys-Asn-Phe-Phe-Trp-Lys-Thr-Phe-Thr-Ser-Cys
  • A glucose scaffold analogue displays effective GH inhibition in cultured rat anterior pituitary cells

A peptidomimetic of thyrotropin-releasing hormone

  • TRH: pyroGlu-His-ProNH2
  • These compounds and their derivatives are leads for the treatment of Alzheimer's disease and other cognitive disorders
  • Pseudopeptides are made using Isosteric replacement, Chain extension, and amide isosteres

Selected Drug Discovery Approaches

  • Produce 100's → 1000's new compounds using Solid Phase Organic Synthesis (SPOS) in Combinatorial processes
  • Used to test the level of activity against multiple targets using High Throughput Screening Assays
  • Rational processes design drugs to fit receptor / active site (10 → 100 molecules)
  • Rational is tested the final product against selected target(s)

HIV Protease Inhibitors

  • HIV Protease Inhibitors are crucial for the formation of mature infectious virions
  • They cleave viral polyproteins to produce functional viral proteins
  • Proteases cleave amide bonds in other peptides
  • HIV protease is selective for its peptide sequence
  • Design with no cleavable peptide to mimic

Protease Mechanism

  • Reaction uses a bound water molecule present in the active site
  • Proceeds via a key diol intermediate
  • Solid Phase Organic Synthesis is used widely in Combinatorial Chemistry
  • Combinatorial Chemistry and Rational Drug Design are two major methods of drug discovery
  • Clinical drugs can be developed from a detailed knowledge of the chemistry of a protein target

Saquinavir

  • Saquinavir shows a sub nanomolar IC50 exhibiting a potent effect

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Description

Peptides and proteins face challenges as drugs because of enzymatic hydrolysis and poor absorption. Key metabolic enzymes like pepsin, trypsin, and chymotrypsin break down peptides, while proteolysis is decreased by replacing L-amino acids.

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