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    DRUGS TARGETINGNUCLEIC ACIDSDNA & RNA

    Patrick: An Introduction

    to Medicinal Chemistry 5eChapter 9

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    1. DRUGS ACTING ON DNA

    •. There are many important drugs which target nucleic acids,

    especially in the areas of antibacterial and anticancer therapy.

    •. Drugs that interact with DNA are usually very toxic because

    human DNA and pathogen DNA are very similar.

    •. For cancer treatment, the only difference between cancer

    cells and normal cells is the rapid cell division.

    •. Therefore, drugs that halt mitosis (DNA synthesis) should

    preferentially halt the mitosis of cancer cells.•. Ideally, a drug would be able to bind to specific sequences.

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    Mechanism of action• Intercalating drugs are compounds that contain planar or heteroaromatic

    features that slip between the base pair layers of the DNA double helix.• Some of these drugs prefer to approach the helix via the major groove; others

    prefer access via the minor groove.• Once they are inserted between the nucleic acid base pairs, the aromatic/heteroaromatic rings are held there by van der Waals interactions

    with the base pairs above and below.• Several intercalating drugs also contain ionized groups which can interact with

    the charged phosphate groups of the DNA backbone, thus strengthening theinteraction.

    • Once the structures have become intercalated, a variety of other processes maytake place which prevent replication and transcription, leading finally to celldeath.

    1. DRUGS ACTING ON DNA1.1 Intercalating agents

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    1. DRUGS ACTING ON DNA1.1 Intercalating agents

    Mechanism of action• Contain planar aromatic or heteroaromatic ring systems• Planar systems slip between the layers of nucleic acid pairs and

    disrupt the shape of the helix• Preference is often shown for the minor or major groove• Intercalation prevents replication and transcription• Intercalation can inhibit topoisomerases

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    1. DRUGS ACTING ON DNA1.1 Intercalating agents

    Example - Proflavine

    Proflavine (planar tricyclic system)

    NH2N N H2

    • Used as a topical antibacterial agent in the second world war• Targets bacterial DNA• Too toxic for systemic use• The amino substituents are protonated (completely ionized at pH 7)

    and charged• The flat tricyclic ring intercalates between the DNA base pairs, and

    interacts with them by van der Waals forces, while the ammoniumcations form ionic bonds with the negatively charged phosphate groupson the sugar phosphate backbone.

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    T A

    G C

    H3N NH 3

    O O

    proavine

    sugar phosphatebackbone

    NH3N NH 3

    Proflavine

    Ionic interactions

    T

    DNA DOUBLE HELIX

    TAG

    C

    ATC

    GC

    TAATCG

    A

    T AT A

    TA

    TAT A

    G C

    C

    T ATA

    AG CT

    CGCG

    ATAT

    G

    G

    1. DRUGS ACTING ON DNA1.1 Intercalating agents

    Example - Proflavine

    van der Waals interactions

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    Extra binding to sugar phosphate

    backbone by NH 3

    Doxorubicin (Adriamycin)

    OMe

    O

    O

    OH

    OH H O

    OH

    OCH 2OH

    O

    NH3

    H

    H

    H

    H

    MeH

    HO

    H

    O

    N

    O

    NH2

    CH 3CH 3

    C C

    NH

    O

    NH

    CC

    D -Val

    C

    D -Val

    L -Pro

    N -Me-Gly

    L -Pro

    N -Me-Gly

    C

    O

    N -Me- L -ValN -Me- L -Val

    C

    O

    Me MeH H

    CO O

    H H

    O

    Dactinomycin

    Extra binding to sugar phosphate

    backbone by cyclic peptides

    1. DRUGS ACTING ON DNA1.1 Intercalating agents

    Examples - anticancer agents

    Planar rings

    Doxorubicin (Adriamycin)

    OMe

    O

    O

    OH

    OH H O

    OH

    OCH 2OH

    O

    NH3

    H

    H

    H

    H

    MeH

    HO

    H

    O

    N

    O

    NH2

    CH 3CH 3

    C C

    NH

    O

    NH

    CC

    D -Val

    C

    D -Val

    L -Pro

    N -Me-Gly

    L -Pro

    N -Me-Gly

    C

    O

    N -Me- L -ValN -Me- L -Val

    C

    O

    Me MeH H

    CO O

    H H

    O

    Dactinomycin

    Planar rings

    Planar rings

    Doxorubicin (Adriamycin)

    OMe

    O

    O

    OH

    OH H O

    OH

    OCH 2OH

    O

    NH3

    H

    H

    H

    H

    MeH

    HO

    H

    O

    N

    O

    NH2

    CH 3CH 3

    C C

    NH

    O

    NH

    CC

    D -Val

    C

    D -Val

    L -Pro

    N -Me-Gly

    L -Pro

    N -Me-Gly

    C

    O

    N -Me- L -ValN -Me- L -Val

    C

    O

    Me MeH H

    CO O

    H H

    O

    Dactinomycin

    Planar rings

    Planar rings

    Doxorubicin (Adriamycin)

    OMe

    O

    O

    OH

    OH H O

    OH

    OCH 2OH

    O

    NH3

    H

    H

    H

    H

    MeH

    HO

    H

    O

    N

    O

    NH2

    CH 3CH 3

    C C

    NH

    O

    NH

    CC

    D -Val

    C

    D -Val

    L -Pro

    N -Me-Gly

    L -Pro

    N -Me-Gly

    C

    O

    N -Me- L -ValN -Me- L -Val

    C

    O

    Me MeH H

    CO O

    H H

    O

    Dactinomycin

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    1. DRUGS ACTING ON DNA1.1 Intercalating agents

    Notes on dactinomycin• Intercalates via minor groove of DNA double helix• Prevents unwinding of DNA double helix• Blocks transcription by blocking DNA-dependent RNA

    polymerase

    Notes on doxorubicin• Intercalates via the major groove of DNA double helix• Blocks the action of topoisomerase II by stabilising the

    DNA-enzyme complex• Acts as a topoisomerase poison

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    1. DRUGS ACTING ON DNA1.1 Intercalating agents

    Examples – Bleomycins (anticancer)

    N N

    CONH2HN

    NH2

    NH 2

    O

    H2NMe

    O

    HNNH

    O

    Me

    HO

    MeHN

    OHO Me

    NH

    O

    S

    N

    SN

    R

    O

    O

    NH

    N

    O

    HO

    OH

    OH

    O

    OH

    OHO

    NH2

    O

    H

    H

    H

    H

    H

    H H

    H H

    OH

    BleomycinA 2 R =NHCH 2 CH 2 CH 2 SMe 2BleomycinB 2 R =NHCH 2 CH 2 CH 2 CH 2 NHC(NH 2 )=NH

    imidazolering

    pyrimidinering

    primary amine

    primary amine

    primary amide

    Bithiazoleinterca latingregion

    N N

    CONH2HN

    NH2

    NH 2

    O

    H2NMe

    O

    HNNH

    O

    Me

    HO

    MeHN

    OHO Me

    NH

    O

    S

    N

    SN

    R

    O

    O

    NH

    N

    O

    HO

    OH

    OH

    O

    OH

    OHO

    NH2

    O

    H

    H

    H

    H

    H

    H H

    H H

    OH

    BleomycinA 2 R =NHCH 2CH 2CH 2SMe 2BleomycinB 2 R =NHCH 2CH 2CH 2CH 2NHC(NH 2)=NH

    imidazolering

    pyrimidinering

    primary amine

    primary amine

    primary amide

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    1. DRUGS ACTING ON DNA1.1 Intercalating agents

    Notes on bleomycins• Intercalated by means of bithiazole ring system• Ferrous ion then chelated by nitrogens of the primary amines,

    amide and pyrimidine ring• Reaction with oxygen results in a ferric ion and reactive oxygen

    species• Results in radical formation and chain cutting• Bleomycin prevents DNA ligase from repairing damage

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    • Enzymes within cells that remove excessive supercoiling—andthereby torsional stress—while maintaining sufficient supercoiling toensure a stable compact genome.

    • These enzymes are apparent in every cellular function involved withDNA—transcription, replication, recombination, and chromosome

    separation.• The enzymes complete their job in any of the above function bycleavage; that is, cutting.

    • Type I topoisomerase cut only 1 strand of DNA, Type IItopoisomerase cut both (2) strands of DNA.

    • JADI tugas enzim ini adalahah memotong DNA pada tempat tertentusehingga mudah untuk memutar (karena sudah dipotong), pada prosesreplikasi enzim ini juga berfungsi untuk memotong salinan DNAyang salah serta memasangkan kembali DNA yang terpotong.

    Topoisomerase- Overview

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    Action of topoisomerases during DNA replication (A) As the two strands of template DNA unwind, theDNA ahead of the replication fork is forced to rotate in the opposite direction, causing circular moleculesto become twisted around themselves. (B) his problem is solved b! topoisomerases, which catal!"e thereversible breakage and #oining of DNA strands. he transient breaks introduced b! these en"!mes serveas swivels that allow the two strands of DNA to rotate freel! around each other.

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    • Are classed as poisons rather than inhibitors, because theystabilize the normally transient cleavable complex that isformed between DNA and topoisomerase enzymes, thusinhibiting the rejoining of the DNA strand or strands.

    • In this section, we look at topoisomerase poisons which do notintercalate into the DNA structure.

    • However, since DNA is part of the target complex, we can viewthese poisons as targeting DNA as well as the topoisomeraseenzyme.

    1. DRUGS ACTING ON DNA1.2 Topoisomerase poisons - non-intercalating

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    1. DRUGS ACTING ON DNA1.2 Topoisomerase poisons - non-intercalating

    Examples

    OO

    O

    O

    Me O

    OH

    OMe

    O

    OO

    OHO

    Me

    H

    HO

    4'

    4

    Etoposide

    OO

    O

    O

    Me O

    OH

    OMe

    O

    OO

    OHO

    H

    HO

    4'

    4

    S

    Teniposide

    Notes on etoposide and teniposide• Stabilise the complex between DNA and topoisomerase enzymes• Used as anticancer agents• Also cause chain cutting

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    1. DRUGS ACTING ON DNA1.2 Topoisomerase poisons - non-intercalating

    Examples - Camptothecin

    Notes• Stabilises complex between DNA and topoisomerase I•

    Single-strand breaks accumulate in the chain• Irreversible double-strand breaks occur during transcription• Semi-synthetic analogues used as anticancer agents

    N

    N

    O

    O

    OHO

    A B C

    D

    E Lact one ri

    Me

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    1. DRUGS ACTING ON DNA1.2 Topoisomerase poisons - non-intercalating

    Examples - Quinolones and fluoroquinilones

    Notes•

    Synthetic agents used as antibacterial agents• Stabilise complex between bacterial DNA and topoisomerases• Binding site for agents revealed once DNA strands are ‘nicked’

    N N

    O

    CH 2CH 3

    CO2H

    Me

    N a l id

    N

    CO2H

    N

    O

    HN

    F

    C i p r o

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    1. DRUGS ACTING ON DNA1.2 Topoisomerase poisons - non-intercalating

    Examples - Quinolones and fluoroquinilones

    Fluoroquinolones

    Topoisomeraseenzyme

    • Four drug molecules are stacked in the bound complex• Bound to DNA and enzyme by hydrogen and ionic bonds

    X8 N

    R6

    R7

    R5 O

    O

    O

    R1

    Region binding to DNA

    Stacking domain

    X8 N

    R6

    R7

    R5 O

    O

    O

    R1

    Regionbindingto enzymeRegionbinding

    to enzymeX8 N

    R6

    R7

    R5 O

    O

    O

    R1X8 N

    R6

    R7

    R5 O

    O

    O

    R1

    Regionbindingto enzymeRegionbinding

    to enzymeX8 N

    R6

    R7

    R5 O

    O

    O

    R1

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    1.3 Alkylating agents

    1. DRUGS ACTING ON DNA

    • Alkylating agents are highly electrophilic compounds that react withnucleophiles to form strong covalent bonds.

    • There are several nucleophilic groups present on the nucleic acid bases ofDNA which can react with electrophiles — in particular the N-7 of guanine.

    • Drugs with two alkylating groups can react with a nucleic acid base on eachchain of DNA to cross-link the strands such that they disrupt replication ortranscription.

    • Alternatively, the drug could link two nucleophilic groups on the same chainsuch that the drug is attached like a limpet to the side of the DNA helix. Thatportion of DNA then becomes masked from the enzymes required to catalyseDNA replication and transcription.

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    1.3 Alkylating agents

    Notes• Contain highly electrophilic groups• Form covalent bonds to nucleophilic groups in DNA (e.g. 7-

    N of guanine)•

    Prevent replication and transcription• Useful anticancer agents• Toxic side effects (e.g. alkylation of proteins)• Can cause interstrand and intrastrand crosslinking if two

    electrophilic groups present• Alkylation of nucleic acid bases can result in miscoding

    1. DRUGS ACTING ON DNA

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    Interstrand crosslinkingIntrastrand crosslinking

    Crosslinking

    Nu Nu Nu

    Nu

    1.3 Alkylating agents

    1. DRUGS ACTING ON DNA

    X X

    NuNu

    X X

    Nu

    Nu

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    1.3 Alkylating agents

    Nucleophilic groups on nucleic acid bases

    1. DRUGS ACTING ON DNA

    nucleophilicgroups

    n u c l e o p h i licg r o u p s

    NH2

    N

    N

    N

    N

    1

    3

    R

    H2N

    HN

    N N

    N

    O7

    R

    NH2

    N

    NR

    O

    3

    CytosineGuanineAdenine

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    Cytosine Guanine

    N

    N

    NH2

    OR

    HN

    N

    N

    NO

    H2N

    R

    Normal base pairing

    1.3 Alkylating agents

    T h y m i nA l k

    N

    NH

    O

    O

    Me

    R

    N

    N

    N

    NHO

    R

    H2N

    DRUG

    Miscoding resulting fromalkylated nucleic acid bases

    1. DRUGS ACTING ON DNA

    Guanine prefers

    keto tautomer

    Abnormal base p airing.

    Alkylated guanine p refers enol tautomer

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    1.3 Alkylating agents

    ExampleChlormethine (nitrogen mustard)

    1. DRUGS ACTING ON DNA

    Notes•

    Used medicinally in 1942• Causes intrastrand and interstrand cross-linking• Prevents replication• Mono-alkylation of guanine also possible• Analogues with better properties have been prepared

    Me N

    Cl

    Cl

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    Mechlorethamine

    H3C N

    Cl

    Cl Cl

    NH3C

    Aziridine ion

    G = Guanine

    DNA

    G

    N

    HN

    NN

    N

    N NH

    N

    O

    O

    NH 2

    NH 2

    G

    DNA

    N

    N

    N

    NN

    HN

    NH

    N

    O

    NH 2

    O NH 2

    H3C N

    Cl

    DNA

    NN

    N

    N NH

    N

    O

    NH 2

    N

    HNO NH 2

    NH3C

    DNA

    CH 3

    N

    N

    N

    N

    N

    N

    HN

    NH

    N

    O NH 2

    O

    NH 2

    Crosslinked DNA

    Mechanism of action

    Alkylating agents

    Chlormethine

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    Cl

    N2 + H O

    Alkylatingagent

    1.3 Alkylating agents

    Example - Nitrosoureas

    1. DRUGS ACTING ON DNA

    MechanismDecompose in body to form an alkylating agent and a carbamoylating agent

    O

    N NH

    NO

    Cl Cl

    C a r m u s t in e

    O

    N NH

    NO

    Cl

    L o m u s t in e

    ClN N

    N

    O

    O

    R

    H

    H O

    O C N R

    ClN

    NOH

    +

    Isocy anate(carbam o ylatagent)

    Cl

    N2 + H O

    Alkylatingagent

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    Cl DNA X Y

    Cl

    X YC ro s s -lin k i n g

    DNA DNA

    A lk y l a t io nA lk y l a t in ga g e n t

    1.3 Alkylating agents

    Example - Nitrosoureas

    1. DRUGS ACTING ON DNA

    Notes• Alkylating agent causes interstrand crosslinking• Crosslinking between G-G or G-C• Carbamoylating agent reacts with lysine residues on proteins• May inactivate DNA repair enzymes

    O C N RIs o c y a n a t e

    P r o t e i n - Ly s -N H2P r o t e i nN H

    O

    HN RC a r b a m o y l a t i

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    1.3 Alkylating agents

    1. DRUGS ACTING ON DNA

    Synthetic agent used as anticancer agentCauses interstrand crosslinking

    BusulfanOO

    SMe

    OO

    SMe

    OO

    Mechanism

    OO

    SMe

    OO

    SMe

    OO

    HN

    N N

    N

    O

    H2N

    Guanine

    DNA

    -Me S O3-

    N

    N

    DNA

    N

    N

    DNA

    N

    N

    DNA

    N

    N

    DNA

    -Me S O3-

    OS O2Me

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    1.3 Alkylating agents

    1. DRUGS ACTING ON DNA

    Mechanism

    • Prodrug activated by demethylation in liver• Decomposes to form a methyldiazonium ion• Alkylates guanine groups

    HN N

    CONH2NN

    NH3C

    CH 3

    Cyt P-450

    liv er

    HN N

    CONH2NN

    N

    CH 3OHH

    HN N

    CONH2NHN

    N

    CH 3

    -CH 2O

    H

    HN N

    CONH2H2N

    N N CH 3

    AIC

    Methyldiazonium ion

    N2 + CH 3

    HN N

    CONH2NN

    NH3C

    CH 3

    Dacarbazine

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    O

    O

    N

    H 2 N

    Me

    CH 2 O CO NH 2

    NH

    O Me

    1.3 Alkylating agents

    1. DRUGS ACTING ON DNA

    Example - Mitomycin C

    Notes• Prodrug activated in the body to form an alkylating agent• One of the most toxic anticancer drugs in clinical use

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    OH

    OH

    N

    H2N

    Me

    CH 2

    NH2

    NH

    NH

    HN

    N N

    N

    O

    HN

    N N

    N

    O Guanine

    Guanine

    H 2N-DNA

    O

    O

    N

    H2N

    Me

    CH 2OCONH 2

    NH

    OMe

    O

    OH

    N

    H2 N

    Me

    CH 2 OCONH 2

    NH

    H

    -MeOH

    O

    OH

    N

    H2N

    Me

    CH 2OCONH 2

    NH2

    Ringopening

    -H +

    Alkylating agent

    OH

    OH

    N

    H 2N

    Me

    CH 2

    NH 2

    NH-DNA

    NH-DNA

    -CO 2-NH

    Crosslinked DNA

    OH

    OH

    N

    H2N

    Me

    CH 2OCONH 2

    NH

    OMe

    Reduction

    OH

    OH

    N

    H 2N

    Me

    CH 2

    NH 2

    NH-DNA

    O

    C

    O

    NH 2

    H2N-DNA

    H

    H

    H

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    Notes• Neutral inactive molecule acting as a prodrug• Platinum covalently linked to chloro substituents•

    Ammonia molecules act as ligands• Activated in cells with low chloride ion concentration• Chloro substituents replaced with neutral water ligands• Produces positively charged species

    1.4 Metallating agents

    1. DRUGS ACTING ON DNA

    PtNH3Cl

    NH3Cl

    Cisplatin

    PtNH3Cl

    NH3Cl

    H2OPt

    NH3H2O

    NH3ClPt

    NH3H2O

    NH3H2O

    + 2 +

    +DNA

    PtNH3DNA

    NH3DNA

    C i s p l a t in

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    Notes

    1.4 Metallating agents

    1. DRUGS ACTING ON DNA

    PtNH3Cl

    NH3Cl

    Cisplatin

    • Binds to DNA in regions rich in guanine units•

    Intrastrand links rather than interstrand• Localised unwinding of DNA double helix• Inhibits transcription

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    1.5 Chain cutters

    1. DRUGS ACTING ON DNA

    • Chain cutters cut the strands of DNA and prevent the enzymeDNA ligase from repairing the damage.• This compound binds to the minor groove of DNA• They appear to act by creating radicals on the DNA structure.• The reaction starts with a nucleophile attacking the trisulfide

    group.• These radicals react with oxygen to form peroxy species, and the

    DNA chain fragments.

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    • Intercalating agent• Abstracts H from DNA to generate radicals• Radicals react with oxygen resulting in chain cutting• Bleomycin also inhibits repair enzymes

    BLEOMYCIN A2 R = NHCH 2CH 2CH 2SMe 2BLEOMYCIN B2 R = NHCH 2CH 2CH 2CH 2NHC( NH 2)=NH

    BleomycinUsed vs skin cancer

    N N

    NH

    NH2CONH2

    NH2

    H2N

    CH 3 H N

    O

    NH

    O HO

    CH 3

    CH 3

    OCH 3HO

    HN

    NH N

    S

    S

    N

    O

    ONH

    N

    O

    HO

    OH

    OH

    OH

    OH

    OHO

    O N H2

    O

    RO O

    1.5 Chain cutters

    1. DRUGS ACTING ON DNA

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    • Generates DNA diradical• DNA diradical reacts with oxygen• Results in chain cutting

    1.5 Chain cutters

    1. DRUGS ACTING ON DNA

    O

    OMe

    I

    CH 3

    O

    OHMe OHO

    H3C

    OMe

    S

    O

    OH3C

    OH

    O NH

    OH3C

    HO O

    O

    Me O

    HN

    H3C

    H

    SS

    SH3C

    HOO

    NHC O2Me

    Calicheamicin 1I

    Antitumour agent !nediyne

    system

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    RS

    HO O

    NHCO 2Me

    S

    MeSNu

    RS

    HOO

    NHCO 2Me

    Cycloaromatisation

    RS

    HOO

    NHCO 2Me

    O2

    Oxidativecleavage

    DNA DNA(Diradical

    RS

    HOO

    H

    H

    NHCO 2Me

    Michaeladdition

    RS

    HO O

    NHCO 2Me

    1.5 Chain cutters

    1. DRUGS ACTING ON DNA

    Mechanism

    H

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    1.6 Chain terminators

    1. DRUGS ACTING ON DNA

    • Chain terminators are drugs which act as 'false substrates' and areincorporated into the growing DNA chain during replication.

    • Once they have been added, the chain can no longer be extended and chaingrowth is terminated.

    • The drugs which act in this way are 'mistaken' for the nucleotidetriphosphates that are the authentic building blocks for DNA synthesis.

    • The mechanism by which these nucleotides are added to the end of thegrowing DNA chain involves the loss of a diphosphate group — a processcatalysed bythe enzyme DNA polymerase.

    • Before each building block is linked to the chain, it has to be 'recognized'by the complementary nucleic acid base on the template chain.

    • This involves base pairing between a nucleic acid base on the template andthe nucleic acid base on the nucleotide.

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    1.6 Chain terminators

    1. DRUGS ACTING ON DNA

    Chain terminators therefore have to satisfy three conditions:1. First, they have to be recognized by the DNA template by interacting with

    a nucleic acid base on the template strand.2. Secondly, they should have a triphosphate group such they can undergo

    the same enzyme-catalysed reaction mechanism as the normal buildingblocks.

    3. Thirdly, their structure must make it impossible for any further buildingblocks to be added.

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    1 DRUGS ACTING ON DNA

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    1.6 Chain terminators

    1. DRUGS ACTING ON DNA

    a) Normal replication

    PG

    P P

    A

    T

    C

    G

    A

    A

    C

    C

    T

    A

    G OH3'

    DNAtemplate

    Growingchain

    A

    T

    C

    G

    A

    A

    C

    C

    T

    A OH3'

    DNA

    templateGrowing

    chain

    40

    1 DRUGS ACTING ON DNA

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    PDrug

    P P

    1.6 Chain terminators

    1. DRUGS ACTING ON DNA

    b) Chain termination

    A

    T

    C

    G

    A

    A

    C

    C

    T

    A OH3'

    DNA

    templateGrowing

    chain

    A

    T

    C

    G

    A

    A

    C

    C

    T

    A

    Drug H3'

    DNAtemplate

    Growingchain

    C"ain termination

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    1 DRUGS ACTING ON DNA

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    H N

    N

    O

    H2 N N

    N

    O

    H O

    Aciclovir(Zovirax)

    Notes:• Prodrugs used as antiviral agents• Same mechanisms of action as AZT• Used vs herpes simplex and shingles

    Famciclovir(Famvir)

    N

    NN

    N N H 2Ac O

    O Ac

    1.6 Chain terminators

    1. DRUGS ACTING ON DNA

    Chain

    terminatinggroup

    H N

    N

    O

    H2 N N

    N

    O

    H O

    Chain

    terminatinggroup

    N

    NN

    N N H 2Ac O

    O Ac

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    1 DRUGS ACTING ON DNA

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    1.7 Control of gene transcription

    1. DRUGS ACTING ON DNA

    Notes:• Design of synthetic molecules capable of controlling gene transcription• Molecules capable of recognising and binding to specific base pairs• Hairpin polyamides containing heterocyclic rings are capable of binding

    to the minor groove•

    Binding involves amide groups and heterocycles• Particular patterns of heterocyclic rings allow recognition of perticularbase pairs

    • Capable of inhibiting transcription• Designed to bind to regulatory element of a gene

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    A

    C

    A

    T

    G

    T

    T

    G

    T

    A

    C

    A

    5'3'

    1. DRUGS ACTING ON DNA

    O

    O

    NH

    NN Me

    NO

    H

    NMe

    O

    ONH

    N

    N

    N

    H

    O

    Me

    ON

    H

    N

    O

    H

    NMe

    MeH

    Me

    NMe

    N HO

    N OMe

    N H

    O

    NN

    Me

    H

    N

    NMe

    O

    N

    H

    H

    H

    Py

    Im

    Hp

    Py

    Py

    Py

    Hp

    Im

    Linker

    ArmArm

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    2. DRUGS ACTING ON rRNA

    O2NCH 2OH

    HO

    HN

    H

    H

    CO CH Cl 2

    Chloramphenicol(vs typhoid)

    R

    Me

    O

    HNMe

    Me

    OHO

    OHOH

    OH

    O

    Me

    O

    O

    C

    Me Me

    OMe O MeMe

    OH

    H

    H

    H

    H

    H

    H

    H

    H

    Rifamycins

    Streptomycin

    H2N C

    NH

    NH

    O

    HN C

    NH

    NH2

    O

    OO

    H

    OHH H O

    HH

    OHHH

    CH O

    OH

    H

    Me

    CH 2OH

    HHO

    H

    OH

    H

    H

    MeH NH

    H

    OOHOOH

    Cl

    OH

    NMe 2

    O

    HO

    NH2

    Me H

    OH

    Chlortetracycline(Aureomycin)

    HO

    O

    O

    O

    H3C

    CH 3

    CH 3

    O

    CH 3

    CH 3

    HO

    H3C

    O O

    O

    CH 3

    CH 3

    Me

    NMe 2

    HO

    OHOMe

    Erythromycin

    46

    A large number of clinically important antibacterial agentsprevent protein synthesis in bacterial cells by binding toribosomes and inhibiting the translation process.

    3 DRUGS ACTING ON mRNA

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    47

    A great deal of research has been carried out into the possibility ofusing oligonucleotides to block the coded messages carried by mRNA.The rationale is as follows:• Assuming that the primary sequence of a mRNA molecule is known, an

    oligonucleotide can be svnthesised containing nucleic acid bases that are

    complementary to a specific stretch of the mRNA molecule.• Since the oligonucleotide has a complementary base sequence, it is calledan antisense oligonucleotide.

    • When mixed with mRNA, the antisense oligonucleotide recognizes itscomplementary section in mRNA, interacts with it and forms a duplexstructure such that the bases pair up by hydrogen bonding.

    • This section now acts as a barrier to the translation process and blocksprotein synthesis.

    Antisense Therapy

    3. DRUGS ACTING ON mRNA

    3 DRUGS ACTING ON mRNA

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    Antisense Therapy

    Protein synthesis

    3. DRUGS ACTING ON mRNA

    m$%NA

    antisensemolecule

    U C A G A U G C A A

    A G U C U A C G U U

    AAUG A A G U

    m-RNA

    antisensemolecule

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    Advantages

    • Same effect as an enzyme inhibitor or receptor antagonist• Highly specific where the oligonucleotide is 17 nucleotides or more• Smaller dose levels required compared to inhibitors or antagonists•

    Potentially less side effects

    Disadvantages

    • ‘Exposed’ sections of mRNA must be targeted• Instability and polarity of oligonucleotides (pharmacokinetics)• Short lifetime of oligonucleotides and poor absorption across cell

    membranes

    Antisense Therapy

    3. DRUGS ACTING ON mRNA

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    Short segments of double stranded RNA• Recognised by enzyme complex RISC to produce singlestranded RNA - small interfering or small inhibitory RNA(siRNA)

    • Binds to complementary region of mRNA• mRNA is cleaved by enzyme complex

    Micro-RNA (miRNA)

    3. DRUGS ACTING ON mRNA

    RI SC

    miRNA

    RISC

    miRNA

    R ISC

    s i R N A

    RISC

    mRNA

    50

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    Advantages• siRNAs have potential to be used in gene therapy• Greater efficiency in silencing mRNA than conventional

    antisense therapy• One siRNA could lead to cleavage of several mRNA

    molecules

    Micro-RNA (miRNA)

    3. DRUGS ACTING ON mRNA

    Problems

    • siRNAs need to be metabolically stable• Need to reach target cells• Need to enter target cells

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