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GMS 6504 EXAM WITH VERIFIED ANSWERS

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GMS 6504 EXAM WITH VERIFIED ANSWERS

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  • September 25, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • GMS 6504
  • GMS 6504
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Fordenken
GMS 6504 EXAM WITH VERIFIED ANSWERS
1. Lipinski's rule of 5: - Poor absorption or permeation are more likely when:
| | | | | | | | | | | | |


1. mass greater than 500 Da | | | |


2. highly lipophilic - logP > 5 | | | | |


3. more than 5 hydrogen bond donors
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4. more than 10 hydrogen bond acceptors
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2. Partition coefficient: p = C(octanol)/C(water) | | | |


- ratio of the equilibrium concentrations of dissolved substance in a two-phase
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system containing two largely immiscible solvents (water & octanol)
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- Log10(P)
3. Improved Lipinski Parameters: 1. Partition coefficient Log(P) -0.4-5.6 range | | | | | | | |


2. Molar refractivity from 40-130 | | |


3. Molecular weight from 160-500 | | |


4. Number of atoms from 20-70 | | | |


5. Polar surface area no greater than 140 A^2
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4. CNS Drugs: - need lower Polar Surface Area (A^2) to cross BBB
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5. Modification of Proteins and/or nucleic acids: - bad if unanticipated & non-se- | | | | | | | | | | |


lective
|


- good if selective | |


6. Esters, amide bonds, & disulfide bonds: - labile in biological systems
| | | | | | | | | |


- esters most labile | |


- useful for creating pro-drugs but can be broken down in-vivo
| | | | | | | | |


7. Esters: - most commonly bound pro-drug incorporate | | | | | |


- body is full of esterases capable of breaking down into active form
| | | | | | | | | | |


8. Easily druggable targets: - enzymes - kinases, phosphatases, histone deacety-
| | | | | | | | |


lases
|


- cell surface receptors - GPCRs, RTKs, cytokine receptors
| | | | | | |


9. Undruggable targets: - transcription factors | | | |


- scaffolding proteins |


- protein-protein interactions involving large, flat protein-protein interfaces | | | | | |


10. Undruggable approaches: - higher order complex formation (rapamycin, | | | | | | |


FK506, cyclosporine) - chemobodies
| | | |


- Synthetic lethality |


- RNAi/Antisense RNA |


- genome editing (CRISPR) | |


- SAR by NMR | |


11. ATP inhibitors: - ATP-competitive inhibitors are easy to design
| | | | | | | |


- kinases are present in nearly all signalling pathways
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, - ATP kinase binding sites are evolutionarily conserved
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- high functional redundancy among kinases
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12. Gatekeeper: - defines size of specificity pocket | | | | | |


- bigger the keeper smaller the size of the specificity pocket
| | | | | | | | |


13. Specificity pocket: - varies in size amonnst different ATP sites | | | | | | | | |


14. Gatekeeper makeup: - predomenently methionine, threonine, luecine, or | | | | | | |


phenylanalnine
|


15. ATP-competitive kinse inhibitors: - recognize the active conformation of ki- | | | | | | | | |


nase (type 1)
| | |


16. Irreversible kinase inhibitors: - covalently react with cysteine residues within | | | | | | | | |


the kinase near the atp binding site
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17. Kd: - dissociation constant | | |


- concentration of a ligand where half of the binding sites on a protein are bound | | | | | | | | | | | | | |


- circle size is proportional to binding affinity
| | | | | |


18. Difficult to develop specific active site kinase inhibitors: - due to gatekeeper| | | | | | | | | | |


mutations
|


- active site mutations | |


- resistance over time | |


- overexpression of kinase | |


- functional redundancy |


19. William Coley: - father of cancer immunotherapy | | | | | |


- developed concoction mixture of killed bacteria that was injected intratumorally, | | | | | | | | |


causing cancer regression
| | |


- results were hard to duplicate due to Coley's poor record taking skills
| | | | | | | | | | |


20. Cross-presentation of tumor antigens: - APCs pick up tumor antigens and | | | | | | | | | |


present to dendritic cells
| | | |


- dendritic cells present tumor antigens and co-stimulators to CD8+ cells and induce
| | | | | | | | | | |


tumor-targeted execution
| |


21. Bone marrow transplant: - form of cancer immunotherapy | | | | | | |


- chemo kills existing bone marrow which is replaced with donor marrow
| | | | | | | | | |


- strive for graft vs. tumor effect
| | | | |


- graft vs. host disease is a complication
| | | | | |


22. -o-: - mouse | |


23. -xi-: - chimeric | |


- 75% human & 25% murine (mouse)
| | | | |


24. -u-: - human | |


25. -xizu-: - chimeric/humanized | |


26. -zu-: - humanized | |


- 95% human & 5% murine (mouse)
| | | | |




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