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Emerging Diseases- Slide 17
Drugs (Types, Development, Pipeline)
39
Geography
Undergraduate 2
12/12/2010

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Term
Eukaryotic
Definition
Has a nucleus and other organelles inside the cell (human)
Term
Antibiotic
Definition
bacteria, yeasts, parasites, living cells, usually not viral
Term
Antimicrobial
Definition
same as antibiotic
bacteria, yeasts, parasites,
living cells, usually not viral
Term
Antibacteria
Definition
bacteria
Term
Antiviral
Definition
viral
Term
Antifungal
Definition
fungi = yeasts, molds
Term
Drug development
Definition
-Exploit differences between pathogens and humans
-Biochemical pathways
-Rigid cell walls (bacteria and yeasts)
Term
Drugs for HIV virus
Definition
reverse transcriptase
Term
Drugs for Flu
Definition
Nueraminidase inhibitor
Term
What drug is the hardest to develop?
Definition
Eukaryotic pathogens (parasites, fungi)
pathogens close to humans
Term
Quinolones
Definition
Target DNA replication and unwinding
Inhibit unwinding of DNA
Term
Metronidazole
Definition
Target DNA replication and unwinding
binds and distorts DNA
Term
Rifampicin
Definition
Target Transcription-Interfere with RNA production from DNA
-Binds RNA polymerase
Term
Target cell membrane
Definition
-Lipids in membrane
-Polymyxins- detergent, interacts with cell membrane (polyscporin, bacitracin, neosporin)
Term
Target cell wall
Definition
-Interfere with cell wall synthesis
ex: penicillin, Cephalosporins, cephamycins
Term
Therapeutic index
Definition
Activity of drug against pathogen vs. activity of drug against human cell

-Best if activity against human cells is 100x to 1000x above activity against pathogen
Term
Bacteriocidal
Definition
Kill growing bacteria (don't kill static cells)
ex: quinolones, penicillins
Term
Bacteriostatic
Definition
Inhibit growth
Ex; tetracyclines, macrolides, cholamphenicol
Term
Oral
Definition
Drugs that can cross mucosal membranes and enter blood stream
Term
Intravenous
Definition
Drugs that cannot cross mucosal membrane and enter blood stream on their own must be given through IV.
Term
Host cell permeability is important for:
Definition
Intracellular pathogens whether they can penetrate (macrolides, tetracyclines) or do not penetrate (penicillin)
Term
In vitro
Definition
test tube
Term
In vivo
Definition
in animals/ humans
Term
Drugs vs. immune systems
Definition
-Immune system- major control of pathogens
-drugs- assist immune system in the war
BEST way to treat is restore immune system
Term
Natural Drug development
Definition
Screening soil samples and decaying plants for inhibitory microorganisms
ex: penicillin came from common bread mold, Penicillium
Term
Synthetic drug development
Definition
Quinolones- Chemically synthesized
Term
Assay development
Definition
whole assay
enzyme assay
Term
lead compound
Definition
-Compound identified from screen-natural or synthetic
-Shows some activity against pathogen
Term
lead compound
Definition
-Compound identified from screen-natural or synthetic
-Shows some activity against pathogen
Term
Rational drug design
Definition
-Select a target enzyme
-Determine its structure and shape
-Determine its active site
-Fit small chemicals into the active site
-Test these small chemicals for activity
Term
Drug pipeline
Definition
Drug Discovery ->
Preclinical ->
Clinical I, II, II ->
Approval IV ->
Consumers
Term
Three dimensions in drug development (FDA)
Definition
Safety
Medical utility
Industrialization
Term
Patent good for
Definition
20 years
Term
How many compounds does a certain drug usually start with?
Definition
-5-10,000 at start
Term
Cost for drug pipeline
Definition
-Basic research- 10s of mil
-Animal models- 10s of mill
-Clinical trials- 100s of mil

A drug needs to generate profit of 0.5 billion above cost of making and marketing drug
Term
Generics
Definition
patent expired
Term
How long are drugs normally good for until they become ineffective from resistance?
Definition
10 years
Term
Failure of drug in a patient
Definition
-Host: immune system, location (brain)
-Drug: cidal/static, oral/IV
-Pathogen: is it susceptible or resistant
Term
Susceptibility testing
Definition
how much drug does it take to kill an organism?
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