| Term 
 
        | List the three types of enzyme inhibition |  | Definition 
 
        | 1. Classical reversible 2. Mechanism-Based
 3. Irreversible
 |  | 
        |  | 
        
        | Term 
 
        | Describe the two methods classical reversible enzyme inhibition |  | Definition 
 
        | 1. Competitive (binding to active site) 2. Non-competitive (binging to allosteric site and [ES] complex) |  | 
        |  | 
        
        | Term 
 
        | Describe the two methods of mechanism-based enzyme inhibition |  | Definition 
 
        | 1. Inhibiting transition state with analogs 2. Inhibiting reaction coordinate with analogues (forms covalent complex [EI] which is reversible but can't form product
 |  | 
        |  | 
        
        | Term 
 
        | Describe the two methods of irreversible enzyme inhibition |  | Definition 
 
        | 1. Affinity labels- alkylates enzyme (mostly used for ID in labs) 2. Mechanism based and irreversible- irreversible reaction coordinate inhibitors and suicide substrate inhibitors
 |  | 
        |  | 
        
        | Term 
 
        | Give an example of a drug that uses irreversible reaction coordinate inhibitors |  | Definition 
 
        | Penicillin binding and 5-FU |  | 
        |  | 
        
        | Term 
 
        | Give an example of suicide substrate inhibitors |  | Definition 
 
        | -Beta lactamase inhibitor -Clauvanic acid
 |  | 
        |  | 
        
        | Term 
 
        | Give the Michaelis-Menton equation |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | The concentration of substrate necessary to achieve Vmax/2 |  | 
        |  | 
        
        | Term 
 
        | Which would you want to be reversible, chemotherapeutic agents or pharmacotherapeutic agents? |  | Definition 
 
        | Pharmacotherapeutic should be reversible, because it treats symptoms whereas chemotherapeutic kills the source of disease |  | 
        |  | 
        
        | Term 
 
        | Give the equation for a Lineweaver-Burk plot |  | Definition 
 
        | 1/V = Km/Vmax(1/[S]) + 1/Vmax |  | 
        |  | 
        
        | Term 
 
        | In competitive inhbition, what factors in the Michaelis-Menton and Lineweaver-Burk plot are affected? |  | Definition 
 
        | Km is increased Slope of Linewaver-Burk plot is increased |  | 
        |  | 
        
        | Term 
 
        | In NON-competitive inhbition, what factors in the Michaelis-Menton and Lineweaver-Burk plot are affected? |  | Definition 
 
        | Vmax is decreased 
 Slope and y-intercept of Linewaver-Burk plot is increased
 |  | 
        |  | 
        
        | Term 
 
        | What is the clinical role of sulfanilamides |  | Definition 
 
        | To competitively inhibit Dihydropteroate synthase, preventing bacteria from making dihydropeteroic acid (a folic acid) for DNA |  | 
        |  | 
        
        | Term 
 
        | What is the key difference in how bacteria and humans get folic acid? |  | Definition 
 
        | Humans get them from the diet and convert it to tetrahydrofolic acid 
 Bacteria synthesize folic acid using Dihydropteroate synthase
 |  | 
        |  | 
        
        | Term 
 
        | How do bacteria become resistant to sulfonamides? |  | Definition 
 
        | By producing a lot of PABA (the molecule that sulfonamides structurally mimic) |  | 
        |  | 
        
        | Term 
 
        | What is a major side effect of sulfanilamides? |  | Definition 
 
        | Crystal urea, which can block kidney tubules 
 Fluid intake should be increased. Or we can try a more soluble sulfonamides.
 |  | 
        |  | 
        
        | Term 
 
        | When bacteria become resistant to sulfanilamides, what drug can then be given for antibiotic synergism? |  | Definition 
 
        | A drug which inhibits DHFR, which is the next enzyme in the step |  | 
        |  | 
        
        | Term 
 
        | What enzyme converts phosphoribosyl pyrophosphate to phosphoribosylamine? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What controls the action of PRA synthase? |  | Definition 
 
        | Inosine monophosphate, through non-competitive negative feedback |  | 
        |  | 
        
        | Term 
 
        | What is the significance of inosine monophosphate? |  | Definition 
 
        | It is a precursor of purines and can also be used to sub in for several of the base pairs |  | 
        |  | 
        
        | Term 
 
        | What is the role of HPRT? |  | Definition 
 
        | An enzyme that converts 6-mercaptopurine to thio inosine monophosphate |  | 
        |  | 
        
        | Term 
 
        | What is the significance of thioinosine monophosphate? |  | Definition 
 
        | It is very similar (bioisoteres) to inosine monophosphate, so also non-competively inhibits PRA synthase |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Molecules that are very similar, they only differ by one chemically similar atom |  | 
        |  | 
        
        | Term 
 
        | How can 6-mercaptopurine be used clinically? |  | Definition 
 
        | It can be used as an anti-cancer drug since it inhibits PRA synthase, thus inhibiting DNA synthesis |  | 
        |  | 
        
        | Term 
 
        | Are transition state analogs reversible or irreversible? |  | Definition 
 
        | Transition state analogues are reversible |  | 
        |  | 
        
        | Term 
 
        | Give an example of a transition state analogue |  | Definition 
 
        | Pentostatin is a mimic of the transition state of adenosine, involved in DNA synthesis |  | 
        |  | 
        
        | Term 
 
        | Describe reaction coordinate analogs |  | Definition 
 
        | -Resemble the target enzyme's substrate -Reacts with active site to form EI complex
 -Reversible, but can't go on to form product
 |  | 
        |  | 
        
        | Term 
 
        | Give an example of reaction coordinate analogs |  | Definition 
 
        | Peptidyl trifluromethyl ketone and elastinal both inhibit human leukocyte elastase |  | 
        |  | 
        
        | Term 
 
        | What is the function of elastase? |  | Definition 
 
        | It is a serine protease released by neutrophils, which chews up damaged elastin in connective lung tissue |  | 
        |  | 
        
        | Term 
 
        | What enzyme keeps elastase in check? |  | Definition 
 
        | Alpha-1-antitrypsin 
 Interestingly, this enzyme is damaged by cigarette smoke
 |  | 
        |  | 
        
        | Term 
 
        | In the Northern European population deficient in alpha-1-antitrypsin, what happens? |  | Definition 
 
        | It leads to a high incidence of emphysema |  | 
        |  | 
        
        | Term 
 
        | How do chloromethyl ketones (R-CO-CH2Cl) affect a reaction? |  | Definition 
 
        | They act as an irreversible inhibitor, R resembles any natural substance but the ketone is extremely electrophilic and readily alkylate neutrophilic groups of enzymes |  | 
        |  | 
        
        | Term 
 
        | How are chloromethyl ketones (R-CO-CH2Cl) used clinically? |  | Definition 
 
        | They are too non-specific to be used as a drug 
 They are used in labs to identify active sites of enzymes
 |  | 
        |  | 
        
        | Term 
 
        | What kind of competitor is penicillin |  | Definition 
 
        | D-ala-D-ala is built into a cell wall with transpeptidase 
 Penicillin binds to transpeptidase, irreversibly inhibiting as a coordinate
 |  | 
        |  | 
        
        | Term 
 
        | What kind of competitor is flourine, when used as a cancer drug? |  | Definition 
 
        | Irreversible reaction coordinate inhibitor 
 It binds to dUMP at the 5-position, and this prevents the enzyme from converting it to dTMP (precursor of thymine)
 |  | 
        |  | 
        
        | Term 
 
        | What is the function of beta-lactamase? |  | Definition 
 
        | To open the beta-lactam ring in penicillin 
 This is found in penicillin-resistant bacteria
 |  | 
        |  | 
        
        | Term 
 
        | Give an example of a suicide substrate (kcat) inhibitor |  | Definition 
 
        | Clavulanic acid- a beta lactamase inhibitor |  | 
        |  | 
        
        | Term 
 
        | Does clavulanic acid act as an antibiotic in itself? |  | Definition 
 
        | No, it prevents bacteria from being resistant to penicillin |  | 
        |  |