| Term 
 | Definition 
 
        | Right handed 10bp per twist
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Left handed Less stable, exposes hydrophobic inner core
 Found in viruses
 |  | 
        |  | 
        
        | Term 
 
        | Describe the mechanism of action of actionomycin D |  | Definition 
 
        | It intercalates into DNA, interfering with the structure |  | 
        |  | 
        
        | Term 
 
        | Do intercalators form covalent bonds? Do alkylating agents? |  | Definition 
 
        | Intercalators do not form covalent bonds 
 Alkylating agents do
 |  | 
        |  | 
        
        | Term 
 
        | What is the mechanism of action of mechlorethamine hydrochloride (mustard gas)? |  | Definition 
 
        | Its chlorine arms alkylate the N-9 position of guanine 
 Since it has 2 arms, it can crosslink, preventing DNA unwinding for replication
 |  | 
        |  | 
        
        | Term 
 
        | List three drugs that target nucleic acid biosynthesis |  | Definition 
 
        | Sulfonamides, trimethoprim, pyrimethamine |  | 
        |  | 
        
        | Term 
 
        | Describe the mechanism of action of trimethoprim |  | Definition 
 
        | Trimethoprim prevents the use of folate (can work alongside sulfonamides) by specifically targeting DHFR 
 Most bacteria cannot transport exogenous folates
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inhibitor of DHFR, specific for plasmodium species |  | 
        |  | 
        
        | Term 
 
        | What is the mechanism of action of flucytosine? |  | Definition 
 
        | It is an antifungal agent, only fungi have cytosine deaminase that converts flucytosine to 5-FU |  | 
        |  | 
        
        | Term 
 
        | Define gyrase/topoisomerase |  | Definition 
 
        | Enzymes that introduces negative supercoils into DNA, allowing for unwinding (decatenation) |  | 
        |  | 
        
        | Term 
 
        | What antibiotic class inhibit gyrase? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | How is acyclovir a good anti-cancer agent? |  | Definition 
 
        | It's 3' hydroxyl is recognized for chain elongation but it significantly slows down the enzyme |  | 
        |  | 
        
        | Term 
 
        | Describe the basic structure of a quinolone |  | Definition 
 
        | Two ring structures with 1 nitrogen in each 
 Fluoroquinolones include a fluorine
 |  | 
        |  | 
        
        | Term 
 
        | Describe the mechanism of action of AZT |  | Definition 
 
        | Reverse transcriptase inhibitor- the N3 inhibits the enzyme |  | 
        |  | 
        
        | Term 
 
        | Describe the mechanism of action of pentostatin |  | Definition 
 
        | transition state analog of ADA (aminosine deaminase) |  | 
        |  | 
        
        | Term 
 
        | Describe the mechanism of action of allopurinol |  | Definition 
 
        | Xanthine oxidase inhibitor 
 Inhibits HPRT by acting as a xanthine analog
 |  | 
        |  | 
        
        | Term 
 
        | What is the difference between primary and secondary gout? |  | Definition 
 
        | Primary is when people get it genetically 
 Secondary is when cancer patients develop gout because of the large number of cells breaking down
 |  | 
        |  | 
        
        | Term 
 
        | Describe the mechanism of action of chloramphenicol 
 How do bacteria become resistant to it?
 |  | Definition 
 
        | Stops protein synthesis by inhibiting 50S ribosomal subunit 
 D-form only
 
 Resistant bacteria get plasmids with a new enzyme, CAT, which acetylates and inactivates chloramphenicol
 |  | 
        |  | 
        
        | Term 
 
        | Describe the mechanism of action of aminoglycosides |  | Definition 
 
        | Binds to 30S subunit of bacterial ribosomes 
 Resistant bacteria adenylate and phosphorylate them
 
 Synergistic with penicillin
 |  | 
        |  | 
        
        | Term 
 
        | List four aminoglycosides |  | Definition 
 
        | Kenamycin, gentamicin, amikacin, tobramycin |  | 
        |  |