Vol. 9, No 3, 2002 pp. 201 - 206
UC 615.363  
COMPETITIVE INHIBITORS OF ENZYMES
AND THEIR THERAPEUTIC APPLICATION
Gordana Bjelaković, Ivana Stojanović, Goran B. Bjelaković1,
Dušica Pavlović, Gordana Kocić, Angelina Daković-Milić
Institute of Biochemistry, 1Clinic of Hepato-Gastroenterology, Faculty of Medicine, University of Niš, Serbia
Summary. Enzymes catalyze virtually every biochemical process in the cell. The usefulness of the most important pharmaceutical agents, antimetabolites, is based on the concept of competitive enzyme inhibition. The antimetabolites are structural analogues of normal biochemical compounds. As competitive inhibitors they compete with the naturally substrate for the active site of enzyme and block the formation of undesirable metabolic products in the body. Antibacterial, antiviral and anticancer pharmaceutical agents are among numerous examples of antimetabolites. Sulfa drags, sulfanilamide, structural analogs of amino acids (cycloserine, L-fluoroalanine), folic acid antagonists (4-amino-10-methyl folic acid=methotrexate), analogues of purine and pyrimidine (6-mercaptopurine, allopurinol, 5-fluorouracil, 5-azacytidine), inhibitors of polyamine biosynthesis (difluoromethyl ornithine, methylglyoxal-bis (guanyl hydrazone)) are the most used in modern chemotherapy The use of enzyme inhibitors, antimetabolites, beside the therapeutic significance has also provided valuable informations about enzyme mechanisms and has helped to define some metabolic pathways.
Key words:  Enzyme inhibitors, sulfa drugs, antimetabolites, folic acid antagonists, purine and pyrimidine analogues, polyamines antagonists, chemotherapy

KOMPETITIVNI INHIBITORI ENZIMA I NJIHOVA TERAPIJSKA PRIMENA
Kratak sadržaj: Enzimi katalizuju gotovo sve biohemijske procese u ćeliji. Primena mnogih lekova u medicini, antimetabolita, bazirana je na konceptu kompetitivne enzimske inhibicije. Antimetaboliti se veoma malo strukturalno razlikuju od prirodnih enzimskih supstrata. Svoja specifična dejstva ispoljavaju ponašajući se kao kompetitivni inhibitori određenih enzimskih reakcija blokirajući formiranje neželjenih metabolita u organizmu.U antimetabolite spadaju antibakteriski, antivirusni i antitumorski lekovi. Najzastupljeniji od njih jesu sulfonamidi, strukturni analozi amino kiselina (cikloserin, 5-fluoroalanin), antagonisti folne kiseline (4-amino-10-metil folna kiselina -metotreksat), analozi purina i pirimidina (6-merkaptopurin, alopurinol, 5-fluorouracil, 5-azacitidin), inhibitori biosinteze poliamina (a-difluorometil ornitin, metillglioksal-bis (guanil hidrazone=MGBG).
Primena enzimskih inhibitora, antimetabolita,osim terapiskog značaja, omogućava bolje razumevanje raznih metaboličkih puteva, kao i bolje upoznavanje mehanizma delovanja enzima.
Ključne reči: Enzimska inhibicija, sulfonamidi, antimetaboliti, antifolati, analozi purina i pirimidina, analozi poliamina, hemioterapija