Professional Documents
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Pharmacy
Pharmacy
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1.5 Prodrugs
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Disadvantage:
• May interfere with target binding for steric reasons
Methods:
• Often feasible to remove alkyl groups from heteroatoms
and replace with different alkyl groups
• Usually difficult to remove alkyl groups from the carbon
skeleton ?????
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Disadvantage:
• May introduce unwanted side effects
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Steric
Shield
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Rationale:
• Steric and electronic effects used in combination
• Increases chemical and metabolic stability
Local anaesthetic
(short duration) ortho Methyl groups act as steric shields &
hinder hydrolysis by esterases
Amide more stable than ester
(electronic effect)
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1.2.4 Bio-isosteres
Rationale:
• Replace susceptible group with a different group without
affecting activity
• Bio-isostere shows improved pharmacokinetic properties
• Bio-isosteres are not necessarily isosteres
Examples:
• Amides and urethanes for esters (see earlier)
• Du122290 (dopamine antagonist)
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TOLBUTAMIDE
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Rationale:
• Used to decrease metabolic stability and drug lifetime
• Used for drugs which ‘linger’ too long in the body and
cause side effects
• Add groups known to be susceptible to Phase I or Phase II
metabolic reactions
Example:
Anti-arthritic agents
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Example:
Anti-asthmatic agents
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Example:
Anticancer drugs
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Rationale:
• Identify an antigen which is overexpressed on a cancer cell
• Clone a monoclonal antibody for the antigen
• Attach a drug or poison (e.g. ricin) to the monoclonal antibody
• Antibody carries the drug to the cancer cell
• Drug is released at the cancer cell
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Rationale:
• Toxicity is often due to specific functional groups
• Remove or replace functional groups known to be toxic e.g.
− aromatic nitro groups
− aromatic amines
− bromoarenes
− hydrazines
− polyhalogenated groups
− hydroxylamines
• Vary substituents
• Vary position of substituents
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Substituents varied
Less toxic
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1.5 Prodrugs
Definition:
Inactive compounds which are converted to active
compounds in the body.
Uses:
• Improving membrane permeability
• Prolonging activity
• Masking toxicity and side effects
• Varying water solubility
• Drug targeting
• Improving chemical stability
• ‘Sleeping agents’
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Example:
Hexobarbitone
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Blood Brain
supply cells
H2N COOH
H 2N COOH
L-Dopa Enzyme
H2N
Dopamine
BLOOD BRAIN
BARRIER
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Example:
Azathioprine for 6-mercaptopurine
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Example:
Cyclophosphoramide for phosphoramide mustard
(anticancer agent)
Phosphoramidase
(liver)
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Example
Antiviral drugs
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Example:
LDZ for diazepam
a) Aminopeptidase
b) Cyclisation
LDZ Diazepam
• Avoids drowsy side effects of diazepam
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Palmitate ester
Esterase
Chloramphenicol
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Succinate ester
Esterase
Chloramphenicol
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Example:
Lysine ester of oestrone
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Example:
Hexamine
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