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14 Slides
14 Slides
to Medicinal Chemistry 6e
Chapter 14
DRUG DESIGN
IMPROVING PHARMACOKINETIC
PROPERTIES
DRUG DESIGN AND DEVELOPMENT
Stages
1) Identify target disease
2) Identify drug target
3) Establish testing procedures
4) Find a lead compound
5) Structure Activity Relationships (SAR)
6) Identify a pharmacophore
7) Drug design- optimizing target interactions
8) Drug design - optimizing pharmacokinetic properties
9) Toxicological and safety tests
10) Chemical development and production
11) Patenting and regulatory affairs
12) Clinical trials
8. PHARMACOKINETICS - DRUG DESIGN
Aims
•To improve pharmacokinetic properties of lead compound
+H H
N H N H
-H
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 - full
synthesis often required
8.1 Solubility and membrane permeability
8.1.1 Vary alkyl substituents
pyridine ring
N N N N N
O HN O HN O HN
N N N
N N N
Methylene H3C
O S O CH3 O S O CH3 shuffle O S O
N N increasing the size of one alkyl group N
+ decreasing the size of another.
Viagra
N N N UK343664
CH3 CH3
H3C
Disadvantages
•Polar group may be involved in target binding
•Unnecessary polar groups are likely to have been removed already
(simplification strategy)
•See also prodrugs
CH3I
Methods R OH R OMe
H
CH3COCl N CH3
R NHR R
R OH
H+ / R'OH R OR'
C
C
O
O
8.1 Solubility and membrane permeability
8.1.3 Adding polar groups
Rationale
•Adding polar groups increases polarity and decreases hydrophobic character
•Useful for targeting drugs vs. gut infections
•Useful for reducing CNS side effects
triazole ring
imidazole ring Cl
N N N N N
S OH
N H N N
C O C
Cl F
Cl F
Tioconazole Fluconazole
Rationale
•Varying pKa alters percentage of drug which is ionised
•Alter pKa to obtain required ratio of ionised to unionised drug
Method
•Vary alkyl substituents on amine nitrogens
•Vary aryl substituents to influence aromatic amines or aromatic carboxylic
acids
Disadvantage
•May affect binding interactions
N -alkyl groups have an:
increased electron-donating effect which should increase basicity,
but
increasing the size or number of alkyl groups increases
the steric bulk around the nitrogen atom.
Th is hinders water molecules from solvating the ionized form
of the base and prevents stabilization of the ion. Th is,
in turn, decreases the basicity of the amine
8.1 Solubility and membrane permeability
8.1.4 Vary pKa
N N
O N O N
N N
N N
H H
O O
amidine
O O
Terminal amide
Antirheumatic agent HS
H
N CH3
D1927 N N
H H
O
C
Steric
H3C CH3
N CH3 shield
O O
Blocks hydrolysis
of terminal amide
8.2 Drug stability
8.2.2 Electronic stabilisation by nitrogen
Rationale
•Used to stabilise labile functional groups (e.g. esters)
•Replace labile ester with more stable urethane or amide
•Nitrogen feeds electrons into carbonyl group and makes it less reactive
•Increases chemical and metabolic stability
O O
R R
H3C O H2 N O
Isostere
O O
R R
H3C O H3 C N
H
Isostere
8.2 Drug stability
8.2.2 Electronic stabilisation by nitrogen
O O
R N C R N C
H H
R' R'
8.2 Drug stability
8.2.3 Steric and Electronic Effects
Rationale
•Steric and electronic effects used in combination
•Increases chemical and metabolic stability
O CH3 Lidocaine
H2N C O
N C
O CH2CH2NEt2 H
Procaine CH2NEt2
CH3
N NEt
Et
O NH Pyrrole ring =
NH bioisostere for amide
OMe
OMe
EtO2S
Sultopride EtO2S
DU122290
8.2 Drug stability
8.2.5 Metabolic blockers
Rationale:
•Metabolism of drugs usually occurs at specific sites.
•Introduce groups at a susceptible site to block the reaction
•Increases drug’s metabolic stability and half life
Me O
C Me Me O
Me
Me O C Me O
O
Me O
H Me H
H H H
H
O
Megestrol
Megestrol
6 Acetate O 6
acetate Metabolism
Me blocked
Metabolic
oxidation
•Oral contraceptive
•Limited lifetime
8.2 Drug stability
8.2.6 Remove / replace susceptible metabolic groups
Rationale
•Remove susceptible group or replace it with a metabolically stable group e.g.
modification of tolbutamide (antibiotic)
Unsusceptible
Susceptible group
O O
group
Me S NH C NH CH2CH2CH2CH3 Cl S NH C NH CH2CH2CH3
O O O O
TOLBUTAMIDE
Metabolism Metabolism
O
HOOC S NH C NH CH2CH2CH2CH3
O O
Susceptible HO
group Shift H OH Me
OH Me group H
HO CHCH2 NH C Me HO C CH2 N C Me
Me Me
Salbutamol
Catechol
Catechol O-methyl
O-Methyl
transferase
Transferase Catechol
Catechol O-methyl
O-Methyl
transferase
Transferase
MeO
OH Me
HO CHCH2 NH C Me
Me
Inactive
Inactive
8.2 Drug stability
8.2.8 Introducing susceptible metabolic groups
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
Cl Cl
CH2OH
N N
L787257 N L791456 N CH3
Notes
•Cromakalim produces cardiovascular side effects if it reaches the blood supply
•Add metabolic instability such that compound is rapidly metabolised in blood
•UK143220 - ester is quickly hydrolysed by esterases to an inactive acid
•UK 157147- phenol is quickly conjugated and eliminated
8.2 Drug stability
8.2.9 Introducing chemically susceptible groups
Rationale
•Used to decrease drug lifetime
•Avoids reliance on metabolic enzymes and individual variations
OMe MeO 3
2 OMe OMe
Notes
•Stable at acid pH, unstable at blood pH (slightly alkaline)
•Self destructs by Hoffmann elimination and has short lifetime
•Allows anaesthetist to control dose levels accurately
•Quick recovery times after surgery
8.2 Drug stability
8.2.9 Introducing chemically susceptible groups
Hoffmann
Elimination
Me Me
R
N H -H N
C C C R
H2
H O H2C C C
H
Ph Ph O
ACTIVE INACTIVE
8.3 Drug Targeting
8.3.1 Linking a drug to a biosynthetic building block
Rationale:
•Drug ‘smuggled’ into cell by carrier proteins for the natural building block (e.g.
amino acids or nucleic acid bases)
•Increases selectivity of drugs to target cells and reduces toxicity to other cells
H3C N N
HN
Cl Cl
O H
N
Non selective alkylating agent
Toxic Uracil Mustard
Notes:
•Alkylating group is attached to a nucleic acid base
•Cancer cells grow faster than normal cells and have a greater demand
for nucleic acid bases
•Drug is concentrated in cancer cells - Trojan horse tactic
8.3 Drug Targeting
8.3.2 Linking drugs to monoclonal antibodies
Rationale
•Useful for targeting drugs to cancer cells
Rationale
•Design the antibacterial agent to be highly polar or ionised
Rationale
•Increase polarity of the drug
•Drug is less likely to cross the blood brain barrier
8.4 Reducing drug toxicity
Rationale
•Toxicity is often due to specific functional groups
•Vary substituents
Varying substituents
•Fluconazole (Diflucan) - antifungal agent
N N N N N N N N
N OH N N OH N
C C
Cl F
Cl F
UK-47265 Fluconazole
HN
H HN
N H
N
NC O
N O
N
NC
Uses
•Improving membrane permeability
•Prolonging activity
•Masking toxicity and side effects
•Varying water solubility
•Drug targeting
•Improving chemical stability
•‘Sleeping agents’
8.5.1 Prodrugs to improve membrane permeability
8.5.1.1 Esters
•Used to mask polar carboxylic acids, alcohols or phenols
•Hydrolysed in blood by esterases
•Used when a carboxylic acid, alcohol or phenol is required for target binding
•Leaving group (alcohol or carboxylic acid) should ideally be non toxic
Examples
Enalapril for enalaprilate (antihypertensive)
CH3
RO N
N
H
O O CO2H
R=Et Enalapril
R=H Enalaprilit
8.5.1 Prodrugs to improve membrane permeability
Examples
Candoxatril for candoxatrilat (protease inhibitor)
OMe OMe
O O
H H
HO N O N
O O O O
CO2H CO2H
Candoxatril
Candoxatrilat 5-indanyl group
Notes
•Varying the ester varies the rate of hydrolysis
•Electron-withdrawing groups increase rate of hydrolysis (e.g. 5-indanyl)
•Leaving group (5-indanol) is non toxic
8.5.1 Prodrugs to improve membrane permeability
8.5.1.2 N-Methylation of amines
•Used to reduce polarity of amines
•Demethylated in liver
Examples - Hexobarbitone
Me
N NH
O O
Me
8.5.1 Prodrugs to improve membrane permeability
8.5.1.2 Trojan Horse Strategy
•Prodrug designed to mimic biosynthetic building block
•Transported across cell membranes by carrier proteins
HO HO CO2H
H
NH2 NH2
HO HO
Dopamine Levodopa
•Useful in treating Parkinson’s Disease •More polar amino acid
•Too polar to cross cell membranes and BBB •Carried across cell membranes by carrier
proteins for amino acids
•Decarboxylated in cell to dopamine
Drug
Cell
Membrane Transport
Cell RECEPTOR
Membrane Protein
Cell
Cell
Membrane Transport
Cell RECEPTOR
Membrane Protein
Cell
Cell
Membrane Transport
Cell RECEPTOR
Membrane Protein
Cell
Cell
Membrane Transport
Cell RECEPTOR
Membrane Protein
Cell
Cell
Membrane Transport
Cell RECEPTOR
Membrane Protein
Cell
Cell
Membrane Transport
Cell RECEPTOR
Membrane Protein
Cell
Cell
Membrane Transport
Cell RECEPTOR
Membrane Protein
Cell
Cell
Membrane Transport
Cell RECEPTOR
Membrane Protein
Cell
Cell
Membrane Transport
Cell RECEPTOR
Membrane Protein
Cell
Cell
Membrane Transport
Cell RECEPTOR
Membrane Protein
Cell
Cell
Membrane Transport
Cell RECEPTOR
Membrane Protein
Cell
Cell
Membrane Transport
Cell RECEPTOR
Membrane Protein
Cell
Cell
Membrane Transport
Cell RECEPTOR
Membrane Protein
Cell
Cell
Membrane Transport
Cell RECEPTOR
Membrane Protein
Cell
Cell
Membrane Transport
Cell RECEPTOR
Membrane Protein
Cell
Cell
Membrane Transport
Cell RECEPTOR
Membrane Protein
Cell
8.5.1 Prodrugs to improve membrane permeability
Blood Brain
supply cells
H2N COOH
H2N COOH
L-Dopa Enzyme
L-Dopa H2N
Dopamine
BLOOD BRAIN
BARRIER
8.5.2 Prodrugs to prolong activity
8.5.2.1 Mask polar groups
Reduces rate of excretion
O2N
N
SH
N S N
N
pyrimidine Me
N
N
N N
H
N N
6-Mercaptopurine
H
Azathioprine
Me H
O O
N N
Cl N N-Demethylation Cl N
Valium Nordazepam
CO2
+ Cl
NH3
OH
N N CH2
Me
+ OH
H3N N Me
CO2
Cycloguanil Pamoate
Lipophilic
8.5.2 Prodrugs to prolong activity
8.5.2.2 Add hydrophobic groups
N O (CH2)8CH3
H
N CF3
CO2H H3C O
CO2H
NH O Cl H2N O Cl
Phosphoramidase
P P
(liver)
N HO N
O
Cl Cl
Cyclophosphoramide Phosphoramide mustard
O O O
N N N
NH NH NH
HO PO P P PO
N N NH2 N N N NH2
N NH2
Notes
•First phosphorylation requires viral thymidine kinase
•Only activated in virally infected cells
•Non-toxic to uninfected cells
8.5.3 Prodrugs to mask toxicity and side effects
Example: LDZ for diazepam
Ar O
CH3 O
H N
N NH2 a) Aminopeptidase Ar
O
N b) Cyclisation
H
N
O
Cl CH3
LDZ Cl
LDZ
Diazepam
NH2
H H
N N N
H2O Ar Ar
O O O
+H Ar -H
N N N
CH3 CH3 CH3
Cl Cl Cl
Diazepam
8.5.4 Prodrugs to lower water solubility
•Used to reduce solubility of foul tasting orally active drugs
•Less soluble on tongue
•Less revolting taste
Palmitate ester
OH Cl
H H
N
O O Cl Cl
H H
N O
Cl OH
Esterase H
O
OH O2N
H
O2N
Chloramphenicol
8.5.5 Prodrugs to increase water solubility
•Often used for i.v. drugs
•Allows higher concentration and smaller dose volume
•May decrease pain at site of injection
CH3CH2CH2 Me H
N
Cl H
H
C C CH3
H O N C
H
HO O H
OH H
H SCH3
H OPO32-
O O
Me Me
H H H H H H
NH2 NH2
H + H
H2N H2N
O O O OH HO
Prodrug Lysine Estrone
Notes:
•Lysine ester of estrone is better absorbed orally than estrone
•Increased water solubility prevents it dissolving in fat globules in the gut
•Better interaction with the gut wall
•Hydrolysis in blood releases estrone and a non toxic amino acid
8.5.6 Prodrugs used to target drugs
Example: Hexamine
N
N
N
Notes:
•Stable and inactive at pH>5
•Stable at blood pH
•Used for urinary infections where pH<5
•Degrades at pH<5 to form formaldehyde (antibacterial agent)
8.5.7 Prodrugs to increase chemical stability
Ph O Ph O
Ampicillin
HN N CH3 H2N HN
S S CH3
Notes:
•Ampicillin is chemically unstable in solution due to the a-NH2 group
attacking the b-lactam ring
•Nitrogen atom in heteracillin is locked up within a heterocyclic ring
8.5.8 Prodrugs activated by external influences
-sleeping agents
Example: Photodynamic therapy - Foscan
HO
OH
NH N
N HN
HO H
H
H H
OH
Notes:
•Inactive and accumulates in cells
•Activated by light - method of targeting tumour cells
•Foscan is excited and reacts with oxygen to produce toxic singlet oxygen
•Cell destruction is caused by singlet oxygen
8.6 Drug Alliances - Synergism
Definition:
Drugs which have a benefical effect on the activity or
pharmacokinetic properties of another drug
8.6.1 Sentry Drugs
Definition:
A drug that is added to ‘protect’ another drug
Example: Carbidopa
L-DOPA DOPAMINE
ENZYME
Inhibition
INHIBITION
HO NHNH2
C
Me CO2H
HO CARBIDOPA
CARBIDOPA
Notes
•Carbidopa protects L-dopa
•It inhibits the decarboxylase enzyme in the peripheral blood supply
•It is polar and does not cross the blood brain barrier
•It has no effect on the decarboxylation of L-Dopa in the CNS
•Smaller doses of L-dopa can be administered - less side effects
Cl
NH2
Notes
•Administered with analgesics in the treatment of migraine
•Increases gastric motility and causes faster absorption of analgesics
•Leads to faster pain relief
Patrick: An Introduction
to Medicinal Chemistry 6e
Chapter 14
PEPTIDOMIMETICS
O R O R
Enzyme
N OH + H N
R H R H
Active peptide Inactive metabolites
Strategy
•Replace with a stable functional group
•The functional group should mimic the important features of the target
peptide bond and act as a bio-isostere
•Peptide bonds are planar
•Peptide bonds may participate in H-bonding with the target binding site
HBA
O R
N
R H
HBD
© Oxford University Press, 2013
3. Strategies - replacing a susceptible peptide bond
Examples of possible bio-isosteres
O R H R
•Alkene matches the planar nature of the
N peptide bond, but
R H R H •Unable to participate in H-bonding
Peptide Alkene
Notes
•Planar peptide bond retained
•Carbonyl oxygen retained as HBA
•N-Methyl group may act as a steric shield to block digestive and metabolic
enzymes
•Lacks N-H (HBD)
•Detrimental if forms important interaction to target binding site
•Beneficial if forms important interaction to digestive or metabolic enzymes
R1 O R1 O
H H
N L N L
N L N D
H H
O R2 O R2
Notes
•Replace an L-amino acid with a D-amino acid
•Unnatural amino acid not recognised by digestive or metabolic enzymes
•Side chain or residue unable to bind to binding pocket
•Stabilises a neighbouring susceptible peptide bond
•But may not be recognised by target binding site
O H
H
N
H
N
H
Notes
•Replace a natural amino-acid side chain with an unnatural side chain
•Unnatural side chain not recognised by digestive or metabolic enzymes
•Can be designed to form important binding interactions with target binding
site
•Increases activity and selectivity
Subsite 1 R3 Subsite 1
Extended
residue
R1 O
O
H H
N OH N
N N N OH
H H H
O R2 O O R2
Subsite 2 Subsite 2
Notes
•Extend a side chain such that it binds to two binding subsites
•Allows truncation of the main scaffold chain and reduced molecular weight
•Can lead to better oral bioavailability
•Can be designed to form important binding interactions with target binding
site
•Increases activity and selectivity
N
Exposed residue
remains solv ated
O
H
N
N
H
O R2
Binding site
Notes
•Introduce an unnatural side chain with polar group
•Polar group is solvated and increases aqueous solubility
•Polar group should protrude from binding site
•Remains solvated - no desolvation energy penalty
•Can lead to better oral bioavailability
macrocycle
Macrocycle
NH2 HN
Phe
Asn
Me Me Me Me
O O O O O O
H H H H
N N P N N P
N O CO2R N O CO2R
H OH H OH
O O O O
Me Me Me2HC Me Me Me2HC