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MedchemIII PHSC5100 2018 .Post
MedchemIII PHSC5100 2018 .Post
2. Serine proteases
(e.g., acetylcholinesterase for Alzheimer’s disease)
Reading:
Goodman & Gilman's: The Pharmacological Basis of Therapeutics, 13e
Laurence L. Brunton, Randa Hilal-Dandan, Björn C. Knollmann
Section II: Neuropharmacology
Chapter 9: Muscarinic Receptor Agonists and Antagonists
Chapter 10: Anticholinesterase Agents
https://accesspharmacy-mhmedical-com.ezproxy.neu.edu/Book.aspx?bookid=2189#165936889
TPMT
Glutathione-
S-Transferases
GST-A
Uridine
Glucuronosyl- GST-P
S-Transferases GST-T
GST-M
tyrosine
Dopamine
neurotransporter dopamine
Postsynaptic
Dopamine
Receptors
Response
(movement)
A Molecular View of Dopamine Neurotransmission
Parkinson’s Disease
tyrosine
Postsynaptic
Dopamine
Receptors
Response
(movement)
Catecholamine Biosynthesis
NH2 HO NH2
Tyrosine
COOH DOPA
Hydroxylase COOH
HO HO Decarboxylase
Tyrosine DOPA
HO NH2
HO
DOPA Decarboxylase = Dopamine
Aromatic Amino Acid Decarboxylase
DA beta-
hydroxylase
Norepinephrine
Catecholamine Biosynthesis
NH2 HO NH2
Tyrosine
COOH DOPA
Hydroxylase COOH
HO HO Decarboxylase
Tyrosine DOPA
HO NH2
DOPA Decarboxylase =
HO
Aromatic Amino Acid Decarboxylase Dopamine
DA beta-
hydroxylase
Norepinephrine
Other Human Phase I Enzymes of Drug Metabolism
CYP2D6
CYP2E1
CYP2C19
CYP2C9
CYP2C8
CYP2B6
CYP2A6
CYP1B1
CYP3A4/5/7 CYP1A1/2
Others (MAO)
Esterases/amidases (hydrolases)
ALDH These represent a relatively large
ADH amount of drug metabolism contribution
Neuropathological:
Degeneration of cortex neurons
Senile plaques: accumulation
of -amyloid protein and
neurofibrous tangles
Neurochemical:
Deficiency of ACh in cortex.
Etiology:
Unknown
Acetyl-CoA Choline
Acetylcholine
Acetyl-CoA
Acetylcholine
Acetylcholine
Much faster!!
Structure of Acetycholinesterase
Cationic substrates are not bound by a negatively charged amino acid in the anionic
site, but by interaction of 14 aromatic residues that line the gorge leading to the active
site
=
Molecular interaction of ACH with ACHase
e-
e-
e-
e-
e-
e-
e-
Molecular interaction of ACH with ACHase (part A)
Molecular interaction of ACH with ACHase (part B)
Molecular interaction of ACH with ACHase (part C)
Hydrolysis of ester
takes 0.2 milli-sec
Molecular interaction of ACH with ACHase (part D)
Regenerated
enzyme
Acetylcholinesterase is a hydrolase that uses serine instead of water
Tx of Alzheimer’s disease with Ach-ase inhibitors
Symptomatic (increase ACh transmission)
3 classes of ACh-ase inhibitors:
Tacrine
NH2
N
Tx of Alzheimer’s disease with Ach-ase inhibitors
Symptomatic (increase ACh transmission)
3 classes of ACh-ase inhibitors:
Tacrine
NH2
N
Molecular interaction of ACH with ACHase
e-
e-
e-
e-
e-
e-
e-
+
Although the tertiary piperidine nitrogen atom is sufficiently ionized at physiological pH, the unionized
form may also interact with the enzyme.
2. Mechanistic-based semi-reversible inhibitors: recognize serine protease binding pocket of
AChase and go through same hydrolysis reaction as ACh, but, the reaction is much slower
(15 minutes for pyridostigmine vs. 0.2 milli-secconds for ACh).
Rivastigmine
(Exelon)
Molecular interaction of Rivastigmine (protonated at physiological pH) with ACHase
38
Molecular interaction of Rivastigmine (protonated at physiological pH) with ACHase
e-
e-
e-
e-
e-
e-
e-
Molecular(protonated
Molecular interaction of Rivastigmine interaction of ACH with
at physiological ACHase
pH) with ACHase (part A)
Molecular(protonated
Molecular interaction of Rivastigmine interaction of ACH with
at physiological ACHase
pH) with ACHase (part B)
Molecular interaction of Molecular interaction
Rivastigmine (protonated of ACH with
at physiological ACHase
pH) with ACHase (part C)
Molecular(protonated
Molecular interaction of Rivastigmine interaction of ACH with
at physiological ACHase
pH) with ACHase (part C)
H H
O Hydrolysis of amide
.. takes 15 min
For comparison: Molecular interaction of ACH with ACHase (part C)
Hydrolysis of ester
takes 0.2 milli-sec
Acetylated vs. carbamylated Achase
r
Acetylated vs. carbamylated Achase