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Terminology of Pharmaceutical English and Its Application 药学英语教研室 陈菁 1 FIELD OF THE INVENTION [0002] The present invention is directed to novel quinoline and quinazoline kinase inhibitors, and their pharmaceutically acceptable salts, solvates, hydrates, prodrugs and metabolites thereof, the preparation thereof, and the use of such compounds to treat kinase mediated diseases and conditions such as cancer. BACKGROUND OF THE INVENTION [0003] Protein kinases represent a large family of enzymes, which catalyze the phosphorylation of target protein substrates. The phosphorylation is usually a transfer reaction of a phosphate group from ATP to the protein substrate. Common points of attachment for the phosphate group to the protein substrate include, for example, a tyrosine, serine or threonine residue.Due to their activity in numerous cellular processes, kinases have emerged as important therapeutic targets. 2 Chapter 1.Introduction 3 1.Etymology of Pharmaceutical Terms Based on their origin, pharmaceutical terms can be divided into two large categories, namely, native and borrowed. Except a small portion of the vocabulary is derived from old English, the terms are largely based upon Greek, Latin and French vocabulary, of which Greek and Latin are the most productive of pharmaceutical terminology. 4 Words originated from Greek colon: Kolon (large intestine) pandemic: pandemos (pertaining to all people), composed of pan-(all) and demos (people) psychology: psykhe-(breath, spirit, soul) and logia (the study of), it originally meant “study of the soul” 5 words originated from Latin acute: actus (sharp), cell: cella (small room) placebo(安慰剂):placebo (I shall please). It was originally the first word of the vespers for the dead(为死者做的晚祷), “Placebo Domino in regione vivorum” (I will please the Lord in the land of the living). By the 1300s, the term suggest a flatterer(谄媚者 ).Its medical sense is a medicine given more to please than to benefit the patient. 6 2. Word-formation Pharmaceutical terms are largely formed from the building elements, namely, roots, prefixes, suffixes and existing words. Generally, several common processes of word formation are used. They are mainly affixation, composition, clipping and acronym. 7 2.1 Acronyms(缩略法) An acronym is a word formed from the initial letters of a group of words AIDS (acquired immune deficiency syndrome ) RBC (red blood cells) CNS (Central nervous system) 8 WHO (World Health Organization) FDA (Food and Drug Administration) HPLC (High performance Liquid Chromatography,高效液相色谱法) GMP (Good Manufacturing Practice,药品生 产质量管理规范) 9 Some acronyms are not made of the initial letters of individual words of a compound term. Rather, they are mostly composed of the initial letter of the word plus the first letter of other components of the same word. I.V. (intravenous) DNA (deoxyribonucleic acid, 脱氧核糖核酸) NSAID (Nonsteroidal Anti-inflammatory Drug,非甾体 抗炎药 ) 10 2.2 Clipping (截短法) Clipping, also called shortening, refers to the process whereby a word is shortened by clipping off part of the word without change in its meaning and word class. poliomyelitis polio 脊髓灰质炎 influenza flu laboratory lab 11 2.3 Composition(合成法) Composition is a word-forming process by joining two or more words. growth hormone, calcium channel inhibitor, bacteria-free, high-resolution,pain-killer overdose, overactive, 12 2.4 Affixation(派生法) Affixation refers to formation of words by means of affixes (prefix and suffix). It includes attaching a prefix to the front of a base (root or word) and/or attaching a suffix to the end of a base. proenzyme, isoenzyme, coenzyme gastritis, hepatitis, pneumonitis 13 3. Characteristics of pharmaceutical terms 3.1Some words in English for General Purpose can serve as terms Word meaning in daily English meaning in field administration management giving medicines to patients, subjects, or experimental animals suspension hang sth up, not allow to fall or sink in air or in liquid,etc dispersions of finely divided solid particles of a drug in a liquid medium in which the drug is not readily soluble complication complex new illness or new development of illness that makes treatment more difficult 14 sterile barren, can not produce corps not able to produce young or children, free from bacteria, foreign unfamiliar with or of other country heterogeneous, from different origin host owner, the master organism harboring another organism on or in itself indication suggest the possibility of disease that can be treated by a certain medicine primary the most important, the fundamental the original secondary of less importance caused by sth that is original Consumption using up food/ energy/ resources, etc tuberculosis of lung 15 3.2 Great influence from Greek and Latin 3.2.1 Some English terms are obtained or derived from Latin or Greek words ①The English names of some chemical elements have the same form with their Latin versions aluminum calcium magnesium argentum 16 ②The English names of some chemical elements and most antibiotics are obtained by deleting "um" or "ium" at the end of their Latin versions acidum-acid aspirinum-aspirin hydrogenum-hydrogen penicillinum-penicillin vitaminum-vitamin 17 ③The English names of alkaloid, oxide and hydroxide are obtained by slight alteration at the end of their Latin version atropinum-atropine 阿托品 acetas-acetate 醋酸盐 bromidum-bromide 溴化物 hydrochloridium-hydrochloride 氯化氢 phosphas-phosphate 磷酸盐 iodium-iodide 碘化物 18 3.2.2 Vocabulary containing Latin and Greek morphemes chromatograhy cyclooxygenase pharmacology erythromycin tetracycline analgesics bacteriocidal 色谱法 环氧化酶 药理学 红霉素 四环素 镇痛剂 杀菌的 19 3.3 Pronunciation Pronunciation of some individual letters c is pronounced as [k] before a, o, u, as in leucocyte, calcium, capsule and [s] before e, i, y, as in acid, cell, penicillin g is pronounced as [g] before a, o, u, as in anticoagulant, agonist, gastrointestinal, and [dʒ ]before e, i, y , as in agent, gene. 20 Pronunciation of Consonant Combinations ch [tʃ ], chest, [k], chronic, chromosome, stomach ph [f], pharmacy, phosphate, physiology rh [r], rheumatoid(类风湿), 21 Pronunciation of Double Consonants At the beginning of a word, the first consonant of double consonants , including cn, gn, mn, pn, ps and pt, is silent. However, the two consonants are pronounced if the pair appear in the middle of a word. pneumonitis, psychology, apoptosis(细胞凋亡),diagnosis, 22 3.4 Plural forms A lot of nouns evolved from Greek or Latin have irregular plural forms. They mostly take their original plural forms. -a (-ae), formula (formulae), mucosa(mucosae) -um(-a), bacterium (bacteria), spectrum (spectra) -us(-i), fungus (fungi), focus (foci), coccu (cocci) 23 -is(-es), analysis (analyses) , diagnosis (diagnoses), hydrolysis (hydrolyses) -ix, -ex, -ax (-ices), appendix (appendices) -ma(-mata), carcinoma (carcinomata) -on(-a), ganglion (ganglia) 24 4.Objectives and requirements Be familiar with commonly used terms in medical and pharmaceutical science List all the possible component parts of these terms, including the root, combining vowel, prefix, and suffix. Be familiar with some background knowledge 25 5. Teaching approach Introduction of general terms of different subjects with analysis of their component parts Exercise in class Homework for review 26 Chapter 2. Word parts Medical terms are like individual jigsaw puzzles. They are constructed from small pieces (prefixes, roots, and suffixes) that make each term unique. Once you understand the basic medical term structure and how these components fit together, you will be able to “build” almost any medical term. 27 The fundamental unit of each medical and pharmaceutical word is the root. This establishes the basic meaning of the word and is the part to which modifying prefixes and suffixes are added. All terms have one or more roots. Examples of medical term roots are: lip which means “fat” hemat which means “blood” cardi which means “heart” gastr which means “stomach” 28 A prefix is a short word part added before a root to modify its meaning. Prefixes are indicated by a dash after the prefix, such as: hyper- which means “above or excessive” peri- which means “around or surrounding” epi- which means “upon, above, or beside” endo- which means “within” 29 A suffix is a short word part or series of parts added at the end of a root to modify its meaning. All medical terms have a suffix. Suffixes are indicated by a dash before the suffix, such as: -itis which means “inflammation” –emia which means “blood condition” –logy which means “study of” 30 Combining Vowel The combining vowel (usually o) is used to link the root to the suffix or the root to another root. The combining vowel has no meaning of its own. Roots shown with a combining vowel are called combining forms. Usually, roots are given with their most common combining vowels added after a slash and are referred to simply as roots, as in neur/o and lip/o 31 Summary of Rules for Forming and Spelling Pharmaceutical Terms a. A combining vowel is used to join root to root as well as root to any suffix beginning with a consonant: electr + o + cardi + o + gram = root + vowel + root + vowel + suffix electrocardiogram (electrical record of the heart) 32 b. A combining vowel is not used before a suffix that begins with a vowel: leuk + f + emia = root + no vowel + suffix beginning with a vowel leukemia (distorted proliferation and development of leukocytes in the blood) c. A combining vowel is usually used to joint one root with another root that begins with a vowel: electr + o + encephal + o + gram = electroencephalogram root + vowel + root + vowel + suffix (electrical record of the brain) 33 d. If the root ends in a vowel and the suffix begins with the same vowel, drop the final vowel from the root and do not use a combining vowel: cardi + f + itis = root ending in i + no vowel + suffix beginning with i carditis (inflammation of the heart) e. Occasionally, when a prefix ends in a vowel and the root begins with a vowel, the final vowel is dropped from the prefix: para + enter + f + al = prefix ending in a + root beginning with e + no vowel + suffix beginning with a parenteral (pertaining to alongside of the intestine) 34 Practice neur + itis = gastr + itis = gastr + scopy= enter+gastr+itis= enter+gastr+scopy= thromb+arter+itis= 35