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Transcript
MEDICINES
Done by
Vishal Rajesh
Lakhiani
12 - O
INTRODUCTION
Drug – A chemical of low molecular
mass (100 – 500u) which interact with
macromolecular targets and produce a
biological response.
 Medicine – When the biological
response produced by a drug is
therapeutic and useful, then the drug is
called a medicine.

CLASSIFICATION
OF
DRUGS
ON THE BASIS OF
PHARMACOLOGICAL EFFECT
This classification is based on the
pharmacological effect of the drugs. It is
useful for doctors because it provides
them the whole range of drugs available
for the treatment of a particular type of
problem.
 For example, analgesics have pain
killing effect, antiseptics kill or arrest the
growth of microorganisms.

ON THE BASIS OF DRUG ACTION
It is based on the action of a drug on a
particular biochemical process.
 For example, all antihistamines inhibit
the action of the compound, histamine
which causes inflammation in the body.
There are various ways in which action
of histamines can be blocked.

ON THE BASIS OF CHEMICAL
STRUCTURE
It is based on the chemical structure of
the drug. Drugs classified in this way
share common structural features and
often have similar pharmacological
activity.
 For example, all sulphonamides are
derivatives of

ON THE BASIS OF MOLECULAR
TARGETS
Drugs usually interact with biomolecules
such as carbohydrates, proteins, lipids
and nucleic acids. These are called
target molecules or drug targets.
 Drugs possessing some common
structural features may have the same
mechanism of action on targets. The
classification based on molecular targets
is the most useful classification for
medicinal chemists.

ENZYMES
&
RECEPTORS
ENZYMES
Enzymes are biological catalysts. Most are
proteins. (A few ribonucleoprotein enzymes
have been discovered and, for some of
these, the catalytic activity is in the RNA
part rather than the protein part. Link to
discussion of these ribozymes.)
 Enzymes bind temporarily to one or more
of the reactants of the reaction they
catalyze. In doing so, they lower the
amount of activation energy needed and
thus speed up the reaction.

ENZYME ACTION


Most of these interactions are weak and especially
so if the atoms involved are farther than about one
angstrom(10-10m) from each other. So successful
binding of enzyme and substrate requires that the
two molecules be able to approach each other
closely over a fairly broad surface. Thus the analogy
that a substrate molecule binds its enzyme like a key
in a lock.
This requirement for complementarity in the
configuration of substrate and enzyme explains the
remarkable specificity of most enzymes. Generally,
a given enzyme is able to catalyze only a single
chemical reaction or, at most, a few reactions
involving substrates sharing the same general
structure.
COMPETITIVE INHIBITION
The necessity for a close, if brief, fit between enzyme and
substrate explains the phenomenon of competitive inhibition.
 One of the enzymes needed for the release of energy within the
cell is succinic dehydrogenase.
 It catalyzes the oxidation (by the removal of two hydrogen
atoms) of succinic acid (a). If one adds malonic acid to cells, or
to a test tube mixture of succinic acid and the enzyme, the
action of the enzyme is strongly inhibited. This is because the
structure of malonic acid allows it to bind to the same site on the
enzyme (b). But there is no oxidation so no speedy release of
products. The inhibition is called competitive because if you
increase the ratio of succinic to malonic acid in the mixture, you
will gradually restore the rate of catalysis. At a 50:1 ratio, the two
molecules compete on roughly equal terms for the binding
(=catalytic) site on the enzyme.

FACTORS AFFECTING ENZYME ACTION
FACTORS AFFECTING ENZYME
ACTION



The activity of enzymes is strongly affected by
changes in pH and temperature. Each enzyme
works best at a certain pH (left graph) and
temperature (right graph), its activity decreasing at
values above and below that point.
Examples:
the protease pepsin works best as a pH of 1–2
(found in the stomach) while
the protease trypsin is inactive at such a low pH but
very active at a pH of 8 (found in the small intestine
as the bicarbonate of the pancreatic fluid neutralizes
the arriving stomach contents).
REGULATION OF ENZYME
ACTIVITY








Several mechanisms work to make enzyme activity
within the cell efficient and well-coordinated.
Anchoring enzymes in membranes:
Many enzymes are inserted into cell membranes, for
examples,
the plasma membrane
the membranes of mitochondria and chloroplasts
the endoplasmic reticulum
the nuclear envelope
These are locked into spatial relationships that
enable them to interact efficiently.
INACTIVE PRECURSORS

Enzymes, such as proteases, that can
attack the cell itself are inhibited while
within the cell that synthesizes them. For
example, pepsin is synthesized within
the chief cells (in gastric glands) as an
inactive precursor, pepsinogen. Only
when exposed to the low pH outside the
cell is the inhibiting portion of the
molecule removed and active pepsin
produced.
FEEDBACK INHIBITION

If the product of a series of enzymatic
reactions, e.g., an amino acid, begins to
accumulate within the cell, it may
specifically inhibit the action of the first
enzyme involved in its synthesis (red
bar). Thus further production of the
enzyme is halted.
PRECURSOR ACTIVATION

The accumulation of a substance within
a cell may specifically activate (blue
arrow) an enzyme that sets in motion a
sequence of reactions for which that
substance is the initial substrate. This
reduces the concentration of the initial
substrate.
ALLOSTERIC SITES
In the case of feedback inhibition and precursor
activation, the activity of the enzyme is being regulated
by a molecule which is not its substrate. In these
cases, the regulator molecule binds to the enzyme at a
different site than the one to which the substrate binds.
When the regulator binds to its site, it alters the shape
of the enzyme so that its activity is changed. This is
called an allosteric effect.
 In feedback inhibition, the allosteric effect lowers the
affinity of the enzyme for its substrate.
 In precursor activation, the regulator molecule
increases the affinity of the enzyme in the series for its
substrate.

Graph showing velocity of reaction
with concentration of substrate in
the presence of an enzyme
The Effects of Enzyme Inhibitors
Enzymes can be inhibited
 competitively, when the substrate and
inhibitor compete for binding to the
same active site or
 noncompetitively, when the inhibitor
binds somewhere else on the enzyme
molecule reducing its efficiency.
 The distinction can be determined by
plotting enzyme activity with and without
the inhibitor present.

COMPETITIVE INHIBITION

In the presence of a competitive
inhibitor, it takes a higher substrate
concentration to achieve the same
velocities that were reached in its
absence. So while Vmax can still be
reached if sufficient substrate is
available, one-half Vmax requires a
higher [S] than before and thus Km is
larger.
NON-COMPETITIVE INHIBITION
With noncompetitive inhibition, enzyme
molecules that have been bound by the
inhibitor are taken out of the game so
 enzyme rate (velocity) is reduced for all
values of [S], including
 Vmax and one-half Vmax but
 Km remains unchanged because the
active site of those enzyme molecules
that have not been inhibited is
unchanged.

DRUG-RECEPTOR INTERACTIONS


Receptors are proteins that are crucial to body’s
communication process.
The vast majority of drugs show a remarkably high
correlation of structure and specificity to produce
pharmacological effects. Experimental evidence
indicates that drugs interact with receptor sites
localized in macromolecules which have proteinlike properties and specific three dimensional
shapes. A minimum three point attachment of a
drug to a receptor site is required. In most cases a
rather specific chemical structure is required for
the receptor site and a complementary drug
structure. Slight changes in the molecular structure
of the drug may drastically change specificity.
DRUG INTERACTION WITH RECEPTOR
SITE
A neurotransmitter has a specific shape
to fit into a receptor site and cause a
pharmacological response such as a nerve
impulse being sent. The neurotransmitter is
similar to a substrate in an enzyme
interaction.
 After attachment to a receptor site, a drug
may either initiate a response or prevent a
response from occurring. A drug must be a
close "mimic" of the neurotransmitter.

AGONIST & ANTAGONIST


An agonist is a drug which produces a
stimulation type response. The agonist is a
very close mimic and "fits" with the receptor
site and is thus able to initiate a response.
An antagonist drug interacts with the receptor
site and blocks or depresses the normal
response for that receptor because it only
partially fits the receptor site and can not
produce an effect. However, it does block the
site preventing any other agonist or the normal
neurotransmitter from interacting with the
receptor site.