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2017 1st edition Introduction to medicinal chemisry Med Chem I )1( كيمياء دوائية Mohammed Nooraldeen (PhD) محمد نورالدين محمود Introduction to medicinal chemistry Medicinal Chemistry Medicine Biology Biochemistry Physics Chemistry Introduction to medicinal chemistry (Cont.) Q) Please give me simple principle answer, س) ارجو ان تجيبني باجابة بسيطة واساسية كيف تعمل االدوية في الصيدلية؟ how drugs in pharmacy do work? A) By either activating or deactivating a biochemical reaction. + Enzyme A + B AB Pharmacological effect Introduction to medicinal chemistry (Cont.) • Like any science, the development of medicinal chemistry depends on Ideas + knowledge + tools • The discoveries in medicinal chemistry were usually achieved by either of two kinds of people 1. Genius of predictive logic, who have opened a new field by interpreting correctly a few well-placed experiments, whether they pertained to the design or the mechanism of action of drugs. 2. Those who have varied patiently the chemical structures of physiologically active compounds until a useful drug could be evolved as a tool in medicine. Burger 1970 Burger A. The practice of medicinal chemistry. In: Burger A, ed. Medicinal Chemistry. New York: Wiley, 1970:4–9. Introduction to medicinal chemistry (Cont.) • The primary objective of medicinal chemistry is the design and discovery of new compounds that are suitable for use as drugs. • This process involves a team of workers from a wide range of disciplines such as chemistry, biology, biochemistry, pharmacology, mathematics, medicine and computing, amongst others. • The medicinal compounds can be referred as drugs However drugs are usually used to refer to those medicinal compounds which have potential for abuse like morphine and heroin Introduction to medicinal chemistry (Cont.) Question) What are drugs and what are drug parameters? Answer) Drugs are strictly defined as chemical substances that are used to prevent or cure diseases in humans, animals and plants. The activity of a drug is its pharmacological effect on the subject (e.g. analgesic or β-blocker) The potency of a drug is the quantitative measure of the activity. The duration of action of a drug is the period of time during which the activity is exerted at certain potency range. Other terms include The side effect of a drug is the unwanted pharmacological effect (e.g. tachycardia , palpitation) The tolerance to a drug is the resistance (tachyphylaxis) occurs when a drug is no longer effective in controlling a medical condition. + Is it food, drug or poison ? • Drugs act by interfering with biological processes, so no drug is completely safe. • Food can act like a drug. Junk foods and fizzy drinks have been blamed for causing hyperactivity in children. It is believed that junk foods have high concentrations of certain amino acids which can be converted in the body to neurotransmitters. • Poison can act like a drug if used in small quantities, e.g. cytotoxic compounds used to treat cancers. Remember pharmacy logo. • Drug can act as food, example taking vitamin C as additive to juices. • Drug can act as poison if taken in excess, for example overdose of paracetamol may cause coma and death • Food act as poison. Example taking high salty food. • Poison act as food …….. Introduction to medicinal chemistry (Cont.) • Mid- to late 20th century has seen many discoveries that help in understanding the chemistry of disease states, biological structures and metabolic processes. Drug distribution throughout body • Humans were able to understand Drug transportation across membranes Drug mode of action (receptor binding) Drug metabolism Introduction to medicinal chemistry (Cont.) Question ) How people know there are biological receptors? Answers) Only molecules of similar structures produce similar biological activities. Thus, there should be a receptor which recognizes the structural differences. Introduction to medicinal chemistry (Cont.) • A anti-tuberculosis compound has antidepressant effect ????? Iproniazid Hmmmm, - It is weakly basic - It has aromatic ring - It has hyrazide group - It is hydrophobic Sooo, Other compounds which have similar properties may have similar antidepressant effects………. Phenelzine Tranylcypromine Introduction to medicinal chemistry (Cont.) Discovery of tricyclic antidepressant chlorpromazine (Phenothiazines) in 1950 followed by imipramine (dibenzazepine) in 1957 and zimelidene in Azepine ring Chlorpromazine (Monoamino oxidase inhibitor) 2 benzene rings Imipramine (Monoamino oxidase inhibitor) Zimelidene (Selective serotonin reuptake inhibitor) Introduction to medicinal chemistry (Cont.) • New drugs can also be isolated as human metabolites, then subjected to further chemical modification to prepare new analogues. Thyroid gland Epinephrine Thyroxine (T4) Posterior pituitary Vasopressin Pancreas Oxytocin Introduction to medicinal chemistry (Cont.) • New drugs can also be isolated as human metabolites, then subjected to further chemical modification to prepare new analogues. Discovery of propranolol antihypertensive agent Adrenal cortex Nervous system Biosynthetic pathway Epinephrine Norepinephrine Dopamine Dopa Discovery of apomorphine to be used as sympathomimetics and for Parkinsonism Used as supplement for biosynthesis of dopamine in Parkinsonism + Metabolism • Dynamics is everywhere. • Drug kinetics includes dynamics. Absorption Distribution Excretion Metabolism Absorption Excretion Distribution Metabolism Absorption Excretion Distribution Excretion Metabolism Absorption Distribution Note: Drug-receptor interaction theory is in absorption, distribution, metabolism and excretion. Regardless whether the receptor is specific or not Introduction to medicinal chemistry (Cont.) • Physicochemical properties of drug controls almost all Structure E.g. Make drug more lipophilic Nonpolar Pharmacodynamics Dissociates slowly from fatty tissue + Pharmacokinetics Long duration of action + Dissociation from lipids Tissue distribution Penetration membranes Tissue residence t0.5 Dissociation from hydrogen (Ionization) Solubility Acidity and basicity 𝑃 H 𝐾𝑎 𝐾𝑑 H + + + Dissociation from spc receptor Pharmacological effect Metabolism t0.5 kinetics Dynamics (molecular interactions) Descriptors for molecular structure Q) How drug molecular structure affects kinetics through dynamics? A) The structural properties controls the dissociation constants from H, lipid, specific and non-specific receptors (dynamics) which in turn affects the observed kinetics. See the scheme above. - Weight Conformation Flexibility Chemical reactivity Physicochemical properties Pharmacodynamics Pharmacokinetics