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Lecture 1 Medicinal Chemistry 1 PC 509 Prof. Dr/ Ghaneya Sayed Hassan [email protected] 1 Weighting of Assessments 2 Final-term Examination Oral Examination Two Practical Examinations Tutorials 50 Marks 15 Marks 30 Marks 5 Marks Total (100 Marks) Subject Lecturer name hours Introduction β- lactame Antibiotics Non β-lactame Antibiotics Sulfonamides Prof.Dr. Ghaneya 8 Metabolism Prof. Dr. Hassanein 5 Physicochemical parameters Anticancer Antiviral Antifungal Dr. Riham 6 Antiprotozoal Antimycobacterial Antimalarial Antiinfective Dr. Essam 5 Total 3 Course Coordinator 24 4 Section No. Date 1 10/10 Determination of LogP 2 17/10 Determination of pKa 3 24/10 Calculation of π and σ constants + Revision 4 31/10 Exam 1 5 7/11 Hydrogen Peroxide + Nalidixic acid 6 14/11 I.N.H + Resorcinol 7 21/11 Chlorobuanol + Zinc in Prisoline 8 28/11 Tincture Iodi + Busulfan 9 5/12 Sulfamethoxazole and Trimethoprim + Povidone Iodine 10 12/12 Ampicillin + Cyclophosphamide + Revision 11 19/12 Exam 2 Content Distribution of Students in Labs Course Code: 509 (2015 -2016) Building C J 5 Lab 8-10 10-12 أ السابع C/721 1-25 171-195 ب السابع C/719 26-50 196-220 ج السابع C/712 51-75 221-245 د السابع C/710 76-100 246-270 أ فوق J/101 101-135 271-305 ب فوق J/102 136-170 306-340 Introduction to medicinal chemistry 6 Medicinal chemistry and pharmaceutical chemistry are disciplines at the intersection of chemistry ,especially synthetic organic chemistry, and pharmacology and various other biological specialties, where they are involved with design ,chemical synthesis and development for market of pharmaceutical agents, or bio-active molecules )drugs) Medicinal Chemistry Pharmaceutical Chemistry Medicinal Chemistry is more related to the molecular interactions of drugs and e.g. receptors and the development of new drugs including the extensive field of computational chemistry. Pharmaceutical Chemistry is not "limited to the discovery of new pharmaceutical agents." Pharm.Chem. also includes the synthesis and analysis of existing drugs and all kinds of properties (chemical, physicochemical) and effects (pharmacological, toxicological, ...) of drugs - a very broad field. Medicinal Chemistry is the science of Pharmaceutical Chemistry is the same plus the design and chemical synthesis science of pharmaceutical and biomedical focusing mainly on small organic analysis to the synthesized agents. molecules and their development of pharmaceutical agents, or bio-active 7molecules (drugs). Medicinal chemistry involves the application of a number of specialized disciplinary approaches all focused on the ultimate goal of drug discovery . The techniques and approaches are applied by medicinal chemists towards drug discovery: chemical biology, synthetic organic chemistry, combinatorial (bio)chemistry, mechanistic enzymology, computational chemistry, chemical genomics, and highthroughput screening 8 Medicinal chemistry is integrated with pharmacology to present a coherent picture of the principles of drug action. Pharmacology mainly deals with drug action at the cellular, tissue/organ and organism levels. Medicinal chemistry focuses on the molecular aspects of drug action: 1) interactions with the drug targets from both the drug and the target point of view. 2) the relationship of drug chemical structure to drug action (SAR). 3) the effects of metabolism on the drug structure and hence its action. 9 10 Medicinal Chemistry is the science, which deals with the discovery and design of new and better therapeutic chemicals and development of these chemicals into new medicines and drugs. Design and synthesis of new drugs which aimed to be 1- more active, 2- more selective, 3- with low toxicity. Generally Medicinal Chemists can: • Make new compounds • Determine their effect on biological processes. • Alter the structure of the compound for optimum effect and minimum side effects. • Study uptake (absorption), distribution, metabolism and excretion of drugs (ADME profile). 11 Design and synthesis of new drugs aimed to be more active 12 more selective low toxicity Pharmacokinetic (ADME) properties to study what the body affect to drug It must be for medicinal chemist to study drug absorption, distribution, metabolism, elimination at an early stage. Pharmacodynamic properties to study what the drug affect to the body The study of the physiological response, mechanism of drug action and dose response curve. 13 What are drugs and why do we need new ones? • Drugs are defined as chemical substances (natural, semi-synthetic or synthetic) that are used to prevent or cure diseases in humans, animals and plants. • Drugs act by interfering with biological processes, so no drug is completely safe. • Drug resistance or tolerance (tachyphylaxis) occurs when a drug is no longer effective in controlling a medical condition. • The development of an enzyme that metabolises the drug is a relatively common reason for drug resistance. 14 15 Drug Classification Pure organic compounds are the chief source of agents for the cure, mitigation or the prevention of disease. These remedial agents could be classified according to their origin: • Natural compounds: materials obtained from both plant and animal, e.g. vitamins, hormones, amino acids, antibiotics, alkaloids, glycosides…. etc.). • Synthesis compounds: either pure synthesis or synthesis naturally occurring compounds (e.g. atropine, steroids and chloramphenicol) to reduce their cost. • Semi-synthesis compounds: Some compounds either can not be purely synthesized or can not be isolated from natural sources in low cost. Therefore, the natural intermediate of such drugs could be used for the synthesis of a desired product (e.g. semi synthetic penicillins). 16 Drug Classification Drugs can treat different types of diseases: 1-Infectious diseases: Born (transmitted) from person to person by outside agents, bacteria (pneumonia, salmonella), viruses (common cold, AIDS), fungi (thrush, athletes foot), parasites (malaria) 2-Non-infectious diseases: disorders of the human body caused by genetic malfunction, environmental factors, stress, old age etc. (e.g. diabetes, heart disease, cancer. Haemophilia, asthma, mental illness, stomach ulcers, arthritis). 3-Non-diseases: alleviation of pain (analgesic), prevention of pregnancy (contraception) , anesthesia. 17 Drug Classification Since there is no certain relation between chemical structure and pharmacological activity therefore, it would be unwise to arrange all drugs on the basis of their structures or origin. Thus, it is better to arrange the drugs according to their medicinal use. Drugs can be classified according to their medicinal uses into two main classes: I-Pharmacodynamic agents: Drugs that act on the various physiological functions of the body (e.g. general anaesthetic, hypnotic and sedatives, analgesic etc.). II-Chemotherapeutic agents: Those drugs which are used to fight pathogenic (e.g. sulphonamides, antibiotics, antimalarial agents, antiviral, anticancer etc.). 18 18 Chemotherapeutic Agents • Definition: Chemicals used for treatment or control of diseases caused by pathogenic invading organisms or cells. • Paul Ehrlich [father of chemotherapy] definition: Use of drugs to injury invading organism without injury host [MAGIC BULLET]. Selective Toxicity is the main requirement for chemotherapeutic agents: It's expressed by Therapeutic Index [T.I] → measure of Drug Safety [increase T.I. = increase safety]: T.I. = LD50 / ED50 where: LD50 = Lethal Dose that kill 50 % of test animals. ED50 = Effective Dose that give therapeutic response to 50 % of test 19 animals. It's expressed by Therapeutic Index [T.I] → measure of Drug Safety [increase T.I. = increase safety] T.I. = LD50 / ED50 Example: You have two drugs, A and B, both of them have ED50 = 2 mg/ Kg. body weight. Compound A has LD50 = 10 mg/kg. b wt, while compound B has LD50 = 4 mg/ kg. b. wt. Calculate Therapeutic Index for drugs A and B. Comment for their safety. Solution: اإلجابة T.I. = LD50 / ED50 T.I for drug (A) = 10/2 = 5 T.I for drug (B) = 4/2 = 2 [increase T.I. = increase safety] Drug (A) is more safe than drug (B) 20 It's mainly due to : [I] Biochemical Differences. [II] Cytological Differences. [III] Distribution Differences. [I] Biochemical Differences (i) Enzyme present in parasite or invading cell & absent in host: Examples: NH2 * Pyruvate Ferrodoxin Oxidoreductase enzyme [P.F.O]: Present in protozoa & anaerobic bacteria NOT in mammalian cell N O2N N CH3 CH2 CH2 OH Metronidazole N SO2 NH N Sulfadiazine ** Dihydropteroate synthetase: Used in synthesis of dihydropteroic acid from dihydropteridine base + PABA [in synthesis of folic acid] This occur in bacteria only [mammalian take folic acid from diet & not synthesize it]. Sulphonamides: inhibit this enzyme [So, toxic to bacteria NOT to 21mammalian cells]. (ii) Enzyme present in host not in parasite or invading cell Example: asparaginase is used for the treatment of acute lymphoblastic leukemia Asparagine L-Asparaginase Aspartic acid + Ammonia Asparginase enzyme → hydrolyzes blood aspargine to aspartic acid and ammonia. This deprives the leukemic cell of circulating asparagine, which leads to cell death. L-asparagine synthetase enzyme: Present in normal cells [used for synthesis of asparagines from aspartic acid & ammonia] ALL leukemic cells and some other suspected tumor cells are unable to synthesize asparagine (non essential amino acid) whereas normal cells are able to make their own asparagine Asparagine Synthetase Aspartic acid + Ammonia Asparagine 22 (iii) Enzyme present in both BUT with different affinity [Differ from human than parasite cell] O CH3 H2N H2C O N Trimethoprim O CH3 NH N N CH3 Cl NH C NH NH N C CH3 NH CH CH3 Proguanil Dihydrofolate Reductase enzyme [convert DHF →THF which is the active form of folic acid ] → Trimethoprim [ anti-bacterial ] & Proguanil [ anti-malarial ] bind tightly to bacterial & malarial enzyme >> human. (iv) Activation of drug is done by enzyme present only in target cell Acyclovir by thymidine kinase, induced by infective O cell mono- triphosphate which is active form of the HN N drug [inhibit herpes simplex DNA polymerase]. N N This is because acyclovir is guanosine analogue & so, H2N compete for natural enzyme substrate [deoxyguanosine Acyclovir triphosphate]. 23 O OH [II] Cytological Differences Examples: (1) Penicillins & Cephalosporins inhibit C.W. synthesis [C.W. not present in mammalian cells ] (2) Anti-fungal as polyene antibiotics [Amphotericin B ], imidazoles & allyl naphthyl amines act on Ergosterol [which is present in fungal cell membrane NOT in mammalian cells ] (3) Choramphenicol, Tetracycline & Streptomycin act on 30 S & 50 S rRNA subunits in bacterial cells [in mammalian cells 40 S & 60 S rRNA units]. CH2 O H2C C HN S N O 24 Penicillin G HC CH3 CH3 COOH C HN NH2 S O N CH2 O O Cephaloglycine COOH C CH3 [III] Distribution Differences (1) Tetracycline preferentially absorbed in bacteria >> mammalian cells. (2) Grisefulvin concentrate in keratinized cells of skin, hair & nails which are infected by fungi. (3) Methotrexate anti-metabolite act on folic acid which is present in concentration in leukemic cells [Invading cells with hyperactive OCH3 transport system concentration of substrate inside them]. O OCH3 O O H3CO Cl H3C Griseofulvin 25