Chapter 4 Drugs Design and Synthesis (23!3!2013)

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    Drug discovery:and Synthesis

    Chapter 4

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    Drugchemical substances that are used to

    prevent or cure diseases in humans, animals andplants

    Activitypharmaceutical/pharmacologicaleffect on the subject, e.g. analgesic or-blocker

    Potency the quantitative nature of the effect

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    Drug is any substance presented for treating,curing or preventing disease in human beings

    or in animals. It may also be used for making a

    medical diagnosis or for restoring, correcting,

    or modifying physiological functions.

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    Receptors are macromolecules involved inchemical signaling between and within cells; they

    may be located on the cell surface membrane orwithin the cytoplasm. Receptors get informationfrom drugs or enzymes or hormones etc.

    Ligands Molecules (eg. drugs, hormones,neurotransmitters) that bind to a receptor arecalled ligands. A ligand may activate or

    inactivate a receptor; activation may increaseor decrease a particular cell function

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    Agonists : Agonist drugs activate receptors toproduce the desired response. Conventionalagonists increase the proportion of activatedreceptors.

    Drugs + ReceptorDesire effect orpositive response

    Many hormones, neurotransmitters (eg, acetylcholine,histamine, norepinephrine), and drugs (eg, morphine,phenylephrine , isoproterenol , act as agonists.

    Increased binding = increased effectDecrease binding = decrease effect

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    Antagonists :Agonist drugs deactivate receptors to produce theundesired desired response.

    Antagonists: pharmacological efficacy = zeroProduce no effect on receptorDont change activity state of receptor

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    Prodrugs

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    Primary objective-design and discovery of newcompounds that are suitable for use as drugs.

    A team of workers

    chemistry, biology, biochemistry, pharmacology,

    mathematics, medicine and computing, amongstothers

    Requires of drug discovery or designsynthesisof the drug, a method of administration, thedevelopment of tests and procedures toestablish how it operates in the body, and asafety assessment

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    Drug discovery:

    1-Choosing the disease

    (like Cancer, HIV, Asthma,

    Brain tumor).

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    I- Choosing the disease

    Pharmaceutical companies tend to concentrate ondeveloping drugs for diseases which are prevalent in

    developed countries, and aim to produce compounds

    with better properties than existing drugs.

    Pharmaceutical companies have to consider economic

    factors as well as medical ones when they decide which

    disease to target when designing a new drug.

    A huge investment has to be made towards the research

    and development of a new drug.

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    I- Choosing the disease Therefore, companies must ensure that they get a good

    financial return for their investment.

    As a result, research projects tend to focus on diseasesthat are important in the developed world, because it is

    the best market for new drugs.

    Thus, research is carried out on ailments such as migraine,

    depression, ulcers, obesity, flu, cancer and cardiovascular

    disease.

    Less is carried out on the tropical diseases of the

    developed world. Only when such diseases start to make

    an impact in richer countries, the pharmaceutical

    companies sit up and take notice.

    Example: research in antimalarial drugs has increased due

    to increase in tourism to more exotic countries and thespread of malaria into southern states of US.

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    Drug discovery: Finding a lead

    2-Finding a lead compound

    Combinatorial synthesis

    Computer aided design

    Computerized searching of structural

    databases

    Designing lead compounds by NMR

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    Prototype having desired activity but also other

    undesirable characteristics, e.g., toxicity, other

    activities, insolubility, metabolism problems, oral

    bioavailability

    Need to identify a suitable test in order tofind a lead compoundActive Principle - a compound that is isolated

    from a natural extract and which is principallyresponsible for the extracts pharmacologicalactivity. Often used as a lead compound.

    What is mean of Lead compound ?.

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    Lead Compounds from the Natural World

    PLANT EXTRACTS

    OPIUM - Morphine

    CINCHONA BARK- Quinine

    YEW TREE - Taxol

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    O

    O

    O

    CH3

    H

    H3CO

    O

    CH3

    H

    H

    HARTEMISININ

    Lead Compounds from the Natural World

    PLANTS AND ANCIENT RECORDS

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    That is, suitable quantity to cure or excess to be

    poisonous! E.g. aspirin, paracetamol can be

    toxic if excesses.

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    Side effectunwanted effect usually; however, they

    are not always non-beneficial

    For example, the drowsiness side effect of anti-

    histamine may help sleep.

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    Drug discovery: Finding a lead

    Isolation and purification Structural determination

    Lead compound

    Lead modified by synthesis

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    Sources of Lead Compounds

    A) The Natural World

    B) The Synthetic World

    C) The Virtual World

    Plant life (flowers, trees, bushes)Micro-organisms (bacteria, fungi)

    Animal life (frogs, snakes, scorpions)

    Biochemicals (Neurotransmitters, hormones)

    Marine chemistry (corals, bacteria, fish etc)

    Chemical synthesis (traditional)

    Combinatorial synthesis

    Computer aided drug design

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    Drug discovery:

    2-Finding a lead compound

    Screening of natural products (the plantkingdom, the microbial world, the marine world,

    animal sources, venoms and toxins)

    Medical folklore

    Screening synthetic compound libraries

    Existing drugs

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    Isolation and purification

    If a lead compound is present in a mixture of other compounds it

    has to be isolated and purified.

    The isolation and purification depends upon structure, stability, and

    quantity of the compound.

    e.g. Fleming recognized penicillin, qualities & non-toxic to human

    but could not use it clinically because he was unable to purify it. He

    could isolate it in aqueous solution, but when he tried to remove

    water the drug was destroyed.

    Purification and isolation of penicillins were possible until

    development of new experimental procedure such as freeze-drying

    and chromatography. 22

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    Finding a lead compound

    Existingdrugs

    A) Me too drugs: Many companies use established drugs from their

    competitors as a lead compound in order to design a drug. By

    modifying the structure in such way that avoids the patent restrictions,

    retain the activity, and improved the therapeutic properties.

    For example i) Captopril (Anti-hypertension) used as lead compound

    by different companies to produce their own anti-hypertension drugs.

    ii) Modern penicillins are more selective, more potent and more

    stable than original penicillins 23

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    Finding a lead compound1-Screening of natural products

    Natural products are a rich source of biologically active

    compounds.

    Many of todays medicines are either obtained directly from a

    natural source or were developed from a lead compound

    originally obtained from a natural source.

    The compound responsible for that activity is known as the

    active principle.

    Most biologically active natural products are secondarymetabolites with quite complex structures. This has advantage in

    that they are extremely novel compounds.

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    Finding a lead compound

    1-Screening of natural products

    2-The microbial world: microorganisms such as bacteria and fungi are

    rich for lead compounds (e.g. Antgimicrobial Drugs: pencillins,

    cephalosporines, tetracyclines, aminoglycosides, chloramphenicol,

    rifamycins).

    3-The marine world: coral, sponges, fish and marine microorganisms

    have biological potent chemicals, with interesting, anti-inflammatory,

    antiviral, and anticancer activity. E.g Curacin A (anti-tumour, from marine

    cyanobacterium)

    4-Animal sources: antibiotic peptides were extracted from the skin of

    African clawed frog.

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    Finding a lead compound

    1-Screening of natural products

    But the disadvantage of their complexity makes their synthesis difficult and

    the compound needs to be extracted from its natural source (i.e. costly &

    inefficient process).

    As a result, there is a need to design simpler analogues of the lead

    compounds .

    Natural products can be obtained from different sources such as:

    1-The plant kingdom: It is rich source of lead compounds (e.g.

    morphine, cocaine, digitalis, quinine, tubocurarine, nicotine and muscarine,

    paclitaxel (Taxol, recent anticancer), either useful drugs as morphine or

    basis for synthetic ).Plants continue to remain a promising source of new

    drugs.

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    Finding a lead compound2- Medical folklore

    Berries, leaves and roots used by local healer or shaman as

    medicines. Many are useless or dangerous and if they work this

    may be due to Palcebo Effect.

    Some of these extracts indeed have a real effect. (e.g. quinine

    (cinchona), reserpine (Rauwolfia), atropine (atropa beladona),

    morphine (opium poppy), digitalis (foxglove), emetine (ipeca),cocaine (coca).

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    Finding a lead compound

    2-Medical folklore 3-Screening synthetic compound libraries

    4-Existing drugs (Me too drugs & Enhancing the side effects)

    5-Starting from natural ligand or modulator (natural ligands for

    receptors, natural substrates for enzymes, enzyme products aslead compounds, natural modulators as lead compounds)

    6-Combinatorial synthesis

    7-Computer aided design

    8-Computerized searching of structural databases 9-Designing lead compounds by NMR

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    ANALYSIS OF DRUGS

    ANALYSIS OF DRUGS by NMR,IR, UV, EI-MS, HREIMS,HMBC, HSQC, COSY, NOEY

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    Drug discovery: Synthesis

    3-Identifying a bioassay Choice of bioassay In vitro test

    In vivo tests

    Test validity

    High-through screening

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    A combination of tests is often used in

    research programs

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    in vivoTests

    Carried out on live animals or humans Measure an observed physiological effect

    Measure a drugs ability to interact with its target and its ability

    to reach that target

    Can identify possible side effects Transgenic animals - genetically modified animals

    Drug potency-concentration of drug required to produce 50% of

    the maximum possible effect

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    Tests not carried out on animals/humans

    Target molecules (e.g. isolated enzymes or receptors)Cells (e.g. cloned cells)

    Tissues (e.g. muscle tissue)

    Organs

    Micro-organisms (for antibacterial agents)

    More suitable for routine testing Used in high throughput screening

    Measure the interaction of a drug with the target but not the

    ability of the drug to reach the target

    Results are easier to rationalise - less factors involved Does not demonstrate a physiological or clinical effect

    Does not identify possible side effects

    in vi t roTests

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    III-Identifying a bioassay

    4-Test validity

    Sometimes the validity of testing procedure is easy and clear. For

    example, the antibacterial drug can be tested by its effect on

    killing bacteria. Local anaesthetics are tested by their effect on

    blocking action potential in isolated nerve.

    In other cases, the testing procedure is more difficult. For

    example, there is no animal model for antipsychotic drug.

    Thus, validity of the test should be carried out.

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    III-Identifying a bioassay

    6-Screening by NMR

    5-The identification of weakly binding molecules allows the

    possibility of using them as building blocks for the construction of

    larger molecules that bind more strongly. 6-Screening can be done on a new protein without needing to

    know its function.

    NMR screening also has limitations, the main one being that at

    least 200 mg of the protein required.

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    III-Identifying a bioassay5-High throughput screening (HTS)

    HTS involves the miniaturization and automation of in vitro tests

    such that a large number of tests can be carried out in a short

    period of time.

    It involves testing of large number of compounds versus a large

    number of targets. The test should produce easily measurable

    effect. This effect may be cell growth, an enzyme catalyzed

    reaction which produces a color change (may be a dye).

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    III-Identifying a bioassay6-Screening by NMR

    There are, several advantages in using NMR as a detectionsystem:

    1-It is possible to screen 1000 small molecular weight compounds

    a day with one machine.

    2-The method can detect weak binding which would be missedby conventional screening methods.

    3-It can identify the binding of small molecules to different

    regions of binding site.

    4-It is complementary to HTS. The later may give false-positiveresults, but these can be checked by NMR to ensure that the

    compounds concerned are binding in the correct binding site.

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    Drug discovery: Finding a lead

    2-Choosing a drug target Drug targets

    Discovering drug targets

    Target specificity and selectivity between species

    Target specificity and selectivity within the body

    Targeting drugs to specific organs and tissues

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    II- Choosing a drug target

    1- Drug targets

    Once a therapeutic area has been identified the next stage is to

    identify a suitable drug target (e.g. receptor, enzyme or nucleic acid)

    Understanding which biomacromolecules are involved in a particular

    disease state is very important.

    This will allow the medicinal chemist whether agonist or antagonist to

    be designed for a particular receptor or whether inhibitors should be

    designed for a particular enzyme.

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    3. DRUG TARGETS

    A) LIPIDS

    Cell Membrane Lipids

    B) PROTEINS

    Receptors

    Enzymes

    Carrier Proteins

    Structural Proteins (tubulin)

    C)NUCLEIC ACIDS

    DNA

    RNA

    D) CARBOHYDRATES

    Cell surface carbohydrates

    Antigens and recognition molecules

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    2. DRUG TARGETS

    Between species

    Antibacterial and antiviral agents Identify targets which are unique to the invading pathogen.

    Within the body

    Selectivity between different enzymes, receptors etc.

    Selectivity between receptor types and subtypes

    Selectivity between isozymes

    Organ selectivity

    TARGET SELECTIVITY

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    Identify competitive or non competitive inhibitionStrength of inhibition measured as IC50IC50 = concentration of inhibitor required toreduce enzyme activity by 50%

    Enzyme Inhibition Tests

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    II- Choosing a drug target

    Choosing which disease to tackle is usually a matterfor companys market strategists. The science

    becomes important at the next stage.

    A molecular target is chosen, which is believed toinfluence a particular disease when affected by a

    drug.

    The greater the selectivity that can be achieved, theless chance of side effects.

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    Choosing a drug target

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    Choosing a drug targetTarget specificity and selectivity between species

    Target specificity and selectivity is a crucial factor in modernmedicinal chemistry research

    The more the selective a drug is for its target, the less chance

    that it will interact with different targets and have less

    undesirable side effects.

    For example, penicillin target an enzyme involved in bacterial

    cell wall biosynthesis. Mammalian cells does not have a cell wall,

    so this enzyme is absent in human cells and penicillin has few 43

    II Ch i d

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    II- Choosing a drug target

    4-Target specificity and selectivity within the

    body

    Selectivity is also important for drug acting on targets within the body

    Enzyme inhibitors should only inhibit the target enzyme and not some otherenzyme.

    Receptors agonist/ antagonist should ideally interact with a specific kind of

    receptor (adrenergic receptor) rather than a variety of different receptors, or

    even a particular receptor type ( such as - receptor) or even a particular

    receptor subtype 2- receptor.

    Ideally, enzyme inhibitors should show selectivity between the various

    isozymes of an enzyme. 44

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    Choosing a drug targetTargeting drugs to specific organs and tissues

    Targeting drugs against specific receptor subtypes often allows

    drugs to be targeted against specific organ or against specific

    areas of brain.

    This is because the various receptor subtypes are not uniformly

    distributed around the body, but are often concentrated in

    particular tissues. For example, adrenergic receptors in the heart

    are predominantly1 while those in the lungs are 2. If a

    drug acts on either, less side effects would be observed.45

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    Choosing a drug targetPitfalls

    The body is a highly complex system. It is possible to

    identify whether a particular enzyme or receptor plays a

    role in a particular aliments.

    For any given function, there are usually several

    messengers, receptors, and enzymes involved in the

    process

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    C bi t i l th i

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    Combinatorial synthesis

    Combinatorial synthesis is automated solid-phase procedureaimed at produce as many as different structures as possible in

    short time as possible.

    The reactions are carried out on very small scale, often in a waythat will produce mixtures of compounds.

    Combinatorial synthesis aims to mimic what plants do, i.e.

    produce a pool of chemicals.

    One of these compounds may be prove to be a useful lead

    compound.

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    Computeraided design

    Knowledge of target binding site aids in design of novel

    compounds intended to bind with that target.

    The enzyme and receptors can be crystallized and it is possible to

    determine their structure (structure of protein & binding site) by

    X-ray crystallography.

    Molecular modelling software programs can be used to study the

    binding site and to design drugs.48

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    Computerized searching of structural

    databases

    New lead compounds can be found by carrying out computerized

    searches of structural databases.

    In order to carry out such search, it is necessary to know the

    desired pharmacophore.

    Data base searching is known as database mining.

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    Synthesis of cyclopropane

    Drug Synthesis

    Retrosynthesis

    Synthesis of Aspirin

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    Synthesis of Aspirin

    Diketone synthesis

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    Diketone synthesis

    Summary

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    Summary

    A lead compound is a structure which shows a useful pharmacological

    activity and can act as the starting point for drug design.

    Natural products are a rich source of lead compounds. The agent

    responsible for biological activity of a natural extract is known as the

    active principle.

    Lead compound have been isolated from plants, trees, microorganisms,

    animals, venoms, and toxin. A study of medical folklore indicates plants

    and herbs which may contain novel lead compounds.

    Lead compounds can be found by screening synthetic compounds

    obtained from combinatorial syntheses and other sources.

    Existing drugs can be used as a lead compounds for design of novel

    structures in the same therapeutic area.

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    S

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    Summary

    If a lead compound is present in a natural extract or acombinatorial synthetic mixture, it has to be isolated and purified

    such that its structure can be determined. X- ray crystallography

    and NMR spectroscopy are particular important in structure

    determination.

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    Summary