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Introduction:
Important terms: Detoxication (detoxification) Prodrugs
Active Metabolite
Reactive Metabolite Metabolism
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Xenobiotics
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Definition:
Biotransformation of drug is defined as the conversion from one chemical form to another. the term is used synonymously with metabolism.
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Biotransformation
Ex: Active Drug Salicylic Acid
leads to:
Active Codeine
Liver > lungs > Kidney > Intestine > Placenta > Skin > Brain > Testes > Muscle > Spleen
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Microsomal Enzymes
Found predominately in the smooth Endoplasmic Reticulum of liver Other areas:
Kidney Lungs Intestinal mucosa
Non-microsomal enzymes
Found in the cytoplasm and mitochondria of hepatic cells Other tissues including plasma
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Microsomal Enzymes
Non-synthetic/ Phase I reactions
Most oxidation and reduction Some hydrolysis
Non-microsomal enzymes
Non-synthetic/ Phase I reactions Most hydrolysis Some oxidation and reduction Synthetic/ Phase II reactions ALL except Glucuronide conjugation
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Microsomal Enzymes
Inducible
Drugs, diet, etc.
Non-microsomal enzymes
Not inducible
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Why Biotransformation?
Most drugs are excreted by the kidneys. For renal excretion drugs should: have small molecular mass be polar in nature not be fully ionised at body pH Most drugs are complex and do not have these properties and thus have to be broken down to simpler products. Drugs are lipophilic in nature.
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Strongly bound to plasma proteins. This property also stops them from getting eliminated. They have to be converted to simpler hydrophilic compounds so that they are eliminated and their action is terminated.
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Metabolic reaction:
Phase I reaction Phase II reaction
Oxidation
Conjugation
Reduction
Hydrolysis
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Phase I:
A polar functional group is either introduced or unmasked if already present on the otherwise lipid soluble Substrate, E.g. OH, -COOH, -NH2 and SH. Thus, phase I reactions are called as functionalization reactions. Phase I reactions are Non-synthetic in nature. The majority of Phase I metabolites are generated by a common hydroxylating enzyme system known as cytochrome P450. 03-12-2010 KLECOP, Nipani 15
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Oxidative reaction:
1) Oxidation of aromatic carbon atoms
2) Oxidation of olefins (C=C bonds) 3) Oxidation of Benzylic, Allylic carbon atoms & carbon atoms alpha to carbonyl & imines 4) Oxidation of aliphatic carbon atoms
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Reductive reactions:
1) Reduction of Carbonyl functions.(aldehydes/ketones) 2) Reduction of alcohols and C=C bonds
Hydrolytic reactions
1) Hydrolysis of Esters and Ethers
2) Hydrolysis of Amides.
Arenol (major)
R R R
H2O
O
OH
epoxide hydrase
OH
Arene
Dihyrdrodiol
OH
SG
OH
Catechol(min. Pro.)
H2O
N CONH2 N CONH2
epoxide hydrase
N CONH2
Carbamazepine
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Carbamazepine-10,11 epoxide
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Alcohol dehydrogenase
SO2NHCONHC4H9
SO2NHCONHC4H9
Tolbutamide
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Prmary carbinol
Corresponding aldehyde
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HN
N CH3 O
HN
N CH3 O
Hexobarbital
3'-Hydroxy Hexobarbital
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3
N IC IC N
OH
Diazepam
3-Hydroxy diazepam
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Terminal hydroxylation of methyl group yields primary alcohols which undergoes further oxidation to aldehydes and then to carboxylic acid.
H CH3 C H2 C H COOH H3C OH C CH3 C H2 CH3 C H COOH
H3C
C CH3
Ibuprofen
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OH
H2N
H2N
Minoxidil
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4'-Hydroxy Minoxidil
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N-Dealkylation:
Mechanism of N-dealkylation involve oxidation of carbon to generate an intermediate carbinolamine which rearranges by cleavage of C-N bond to yield the N dealkylated product and the corresponding carbonyl of the alkyl group.
H N OH O
C
H
C
H
NH
+ Carbonyl
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N-Dealkylated metabolite
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A tertiary nitrogen attached to different alkyl groups undergoes dealkylation by removal of smaller alkyl group first.
Example:
Secondary aliphatic amine E.g. Methamphetamine. Tertiary aliphatic amine Tertiary alicyclic amine Amides
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N-Hydroxylation:-
Converse to basic compounds that form N-oxide, Nhydroxy formation is usually displayed by non-basic nitrogen atoms such as amide Nitrogen.
E.g. Lidocaine
CH3 O N H C C H2 N C2H5 CH3 CH3 C2H5 N OH CH3 O C C H2 N C2H5 C2H5
Lidocaine
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N- Hydroxy Lidocaine
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+ HCHO
N H
N H
Hydroxylated intermediate
6-Mercaptopuri9ne
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Desulfuration:
This reaction also involves cleavage of carbon-sulfur bond (C=S). The product is the one with C=0 bond. Such a desulfuration reaction is commonly observed in thioamides such as thiopental.
Thiopental
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Pentobarbital
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S-Oxidation:
Apart from S-dealkylation, thioethers can also undergo Soxidation reaction to yield sulfoxides which may be further oxidized to sulfones several phenothiazines. E.g. Chlorpromazine undergo S-oxidation.
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R-O-CH2R' Ether
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R-O-CH-R' Hemiacetal
R-OH Alcohol
O=C-R' Aldehyde/ketone
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Oxidative Dehalogenation:
This reaction is common with halogen containing drugs such as chloroform.
Dehalogenation of this drug yields phosgene which may results in electrophiles capable of covalent binding to tissue.
Cl Cl H Cl
oxi. -HCL
O Cl Cl
Chloroform
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Phosgene
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Reductive reaction:
Bioreductions are also capable of generating polar functional group such as hydroxy and amino which can undergo further biotransformation or conjugation. Reduction of carbonyls: Aliphatic aldehydes : E.g. Chloral hydrate
Cl3C-CHOH2O Chloral hydrate
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Cl3C-CH2OH
Trichloroethan
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Aliphatic ketones:
O C 2H 5 H 2C H C N CH 3 CH 3
E.g. Methadone.
OH C 2H 5 H 2C H C N CH 3 CH 3
H 3C Methadone
H 3C Methadol
Aromatic Ketone:
O CH 3
E.g. Acetophenone.
OH C H CH 3
Acetophenone
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(CH2)3 N(CH3)2
OH Bencyclanol
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Bencyclane
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Benzylidine cycloheptane
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Reduction
of N-compounds:
Reduction of nitro groups proceeds via formation of nitro so and hydroxyl amine intermediates to yield amines.
RNO2 Nitro
For
R-N=O Nitroso
R-NHOH
RNH2 Amine
Hydroxylamine
O 2N
H 2N
Nitrazepam
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7-Amino metabolite.
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Reduction of azo compounds yield primary amines via formation of hydrazo intermediate which undergo cleavage at N-N bond.
R-N=N-R' Azo E.g. Prontosil.
NH2 H2N N N
R-NH-NH-R' Hydrazo
NH2
RNH2
NH2R'
Amines
SO2NH2
H2N
NH2
H2N
SO2NH2
Prontosil
Trifluroacetic ac
S N S S
S N
C2H5 C2H5
C2H5 C2H5
S N SH
E.g. Disulfuram
Diethyldithiocarbamic acid
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Hydrolytic
reactions:
1. The reaction does not involve change in the state of oxidation of substrate. 2. The reaction results in a large chemical chain in the substrate brought about by loss of relatively large fragments of the molecule.
O R-C-OH
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R'-OH
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E.g. Clofibrate
COOH
CH3
CH3 Clofibrate
CH3
C2H5OH
E.g. Succinylcholine
H2C COOCH2CH2-N(CH3)2 Pseudo CH2COOH CH2COOH
HOCH2CH2N(CH3)2
succinic acid
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choline
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2 H3PO4
Stilbestrol diphosphate
stilbestrol
Sulfates:
CH3 H3C H O O S CH3 O
HO S CH3 O
Isopropyl methnesulfonate
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methanesulfonic a
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Hydrolysis
of amides:
The reactions catalyzed by amides, involves C-N cleavage to yield carboxylic acid and amine.
O R-C-NHR' O R-C-OH
R'NH2
C2H5
N C C N H H2 H2 C2H5 H2N
C2H5
+
OH
H2N
C C N C2H5 H2 H2
Procanamide
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PABA
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C2H5
C N H2 C2H5 NH2 CH3
C2H5
HOOC
C N C2H5 H2
Lidocaine
2,6 Xylidine
N, N- Diethylglycin
Tertiary amide:
E.g. Carbamazepine
N CONH2 Carbamazepine
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N H Iminostilbene
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E.g. Penicillins
O C H2 H N
S N
CH 3 CH3
S N O
CH 3 CH 3
HO
COOH
Penicillin G
COOH
E.g. Succinimides
COOH O NH2
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Hydrolytic
dehalogenation:
Chlorine atoms attached to aliphatic carbons are dehalogenated easily. E.g. Dichloro diphenyl trichloro ethane
H Cl CCl 3
-HCL Cl
Cl
Cl
CCl 2
DDT
DDE
Miscellaneous hydrolytic reactions: Include hydration of epoxides and arene oxides, hydrolysis of Sulfonylureas, Carbamates, Hydroxamates and alpha Glucuronide and sulfate conjugates
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Phase 2 Reactions
Synthetic Conjugation
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Phase II
Phase II - combines functional group of compound with endogenous substance E.g. Glucuronicacid, Sulfuric acid, Amino Acid, Acetyl. Products usually very hydrophilic The final compounds have a larger molecular weight.
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Enzymes
Glucuronosyl Transferases Sulfotransferases (ST) Acetyltransferase Methylases
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Phase II
Glucuronide Conjugation Methylation Acetylation Sulfate Conjugation Conjugation With Alpha Amino Acids Glutathione Conjugation Glycine Conjugation Cyanide Conjugation
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Very important Synthetic reactions carried out by Uredine Di Phosphate Glucuronosyl Transferase. Hydroxyl and Carboxylic acid groups are easily combined with Glucuronic acid.
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1. Synthesis of an activated coenzyme uridine-5- diphospho -alphaD- Glucuronic acid (UDPGA) from UDP- glucose (UDPG). -D-Glucose-1-phosphate + UTP
Pyrophosphorylase
UDPG + Ppi
UDPG - Dehydrogenase
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2. Transfer of the glucuronyl moiety from UDPGA to the substrate RXH in presence of enzyme UDPUDP-Glucuronyl transferase glucuronyl transferase to form the conjugate.
UDPGA + RXH
Where, X = O, COO, NH or S
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COOH
OH
COOH
OH
OH
UDP
UDPGA Benzoic Acid
OH
OH Glucuronide Benzoic acid
Ex.
Chloramphenicol, Morphine, Salicylic Acid, Paracetamol
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1. Synthesis of an activated coenzyme S- adenosyl methionine(SAM), the donor of methyl group, from Lmethionine and ATP. L Methionine + ATP
Methionine Adenosyl Transferase
SAM + PPi + Pi
2. Transfer of the methyl group from SAM to the substrate in presence of nonmicrosomal enzyme methyl transferase.
RXH + SAM RX-CH3 + S Adenosyl Homocysteine
Methyl Transferase
Ex.
Morphine, Nicotine, Histamine
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Major route of biotransformation for aromatic amines, hydrazine. Generally decreases water solubility Enzyme: - N- Acetyltransferase (NAT)
R NH2
R NH COCH3
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COOH OH
COOH OH
CH3COSCOA
NH 2
Paraaminosalicyclic Acid
Acetyl Co enzyme
NHCOCH3
NH 2 N- Acetylated PAS
Sulfotransferases are widely-distributed enzymes Cofactor is 3-phosphoadenosine-5-phosphosulfate (PAPS) Produce highly water-soluble sulfate esters, eliminated in urine, bile R OH R O SO3
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1. Synthesis of an activated coenzyme 3-phosphoadenosine-5phosphosulfate (PAPS) which acts as a donor of sulfate to the substrate. This also occurs in two steps- an initial interaction between the sulfate and the adenosine triphosphate (ATP) to yield adenosine-5-phosphosulfate (APS) followed by activation of latter to PAPS.
APS + Ppi
APS + ATP
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PAPS + ADP
2. Transfer of sulfate group from PAPS to the substrate RXH in presence of enzyme Sulfotransferase and subsequent liberation of 3- phosphoadenosine-5-phosphate(PAP). PAPS + RxH Rx-SO3 + PAP
Sulfotransferase
X= O,NH
Examples of compounds undergoing sulfation are: Phenol Paracetamol , Salbutamol Alcohols Aliphatics C-1 to C-5 Arylamines Aniline
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Alternative to glucuronidation Two principle pathways -COOH group of substrate conjugated with -NH2 of Glycine, Serine, Glutamine, requiring CoA activation E.g. conjugation of benzoic acid with Glycine to form Hippuric acid Aromatic -NH2 or NHOH conjugated with -COOH of Serine, Proline, requiring ATP activation
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1. Activation of carboxylic acid drug substrate with ATP and coenzyme A (CoA) to form an acyl CoA intermediate. Thus, the reaction is a contrast of glucuronidation and sulfation where the donor coenzyme is activated and not the substrate.
Acetyl Synthetase RCOOH + ATP RCOAMP + H2O + Ppi
Acyl CoA Transferase
RCOAMP + CoA-SH
RCSCoA + AMP
2. Acylation of the alpha- amino acid by the acyl CoA in presence of enzyme N-acyl transferase. RCSCoA + NH2-R-COOH
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N-Acetyl transferase
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RCONH-RCOOH + CoA- SH
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Glutathione-S-transferase catalyzes conjugation with glutathione Glutathione is tripeptide of Glycine, Cysteine, Glutamic
acid
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Glutathione-S-transferase
-Glutamyl
transferase
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Glycine
Cysteinyl glycinase
N- acetylase
Glycine Conjugation
Salicylates and other drugs having carboxylic acid group
Cyanide Conjugation
Conjugation of cyanide ion involves transfer of sulfur atom from thiosulfate to the cyanide ion in presence of enzyme rhodanese to form inactive thiocyanate.
S2O3 + CN
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2-
rhodanese
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SCN + SO3
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Biotransformation-Conclusion
Change the Xenobiotics to a form that can be eliminated from the body Change the Xenobiotics to a less biologically active form Bioactivation to more toxic forms can also occur Synthetic Phase II reactions are carried out by other enzymes.
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Factor affection of
Biotransformation of drug:
The Therapeutic efficacy, Toxicity and Biological half life of drug depends on metabolic rate and the factor that influence metabolic rate are: 1) Physicochemical property of drug. 2) chemical factors:
a. Induction of drug metabolizing enzyme. b. Inhibition of drug metabolizing enzyme c. Environmental chemicals.
3) Biological factors. A. Species differences. B. Strain differences. C. Sex differences.
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References
Biopharmaceutics & Pharmacokinetics by D.M. Brahmankar, S. B. Jaswal, Vallabh Prakashan, Pg111-158. Biopharmaceutics & Pharmacokinetics by Milo Gibaldi, 4th edition, Pg.no. 203. Text book of Biopharmaceutics & pharmacokinetics, Dr.Sobha Rani R. Hiremath, Prism Books Pvt Ltd, Bangalore, 2000 Pg.no. 157-166. www.google.com www.pharmacology.com
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