ACE Inhibitors Flashcards

1
Q

What does ACE stand for

A

Angiotensin-converting enzyme

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2
Q

Why was it difficult to isolate ACE?

A
  • Membrane bound

- Did not know structure of the enzyme

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3
Q

Which tissues can ACE be found in

A
  • Kidneys
  • Liver
  • Gut
  • Lung epithelium
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4
Q

What are the similarities between ACE and carboxypeptidase?

A
  • Both proteases
  • Zn2++ metalloprotease
  • Both have S1’ binding pocket
  • Arg145
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5
Q

What are the differences between ACE and carboxypeptidase?

A
  • S1 binding pocket in ACE
  • Distance between Arg145 and zn++ due to split dipeptide in ACE
  • Carboxypeptidase S1’ prefers aromatic
  • L-benzylsuccinic acid is an inhibitor to carboxypeptidase
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6
Q

Describe the carboxypeptidase binding pocket in detail

A
  • Zinc metalloprotease to stabilize T.S
  • Arg-145 forms ionic bond to terminal carboxylate group to stabilize reactant/product
  • Hydrophobic S1’ pocket has binding preference for aromatic rings
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7
Q

Describe the ACE binding pocket in detail.

A
  • zinc ion to stabilize T.S
  • Arg145 for reactant/product stabilization
  • Zinc and Arg likely to be further apart since dipeptide is split
  • Hydrophobic S1’ and S1 pocket
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8
Q

What are the similarities and differences between the ACE and the carboxypeptidase binding pocket

A

Similar

  • Zinc
  • Arg-145
  • Have S1’ hydrophobic binding pocket

Different

  • # of S1 pockets
  • Zinc and Arg likely to be further apart since dipeptide is split in ACE
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9
Q

What are the roles of the following in the ACE binding site: Arg145, Zn++, S1 and S1’ binding pockets?

A
  • Arg145 forms ionic bond to terminal carboxylate group, stabilizing the reactants. Also stabilizing the product.
  • Zinc stabilizes the T.S by polarising the negative O in the carbonyl group. Also stabilizes the product
  • Hydrophobic S1’ pocket that holds substrate in place.
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10
Q

Describe how L-Benzenesuccinic acid acts as an inhibitor drug for carboxypeptidase

A
  • L-Benzylsuccinic acid mimics binding interactions of both products, but within the same molecule
  • Binds strongly but cannot be hydrolysed
  • Inhibits the enzyme for as long as it is bound
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11
Q

What is the relationship between Enalapril and Enalaprilat? Why is Enalaprilat in the pill given to the
patient, and why not Enalapril?

A
  • Ester form of enalaprilat

- Increases absorption in the gut

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12
Q

The long process of find an ACE inhibitor started with succinyl proline. Why succinyl proline?

A
  • Similar to teprotide -proline portion (found in venom and shown to inhibit ACE) teprotide susceptible to digestive enzymes/ orally inactive.
  • Zinc and Arg likely to be further apart since dipeptide is split, SO
    Analogous inhibitor should be longer by one amino acid
    Use a succinyl-substituted amino acid
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13
Q

Please describe in detail the journey from succinyl proline to SQ13297 to Captoril.

A
  • Methyl substituent added to form additional hydrophobic interactions with S1’ pocket - extension strategy
  • Stereochemistry is important for activity (the R enantiomer of Captopril shows 100 fold less activity)
  • Carboxylate group replaced with a thiol group to form stronger interactions with the zinc ion

Captopril first non-peptide ACE inhibitor to be marketed

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14
Q

Why is sulphur a better binding group than carboxylate?

A

Sulfur is larger than O, the e- are farther from the nucleus and less tightly held by the nucleus. Want Zinc ++

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15
Q

Please describe in detail how the drawbacks associated with the reintroduction of the COOH group were
overcome (please describe the journey from Captopril through I, II, III, IV, V and Enalaprilat).

A

subst. grows to fit into S1 binding pocket to make up for poor binding of COOH.

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16
Q

What factors are important in a successful drug?

A
  • Binds the active site as tightly as the substrate
  • Reaction should not occur
  • Binding should exist for a reasonable time
  • Minimal side effects
17
Q

Why was the second carboxylate group (not the C-terminus COOH) reintroduced?

A
  • Common side effects thought to be associated with the thiol group
  • Replacement of thiol group with carboxylate group likely to decrease side effects, but lead to a drop in activity
  • Need to introduce further binding interactions to compensate ; extension strategies