Chemistry Flashcards
Adrenaline
chiral molecule
hormone & neurotransmitter
controls: heart rate, blood vessel diameters, air passage diameter, metabolism
Adrenaline chemical structure
phenyl group with 2 hydoxyls, alkyl side chain with a hydroxyl group terminated with a secondary amine
mono-amine, family: catecholamine
Catecholamine
1,2-dihydroxybenzene
Adrenaline as a drug
agonist, treatment for anaphylaxis
reason: very fast treatment
Auvi-Q, epipen
Noradrenaline
replace N-mthyel with N-H
Potency
Adrenaline: same for alpha and beta
NA: greater potency for alpha
Adrenaline Biosynthesis
- L-Tyrosine (from food) + Tyrosine hydroxylase –> Levodopa (treating Parkinson’s)
- Levodopa + Dopa decarboxylase –> Dopamine (pleasure sensation in the brain)
- Dopamine + Dopamine β-hydroxylase –> Noradrenaline
- Noradrenaline + N-methyltransferase –> Adrenaline
Adrenoceptors types
β1: increase heart rate, renin secretion from kidneys
β2 receptors: relax bronchi, stimulate insulin release, inhibit histamine release from mast cells
Isoetharine
3rd generation
ultra-short acting
β2 selectivity obtained by:
- introducing alkyl substituents to the side chain linking aromatic ring and amine group
- varying the alkyl substituents on the N atom
Ultra-short acting (<3 hrs) due to:
Taken up by tissues and mutilated by the enzyme catechol-O-methyl-transferase (COMT) to form an inactive metabolite
Fix:
Replaced meta-OH with -CH2OH –> more resistant to metabolism
Isoprenaline non-specificity
Isoprenaline, acts on β1 (heart) & β2 (bronchi) –> mortality epidemic
Discovered when small doses given to hypoxemic dogs. Hypoxemia is common is asthmatic patients.
Salbutamol is 7 times less potent in raising heart rate in humans
Isoprenaline non-specificity
Isoprenaline, acts on β1 (heart) & β2 (bronchi) –> mortality epidemic
Discovered when small doses given to hypoxemic dogs. Hypoxemia is common is asthmatic patients.
Salbutamol is 7 times less potent in raising heart rate in humans
Fenoterol
short-acting β2 agonist
can activate β1 receptors at doses higher than recommended
withdrawn from NZ due to mortality issues thought to be due to excessive usage for severe asthma attacks in absence of medical assistance, up to 80 puffs before seeking medical attention
Adrenoreceptors SAR
Important features:
- configuration at stereocentre where only R stereoisomer most effective
- Bigger R group at amine group favours β selectivity over α
- R group plays role in β2 selectivity and duration of action
- meta OH at phenyl ring causes bioavailability issues due to metabolism by COMT, largely fixed when replaced by -CH2OH
- para phenolyc hydroxyl group plays a role in β vs α selectivity. Removal of the hydroxyl causes the molecule to favour α receptors. over β receptors
Salbutamol
short-acting (4-6 hours)
same potency as isoprenaline but less active on the heart
meta-CH2OH group –> longer duration and more resistant to metabolism by COMT
bulky tert-butyl group at amine:
- reach and form additional interactions wiht non-polar region in the binding site
- produces selectivity for β2 receptors
salbutamol enantiomers
R enantiomer is more active but marketed it as a racemate becuase S blocks the metobolism of R