Chemistry of ACE inhibitors Flashcards

1
Q

What is the function of ACE?

Whhat group of enzymes do ACE belong to?

What is the function of AII?

A

Converts angiotensin I to angiotensin II by removing the dipeptide His-Leu

Belongs to zinc metalloproteinases (membrane-bound enzyme)

Zinc ion = cofactor (important to binding + mechanism)

Angiotensin II constricts blood vessels + raises BP

ACE inhibitors used as antihypertensive agents

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2
Q

Draw the catalysis mechanism for coagulation protease thrombin

A
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3
Q

Function of the Zinc in Zn-containing proteases

A
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4
Q

Describe the development of ACE inhibitors

A

Problems in extracting ACE from blood - it’s membrane-bound

The approach in designing an ACE inhibitor was to inhibit an equivalent enzyme (similar active site + function to ACE) which can be isolated - e.g. carboxypeptidase

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5
Q

What is carboxypeptidase?

A

Carboxypeptidase is an enzyme that catalyzes the hydrolysis of proteins at their C-terminus

Inhibited by L-benzylsuccinic acid

‘zinc metalloproteinase’ - metalloenzyme containing Zn2+ at its active site

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6
Q

From researching carboxypeptidase + how L-benzylsuccinic acid inhibits it,how does this help develop an ACE inhibitor?

A

Carboxypeptidase cleaves off 1 amino acid; ACE cleaves off 2 - ACE active site must be bigger

That meant they used an analogous inhibitor which would be longer by 1 amino acid

Used a succinyl-substituted amino acid

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7
Q

What is Teprotide?

Why does teprotide have limited use + wasn’t brought into the market?

How did teprotide help with the development of succinyl-proline

A

Nonapeptide isolated from the venom of the brazilian pit viper

ACE inhibitor

Teprotide is orally inactive - susceptible to digestive enzymes

From this researchers conducted structure-activity studies which allowed them to identify the active binding site of the ACE

Proline was found to be involved in binding interactions with binding site

Proline was chosen as the amino acid for the succinyl-substitued amino acid

Succinyl-proline is shown to be a weak, but selective, ACE inhibitor

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8
Q

How was captopril developed?

A

Modified succinyl-proline by:

  • adding CH3 group - form additional hydrophobic interactions with S1’ pocket (extension strategy)
    • adds another assymmetric centre
  • carboxylate group replaced with thiol (-SH) - forms stronger interactions with zinc ion

Captopril is the 1st non-peptide ACE inhibitor to be marketed

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9
Q

What are the disadvantages of captopril?

A

Common side effects are rashes and loss of taste

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

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10
Q

Describe the design of enalaprilate

Which functional groups fit into the S1 + S1’ pockets?

What is enalapril?

A

Carboxylate ion acts as zinc binding group

Weaker interaction than a thiol group

Compensated by extra binding interactions involving phenethyl, amine and methyl groups

Amine introduced to mimic binding interactions of amide NH in substrate

Methyl group fits S1’ pocket

Phenethyl group fits S1 pocket

Enalapril = ethyl ester prodrug for enalaprilate

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11
Q

Describe the design of Lisinopril

A

Similar to enalaprilate

Longer amine group

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12
Q

What are transition-state inhibitors?

A

e.g. enalaprilate + lisinopril

They mimic the enzyme reaction in one other way

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