Chemistry of beta blockers Flashcards

1
Q

What are the 2 types of nervous systems in the peripheral nervous system

A

Adrenergic (uses adrenaline and noradrenaline) and cholinergic (uses acetylcholine)

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2
Q

Which out of noradrenaline, adrenaline and acetylcholine are neurotransmitters and hormone

A

Adrenaline = hormone
Other 2 = neurotransmitter

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3
Q

What are the two types of adrenoceptors

A

There is alpha and beta GPCR adrenoceptors:
Alpha 1 = Gq receptors that produces IP3 and DAG
Alpha 2 = Gi receptor that lowers cAMP

Beta 1 = Gs receptor that activates adenylate cyclase increasing cAMP
Beta 2 = Gs receptor that activates adenylate cyclase increasing cAMP
Beta 3 = Gs receptor that activates adenylate cyclase increasing cAMP

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4
Q

Where are B1 receptors most likely to be found

A

Cardiac muscle

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5
Q

Where are B2 receptors most likely to be found

A

Bronchial smooth muscle

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6
Q

What are 2 agonists of b1 receptor and why

A

Noradrenalin and adrenaline,
The catechol ring system

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7
Q

What are 2 molecules that cannot bind to the b1 receptor

A

Tyramine and amphetamine because they lack 2 charged regions on the front of the ring

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8
Q

Why can isoprenaline not bind to b1 receptor but can bind to a1 receptor

A

The b1 receptor has a hydrophobic binding region and the dipole area on the isoprenaline prevents it from binding

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9
Q

What is referred to as the first lead

A

The part of the molecule which first binds to the binding site on the molecule

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10
Q

What is special about DCI (dichloroisoprenaline)

A

Has the same structure as adrenaline however modified catechol ring system (2 Cl- instead of OH-) however is still able to bind to the same binding site and so can act as a partial agonist ( same binding site however reduced efficacy)

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11
Q

What is special about pronethalol

A

It has the same structure as adrenaline however has a double phenol group as opposed the catechol ring structure.
Pronethalol was found to block beta receptors

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12
Q

What was pronethalol used for

A

To treat high blood pressure, cardiac arrhythmia and angina

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13
Q

Why did the structure of propanethalol need altering and how was it altered

A

It was toxic and caused tumours, thus spacers and linking groups were added. Alpha napthol ans opposed to a beta napthol ( so going upwards).

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14
Q

Advantages of propranolol vs propanethalol

A

Propranolol is 20x more effective, has a high potency and less side effects.

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15
Q

What are epoxides/ epichlorohydrins and what is its physical properties

A

A triangle shaped structure with 2 carbons and an oxygen at the top of the triangle

        O   
   /           \    CH   —     CH
  • The oxygen atom causes the 2 carbons to be electrophilic.
    -the internal angle of the structure is 60º and so helps nucleophiles to bind
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16
Q

What is needed to make propranolol

A

1-napthol, epichlorohydrin and 2 aminopropane

17
Q

What issues were discovered wit propranolol

A
  • crossed the BBB, caused dizziness and sedation
  • bronchoconstriction in asthmatics
  • reduced cardia output
  • high Log P and so isn’t very soluble
18
Q

How was propranolol altered and how did that make it better

A

-One of the aromatic rings was removed to reduce Log p and a sulphonamide/ acetamide groups as added.
-aimed to target more b1 than b2 receptors (cardiac than bronchial and vascular receptors)

19
Q

what groups is on SABA

A

Esters are on the aromatic ring that causes them to be short acting - ,

20
Q
A