Unit 3 - Pro drugs 1 Flashcards

1
Q

What is a prodrug?

A

Biologically inert derivatives of drug molecules that undergo an enzymatic and/or chemical conversion in vivo (within the living) to release the pharmacologically active parent drug

  • a prodrug in itself lacks pharmacological activity
  • upon bioconversion it becomes pharmacologically active
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2
Q

What are the advantages of prodrugs?

A
Improved tissue penetration
- altered lipophilicity and/or solubility
Reduced first pass metabolism
- improves bioavailability
Selective transformations of prodrug in target tissue may reduce/remove unwanted systemic effects of drug
- avoids uptake in other tissues
Altered pharmacokinetics
- altered duration of action
Improved pharmaceutics
- reduced GI irritation
- improved taste
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3
Q

What are the disadvantages of prodrugs?

A

More complex
- more to worry about
Possible chemical instability/storage problems
Interspecies variability of mechanism
- different enzymes expressed differently
Possible extra toxicity of prodrug moiety
Extra production costs
- more expensive

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4
Q

Give disadvantages of pro drugs

A

More complex
- more to worry about
Possible chemical instability/storage problems
Interspecies variability of mechanism
- different enzymes expressed differently
Possible extra toxicity of prodrug moiety
Extra production costs
- more expensive

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5
Q

What is the rate of passive diffusion governed by?

A

The concentration gradient across the membrane
- higher gradient = faster diffusion
The partition coefficient, P, for the drug between the lipid phase of the cell membrane and the aqueous phases either side
Increasing molecular size also affects membrane penetration
- rare for current drug molecules

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6
Q

Why don’t polar compounds easily cross cell membranes by passive diffusion?

A

Lipid bilayer does not allow polar molecules to diffuse

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7
Q

What is lipophilicity?

A

Lipophilicity refers to the ability of a chemical compound to dissolve in fats, oils, lipids, and non-polar solvents such as hexane or toluene.

Preference for a drug molecule to dissolve in the lipid phase of the cell membrane rather than aqueous phase

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7
Q

What is lipophilicity?

A

Lipophilicity refers to the ability of a chemical compound to dissolve in fats, oils, lipids, and non-polar solvents such as hexane or toluene.

Preference for a drug molecule to dissolve in the lipid phase of the cell membrane rather than aqueous phase

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8
Q

What is lipophilicity determined by?

A

Structural components of the molecule

- polar groups reduce lipophilicity

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9
Q

Give examples of polar groups that are commonly found in drugs to give rise to low lipophilicity

A
Acids
Alcohols
Amides
- peptide
Esters
Charged groups
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10
Q

Give examples of non polar groups that are commonly found in drugs to give rise to high lipophilicity

A
Alkyl groups
Aryl groups
- rings
Halogens
Ethers
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11
Q

How is LogP measured?

A

A drug sample is partitioned between layers of octanol and water
- the concentration of sample in each layer is measured

Lipophilicity, P = concentration in organic [octanol] layer / concentration in aqueous layer.
Often, lipophilicity is presented as a log value [log10P]
e.g. If conc. octanol = 10, and conc. water =1 [relative units] P = 10, and Log P = 1.

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12
Q

How is lipophilicity presented?

A

A log value, Log10P

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13
Q

Why is octanol not a perfect model for a cell membrane?

A

For some CNS-acting drugs, where access may be especially difficult, combined figures for octanol/water and cyclohexane/water may be more reliable
- Blood Brain Barrier

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14
Q

Why does pH affect the lipophilicity of a drug?

A

If a drug molecule may be protonated at or near physiological pH its lipophilicity will vary greatly with the pH measurement
The ionised form of a drug will have a much lower P than the unionised form
- use buffer of physiological pH in place of water
- pH 7.4

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15
Q

What does a low LogP indicate?

A

Passive diffusion will be slow and drug action is limited

- drug will stay in aqueous environment

16
Q

What does a high LogP indicate?

A

Majority of drug may reside in the lipid phase
- far from its site of action
Very high value of P tends to correlate with poor water solubility
- complicates dosing

17
Q

What is the ideal logP for a drug?

A

Between 2 and 3

18
Q

What three approaches may be used for a failed drug delivery?

A
Pharmaceutical technologies
- changing formulation
Analogue synthesis
- changing structure
Prodrug synthesis
19
Q

How can a drug be improved?

A

Synthesis of close structural analogues

  • solubility
  • lipophilicity
  • stability to metabolism
20
Q

What are the disadvantages with analogue synthesis?

A

Very easy to lose potency by making the slightly changes to a structure of an active drug
Making analogues is often resources demanding
- many analogues are needed