Drug Design Notes

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Topic 7.

2
INTRODUCTION TO DRUG
DESIGN
Chapter 11 Patrick

Contents
Part 1: Sections 11.1 11.4
1. Pharmacokinetics drug design
1.1. Solubility and membrane permeability
1.1.1.
Vary alkyl substituents
1.1.2.
Masking or removing polar groups
1.1.3.
Adding polar groups
1.1.4.
Vary pKa
1.2. Drug stability
1.2.1.
Steric Shields
1.2.2.
Electronic shielding of NH2
1.2.3.
Stereoelectronic Effects
1.2.4.
Bio-isosteres
1.2.5.
Metabolic blockers
1.2.6.
Remove / replace susceptible metabolic groups
1.2.7.
Shifting susceptible metabolic groups
1.2.8.
Introducing susceptible metabolic groups
1.2.9.
Introducing chemically susceptible groups
1.3. Drug targeting
1.3.1.
Linking a biosynthetic building block
1.3.2.
Linking drugs to monoclonal antibodies
1.3.3.
Targeting gut infections
1.3.4.
Targeting peripheral regions over CNS
1.4. Reducing drug toxicity

Drug design and development


Stages:
1) Identify target disease
2) Identify drug target
3) Establish testing procedures
4) Find a lead compound
5) Structure Activity Relationships (SAR)
6) Identify a pharmacophore
7) Drug design - optimising target interactions
8) Drug design - optimising pharmacokinetic properties
9) Toxicological and safety tests
10) Chemical development and production
11) Patenting and regulatory affairs
12) Clinical trials

1. Pharmacokinetics drug design


Aims

To improve pharmacokinetic properties of lead compound

To optimise chemical and metabolic stability


(stomach acids / digestive enzymes / metabolic enzymes)

To optimise hydrophilic / hydrophobic balance


(solubility in blood / solubility in GIT / solubility through
cell membranes / access to CNS / excretion rate)

1. Pharmacokinetics drug design

Drugs must be polar - to be soluble in aqueous conditions


- to interact with molecular targets

Drugs must be fatty - to cross cell membranes


- to avoid rapid excretion

Drugs must have both hydrophilic and lipophilic characteristics

Many drugs are weak bases with pKas 6-8

+H
N

-H
Crosses
membranes

Receptor interaction
& water solubility

1.1 Solubility and membrane permeability


1.1.1 Vary alkyl substituents
Rationale:
Varying the size of alkyl groups varies the hydrophilic /
hydrophobic balance of the structure
Larger alkyl groups increase hydrophobicity
Disadvantage:
May interfere with target binding for steric reasons
Methods:
Often feasible to remove alkyl groups from heteroatoms and
replace with different alkyl groups
Usually difficult to remove alkyl groups from the carbon skeleton full synthesis often required

1.1 Solubility and membrane permeability


1.1.1 Vary alkyl substituents
Methylene Shuffle!
CH3

CH3
N

HN

Extra bulk
CH3

O S

HN

CH3
O

CH3

O S

HN

N
N

CH3

Methylene
shuffle

H3C
O S

CH3

CH3

Viagra
H3C

UK343664

1.1 Solubility and membrane permeability


1.1.2 Masking or removing polar groups
Rationale:
Masking or removing polar groups decreases polarity and increases
hydrophobic character
Disadvantages:
Polar group may be involved in target binding
Unnecessary polar groups are likely to have been removed already
(simplification strategy)
See also prodrugs
CH I
3

OH

OMe

Methods:
H
N

CH3COCl
R

NHR

CH3

R
O

OH
C
O

H+ / R'OH

OR'
C
O

1.1 Solubility and membrane permeability


1.1.3 Adding polar groups
Rationale:
Adding polar groups increases polarity and decreases hydrophobic
character
Useful for targeting drugs vs. gut infections
Useful for reducing CNS side effects
Cl

N
N

H
C

N
N

N
OH

Cl

Cl

Tioconazole
Antifungal agent with poor
solubility - skin infections only

Disadvantage:
May introduce unwanted side effects

Fluconazole
Systemic antifungal agent
improved blood solubility

1.1 Solubility and membrane permeability


1.1.4 Vary pKa
Rationale:
Varying pKa alters percentage of drug which is ionized
Alter pKa to obtain required ratio of ionised to unionised drug
Method:
Vary alkyl substituents on amine nitrogens
Vary aryl substituents to influence aromatic amines or aromatic
carboxylic acids
Disadvantage:
May affect binding interactions

1.1 Solubility and membrane permeability


1.1.4 Vary pKa
N
O

N
N
H

H2N

NH

N
O

N
H

O
(I)

NH2

N
O
PRO3112

amidine

Antithrombotic
but too basic

Decreased basicity
N locked into heterocycle

1.2 Drug stability


1.2.1 Steric Shields
Rationale:
Used to increase chemical and metabolic stability
Introduce bulky group as a shield
Protects a susceptible functional group (e.g. ester) from hydrolysis
Hinders attack by nucleophiles or enzymes

Antirheumatic agent
D1927

H
N

HS

CONHMe

Terminal amide

N
H
O
C

H3C
O

CH3

CH3

Steric
Shield

Blocks hydrolysis of terminal amide

1.2 Drug stability


1.2.2 Electronic shielding of NH2
Rationale:
Used to stabilise labile functional groups (e.g. esters)
Replace labile ester with more stable urethane or amide
Nitrogen feeds electrons into carbonyl group and makes it less
reactive
Increases chemical and metabolic stability
O

O
C
H3C

R
O

C
H2N

R
O

ISOSTERE
O

C
H3C

R
O

CH3

ISOSTERE

R
NH

1.2 Drug stability


1.2.2 Electronic shielding of NH2

O
R

N
H

N
H

C
R'

R'

See carbamoylcholine

1.2 Drug stability


1.2.3 Stereoelectronic Effects
Rationale:
Steric and electronic effects used in combination
Increases chemical and metabolic stability
CH3

O
H2N

C
O

N
H

CH2CH2NEt2

C
CH2NEt2

PROCAINE

Local anaesthetic
(short duration)

CH3

LIDOCAINE

ortho Methyl groups act as steric shields &


hinder hydrolysis by esterases
Amide more stable than ester
(electronic effect)

See also: oxacillin and bethanechol

1.2 Drug stability


1.2.4 Bio-isosteres
Rationale:
Replace susceptible group with a different group without affecting
activity
Bio-isostere shows improved pharmacokinetic properties
Bio-isosteres are not necessarily isosteres
Examples:
Amides and urethanes for esters (see earlier)
Du122290 (dopamine antagonist)
NEt

NEt
O

Pyrrole ring =
bioisostere for amide

NH

NH

OMe

OMe
EtSO2

EtSO2
Sultopride

Du122290

1.2 Drug stability


1.2.5 Metabolic blockers
Rationale:
Metabolism of drugs usually occur at specific sites. Introduce
groups at a susceptible site to block the reaction
Increases metabolic stability and drug lifetime
Me

Me

O
Me
O

Me

Me
O

Me

Me
H

Megestrol
Acetate

Oral contraceptive
- limited lifetime

H
H

6
Me

Metabolic
Oxidation

Me

H
H

Metabolism
Blocked

1.2 Drug stability


1.2.6 Remove / replace susceptible metabolic groups
Rationale:
Metabolism of drugs usually occurs at specific groups.
Remove susceptible group or replace it with metabolically stable
group [e.g. modification of tolbutamide (antibiotic)]
Susceptible
group

Me

O
S NH C NH CH2CH2CH2CH3
O
O

Unsusceptible
group
Cl

O
S NH C NH CH2CH2CH3
O
O

TOLBUTAMIDE

Metabolism

HOOC

O
S NH C NH CH2CH2CH2CH3
O
O

Rapidly excreted - short lifetime

Metabolism

1.2 Drug stability


1.2.7 Shifting susceptible metabolic groups
Rationale:

Used if the metabolically susceptible group is important for binding


Shift its position to make it unrecognisable to metabolic enzyme
Must still be recognizable to target

Example:

Unsusceptible
group

Salbutamol
Susceptible
group

OH

HO
OH

HO

Shift
Group

Me

CHCH2

NH

Me
Me

OH

Me
NH

Me
Me

Inactive

CH2

Me
NH C

Catechol
O-Methyl
Transferase

MeO

CHCH2

HO

OH

Salbutamol

Catechol
O-Methyl
Transferase

HO

Me
Me

1.2 Drug stability


1.2.8 Introducing susceptible metabolic groups
Rationale:

Used to decrease metabolic stability and drug lifetime


Used for drugs which linger too long in the body and cause side
effects
Add groups known to be susceptible to Phase I or Phase II metabolic
reactions

Example:
Anti-arthritic agents
SO2Me

SO2Me
Cl
CH2OH

Cl
N

L787257

L791456
N

CH3

metabolically
susceptible

CO2H

1.2 Drug stability


1.2.9 Introducing chemically susceptible groups
Rationale:
Used to decrease drug lifetime
Avoids reliance on metabolic enzymes and individual variations
Example: Atracurium - i.v. neuromuscular blocking agent
MeO

Me
MeO

CH2 CH2

OMe
OMe

(CH2)5 O

OMe

H
CH2 CH2

OMe

MeO
OMe

Stable at acid pH, unstable at blood pH (slightly alkaline)


Self destructs by Hoffmann elimination and has short lifetime
Allows anaesthetist to control dose levels accurately
Quick recovery times after surgery

1.3 Drug targeting


1.3.1 Linking a biosynthetic building block
Rationale:
Drug smuggled into cell by carrier proteins for natural building block
(e.g. amino acids or nucleic acid bases)
Increases selectivity of drugs to target cells and reduces toxicity to
other cells
Example:
Anticancer drugs

Cl

Cl
O

H3C

HN
Cl

Cl
O

Non selective alkylating agent


Toxic

H
N

Uracil Mustard

Alkylating group is attached to a nucleic acid base


Cancer cells grow faster than normal cells and have a greater
demand for nucleic acid bases
Drug is concentrated in cancer cells - Trojan horse tactic

1.3 Drug targeting


1.3.2 Linking drugs to monoclonal antibodies
Example:
Anticancer agents
Rationale:
Identify an antigen which is overexpressed on a cancer cell
Clone a monoclonal antibody for the antigen
Attach a drug or poison (e.g. ricin) to the monoclonal antibody
Antibody carries the drug to the cancer cell
Drug is released at the cancer cell

1.3 Drug targeting


1.3.3 Targeting gut infections
Rationale:
Design the antibacterial agent to be highly polar or ionized
Agent will be too polar to cross the gut wall
Agent will be concentrated at the site of infection
Example - highly ionized sulfonamides

1.3 Drug targeting


1.3.4 Targeting peripheral regions over CNS
Rationale:
Increase polarity of the drug

Drug is less likely to cross the blood brain barrier

1.4 Reducing drug toxicity


Rationale:
Toxicity is often due to specific functional groups
Remove or replace functional groups known to be toxic e.g.
aromatic nitro groups
aromatic amines
bromoarenes
hydrazines
polyhalogenated groups
hydroxylamines
Vary substituents
Vary position of substituents

1.4 Reducing drug toxicity


Example - varying substituents

Fluconazole (Diflucan) - antifungal agent


N

N
N

N
OH

N
N

N
OH

C
F

Cl

Cl

UK-47265

Fluconazole

Substituents varied
Less toxic

Contents
Part 2: Sections 11.5 11.6
1.5. Prodrugs
1.5.1. Prodrugs to improve membrane permeability
1.5.1.1.
Esters
1.5.1.2.
N-Methylation of amines
1.5.1.3. Trojan Horse Strategy
1.5.2. Prodrugs to prolong activity
1.5.2.1.
Mask polar groups
1.5.2.2.
Add hydrophobic groups

1.5 Prodrugs
Definition:
Inactive compounds which are converted to active compounds in
the body.
Uses:
Improving membrane permeability
Prolonging activity
Masking toxicity and side effects
Varying water solubility
Drug targeting
Improving chemical stability

1.5.1 Prodrugs to improve membrane permeability


1.5.1.1 Esters
Used to mask polar and ionisable carboxylic acids
Hydrolysed in blood by esterases
Used when a carboxylic acid is required for target binding
Leaving group (alcohol) should ideally be non toxic
Example:
Enalapril for enalaprilate (antihypertensive)

CH3
RO
O

N
H

N
O

CO2H

R=Et Enalapril
R=H Enalaprilit

1.5.1 Prodrugs to improve membrane permeability


Example:
Candoxatril for Candoxatrilat (protease inhibitor)
OMe

OMe

O
H
N

HO
O

O
Candoxatrilat

O
CO2H

O
Candoxatril

5-indanyl group

Varying the ester varies the rate of hydrolysis


Electron withdrawing groups increase rate of hydrolysis
(e.g. 5-indanyl)

H
N

Leaving group (5-indanol) is non toxic

CO2H

1.5.1 Prodrugs to improve membrane permeability


1.5.1.2 N-Methylation of amines

Used to reduce polarity of amines


Demethylated in liver

Example:
Hexobarbitone

O
Me
N

NH

O
Me

1.5.1 Prodrugs to improve membrane permeability


1.5.1.3 Trojan Horse Strategy

Prodrug designed to mimic biosynthetic building block


Transported across cell membranes by carrier proteins

Example: Levodopa for dopamine


HO

CH2

HO
CH2

HO

NH2

Dopamine
Useful in treating Parkinsons
Disease
Too polar to cross cell membranes
and BBB

CH2

HO

CO2H
H

NH2

Levodopa

More polar but is an amino acid


Carried across cell membranes
by carrier proteins for amino
acids
Decarboxylated in cell to
dopamine

1.5.1 Prodrugs to improve membrane permeability


Blood
supply

H2N

Brain
cells

H2N

COOH

COOH

Enzyme

L-Dopa
H2N

BLOOD BRAIN
BARRIER

Dopamine

1.5.2 Prodrugs to prolong activity


1.5.2.1 Mask polar groups

Reduces rate of excretion

Example:
Azathioprine for 6-mercaptopurine

O2N
N

SH
N

Me

6-Mercaptopurine

Azathioprine

(suppresses immune response)

Short lifetime - eliminated too quickly

Slow conversion to 6-mercaptopurine


Longer lifetime

1.5.2 Prodrugs to prolong activity


Example:
Valium for nordazepam
H

Me

Cl

Valium

N-Demethylation

Cl

Nordazepam

1.5.2 Prodrugs to prolong activity


1.5.2.2 Add hydrophobic groups

Drug (and counterion) concentrated in fat tissue


Slow removal of hydrophobic group
Slow release into blood supply

Example:
Cycloguanil pamoate (antimalarial)

CO2

Cl
NH3
N

OH
CH2

N
Me

OH
H3N

Me
CO2

Cycloguanil

Pamoate
Lipophilic

1.5.2 Prodrugs to prolong activity


1.5.2.2 Add hydrophobic groups
Example:
Hydrophobic esters of fluphenazine (antipsychotic)
fatty ester
N
N

(CH2)8CH3

O
O

H
N

CF3

Given by intramuscular injection


Concentrated in fatty tissue
Slowly released into the blood supply
Rapidly hydrolysed in the blood supply

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