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Paracelsus 1493-1541- adopted teachings of Galen; urged alchemists to discover the chemical essence of herbal drugs and to develop chemical medicines- particularly those composed of inor

Trang 1

Origins of Medicinal Chemistry

3500 BC - Sumerians report use of opium

3000 BC - Chinese report use of ma huang (ephedra)

Greek culture:

Hippocrates- followed the teachings of Aristotle; focus is on the soul.

Galen- followed the teachings of Plato; focus is

on experiment- believed the whole could be explained by the parts

Renaissance period:

Doctors were humanists- followers of Hippocrates-treat the soul and the body will heal Initially, there were no relationships with alchemy.

Paracelsus (1493-1541)- adopted teachings of Galen; urged alchemists to discover the chemical essence of herbal drugs and to develop chemical medicines- particularly those composed of inorganic compounds (mercury, lead, antimony) France (1560)- courts forbid the use of chemistry

in medicines even though paracelsians are gaining

in popularity - much controversy.

“The innumerable dissentions amongst the learned concerning the Arabicke and

Chymicke remedies at this day infinitely, and with opposite and contradictorie

writings, and invectives, burthen the whole world.” John Cotta (1612)

In 1658, Louis XIV is cured of chronic

digestive problems with an antimony

purge-by 1666 the use of antimony and other

chemical medicines is approved by the

courts…

Trang 2

In 1793, Faureroy & Vauquehin split from the

monarchy-controlled bodies and establish the Ecole Supurieure de

Pharmacie- 1st to incorporate chemistry into the

pharmacy curriculum Develop research to find the active

principles in plant-based drugs.

1803 - Derosome isolates a crystalline salt from opium

1817 - Sertürner publishes work demonstrating that the narcotic

principle of opium is basic (alkaline) and, thus, it will form salts

with acids- names the principle “morpheus”

Gay-Lussac predicts that other alkaline plant extracts will have useful medical properties- changes name of morpheus to morphine

1818 - Meissner proposes the general term alkaloids

N

N H

+ H-X

X

-+

1853 - Henry How proposes that there are

“functional groups” that can be chemically

modified to alter reactivities….

morphine CH3I quaternary salt

3 I

-+

O RO

HO

H

N

H

CH 3

morphine R = H codeine R = CH3

Fraser and Brown make quaternary salts of many different alkaloids (i.e,

morphine, strychnine, nicotine) and find that all exhibit curare-paralyzing

activities- propose that quaternary salts have curariform activity

O

O

O

H

N

H

CH3 O

H 3 C

O

H3C

diacetylmorphine

Stimulated by Fraser and Brown’s results, Alder and Wright treat morphine with various organic acids- synthesize diacetylmorphine.

1898- E Merck of Darmstadt markets Dionin (ethyl ether of morphine) as a cough sedative

Trang 3

Pierce tests diacetylmorphine and finds it be much more potent than morphine- thus, smaller doses can be given, which lowers toxicity.

1898- F Bayer & Co markets diacetyl

morphine as a safer alternative to

morphine-described as a “heroic drug” and given the

name “heroin” Within 4 years the use of

heroin was highly restricted

In 1820 Pelletier isolated quinine from cinchona bark- by 1826 his group is producing 3600 kg/yr of pure quinine, which is used instead of cinchona extracts to treat malaria- birth of the pharmaceutical industry

N

N HO

1840’s - ether, chloroform, and nitrous oxide move from

being party drugs to anesthetics - begins the search for

other hypnotics

1869 - Bucheim develops chloral hydrate, an oral

compound that exhibits hypnotic properties- he

argues that it produces chloroform in the blood

while von Mering correctly postulates that it

produces trichloroethanol

HO CCl3 OH

HO-CH2CCl3

O SH

[O]

S

S

sulphonal

F Bayer & Co markets its first

successful pharmaceutical,

sulphonal, a hypnotic produced from

acetone.

Based on sulphonal, von Mering

suggests that a carbon with

two ethyl groups should be a

good hypnotic- makes diethyl

acetyl urea and then

diethylbarbituric acid

N O

N O

H 3 C

diethyl acetylurea

H

HN

O O

O

diethyl barbituric acid

O

H CCl3

N O

O

ethyl ether

chloroform

nitrous oxide

Trang 4

1875- Carl Buss isolates salicylic acid from Spirea ulmaria

and shows that it is an effective antipyretic- however, it is

unpalatable and causes gastric distress.

1883- von Nencki makes a salicylate ester with phenol, salol- it has very poor solubility but it is better tolerated It is hydrolyzed slowly in the small intestine

to give salicylic acid- the first sustained release drug

O

OH

salicylic acid

OH

O

O

salol (phenyl salicylate)

O

O OH

acetyl salicylic acid

O

CH 3

1890s - Hoffman at Bayer tests acetyl salicylic

acid and finds it to be better tolerated- names

it aspirin as in “a” for acetyl and “spirin” for

Spirea It is rapidly hydrolyzed in the gut to give

active salicylic acid- it is a “pro-drug”

N

N

O

H3C

H3C

phenazone

Phenazone was synthesized in 1884 and was the most popular drug world-wide until it was taken over by aspirin in the early 1900s- in addition to being an antipyretic, it also cured headaches- a new market was born…

1880s- Kussmaul’s lab in Strasbourg is trying to eliminate intestinal worms with naphthalene- they are mistakenly given acetanilide, which proves to

be an effective antipyretic Bayer & Co makes ethoxyacetanilide and markets

it as phenacetin 1893- Von Mering shows that para-hydroxyacetanilide

(paracetamol) is an effective antipyretic and analgesic- it is

later confirmed that paracetamol is the active metabolite of

phenacetin and acetanilide Sterling-Winthrop markets it as

Panadol (acetaminophen), which is now marketed as Tylenol

HN

O

CH 3

acetanilide

HN

O

CH 3

phenacetin

HN O

CH 3

paracetamol acetaminophen

O

CYP450

OH

CYP450

N

CH 3

CO 2 CH 3

O O

cocaine

1884- Carl Koller- an ophthamologist- at the advice of

his friend, Sigmund Freud, evaluates the use of cocaine

as a topical anesthetic Within a month of publishing his

results it is being used world-wide By 1887 problems are

widespread- stimulating the search for new anesthetics.

Trang 5

H 2 N

O

benzocaine

H 2 N

O

O

procaine

N

N

O

O

tetracaine

N

N

N

isogramine

N

O

N

lidocaine

N

O

bupivacaine

N

1902- Ritsert synthesizes benzocaine but it is too non-polar to dissolve in water

Braun adds a polar amino group from

adrenaline to give procaine

(novocaine)-addition of a butyl group gives tetracaine with

greatly extended duration

In 1935 isogramine is isolated and found

to be a very potent local anesthetic.

In 1946 Löfgren synthesizes lidocaine modeled after isogramine- coins the concept of an

“isostere” This remains the most commonly used local anesthetic Addition of a butyl group gives the long lasting (~ 8 hours) bupivacaine, which is used for epidural anesthesia during childbirth

O RO

HO

H

N

H

CH3

morphine R = H codeine R = CH3

OH

O

OH

salicylic acid

OH

O

O

O

O

OH

acetyl salicylic acid

O

CH 3

O

O N

Questions to ponder…

Why do these two alcohols

differ in reactivity?

Why does this amine react with CH 3 I?

Why does this OH group react with phenol to form

an ester? While the other reacts with acetic acid to give an ester?

Why is it that only this nitrogen is charged?

HN O

CH3

acetanilide

Why do CYP450 enzymes put an OH group only at this position

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