Prodrug and Drug Delivery Systems Reference books for further
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Molecular Recognition and Drug Design
Prodrug and Drug Delivery Systems
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Reference books for further reading
The Organic Chemistry of Drug Design and Drug Action.
2nd ed. 2003
Author: Silverman
An Introduction to Medicinal Chemistry.
4th ed. 2009
Author: Patrick
An outline
1. Enzyme activation of drugs
2. Carrier-linked prodrugs
3. Bioprecursor prodrugs
An outline
1. Enzyme activation of drugs
2. Carrier-linked prodrugs
3. Bioprecursor prodrugs
Rational drug discovery process
Hard and soft drugs
Plasma half-life: Plasma half-life:
9 h in dogs 680 h in dogs
Why do you want to design a prodrug?
Aqueous solubility
Absorption and distribution
Site specificity
Instability
Prolonged release
Toxicity
Poor patient accessibility
Formulation problems
Types of prodrugs
Carrier-linked prodrugs
A compound that contains an active drug linked to a carrier
group that can be removed enzymatically.
Bioprecursor prodrugs
A compound that is metabolized by molecular modification into a
new compound which is the active principle or which can be
metabolized further to the active drug.
An outline
1. Enzyme activation of drugs
2. Carrier-linked prodrugs
3. Bioprecursor prodrugs
Drug carrier
A ideal drug carrier must:
protect the drug until it is at the site of action
localize the drug at the site of action
allow for release of the drug chemically or enzymatically
minimize host toxicity
be biodegradable, biochemically inert, and nonimmunogenic
be easily prepared inexpensively
be chemically and biochemically
stable in its dosage form
Types of carrier-linked prodrugs
Bipartite prodrug
A prodrug comprised of one carrier attached to the drug
Tripartite prodrug
A carrier is connected to a linker that is connected to the drug
Mutual prodrug
A compound consists of two, usually synergistic, drugs attached to
each other
Carrier linkages for various functional groups
The most common reaction for activation of carrier-linked prodrugs is
hydrolysis.
The general functional groups involved are:
Alcohols, carboxylic acids, and related groups
Amines
Sulfonamides
Carbonyl Compounds
Carrier linkages for alcohols, carboxylic acids, and
related groups
Carrier linkages for alcohols, carboxylic acids, and
related groups
Carrier linkages for amine groups
Carrier linkages for sulfonamide groups
Carrier linkages for carbonyl groups
Examples of carrier linked bipartite prodrugs
Prodrugs for increased water solubility
Prodrugs for improved absorption and distribution
Prodrugs for site specificity
Prodrugs for stability
Prodrugs for slow and prolonged release
Prodrugs to minimize toxicity
Prodrugs to encourage patient acceptance
Prodrugs to eliminate formulation problems
Prodrugs for increased water solubility
療
Prodrugs for improved absorption and distribution
療
療
Prodrugs for site specificity
療
Tumor cells contain a higher concentration of
phosphatases and amidases than do normal cells.
Enzyme-prodrug therapies (I)
The prodrug-activating enzyme should be either of nonhuman origin or a
human protein that is absent or expressed only at low concentrations in
normal tissues.
The prodrug-activating enzyme must achieve adequate expression in the
targeted tumor cells and have high catalytic activity.
The prodrug should be a good substrate for the enzyme incorporated in the
tumors but not be activated by endogenous enzymes outside of the tumors.
The prodrug must be able to cross the tumor cell membrane for intracellular
activation.
Enzyme-prodrug therapies (II)
The cytotoxicity difference between the prodrug and its corresponding
active drug should be high.
The activated drug should be highly diffusible or be actively taken up by
adjacent nonexpressing cancer cells for what is known as a bystander
killing effect, the ability of the drug to kill neighboring nonexpressing cells.
The half-life of the active drug should be long enough to induce a
bystander killing effect but short enough to avoid the drug leaking out of
the tumor cells and causing damage elsewhere.
Antibody-directed
enzyme prodrug therapy
(ADEPT)
An example of ADEPT
Structure of the nitrogen mustard cross-link
Antibody-directed abzyme prodrug therapy (ADAPT)
An example of ADAPT
Doxorubicin-DNA
complex
Gene-directed enzyme prodrug therapy (GDEPT)
An example of GDEPT
DNA alkylating agent
Virus-directed enzyme prodrug therapy (VDEPT)
An example of VDEPT
Prodrugs for stability
療
Prodrugs for slow and prolonged release
精神 療
Prodrugs to minimize toxicity
Prodrugs to encourage patient acceptance
Prodrugs to eliminate formulation problems
泌尿
Acetic acid
Formaldehyde
Macromolecular Drug Carrier Systems (I)
Synthetic polymers
Aspirin prodrug
Ibuprofen prodrug
Poly(-amino acids)
Norethindrone prodrug
Macromolecular Drug Carrier Systems (II)
Proteins
Armed antibodies
Types of carrier-linked prodrugs
Bipartite prodrug
A prodrug comprised of one carrier attached to the drug
Tripartite prodrug
A carrier is connected to a linker that is connected to the drug
Mutual prodrug
A compound consists of two, usually synergistic, drugs attached to
each other
Tripartite prodrugs (I)
Tripartite prodrugs (II)
Formaldehyde
-lactamase
Mutual prodrugs
Site-specific drug delivery using liposomes as carriers
An outline
1. Enzyme activation of drugs
2. Carrier-linked prodrugs
3. Bioprecursor prodrugs
Various activation mechanisms of
bioprecursor prodrugs
Proton activation
Hydrolytic activation
Elimination activation
Oxidative activation
Reductive activation
Nucleotide activation
Phosphorylation activation
Sulfation activation
Decarboxylation activation
Proton activation (I)
Proton activation (II)
Hydrolytic activation
Elimination activation
類 療
Oxidative activation
Reductive activation
療
in anaerobic bacteria
Nucleotide activation
Phosphorylation activation
Sulfation activation
Decarboxylation activation
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