Exam 4 - Lecture 41, Medical Chemistry of Adrenergic Agonists Flashcards

1
Q

NE reuptake

A

about 95% uptake by uptake mechanism

about 5% if metabolized by COMT + Diffusion

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2
Q

Effector interaction, NE with receptor

A

positively charged amine function - ionic or salt bridge bond with Asp113 in TMD3

Catechol hydroxyls - H bond with ser204 and ser207 of TMD5

Catechol ring - interacts with phenylalanine residues of TMD6

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3
Q

Substitution on amino nitrogen (variation of R1)

A

Increasing methyl groups gives B selectivity over A

Bigger R1 brings back a affinity, without intrinsic activity (a/b antagonist)

NE - 0 CH3
Epinephrine - 1 CH3
Isoproterenol - 2 CH3
Colterol - 3 CH3

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4
Q

Substitution of a to the basic nitrogen (variation of R2)

A
CH3 = a2>a1
CH2CH3 = B > a

1R, 2S = direct acting (a2>a1)
1R, 2R = indirectly acting

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5
Q

Substitution on aromatic ring (variation of R3)

A

if only 3’-OH is present than compound has reduced a activity and almost no b activity…leading to a-selective agonist

moving 4 to 5, make more B2>B1
Extending 3 by 1 C = B2>B1

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6
Q

Stereochemistry C-1 and C-2 Ephedrine

A

1R,2S = direct acting, also indirect acting so its mixed

1R, 2R = indirect acting

1S,2R = indirect acting

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7
Q

2-Arylimidazolines

A

protonated at physiological pH

Vasoconstrictors or vasopressors
N is part of ring

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8
Q

2-Aminoimidazolines

A

adding another N, so have 1 N in ring, and 1 in linked between

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9
Q

Clonidine confirmation

A

off planar confirmation is important for way it its in receptor

substituting Cl with CH3, will make it have shorter duration of action/less stable

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10
Q

Bitolterol

A

pro drug, more lipophilic and then chopped to make colterol

has longer duration of action, 8 hr

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11
Q

Salmeterol

A

After anchoring, remains part of molecule can pivot on and off the normal b2 binding sites of Asp 113 (TMD3) and Ser 204/207 of TMD5

12 hr duration vs 4 hrs of Albuterol

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12
Q

Dobutamine

A

S isomer exhibits B1 agonist activity and also powerful a1 agonist and vasopressor

R is a1 antagonist

So give as racemate so the a effects cancel and leaves B effects

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