Drug Discovery, Pharmacokinetics and ADME

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Questions and Answers

Which of the following is NOT one of the three main phases of drug discovery?

  • Clinical trial phase (correct)
  • Pharmacokinetics phase
  • Pharmacodynamics phase
  • Pharmaceutical phase

The pharmacokinetics phase of drug discovery includes the disintegration of a pill in the GI tract.

False (B)

List the four main topics that pharmacokinetics addresses.

Absorption, Distribution, Metabolism, Excretion (ADME)

The process by which orally taken drugs pass from the mouth, throat, and stomach into the upper and lower intestines is known as drug ___________.

<p>absorption</p> Signup and view all the answers

Match the following processes with their descriptions:

<p>Absorption = The process of a drug entering the bloodstream. Distribution = The movement of a drug to different tissues in the body. Metabolism = The breakdown of a drug by enzymes, often in the liver. Excretion = The removal of a drug or its metabolites from the body.</p> Signup and view all the answers

Why is a balance of hydrophilic and hydrophobic character required for a drug to be absorbed?

<p>To allow the drug to cross fatty cell membranes and be soluble in the gut (C)</p> Signup and view all the answers

According to Lipinski's Rule of Five, orally active drugs generally obey at least two of the rules.

<p>False (B)</p> Signup and view all the answers

State three of the rules outlined in Lipinski's Rule of Five regarding molecular properties for orally active drugs.

<p>MW &lt; 500; No more than 5 HBD groups; No more than 10 HBA groups</p> Signup and view all the answers

A drug designed to remain in the GI tract is made highly ______ to avoid being absorbed into the bloodstream.

<p>polar</p> Signup and view all the answers

Match the following terms with their definitions.

<p>Pinocytosis = The passage of large polar drugs into a cell without crossing the cell membrane. Polar Molecules = Carried across the membrane by transport proteins, such as amino acids, nucleic acid bases, and some drugs. Lipinski's Rules = A rule of thumb used for orally avaliable drugs.</p> Signup and view all the answers

According to Veber's parameters, what property of a molecule is considered important for drug absorption?

<p>Molecular flexibility (A)</p> Signup and view all the answers

According to Veber's parameters, all rotatable bonds are counted when considering a molecule's effect on drug absorption.

<p>False (B)</p> Signup and view all the answers

According to parameters discussed, name two factors that would make a drug more easily absorbed in the body

<p>Polar surface area &lt; 140 Angstroms; Number of rotatable bonds ≤ 10</p> Signup and view all the answers

After a drug crosses the gut wall, it enters the ______ and is distributed throughout the body.

<p>blood vessels</p> Signup and view all the answers

Match the following:

<p>Loose fitting cells lining blood vessels = No need for the drug to cross cell membranes Oral absorption = Drug is first taken to the liver After the drug enters the blood vessels = Drug distributed evenly throughout the blood supply within 1 min</p> Signup and view all the answers

What is the 'first-pass effect'?

<p>The metabolism of a drug in the liver before it reaches systemic circulation (D)</p> Signup and view all the answers

The blood-brain barrier allows polar drugs to easily enter the brain.

<p>False (B)</p> Signup and view all the answers

What is the main factor affecting the distribution that prevents polar drugs from entering the brain?

<p>Blood brain barrier</p> Signup and view all the answers

Drugs are seen as ______ chemicals by the body, leading to metabolic processes that modify them.

<p>foreign</p> Signup and view all the answers

Match the processes of metabolism and if they interfere or prevent binding interactions with a traget:

<p>metabolic reactions = modify non-polar molecules into polar molecules – to make them more polar and able to excreted Drug metabolites = products of drug metabolism modification of a structure = may interfere or prevent binding interactions with a target</p> Signup and view all the answers

Why are non-polar molecules modified by enzyme-catalyzed reactions in the liver?

<p>To make them more polar and able to be excreted (C)</p> Signup and view all the answers

Drug metabolites are always more active than the original drug.

<p>False (B)</p> Signup and view all the answers

Provide one sentence outlining the importance of phase I reactions.

<p>Phase 1 reactions are defined as phase I or phase II and add a polar 'handle' to the molecule</p> Signup and view all the answers

Cytochrome P450 enzymes catalyze phase I ______ reactions, which are important in drug metabolism.

<p>oxidation</p> Signup and view all the answers

Match the terms of the metabolic reactions and their definitions.

<p>Metabolic reactions = Reactions from phase 1 or phase 2 Phase II reactions = often carried out on functional groups which have been added by Phase I reactions Phase I reactions = Reactions adding a polar ‘handle’ to the molecule</p> Signup and view all the answers

What is the primary role of cytochrome P450 enzymes in drug metabolism?

<p>To catalyze phase I oxidations (D)</p> Signup and view all the answers

Individuals have the same types and amounts of cytochrome P450 enzymes in their livers.

<p>False (B)</p> Signup and view all the answers

How can some drugs affect the activity of cytochrome P450 enzymes and what are the consequences of this interaction?

<p>Drugs which affect the activity of Cyt. P450 enzymes may affect the activity of other drugs (drug-drug interactions)</p> Signup and view all the answers

In phase II metabolism, molecules such as glucuronic acid are added to drugs by ______ enzymes.

<p>transferase</p> Signup and view all the answers

Identify drug-drug interactions:

<p>Phenobarbitone = enhances activity of cytochrome P450 enzymes cimetidine = inhibits activity of cytochrome P450 enzymes Food Interactions = brussel sprouts enhance cytochrome P450 enzymes and grapefruit juice inhibits activity</p> Signup and view all the answers

Why are drugs ideally designed to be resistant to metabolism?

<p>To maintain their activity and reduce the risk of side effects (B)</p> Signup and view all the answers

The 'first-pass effect' applies to drugs administered by injection or inhalation.

<p>False (B)</p> Signup and view all the answers

Mention three routes of drug excretion.

<p>Lungs, skin, kidneys or bile duct</p> Signup and view all the answers

Metabolic reactions often increase the ______ of drugs to facilitate their excretion.

<p>polarity</p> Signup and view all the answers

Indicate where the following route of excretion occur:

<p>Lungs = General anasthetics Bile Duct = Morphine Breast Milk = Nicotine</p> Signup and view all the answers

Why do hydrophobic structures get reabsorbed down the concentration gradient?

<p>cannot cross cell membranes (D)</p> Signup and view all the answers

Sublingual administration involves injecting a drug under the skin

<p>False (B)</p> Signup and view all the answers

What is the name of the drug administration method for anti-asthmatics and general anaethetics?

<p>Inhalation</p> Signup and view all the answers

The gastrointestinal tract (GIT) consists of the mouth, throat, stomach, and the small and ______ intestines.

<p>large</p> Signup and view all the answers

Match the method of drug administration and it's features:

<p>Injection = No first pass effect, difficult to counter toxic effects Inhalation = used for volatile gases, drugs enter blood supply through lungs avoiding 'first pass effect' Oral = Drug must survive gastrointestinal tract</p> Signup and view all the answers

Which property makes very polar drugs unlikely to cross-cell membranes?

<p>Hydrophilicity (D)</p> Signup and view all the answers

Drugs entering the blood supply through the lungs are largely affected by first-pass metabolism in the liver.

<p>False (B)</p> Signup and view all the answers

What is meant by the "half life of a drug"?

<p>The half life of a drug is the time taken for the concentration of the drug in the blood to fall by half</p> Signup and view all the answers

In order to achieve slow and constant release of a drug and avoid 'spikes' of blood concentration levels, the drug is delivered through the system of ______.

<p>prodrug</p> Signup and view all the answers

Flashcards

Pharmaceutical Phase

Disintegration of a pill, release of the drug, and its dissolution in the GI tract.

Pharmacokinetics Phase

Absorption of the drug into the bloodstream and factors affecting its progress to the target.

Pharmacodynamic Phase

The mechanism through which the drug interacts with its molecular target.

ADME

Absorption, distribution, metabolism and excretion, describing the movement of drugs in the body.

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Drug Absorption Balance

Balance between water and fat solubility for optimal absorption.

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Lipinski's Rule of Five

Used for orally available drugs, obeying at least three rules addressing molecular properties.

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Lipinski's Rules

MW < 500; No more than 5 HBD; No more than 10 HBA; logP < +5.

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Lipinski's Exceptions

Drugs designed to remain in GI tract can be made highly polar so they are not absorbed.

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Small Polar Molecules

Drugs cross the gut wall through small pores between cells.

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Polar molecule absorption

Molecule is carried across the membrane by transport proteins

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Pinocytosis

Large Polar drugs may cross the cell membrane through a mechanism of endocytosis.

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Pinocytosis

A process allowing passage of large polar drugs into a cell without actually crossing the cell membrane.

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Veber's Parameters

Molecular flexibility is important but too many rotatable bonds is bad for absorption. Also consider polar surface area.

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Drug Entry

Once across the gut wall, the drug enters the blood vessels.

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Drugs Absorbed Orally

First taken to the liver modifying the drug by enzymes, before entering blood stream.

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Drug Distribution

After absportion into the blood stream the drug is rapidly distributed throughout the body

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Drug Metabolism

Modification of the drug by enzymes in the liver.

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First-Pass Effect

Percentage of absorbed drug deactivated by liver enzymes before distribution.

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Blood Brain Barrier

Blocks polar drugs from entering brain with tight fitting cells and fat coating.

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Drug Metabolism

Drugs are seen as foreign and are modified by enzymes to be excreted.

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Non-polar molecule modification

Enzyme-catalyzed reactions, mostly in the liver, to make non-polar molecules more polar.

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Drug Metabolites

Products formed from drug metabolism, less active or inactive (exception: prodrugs).

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Other Routes of Absorption

Avoiding the first pass effect and circulating round the body before reaching the liver

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Phase I Reactions

Adding a polar 'handle' to a molecule to increase polarity

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Phase II Reactions

Reactions carried out on functional groups added by Phase I reactions

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Cytochrome P450

Family of liver enzymes in biochemistry that catalyse oxidations.

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Cytochrome P450 Activity

Enzymes that may affect the activity of other drugs (drug-drug interactions).

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Oxidations enzymes

Add a polar ‘handle’ to the molecule or may be catalysed by Cyt 450 in reverse

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Oxidation of 'exposed' alkyl groups

Reactions catalysed by cytochrome P450 enzymes with exposed groups easily accessible

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Reduction reactions

Less commmon and may be catalyzed by Cyt 450 in reverse

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types of reduction reactions

nitro, azo, and carbonyl groups

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Phase II Reactions

Conjugation reactions catalyzed by transferase enzymes resluting inactive compounds and can be excreted in urine or bile.

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Glucuronic Acid Conjugation

Adding a highly polar glucuronic acid molecule on the drug

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Sulfate Conjugation

The drug also occurs with phenyls, alcohols, arylamines, and N-hydroxyl compounds, catalyzed by sulphotransferases.

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Drug-Drug Interactions

Alter drug metabolism effects, increasing/decreasing Cytochrome P450 activity.

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Metabolism Influences

Certain foods affect the activity of cytochrome P450 enzymes

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St Johns Wort

Cytochrome P450 activity and can decrease the effectiveness of contraceptives and warfarin

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Routes of Excretion

Lungs, skin, breast milk, bile duct and kidneys excretes general anaesthetics, sweat, nicotine, morphine

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Free Blood Drug Analysis

The concentration of the free drug in the blood is a good indication of the availability of that drug at its active site

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Study Notes

Three Phases of Drug Discovery

  • Drug discovery includes the pharmaceutical, pharmacokinetics, and pharmacodynamic phases.
  • The pharmaceutical phase involves the disintegration of a pill or capsule in the GI tract, including drug release and dissolution.
  • The pharmacokinetics phase covers drug absorption into the bloodstream with factors affecting its progress to the target.
  • The pharmacodynamic phase is the mechanism by which a drug interacts with its molecular target.
  • Several factors determine if a drug reaches its target site.
  • Active drugs in vitro might be inactive in vivo.
  • Drug design should consider both binding interactions and pharmacokinetics.
  • Best binding compounds do not necessarily make the best medicine if drugs cannot reach targets.
  • Four main topics in pharmacokinetics are absorption, distribution, metabolism, and excretion (ADME).

Drug Absorption

  • Orally taken drugs must pass through the mouth, throat, stomach, upper and lower intestines.
  • Drugs must pass unabsorbed to the stomach to avoid breakdown there.
  • Acid-resistant pills or capsules can protect drugs in the stomach.
  • Drugs go to the upper intestine, past digestive enzymes, for absorption through the gut wall.
  • Drugs must cross two fatty cell membranes to be absorbed.
  • A balance of hydrophilic and hydrophobic character is needed for absorption.
  • Orally active drugs must have the correct balance between water and fat solubility.
  • Hydrophilic drugs cannot pass through the fatty membranes of the gut wall.
  • Hydrophobic drugs will will not be soluble in the gut and will be surrounded by fat globules
  • Amine groups are ideal due to their pKas of 6-8, allowing switching between ionized and nonionized forms.
  • A general rule for orally available drugs indicates they usually obey Lipinski's Rule of Five.

Lipinski's Rule of Five

  • Drugs are orally active if they obey at least three of the following rules:
  • The molecular weight (MW) should be less than 500.
  • They should have no more than 5 hydrogen bond donor (HBD) groups.
  • They should have no more than 10 hydrogen bond acceptor (HBA) groups.
  • The log P should be less than +5, measuring a drug's hydrophobicity.
  • Lipinki’s rules are guidelines rather than strict rules and have several exceptions.

Lipinski's Rule of Five - Exceptions

  • Drugs for the GI(gastrointestinal) tract can be highly polar so they are not absorbed, such as gut infection antibacterials.
  • Small polar molecules (MW < 200) cross the gut wall through small pores between cells.
  • Amino acids, nucleic acid bases, and some drugs are carried across the membrane by transport proteins; lisinopril is an example.

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