Prodrugs and Chemical Delivery Systems

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Questions and Answers

What is a key reason for the enhanced drug delivery to the colon?

  • Rapid transit time through the GI tract
  • Presence of glucosidase activity in colon bacteria (correct)
  • Absorption of drugs through intestinal walls
  • Increased blood flow to the colon

Which characteristic of steroid glucoside derivatives contributes to their effectiveness in the lower GI tract?

  • They have low polarity.
  • They remain available for bacterial action in the colon. (correct)
  • They are well absorbed into the bloodstream.
  • They are hydrolyzed by intestinal enzymes.

What enzymatic systems show increased activity in tumor cells compared to normal tissue?

  • Oxidases and transferases
  • Peptidases and proteolytic enzymes (correct)
  • Carbohydrases and lipases
  • Hydrolases and isomerases

Why is complete site specificity for drug delivery to tumors challenging?

<p>Presence of enzymes in normal tissue can degrade drug molecules. (C)</p> Signup and view all the answers

How can drug incorporation into tumors be improved?

<p>By deriving drug molecules with an amino acid or peptide fragment (B)</p> Signup and view all the answers

What is a disadvantage of using glucoside derivatives for drug delivery?

<p>They require specific bacterial enzymes for activation. (B)</p> Signup and view all the answers

In the context of drug delivery to tumors, why are peptide-derived drugs considered?

<p>They can exploit increased enzymatic activity in tumors. (A)</p> Signup and view all the answers

What property of glucoside derivatives aids in drug delivery to the colon?

<p>Limited absorption in the small intestine (A)</p> Signup and view all the answers

The presence of higher growth rates in tumor tissue primarily influences what aspect of drug delivery?

<p>Increased activity of metabolic enzymes (A)</p> Signup and view all the answers

What limitation exists when delivering drugs through glucoside derivatives in the lower GI tract?

<p>They may not reach therapeutic concentrations. (D)</p> Signup and view all the answers

What is the primary reason dopamine does not effectively cross the blood-brain barrier?

<p>It is rapidly metabolized by oxidative deamination. (A), It has a high polarity and poor membrane permeability. (D)</p> Signup and view all the answers

How does L-dopa facilitate the delivery of dopamine to the brain?

<p>It uses an active transport system specific to L-amino acids. (B)</p> Signup and view all the answers

What role does decarboxylation play in the pharmacological action of L-dopa?

<p>It converts L-dopa into the active metabolite dopamine after crossing the blood-brain barrier. (C)</p> Signup and view all the answers

Why is the direct systemic administration of dopamine not advisable?

<p>It fails to reach the targeted tissues effectively. (A), It leads to excessive peripheral effects. (C)</p> Signup and view all the answers

What is one disadvantage of administering 2-PAM to counteract acetylcholinesterase inhibitors?

<p>Its polar properties significantly limit absorption and access to the brain. (C)</p> Signup and view all the answers

What mechanism results in peripheral side effects when using L-dopa?

<p>Decarboxylation to dopamine occurring in non-target tissues. (A)</p> Signup and view all the answers

Which statement accurately reflects the characteristics of L-dopa?

<p>It serves as a precursor that is converted to dopamine in the brain. (D)</p> Signup and view all the answers

How does the transport system for L-amino acids benefit the treatment of Parkinsonism?

<p>It enhances the transport of L-dopa to the central nervous system. (B)</p> Signup and view all the answers

Which aspect of 2-PAM's properties limits its effectiveness when administered orally?

<p>It exists as a permanent cationic species with polar properties. (C)</p> Signup and view all the answers

What occurs after L-dopa crosses the blood-brain barrier?

<p>It is immediately converted to dopamine through decarboxylation. (B)</p> Signup and view all the answers

What is the significance of pro-2-PAM being a nonionic compound?

<p>It facilitates easy crossing of the blood-brain barrier. (A)</p> Signup and view all the answers

What happens to 2-PAM once it is formed in the brain?

<p>It becomes trapped due to its cationic nature. (B)</p> Signup and view all the answers

Which statement best describes the oxidation process of pro-2-PAM?

<p>It occurs throughout the mammalian system. (B)</p> Signup and view all the answers

What is a primary advantage of using dihydropyridine derivatives for drug delivery to the CNS?

<p>They facilitate facile diffusion across the blood-brain barrier. (B)</p> Signup and view all the answers

What is the role of amide hydrolysis in the drug delivery process discussed?

<p>It releases the active drug from its precursor. (C)</p> Signup and view all the answers

Why are dihydropyridine amides often used in CNS drug delivery?

<p>They protect amines from premature degradation. (D)</p> Signup and view all the answers

What is the relationship between the dihydropyridine oxidation step and the presence of the pyridinium amide?

<p>Oxidation creates a reservoir for the pyridinium amide. (C)</p> Signup and view all the answers

What is a likely outcome of administering pro-2-PAM intravenously?

<p>It leads to brain levels of 2-PAM approximately 10 times higher than those of the parent drug. (D)</p> Signup and view all the answers

What structural change occurs to pro-2-PAM upon oxidation?

<p>It converts into a pyridinium cation. (B)</p> Signup and view all the answers

What characteristic of dihydropyridine derivatives facilitates their role in CNS drug delivery?

<p>They allow for multistep metabolic conversion. (C)</p> Signup and view all the answers

Flashcards

Prodrug

A drug that is inactive when administered but is converted into an active form within the body.

L-dopa

The amino acid precursor of dopamine, used as a treatment for Parkinson's disease.

Active transport system in the brain

A specialized transport system that selectively carries L-amino acids into the central nervous system.

Decarboxylation of L-dopa

The conversion of inactive L-dopa into the active neurotransmitter dopamine.

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Chemical delivery system

The drug that activates the brain's active transport system to carry L-dopa into the brain.

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Dopamine's poor blood-brain barrier permeability

The inability of dopamine to readily cross the blood-brain barrier.

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Dopamine's rapid metabolic degradation

The rapid breakdown of dopamine by enzymes in the body.

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Peripheral side effects

The undesirable effects of a drug on tissues and organs outside of the intended target.

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L-dopa's specificity for brain tissue

The ability of L-dopa to reach the brain while encountering side effects in other tissues.

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Pro-2-PAM

The prodrug form of 2-PAM, an antidote for insecticide and nerve agent poisoning.

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What is pro-2-PAM?

Pro-2-PAM is a drug that is inactive until it is oxidized into its active form, 2-PAM. This process of oxidation traps the active drug within the brain.

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Why can pro-2-PAM easily cross the blood-brain barrier?

Pro-2-PAM is a non-ionic compound. This means it doesn't carry an electrical charge. Non-ionic compounds can easily pass through the blood-brain barrier.

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What happens to 2-PAM once it is oxidized?

When pro-2-PAM is oxidized to 2-PAM, it becomes a positively charged ion. Positively charged ions cannot easily cross the blood-brain barrier, effectively trapping the active 2-PAM within the brain.

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Where does the oxidation of pro-2-PAM occur?

The oxidation of pro-2-PAM occurs in both the brain and the rest of the body, generating similar levels of 2-PAM in both places.

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How does IV administration of pro-2-PAM compare to direct administration of 2-PAM?

Administering pro-2-PAM directly into the bloodstream (IV) results in brain levels of 2-PAM that are 10 times higher than if you administered 2-PAM directly into the bloodstream.

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What are dihydropyridine derivatives used for?

Dihydropyridine derivatives are used to deliver a variety of drugs to the central nervous system (CNS) by exploiting their ability to cross the blood-brain barrier and undergo oxidation.

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Describe the steps involved in dihydropyridine-based CNS drug delivery.

This method of drug delivery involves three main steps: 1) The drug-dihydropyridine derivative crosses the blood-brain barrier, 2) It undergoes oxidation to become trapped in the brain, 3) The drug is released from the trapped form through a second metabolic event.

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How can dihydropyridines be modified to deliver different drugs?

Different functional groups can be added to the dihydropyridine molecule to create derivatives compatible with various drugs used in the CNS.

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How are dihydropyridine derivatives used to protect amine-based drugs?

Many CNS drugs are amines, which can be degraded in the body before reaching their target. Amines can be attached to dihydropyridine carboxylic acids to form amides, protecting them from degradation during transport to the brain.

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How is L-dopa delivered to the brain using a dihydropyridine derivative?

This example shows L-dopa, a dopamine precursor, attached to a dihydropyridine molecule. This derivative can cross the blood-brain barrier. Once trapped, the derivative undergoes hydrolysis to release the active L-dopa.

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Drug delivery to the colon

The delivery of drugs directly to the colon and lower GI tract, utilizing the enzymatic processes of colon bacteria. These bacteria have glucosidase activity, which breaks down glucoside derivatives of drugs, leading to higher concentrations of the active drug in the colon.

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Glucoside derivatives in colon drug delivery

Glucoside derivatives of certain steroids are absorbed poorly in the GI tract, remaining available for processing by colon bacteria. This strategy ensures higher drug concentration in the lower GI tract.

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Enzymatic activity in tumor cells

Tumor cells often exhibit increased enzymatic activity compared to normal cells, linked to their faster growth rates. This difference in activity is targeted for drug delivery.

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Peptidases and proteolytic enzymes in tumor cells

Peptidases and proteolytic enzymes are among the enzymes found in higher concentrations within and around tumor cells. These enzymes can be used to target drug delivery to tumors.

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Targeting tumor cells with amino acid/peptide drug modifications

A strategy for targeting drugs to tumors uses the fact that tumor cells have a higher concentration of certain enzymes. This involves modifying drug molecules with amino acids or peptides, which are then broken down by these enzymes, releasing the active drug near the tumor.

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Limitations of tumor-specific drug delivery

While enzymes are more concentrated in tumor cells, their presence in normal cells prevents complete site-specificity. This means that the drug may have some activity in normal tissue as well.

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What is glucosidase activity?

Glucosidase activity is a characteristic of bacteria in the colon, and it helps break down glucoside derivatives of drugs, producing higher concentrations of active drug in the colon.

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How is enzymatic activity in tumor cells advantageous?

The enzyme activity in tumor cells offers a potential advantage for drug delivery. The higher activity of certain enzymes in tumor cells can be exploited to concentrate the drug at the tumor site.

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How is drug delivery to tumors often achieved?

Drug delivery to tumors often utilizes the fact that tumor cells have a higher concentration of certain enzymes. This allows for a more targeted drug delivery, potentially improving treatment effectiveness.

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What makes glucoside derivatives of steroids suitable for colon drug delivery?

Glucoside derivatives of steroids are not well absorbed in the upper GI tract, which allows them to reach the colon, where they are broken down by colon bacteria. This leads to a higher concentration of the active drug in the colon, potentially improving its effectiveness.

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Study Notes

Prodrugs

  • Prodrugs are site-specific chemical delivery systems, delivering a drug (e.g., dopamine) to the brain.
  • The brain has an active transport system that incorporates L-amino acids, including L-dopa.
  • L-dopa is transported into the brain.
  • Once in the brain, L-dopa undergoes decarboxylation to form dopamine.
  • Dopamine is the active form of the drug.

Chemical Delivery Systems

  • L-dopa / levodopa is an anti-Parkinsonism agent.
  • The brain has a specific transport system for L-amino acids.
  • Dopamine does not cross the blood-brain barrier efficiently, is rapidly metabolized by oxidative deamination.
  • It causes peripheral side effects.
  • Direct systemic administration of dopamine does not produce significant levels in the brain.
  • This is because of its high polarity and poor membrane permeability and its facile metabolic degradation by oxidative deamination.

L-Dopa

  • Dopamine formed inside the blood-brain barrier is held there due to poor membrane permeability.
  • Although brain tissue specificity is achieved, side effects result from decarboxylation to dopamine elsewhere.
  • Enzyme activating systems not localized in the target site leads to undesirable side effects in other tissues/organs.

(pro-2-PAM)

  • Another example of chemical delivery of a drug to the brain/CNS is 2-PAM.
  • It is a prodrug, an important antidote for phosphate and carbamate acetylcholinesterase inhibitors.

2-PAM

  • Polar properties of 2-PAM (a permanent cationic species) prevent absorption following oral administration and restrict access to the brain, even after IV administration.
  • Pro-2-PAM is a dihydropyridine , undergoes metabolic and chemical oxidation to yield the active drug 2-PAM.

(pro-2-PAM)

  • The nonionic pro-2-PAM readily crosses the blood-brain barrier, facilitating oxidation inside the brain to form 2-PAM.
  • Oxidation of the dihydropyridine ring of pro-2-PAM is a general mammalian process, happening everywhere, resulting in 2-PAM levels being similar in the brain and peripheral tissue, and in the blood.
  • IV administration of pro-2-PAM produces brain levels of 2-PAM roughly 10 times higher than IV administration of the unaltered drug.

(pro-2-PAM)

  • The facile oxidation of the dihydropyridine ring has been investigated for general chemical delivery to the CNS.
  • The delivery process is multistep:
    • The drug-dihydropyridine derivative easily diffuses across the blood-brain barrier.
    • Further oxidation leads to a quaternary pyridine cation that is trapped within the brain.
    • Subsequent metabolic/chemical event releases the drug.

Functional Groups on Dihydropyrdine

  • Adding functional groups to dihydropyridine can facilitate the derivatization of various functional groups found in CNS drugs.
  • Amides of dihydropyridine carboxylic acids deliver drugs across the blood-brain barrier.

L-dopa Continued

  • The dihydropyridine derivative of a dopamine ester, with passive tertiary amine absorption , undergoes oxidation so the pyridinium amide is retained in the brain.
  • Further amide hydrolysis delivers the active drug, near the site of action.

Colon and Lower GI Tract Delivery

  • Drug delivery to the colon and lower GI tract leverages the unique enzymatic processes of colon bacteria.
  • Glucosidase activity hydrolyses glucoside derivatives of drugs.
  • This increases the concentration of the active drug.
  • Several steroid drugs show increased effectiveness as glucoside derivatives and less absorption into the bloodstream.

Drug Delivery to Tumors

  • Tumor cells exhibit higher activity of enzymes like peptidases and proteases compared to normal cells due to rapid growth.
  • Delivering drugs to tumors could incorporate amino acid or peptide fragments to increase efficiency of incorporation into tumors while surrounding normal cells are excluded, due presence of the enzymes in normal tissue.

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