Podcast
Questions and Answers
What is a key reason for the enhanced drug delivery to the colon?
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?
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?
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?
Why is complete site specificity for drug delivery to tumors challenging?
How can drug incorporation into tumors be improved?
How can drug incorporation into tumors be improved?
What is a disadvantage of using glucoside derivatives for drug delivery?
What is a disadvantage of using glucoside derivatives for drug delivery?
In the context of drug delivery to tumors, why are peptide-derived drugs considered?
In the context of drug delivery to tumors, why are peptide-derived drugs considered?
What property of glucoside derivatives aids in drug delivery to the colon?
What property of glucoside derivatives aids in drug delivery to the colon?
The presence of higher growth rates in tumor tissue primarily influences what aspect of drug delivery?
The presence of higher growth rates in tumor tissue primarily influences what aspect of drug delivery?
What limitation exists when delivering drugs through glucoside derivatives in the lower GI tract?
What limitation exists when delivering drugs through glucoside derivatives in the lower GI tract?
What is the primary reason dopamine does not effectively cross the blood-brain barrier?
What is the primary reason dopamine does not effectively cross the blood-brain barrier?
How does L-dopa facilitate the delivery of dopamine to the brain?
How does L-dopa facilitate the delivery of dopamine to the brain?
What role does decarboxylation play in the pharmacological action of L-dopa?
What role does decarboxylation play in the pharmacological action of L-dopa?
Why is the direct systemic administration of dopamine not advisable?
Why is the direct systemic administration of dopamine not advisable?
What is one disadvantage of administering 2-PAM to counteract acetylcholinesterase inhibitors?
What is one disadvantage of administering 2-PAM to counteract acetylcholinesterase inhibitors?
What mechanism results in peripheral side effects when using L-dopa?
What mechanism results in peripheral side effects when using L-dopa?
Which statement accurately reflects the characteristics of L-dopa?
Which statement accurately reflects the characteristics of L-dopa?
How does the transport system for L-amino acids benefit the treatment of Parkinsonism?
How does the transport system for L-amino acids benefit the treatment of Parkinsonism?
Which aspect of 2-PAM's properties limits its effectiveness when administered orally?
Which aspect of 2-PAM's properties limits its effectiveness when administered orally?
What occurs after L-dopa crosses the blood-brain barrier?
What occurs after L-dopa crosses the blood-brain barrier?
What is the significance of pro-2-PAM being a nonionic compound?
What is the significance of pro-2-PAM being a nonionic compound?
What happens to 2-PAM once it is formed in the brain?
What happens to 2-PAM once it is formed in the brain?
Which statement best describes the oxidation process of pro-2-PAM?
Which statement best describes the oxidation process of pro-2-PAM?
What is a primary advantage of using dihydropyridine derivatives for drug delivery to the CNS?
What is a primary advantage of using dihydropyridine derivatives for drug delivery to the CNS?
What is the role of amide hydrolysis in the drug delivery process discussed?
What is the role of amide hydrolysis in the drug delivery process discussed?
Why are dihydropyridine amides often used in CNS drug delivery?
Why are dihydropyridine amides often used in CNS drug delivery?
What is the relationship between the dihydropyridine oxidation step and the presence of the pyridinium amide?
What is the relationship between the dihydropyridine oxidation step and the presence of the pyridinium amide?
What is a likely outcome of administering pro-2-PAM intravenously?
What is a likely outcome of administering pro-2-PAM intravenously?
What structural change occurs to pro-2-PAM upon oxidation?
What structural change occurs to pro-2-PAM upon oxidation?
What characteristic of dihydropyridine derivatives facilitates their role in CNS drug delivery?
What characteristic of dihydropyridine derivatives facilitates their role in CNS drug delivery?
Flashcards
Prodrug
Prodrug
A drug that is inactive when administered but is converted into an active form within the body.
L-dopa
L-dopa
The amino acid precursor of dopamine, used as a treatment for Parkinson's disease.
Active transport system in the brain
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
Decarboxylation of L-dopa
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Chemical delivery system
Chemical delivery system
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Dopamine's poor blood-brain barrier permeability
Dopamine's poor blood-brain barrier permeability
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Dopamine's rapid metabolic degradation
Dopamine's rapid metabolic degradation
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Peripheral side effects
Peripheral side effects
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L-dopa's specificity for brain tissue
L-dopa's specificity for brain tissue
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Pro-2-PAM
Pro-2-PAM
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What is pro-2-PAM?
What is pro-2-PAM?
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Why can pro-2-PAM easily cross the blood-brain barrier?
Why can pro-2-PAM easily cross the blood-brain barrier?
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What happens to 2-PAM once it is oxidized?
What happens to 2-PAM once it is oxidized?
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Where does the oxidation of pro-2-PAM occur?
Where does the oxidation of pro-2-PAM occur?
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How does IV administration of pro-2-PAM compare to direct administration of 2-PAM?
How does IV administration of pro-2-PAM compare to direct administration of 2-PAM?
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What are dihydropyridine derivatives used for?
What are dihydropyridine derivatives used for?
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Describe the steps involved in dihydropyridine-based CNS drug delivery.
Describe the steps involved in dihydropyridine-based CNS drug delivery.
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How can dihydropyridines be modified to deliver different drugs?
How can dihydropyridines be modified to deliver different drugs?
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How are dihydropyridine derivatives used to protect amine-based drugs?
How are dihydropyridine derivatives used to protect amine-based drugs?
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How is L-dopa delivered to the brain using a dihydropyridine derivative?
How is L-dopa delivered to the brain using a dihydropyridine derivative?
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Drug delivery to the colon
Drug delivery to the colon
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Glucoside derivatives in colon drug delivery
Glucoside derivatives in colon drug delivery
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Enzymatic activity in tumor cells
Enzymatic activity in tumor cells
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Peptidases and proteolytic enzymes in tumor cells
Peptidases and proteolytic enzymes in tumor cells
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Targeting tumor cells with amino acid/peptide drug modifications
Targeting tumor cells with amino acid/peptide drug modifications
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Limitations of tumor-specific drug delivery
Limitations of tumor-specific drug delivery
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What is glucosidase activity?
What is glucosidase activity?
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How is enzymatic activity in tumor cells advantageous?
How is enzymatic activity in tumor cells advantageous?
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How is drug delivery to tumors often achieved?
How is drug delivery to tumors often achieved?
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What makes glucoside derivatives of steroids suitable for colon drug delivery?
What makes glucoside derivatives of steroids suitable for colon drug delivery?
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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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