Page 174 - Medicinal Chemistry Self Assessment
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2.13   Dabigatran Etexilate        163



                 4.  In its active form, dabigatran mimics the D-Phe-Pro-Arg tripeptide sequence, but does not contain a
                    peptide backbone (non-peptidomimetic). Review the tripeptide sequence drawn below noting that
                    there are numbers 1–3 that indicate where each amino acid is located in the sequence. Determine the
                       4.  In its active form, dabigatran mimics the D-Phe-Pro-Arg tripeptide chains.
                    types of interactions possible with each of the amino acid side chains.

                                                            NH                O
                                                                           3
                                                       H 2 N   N                 R
                                                               H    O      N
                                                                 O            H
                                                         H  N  1         2
                                                          2
                                                                    N





                                                    D-Phe-Pro-Arg Tripeptide Sequence
                                               D-Phe-Pro-Arg Tripeptide Sequence
                    Answer

                                  Types of Interactions Possible
                       5.  Review side chain indicated.
                     D-Phe (1)    Hydrophobic
                                  van der Waals
                                  π-π Stacking
                                         A
                     Pro (2)      Hydrophobic       B                        E           F
                                  van der Waals O     O        D        H               NH 2
                     Arg (3)      Ion–dipole (as the ion)         N      N
                                  Ionic  H  O      N                                    NH
                                                                   N
                                                 N
                                             C                       CH 3
                 5.  Review the structure of dabigatran and determine which of the boxed groups will likely mimic the
                    interactions found within the D-Phe-Pro-Arg tripeptide sequence. Given the three-dimensional

                    nature of both peptides and small molecules, it is important to remember that the functional groups

                                                      Active form of Dabigatran
                    within dabigatran do not need to line up in the same order. Using the table provided to guide your

                                     Chapter 2.13 (remove bolded drug name)
                    analysis, place a Yes or No in each box to indicate whether the functional group could mimic the

                    amino acid side chain indicated.


                       6.  Dabigatran salt. Provide a brief rationale for the value of administering the salt form of a drug.
                                        A           B                        E          F
                                                              D

                                             C




                                                      Active form of Dabigatran





                                                Dabigatran etexilate mesylate
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