Page 176 - Medicinal Chemistry Self Assessment
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Section 4  Whole Molecule Drug Evaluation

                                                                                                Answers






                                                        2.14 Fenofibrate and Gemfibrozil






            Fenofibrate is a member of the fibrate class of anti-hyperlipidemic agents. It is used as adjunctive therapy to diet in the
            management of dyslipidemias, including in the treatment of severe hypertriglyceridemia. The specific mechanism(s)
            by which fenofibrate decreases triglyceride and total cholesterol levels, as well as increases the levels of high density
            lipoproteins (HDL), is unknown. What we do know is that the decrease in very low density lipoproteins (VLDLs)
                                          1.14 and 2.14 (drug name – remove bold)
            results from fenofibrate stimulation of lipoprotein lipase.










                                                          Fenofibrate                           Gemfibrozil


            1.  Conduct a complete structural evaluation of fenofibrate and use the information in the grid to inform
                                          Letter “C” – add bold
                your answers to the questions that follow.

                Answer

                                                                                         Function
                                                                                         Amino Acids That
                                              Character                  Function        Can Interact with the

                                Character     Acidic, Basic,    Function  Interaction(s)  Functional Group via
                                                                                         Hydrogen Bonding
                                              or Neutral                 Possible with
                                                                    C
                     Name of    Hydrophilic                 ↑ Solubility  Biological Target    Interactions at

                     Functional   and/or       Provide pK    and/or      at Physiological    pH=7.4
                                                       a

                     Group      Hydrophobic   When Relevant  ↑ Absorption  pH=7.4        None Is Acceptable
                A    Halogenated   Hydrophobic  2.14 – remove bold from label   Hydrophobic   None
                                              Neutral
                                                            Absorption
                     aromatic                                            van der Waals
                     hydrocarbon
                                                                         π-π Stacking
                                                      B                  F
                                                                         Dipole–dipole
                                               A            C     D      Ion–dipole (as the
                                                                         dipole)
                B    Ketone     Hydrophilic (CO)  Neutral   Solubility (CO)  H-bonding (A)  Ser, Thr, Tyr, Cys, Asn, Gln,
                                Hydrophobic (R)             Absorption (R)  Dipole–dipole  His, Trp
                                                                     E   Ion–dipole (as the
                                                                         dipole)
                                                           Fenofibrate


                                          2.14 – remove bold from label
                                                             165

                                                      O                O    CH 3                              O                O
                                                                                         Ester
                                                                 O                    Hydrolysis                         O
                                                                         O     CH 3                                               OH
                                                                H 3 C  CH 3                                              H 3 C  CH 3
                                           Cl                                                      Cl


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