Page 58 - Medicinal Chemistry Self Assessment
P. 58

Section 2  Whole Molecule Drug Evaluation







                                                        1.14 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.

                                                                                            Function
                                                                                            Amino Acids That
                                        Character                     Function              Can Interact with the
                          Character     Acidic, Basic, or   Function  Interaction(s)        Functional Group via
             Name of      Hydrophilic   Neutral         ↑ Solubility  Possible with Biological   Hydrogen Bonding
             Functional   and/or        Provide pK      and/or        Target at Physiological   Interactions at pH=7.4
                                                 a
             Group        Hydrophobic   When Relevant   ↑ Absorption  C  pH=7.4              None Is Acceptable


                                          2.14 – remove bold from label


                                                      B                  F


                                              A             C     D




                                                                    E

                                                          Fenofibrate


                                          2.14 – remove bold from label
                                                             47


                                                      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

                                                           Inactive                                           Active
   53   54   55   56   57   58   59   60   61   62   63