Page 85 - Medicinal Chemistry Self Assessment
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1.22 Pravastatin and Fluvastatin
                 1.22 Pravastatin and Fluvastatin


         Shown below are the structures of groups have been boxed.
                 Shown below are the structures of groups have been boxed.


                                     C
                              B
                                     B       C                   D                        F      F
                                                                        D
                 A
                        A
                                                                                       E
                                                                                              E
                                  Pravastatin
            74     Medicinal Chemistry Self Assessment                       Fluvastatin
                                         Pravastatin
                                                                                    Fluvastatin

             1.  Using the table below, or hydrophobic in explanation for your response.
            4.  Pravastatin and fluvastatin exert their hyperlipidemic effects by inhibiting the enzyme HMG CoA
                    1.  Using the table below, or hydrophobic in explanation for your response.
                reductase. As shown below, HMG CoA reductase converts 3-hydroxy-3-methylglutaryl CoA (HMG
             2.  The log P drug a structural explanation for the difference in these log P values.
                CoA) to mevalonic acid. This conversion is required for the synthesis of cholesterol and acts as a
                    2.  The log P drug a structural explanation for the difference in these log P values.
             3.  The normal pK a range for normal range.
                primary control site for production of this endogenous steroid. Using the structures of HMG CoA,
                    3.  The normal pK a range for normal range.
                mevalonic acid, pravastatin, and fluvastatin, provide an explanation as to how pravastatin and fluvastatin
             4.  Pravastatin, and as to how pravastatin and fluvastain inhibit HMG CoA reductase.
                inhibit HMG CoA reductase.
                    4.  Pravastatin, and as to how pravastatin and fluvastain inhibit HMG CoA reductase.

                                                         HMG CoA
                                                         Reductase
                                                                HMG CoA
                                                                Reductase
                                       HMG CoA                         Mevalonic Acid
                                              HMG CoA                          Mevalonic Acid
            5.  Shown below are the structures of fluvastatin and a conformationally restricted analog. The addition

             5.  Shown below are the postulate a reason why this structural change results in a loss in activity.
                of another carbon atom and the conformational restriction essentially abolish the therapeutic activity
                    5.  Shown below are the postulate a reason why this structural change results in a loss in activity.
                  of fluvastatin. Using these structures, postulate a reason why this structural change results in a loss in
                activity.













                             Fluvastatin                              Conformationally
                                                                             Conformationally
                                    Fluvastatin                       Restricted Analog
                                                                        of Fluvastatin
                                                                             Restricted Analog
                                                                               of Fluvastatin

            6.  Pravastatin is primarily metabolized to its 3α epimer. This metabolite is completely inactive as an
                  6.  Pravastatin is is inactive.
                HMG CoA reductase inhibitor. Identify the metabolic transformations required to produce this

                metabolite and provide an explanation as to why this metabolite is inactive.

                                          3D epimer
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