14. Receptors are chiral
Binding sites specific for one enantiomer
Biological systems respond differently
Easson & Stedman
Three point interaction
18. PHARMACOKINETIC DIFFERENCE BETWEEN ENANTIOMERS
Absorption
Esomeprazole is more bioavailable than racemic Omeprazole
l-Methotrexate is better absorbed than d-Methotrexate
Distribution
Vd of Levocetrizine is smaller than its dextro form
S-Warfarin is more extensively bound to albumin than R-Warfarin
19. d-Propranolol is more bound to proteins than l-Propranolol.
Metabolism
S-Warfarin is metabolized by ring oxidation while R-Warfarin by side chain
reduction.
Excretion
Clearance of R- Fluoxetin is 4 times greater than S-Fluoxetin
20. PHARMACODYNAMIC DIFFERENCES
Group 1 Racemic drugs with
one major bioactive
enantiomer
Beta blockers
ACE Inhibitors
CCB
Beta 2 agonists
Group 2 Racemic drugs with
equally bioactive
enantiomers
Fluoxetine
Cyclophosphamide
Group 3 Racemic drugs with
chiral inversion
Ibuprofen
Thalidomide
23. • Quinidine has an Antiarrythmic property.
Quinine has Antimalarial activity
• d-Sotalol is antiarrythmic
l-Sotalol is beta-blocker.
• Dextromethorphan is a cough suppressant
Levomethorphan is potent opioid analgesic.
• S-isomer has no beta-2-agonistic activity.
Salbutamol is available as a single isomeric preparation of R-isomer
DIFFERENT THERAPEUTIC USES AND ADVERSE DRUG REACTION
24. • S-Thalidomide: teratogenic effects
R-Thalidomide : sedative
• S-Naproxen is teratogenic
R-Naproxen is used for arthralgic pain
• l- Ethambutol : blindness
d-Ethambutol : antiTB drug
• d-DOPA: Agranulocytosis.
l-DOPA : Parkinson's disease
26. APPLICATIONS OF CHIRALITY
Single Enantiomers vs. Racemic Mixtures
Single enatiomers have less complex and more selective
pharmacodyanamic profile as compared to racemic mixture.
1. Lesser adverse drug reactions.
2. Improved therapeutic profile.
3. Less chances of drug interactions.
27. IN DRUG DEVELOPMENT
• Both enantiomers should undergo separate trials before approval.
• Some drugs whose enantiomers are toxic are avoided & drug
manufactured as single enantiomers.
Eg- Levodopa , D Pencillamine
28. FDA now requires information about the structure and
activity of each isomer present in a racemic mixture of a new
medication
30. CHIRAL SWITCHING
• The development of single enantiomer from chiral
drugs
• Can improve potential health benefits -improved
safety margin and cost effectiveness
31. CHIRAL INVERSION
• Conversion of one enantiomer into its mirror image
• Levofloxacin,Levosalbutamol
CHIRAL METASHIFT
• A chiral metabolite of the parent drug is developed
32. Chiral separation
• Diasteromeric salt
formation
• Enzymatic/kinetic
resolution
• HPLC
• Simulated moving bed
(SMB) chromatography
Chiral catalysts
33. Limitations & Future prospects
• Difficult to separate
• Cost
• New separation techniques
• Long clinical assessments
34. •In molecules with limited rotation
•Cis-functional groups are on same side of carbon chain
Trans-on opposing sides
•Non superimposable,not mirror images.
•Differ in physical and chemical properties
•Eg: cis-platin,cis form of thioxanthenes,9-cis retinoic acid
CIS-TRANS ISOMERISM
35. SUMMARY
• What is Chirality?
• Significance ?
• Pharmacokinetic &Pharmacodynamic differences?
• Applications of Chirality?