2. We will be learning about:
Chelation:
Routes of administration
Examples
Factors affecting
Pharmaceutical uses
Side effects
Complexation:
Complex formation
Types
More about topic
3. Chelation
Chelating agent: Organic/ inorganic compounds capable of
binding metal ions to form complex ring-like structure
“chelates”.
Chelation therapy: Medical procedure that involves
administration of chelating agents to remove heavy metals
from body.
4. More about chelation
Route of administration:
Intravenous
Intramuscular
Oral
Depending on agents and type of poisoning
Common chelating agents:
1. EDTA Ethylenediaminetetraacetic acid= Pb
2. DMSA Dimercaptosuccinic acid= Pb, As, Hg
3. Deferoxamine and Deferasirox= Fe poisoning and overload
4. Dimercaprol (british anti-Lewisite:BAL)= Pb, Hg, As
5. Penicillamine=Cu, Ar, Pb
5. Factors affecting stability and
formation
Endogenous factors: Hemoglobin, cytochromes
pH
Net ionic charge of chelator: Determines its AD and ability
to reach site of binding
Possible Side effects:
Dehydration
Hypocalcaemia
Allergic reaction
6. Pharmaceutical uses
Antidote for metal poisoning : heavy metals and toxic metals
Removing trace metals from pharmaceutical preparations
EDTA removes calcium ion from hard water
Also prevents oxidative degradation of ascorbic acid
However,
Essential metals are also lost from body and vitamin C and E are
also lost
Poor clinical recovery
May be hepatotoxic and neurotoxic
7. Complexation
Process of Complex formation. Complex consists of:
central metallic atom/ion
Surrounded by ligands
It occurs via:
Hydrophobic interaction: involves vander waal’s force
Charge transfer system: interaction between electron donor
and acceptor
8. Classification
Are of three types:
1. Metal ion complex: metal + electron donor
2. Organic molecular complex: donor and acceptor held by
weak force
3. Inclusion or occlusion ion complex: one component of
complex is trapped in cage like structure of another
It is to be noted that chelation is a kind of complexation
9. More about topic
Urine test to be done before chelation
Vitamin E and C also removed so must be supplemented
In vivo and in vitro effects vary due to endogenous factors
Newer strategy: Combination therapy
Uses two structurally different chelators
Lipophilic (intracellular) and lyophobic (extracellular)
Enhanced effect
10. References
Ansel et al, Pharmaceutical Dosage Forms And Drug
Delivery System (7th Ed.) Lippincott Wilhams and Wilkins
227 East Washington Square, Philadelphia pp.266-267
Florence AT, Attwood D, Physiochemical Principle of
Pharmacy, 4th Ed