DM pp21-40
DM pp21-40
DM pp21-40
H H H H H OH
R1 C C C C R3 R1 C C C C R3
R2 H R4 R2 H R4
7
CH3 7CH2OH CH3 CH3
1 HO HO
6 2
OH OH OH OH
5 3
4
H3C + H3C + H3C
H3C
O C5H11 O C5H11 O C5H11 O C5H11
CH3 CH3 CH3 CH3
H2C H2C
3
2 OH
H
HO HO
N N
1
H3CO H3CO
N N
Quinine 3-Hydroxyquinine
O-Glucuronide Cojugate
O O O
CH3 CH3 CH3
2' 3' O O
O O O O OH O
CH3 CH3 CH3
3'-Hydroxyhexabarbital 3'-Oxohexabarbital
Hexabarbital
Pentazocine
Hydroxylation at C α to C=O and C=N
CH 3 CH 3 H O
O O N
N N
O H O H OH
3 OH N-demethylation
Cl N
R C C R' R C C R' Cl N Cl N
H OH
3 3
Cl N O2 N N
Flurazepam Nimetazepam
CH2 CH 3 CH2 CH 3
HO
4 3 C6 H5 C6 H5
The sedative hypnotic 4
1
glutethimide possesses
O N O ON O
C α to carbonyl function H H
Glutethemide 4-Hydroxyglutethemide
Aliphatic hydroxylation
H H H
R1 C C C OH ■ Catalyzes hydroxylation of the ω and ω-1
H H H
ω
H H H carbons in aliphatic chains
R1 C C C H ■ Generally need three or more unbranched
H H H H OH H
carbons
R1 C C C H
H H H
O H O H
N CYP450 N
Pentobarbital Metabolism O O
N N
O H OH O H
CH3
CH3 CH3
O
O O
CYP450 OH
Ibuprofen Metabolism OH OH +
H3C CH3
HOOC CH3
H 3C CH3
OH
Alicyclic (nonaromatic ring)
Hydroxylation
OH
O O O O O O
S S
N N CYP450 N N
H H H H
H3C H3C
O O
Acetohexamide Metabolism
Oxidation Involving Carbon-
Heteroatom Systems
■ C-N, C-O and occasionally C-S
■ Two basic types of biotransformation processes:
1. Hydroxylation of α-C attached directly to the heteroatom (N,O,S).
The resulting intermediate is often unstable and decomposes with
the cleavage of the C-X bond:
H
H O O
R X Cα R X Cα R XH +
Usually Unstable
Oxidative N-, O-, and S-dealkylation as well as oxidative deamination
reaction fall under this category
2. Hydroxylation or oxidation of heteroatom (N, S only, e.g., N-
hydroxylation, N-oxide formation, sulfoxide and sulfone formation)
■ Metabolism of some N containing compounds are complicated by the
fact that C or N hydroxylated products may undergo secondary
reactions to form other, more complex metabolic products (e.g.,
oxime, nitrone, nitroso, imino)
C-N systems
■ Aliphatic (1o, 2o, 3o,) and alicyclic (2o and 3o) amines; Aromatic and heterocyclic
nitrogen compounds; Amides
■ Enzymes:
1. CYP mixed-function oxidases: α-C hydroxylation and N-oxidation
2. Amine oxidases or N-oxidases (non-CYP, NADPH dependent flavoprotein
and require O): N-oxidation
OH
CH3 CYP2C19 CH2 H
N N N N Spontaneous N N
CH3 CH3 CH3
Imipramine N-Dealkylation
Alicyclic Amines Often Generate Lactams
N OH N O
N
CH3 CH3
CH3 N N
N
Carbinolamine Cotinine
Nicotine
N N O
1 CH3 CH3
C6 H 5 O C6 H 5 O C6 H 5 O
2 Cyproheptadine Lactum metabolite
3
H 3C N H 3C N OH H 3C N O
H H H
Phenmetrazine Carbinolamine 3-Oxophenmetrazine
intermediate
HN HN HN
O
Methylphenidate Ritalinic Acid 6-Oxoritalinic Acid
CH3
3oAmine drugs H3C CH3
N N
CH3
H CH3
CH3 CH3
N C
N CH3 NH2 N
H3C O
O
CH3 CH3 O
CH3
N
CH3 CH3 N CH3
O CH3 N N
N
S CH3 N
CH3
CH3
Cl
Br
Diphenhydramine Chlorpromazine Benzphetamine Brompheniramine
CH3 CH3 CH3
Alicyclic Amine drugs N N N
H
O CH3
HO O OH O
O
CH3
Meperidine Morphine Dextromethorphan
2o & 1o Amines
O
CH3 CH2 NH3
CH3 CH3
HN NH 2 O
CH3
Methampetamine Ampetamine Phenylacetone
Cl Cl
NHCH 3 NH 2
O O
Ketamine Norketamine
OH OH OH
O O O
O H H2 N O
Direct Oxidative
HN CH 3 Deamination CH 3
HN
CH 3 CH 3
Propranolol NH3
Aldehyde
Carbinolamine Metabolite
OH O OH
O Oxidative Deamination
O
H3C CH3 Through Primary Amine
HN CH 3 NH 2
O CH 3
H Primary Amine Metabolite
(Desisopropyl Propranolol)
N-Oxidation
H H H OH
N N N O
Aromatic amines
H H H
CH3 CH3 CH2
2° amines R C N R C N R C N
H OH O
H H H
2° amine Hydroxylamine Nitrone
H H
CH3 CH3
R C N R C N O
3° amines
CH3 CH3
H H
3° amine N-Oxide
■ The attack is on the unbonded electrons so 3o amines can be oxidized
■ Generally, only occurs if nothing else can happen, so it is a rare reaction
■ Performed by both amine oxidases and hepatic MFOs
■ Good examples would include amines attached to quaternary carbons since
they cannot be deaminated
H H
H3C H3C
N CYP450 N
H OH
CH3 CH3
Cl Cl
Chlorphentermine N-Hydroxylation Hydroxylamine
H NH2 Nitroso
H3C
N
H
CH3
Nitro
Phentermine
Amantadine
Amides
Sp
on
NH2
tan
50
eo
P4
us
CY
CH3
O OH
O N NH2 O N NH2
H 3C H 3C
H3C N H 3C N
O O
NH2 Trimethoprim O-Dealkylation NH2
CH3
O O
N O H3C
H OH
N CH3
N CH3
O
O O OH
O CH3
CH3 Cl
Codeine Phenacetin Indomethacin
OH H
O
O N N
H3C O O N CH3
N
H3C N
O H3C CH3
O Metoprolol
NH2 Prazosin
H OH
CYP450 Spontaneous
H3C C OH H3C C OH H3C C O
H H H
Oxidation involving C-S System
H OH
CYP450 Spontaneous
R1 C S R3 R1 C S R3 R1 C O + HS R3
■ S-Dealkylation
R2 R2 R2
Steric hindrance discussion similar to N-dealkylation
S O
■ Desulfuration R1 C R2 R1 C R2
O O
■ S-Oxidation R1 S R2 R1 S R2 R1 S R2
O
Sulfoxide Sulfone
O
CH3 CH2 OH CH2 SH
S S
N N N N
N N
N N N N
N N H
H H
6-(Methylthio)-purine 6-Mercaptopurine
COOH
O H O H O H
H3C S N S CH2C6H5 N N
S S O
N N N
O H CF3 O H O H
Methitural Thiopental Pentobarbital
2-Benzylthio-4-
trifluoromethyl benzoic acid
NO2 NO2
H3C O S H3C O O
P P
O O
H3C O H3C O
Parathione Paraoxone
N N N N
S CH3 O S CH3
O
O
CH3 CH3
S S
N N Ring Sulfoxide Ring Sulfone
S CH3
CH3
S
N N N N
Thioridazine
S CH3 S CH3
CH3
S CH3 S
O O O
Mesoridazine Sulforidazine