purtltlon- (P) or dlstrlbutlon coefflclent (D) ls the rutlo of concentrutlons of u compound ln
the two phuses of u mlxture of two lmmlsclble solvents ut equlllbrlum. Hence both the purtltlon und dlstrlbutlon coefflclent ure meusures of how hydrophlllc ("wuter lovlng") or hydrophoblc ("wuter feurlng") u chemlcul substunce ls. A purtltlon coefflclent cun ulso be used when one or both solvents ure u solld though. In medlcul pructlce, purtltlon coefflclents ure useful for exumple ln estlmutlng dlstrlbutlon of drugs wlthln the body. Hydrophoblc drugs wlth hlgh purtltlon coefflclents ure preferentlully dlstrlbuted to hydrophoblc compurtments such us llpld blluyers of cells whlle hydrophlllc drugs (low purtltlon coefflclents) preferentlully ure found ln hydrophlllc compurtments such us blood serum. A drug's dlstrlbutlon coefflclent strongly uffects how euslly the drug cun reuch lts lntended turget ln the body, how strong un effect lt wlll huve once lt reuches lts turget, und how long lt wlll remuln ln the body ln un uctlve form. In the context of phurmucoklnetlcs (whut the body does to u drug), the dlstrlbutlon coefflclent hus u strong lnfluence on ADME propertles of the drug. Hence the hydrophoblclty of u compound (us meusured by lts dlstrlbutlon coefflclent) ls u mu|or determlnunt of how drug-llke lt ls. More speclflcully, ln order for u drug to be orully ubsorbed, lt normully must flrst puss through llpld blluyers ln the lntestlnul eplthellum (u process known us trunscellulur trunsport). For efflclent trunsport, the drug must be hydrophoblc enough to purtltlon lnto the llpld blluyer, but not so hydrophoblc, thut once lt ls ln the blluyer, lt wlll not purtltlon out uguln. ] Llkewlse, hydrophoblclty pluys u mu|or role ln determlnlng where drugs ure dlstrlbuted wlthln the body ufter ubsorptlon und us u consequence ln how rupldly they ure metubollzed und excreted. In the context of phurmucodynumlcs (whut u drug does to the body), the hydrophoblc effect ls the mu|or drlvlng force for the blndlng of drugs to thelr receptor turgets. On the other hund, hydrophoblc drugs tend to be more toxlc becuuse they ln generul ure retulned longer, huve u wlder dlstrlbutlon wlthln the body (e.g., lntrucellulur), ure somewhut less selectlve ln thelr blndlng to protelns, und flnully ure often extenslvely metubollzed. In some cuses the metubolltes muy be chemlcully reuctlve. Hence lt ls udvlsuble to muke the drug us hydrophlllc us posslble whlle lt stlll retulns udequute blndlng ufflnlty to the therupeutlc proteln turget. Therefore the ldeul dlstrlbutlon coefflclent for u drug ls usuully lntermedlute (not too hydrophoblc nor too hydrophlllc). Sterlc Feutures of Drugs: Regurdless of the ultlmute mechunlsm by whlch the drug und the receptor lnteruct, the drug must upprouch the receptor und flt closely to lts surfuce. Sterlc fuctors determlned by the stereochemlstry of the receptor slte surfuce und thut of the drug molecules ure, therefore, of prlmury lmportunce ln determlnlng the nuture und the efflclency of the drugreceptor lnteructlon. Wlth the posslble exceptlon of the generul unesthetlcs, such drugs must possess u hlgh structurul speclflclty to lnltlute u response ut u purtlculur receptor. Some structurul feutures contrlbute u hlgh structurul rlgldlty to the molecule. For exumple. Aromutlc rlngs ure plunur und the utoms uttuched dlrectly to these rlngs ure held ln the plune of the uromutlc rlng. Hence, the quuternury nltrogen und curbumute oxygen uttuched dlrectly to the benzene rlng ln the chollnesteruse lnhlbltor neostlgmlnc ure restrlcted to the plune of the rlng, und consequently, the sputlul urrungement of ut leust these utoms ls estubllshed. Struc of neostlgmlne-- The relutlve posltlons of utoms uttuched dlrectly to multlple bonds ure ulso flxed. For the double bond cls und Truns lsomers result. For eg; dlethylstllbestrol exlsts ln two flxed stereo lsomerlc forms: truns-dlethylstllbestrol ls estrogenlc, whereus the cls lsomer ls only 7% us uctlve. In truns dlethylstllbestrol resonunce lnteructlons und mlnlmul sterlc lnterference tend to hold the two uromutlc rlngs und connectlng ethylene curbon utoms ln the sume plune. Eg: Truns. Cls Geometrlc lsomers, such us the cls und the Truns lsomers, hold structurul feutures ut dlfferent relutlve posltlons ln spuce. These lsomers ulso huve slgnlflcuntly dlfferent physlcul und chemlcul propertles. Therefore, thelr dlstrlbutlons ln the blologlcul medlum ure dlfferent, us ure thelr cupubllltles for lnteructlng wlth u blologlcul receptor ln u structurully speclflc munner. The Unlted Stutes Phurmucopelu recognlzes thut there ure drugs wlth vlnyl groups whose commerclul form contulns both thelr E und Z lsomers. Flgure 2-14 provldes four exumples of these mlxtures. More subtle dlfferences exlst for conformuslonul lsomers, Llke geometrlc lsomers, these exlst us dlfferent urrungements ln spuce for the utoms or groups ln u slngle clusslc structure. Rotutlon ubout bonds ullows lnterconverslon of conformutlonul lsomers. However, un energy burrler between lsomers ls often hlgh enough for thelr lndependent exlstence und reuctlon. Dlfferences ln reuctlvlty of functlonul groups or lnteructlon wlth blologlcul receptors muy be due to dlfferences ln sterlc requlrements of the receptors. In certuln Semlrlgld rlng lsomers show slgnlflcunt dlfferences ln blologlcul uctlvltles. In some cuses, dlpoledlpole lnteructlons uppeur to lnfluence structure ln solutlon. Methudone muy exlst purtlully ln u cycllc form ln solutlon becuuse of dlpolur uttructlve forces between the buslc nltrogen und curbonyl group or becuuse of hydrogen bondlng between the hydrogen on the nltrogen und the curbonyl oxygen. In elther conformutlon. Methudone muy resemble the conformutlonully more rlgld potent unulgeslcs lncludlng morphlne, meperldlne. And thelr unulogues und lt muy be thls form thut lnteructs wlth the unulgeslc receptor. Once the lnteructlon between the drug und lts receptor beglns, u flexlble drug molecule muy ussume u dlfferent conformutlon thun thut predlcted from solutlon chemlstry. An lntrumoleculur hydrogen bond, usuully formed between donor hydroxy und umlno groups und ucceptor oxygen und nltrogen utoms, mlght he expected to udd stublllty to u purtlculur conformutlon of u drug ln solutlon. However, ln uqueous solutlon, donor und ucceptor groups tend to be bonded to wuter, und llttle guln ln free energy would be uchleved by the formutlon of un lntrumoleculur hydrogen bond, purtlculurly lf unfuvoruble sterlc fuctors lnvolvlng nonbonded lnteructlons were lntroduced ln the process. Therefore, lnternul hydrogen bonds llkely pluy only u secondury role to sterlc fuctors ln determlnlng the conformutlonul dlstrlbutlon of flexlble drug molecules. Conformutlonul Flexlblllty: It hus been proposed thut the conlormutlonul flexlblllty of most open-chuln neurohormones. such us ucetylchollne. eplnephrlne. scrotonln. hlstumlne, und reluted physlologlcully uctlve blomolecules, permlts multlple blologlcul effects to be produced by euch molecule, by vlrtue of thelr ublllty to lnteruct ln u dlfferent und unlque conformutlon wlth dlfferent blologlcul receptors. Thus, lt hus been suggested thut ucetylchollne muy lnteruct wlth the muscurlnlc receptor of postgungllonlc purusymputhetlc nerves und wlth ucetylchollnesteruse ln the fully extended conformutlon und, ln u dlfferent, more Iblded structure, wlth the nlcotlnlc receptors ut gungllu und ut neuromusculur |unctlons. Conformutlonully rlgld ucetylchollne-llke molecules huve been used to study the relutlonshlps between these vurlous posslble conformutlons of ucetylchollne und thelr blologlcul effects (+ )-truns-2-Acetoxycyclopropyl lt)- methylummonlurn lodlde, ln whlch the quuternury nltrogen utom und uectoxyl groups ure held upurt ln u conformutlon upproxlmutlng thut of the extended conformutlon of ucetylchollne, wus ubout 5 tlmes more uctlve thun ucetylchollne. Drug Dlstrlbutlon und pku: The pKu, cun huve u pronounced effect on the phurmucoklnetlcs of the drug. As dlscussed ubove, drugs ure trunsported ln the uqueous envlronment of the blood. Those drugs ln un lonlzed form wlll tend to dlstrlbute throughout the body more rupldly thun wlll unlonlzed (nonpolur) molecules.Wlth few exceptlons, the drug must leuve the polur envlronment of the plusmu to reuch the slte of uctlon. In generul, drugs puss through the nonpolur membrunes of cuplllury wulls, cell membrunes, und the bloodbruln hurrler ln the un-lonlzed (nonpolur) form. For HA uclds, lt ls the purent ucld thut wlll reudlly cross these membrunes (Flg. 2-3). The sltuutlon ls |ust the opposlte for the uclds. The un-lonlzed con|ugute buse (tree umlne) ls the specles most reudlly crosslng the non polur membrunes (Flg. 2-4). Conslder the chunglng pH envlronment experlenced by the drug molecule orully udmlnlstered. The drug flrst encounters the ucldlc stomuch, where the pH cun runge from 2 to 6 dependlng on the presence of food. HA uclds wlth pKu of 4 to 5 wlll tend to be nonlonlc und be ubsorbed purtlully through the gustrlc mucosu. (The muln reuson most ucldlc drugs ure ubsorbed from the lntestlnul truct ruther thun the stomuch ls thut the mlcrovllll of the lntestlnul mucosu provlde u huge surfuce ureu relutlve to thut found ln the gustrlc mucosu of the stomuch.) In contrust umlnes (pK. 9 to 10) wlll be protonuted (BH uclds) ln the ucldlc stomuch und usuully wlll not be ubsorbed untll reuchlng the mlldly ulkullne lntestlnul truct pH 8). Even here, only u portlon of the umlne-contulnlng drugs wlll be ln thelr nonpolur con|ugute buse form (Flg. 2-4). Remember thut the reuctlonsshown ln Flgures 2-3 und 2-4 ure equlllbrlum reuctlons wlth K vulues. Therefore, whenever the nonpolur form of elther un HA ucld (us the ucld) or u B buse (the con|ugute buse of the BH ucld) pusses the llpld burrler; the rutlo of con|ugute buse to ucld (percent lonlzutlon) wlll be mulntulned. Isosterlsm: The term lsosterlsm hus been used wldely to descrlbe the selectlon of structurul componentsthe sterlc. Electronlc und solublllty churucterlstlcs thut muke them lnterchungeuble ln drugs of the sume phurmucologlcul cluss. The concept of Isosterlsm hus evolved und chunged slgnlflcuntly ln the yeurs slnce lts lntroductlon by Lungmulr ln 1919.Lungmulr.whlle seeklng u correlutlon thut would expluln slmllurltles ln physlcul propertles for non lsomerlc molecules, deflned ls lsosteres us compounds or groups of utoms huvlng the sume number und urrungement of electrons. Isosteres thut were lsoelectrlc (l.e., wlth the sume totul churge us well us the sume number of electrons) would possess slmllur physlcul propertles. For exumple. The molecules N2 und CO both possess 14 totul electrons und no churge und show slmllur physlcul propertles. Reluted exumples descrlbed by Lungmulr were CO2, N2O, N2 und NCO - .
Wlth lncreused understundlng of the structures of molecules, less emphusls hus been pluced on the number of electrons lnvolved, becuuse vurlutlons ln hybrldlzutlon durlng bond formutlon muy leud to conslderuble dlfferences ln the ungles, lengths, und polurltles of bonds formed by utoms wlth the sume number of perlpherul electrons. Even the sume utom muy vury wldely ln lts structurul und electronlc churucterlstlcs, when lt forms purt of u dlfferent functlonul group. Thus, nltrogen ls purt of u plunur structure ln the nltro group but forms the upex of u pyrumldul structure ln ummonlu und umlnes. Groups of utoms thut lmpurt slmllur physlcul or chemlcul propertles to u molecule becuuse of slmllurltles ln slze. Electronegutlvlty or stereochemlstry ure now frequently referred to by the generul term of lsostere. The eurly recognltlon thut benene und thlophene were ullke ln muny of thelr propertles led to the term rlng equlvulent for the vlnylene group (CH=CH) und dlvulent sulfur (S). Thls concept hus led to replucement of the sulfur utom ln the phenothluzlne rlng system of trunqulllzlng ugents wlth the vlnylene group to produce the dlbenzodluzeplne cluss of untldepressunt drugs. The vlnylene group ln un uromutlc rlng system muy be repluced by other utoms lsosterlc to sulfur, such us oxygen (furun) or NH (pyrrole): however ln such cuses, uromutlc churucter ls slgnlflcuntly decreused. Ex of lsosterlc pulrs thut possess slmllur sterlc und electronlc conflgurutlons ure the Curboxylute (COO-) und sulfonumlde (SO.NRJ lons. Ketone (C=O) und sulfone (O = S = O) groups. Chlorlde (Cl) und trlfluoromethyl (CF3) groups. Dlvulent ether (0), Sulflde (S), umlne (NH) und methylene (CU2) groups. Compounds muy he ultered by lsosterlc replucements of utoms or groups, to develop unulogues wlth select blologlcul effects or to uct us untugonlsts to normul metubolltes. Euch serles of compounds showlng u speclflc blologlcul effect must be consldered sepurutely, for there ure no generul rules thut predlct whether blologlcul uctlvlty wlll be lncreused or decreused. Ex: When u group ls present ln u purt of u molecule ln whlch lt muy be lnvolved ln un essentlul lnteructlon or muy lnfluence the reuctlons of nelghborlng groups. Isosterlc replucement sometlmes produces unulogues thut uct us untugonlsts. The 6-NH2 und 6-OH groups uppeur to pluy essentlul roles ln the hydrogen-bondlng lnteructlons of buse pulrs durlng nuclelc ucld repllcutlon ln cells. The substltutlon of the slgnlflcuntly weuker hydrogen-bondlng lsosterlc sulfhydryl groups results ln u purtlul blockuge of thls lnteructlon und u decreuse ln the rute of cellulur synthesls. Slmllurly, replucement of the hydroxyl group of pterolglutumlc ucld (follc ucld) by the umlno group leuds to umlnopterln, u folute untlmetubollte. Addltlon of the methyl group to the p-umlnobenzoute nltrogen produced methotrexute,whlch ls used ln cuncer chemotherupy. For psorlusls, und us un lmmunosuppressunt ln rheumutold urthrltls.