Chemistry in everyday life Lecture-3
Lecture plan
Antacids
Antihistamines
Analgesics
Tranquilizers
Antibiotics
Antiseptics and disinfectants
The pH of the stomach is 1.5-2.5 when empty and raises to 5-6 when food is ingested
Low pH is due to the presence of endogenous HCl, which is always present under physiological conditions
Gastric acidity occurs due to excessive secretion of HCl in stomach due to
Alcohol consumption
Anxiety
Fating certain food
Smoking
Certain drugs like aspirin
Stress
Gastric ulcers
Duodenum ulcers
Esophagus ulcers
Gastritis (inflammation of gastric mucosa)
Class of drugs which reduce gastric acidity resulting in an increase in the pH of stomach and duodenum
Action mechanism
Neutralization reaction
Gastric acid + antacid $\rarr$ buffer
Antacid $\rightarrow$ base/basic salt
Classification of antacids
Water soluble and readily absorbed
e.g. $NaHCO_3$
Water insoluble and poorly absorbed
e.g. $Al(OH)_3, MgCO_3$
Criteria for an ideal antacid
e.g. Alginates, simethicone
Should exert effect rapidly and over a long period of time
Reaction of antacid with HCl should not cause large evolution of gas
Should not be constipative or laxative
Should make buffer in the range of pH 4-6
Should not be absorber or cause systemic alkalosis
Should not interfere with absorption of food
Should be inexpensive
Unfortunately, every antacid has some side effect especially when used for longer period or used in elderly patients
Side effects
$NaHCO_3$ is not suitable for the treatment of peptic ulcer because of risk of ulcer perforation due to production of carbon dioxide in the stomach
$NaHCO_3$ leads to congestive heart failure because of sodium ion load
$Al(OH)_3$ cause constipation
$CaCO_3$ cause hypercalcemia on long term use
Magnesium salts act as laxative
How to avoid side effect
Mg salts are faster acting, whereas Al salts have longer lasting relief
Mg salts act as laxative, whereas Al salts cause constipation
Histamines
Consists an imidazole ring which can exist in two tautomeric forms
Dragstedt in 1945 has summarized the evidence in favour of histamine acting as the effective agent in allergy
Increases permeability of blood vessels
Activates immune system
Exhibit symptoms as seen during cold
Histamine receptors
Type of histamine receptors
H1 receptors histamine receplor’s involved in the inflammation process
H2 receptors histamine receptors responsible for gastric acid secretion
Search for Antihistamines
It should be recognized by the histamine receptor but bind in such a way that it acted as an antagonist rather than an agonist
Design of antagonist
Antagonist has to compete with agonist for receptor
Antagonist a better fit
Binding interaction for H2
The side-chain had to have a positively charged nitrogen atom with at least one attached proton
There had to be a flexible chain between the eation and a heteroaromatic ring
(HN-CH-N)
Design of Antihistamine
Antihistamine
Does not show toxic side effects observed for metiamide
Slightly more active than metiamide
Cimetidine
Metabolically stable
Exereted largely unchanged
Found to inhibis P-450 cytochrome oxidase system in the liver
An important enzyme system in the metabolism of drugs
Care must be taken if other drugs are being taken at the same time as Cimetidine especially
diazepam, lidocaine, warfarin or theophylline
Ranitidine
Fewer - side effects, lasts longer and is ten times more active than cimetidine
Does not inhibit P - 450 cytochrome oxidase system
Neourologically active drugs
Affect the message transfer mechanism from nerve to receptor
Classification
Reduce or abolish pain without causing impairment of conciouseness, mental confusion, paralysis or some other disturbances of nervous system
Morphine
Most effective painkiller available to medicine
Acts in the brain and appears to work by elevating the pain threshold
Thus decreasing the brains’s awareness of pain
Side effects of morphine
Excitation
Euphoria
Constipation
Depression of the respiratory centre
Pupil Constriction
Addictive
Nausea
Tolerance
How to reduce side effects
Synthesize morephine analogues to improve activity and reduce side-effects
Essential to understand the interaction of Morphine with its receptors
Mode of action
A ‘hollow’ just large enough for the ethylene bridge of carbons 15 and 16 to fit
Such a fit would help to align the molecule and enhance the overall fit
The aromatic ring, phenol and the nitrogen group are essential for analgesic property
Benzomorphans are synthesized
Benzomorphans
Phenazocene
4 times more potent than morphine
Long-term analgesic
Very low risk of addiction
Bremazocine
200 times more potent than morphine
Non-addictive
Does not depress breathing
A class of drugs used for the treatment of stress, and mild or even severe mental diseases
Essential component of sleeping pills
Empty receptor (no against)
chloride ion channel is closed
Binding of GABA to receptor
Causes chloride ion channel to open. leading to hyperpolarization of the cell
Binding of GABA and benzodiazepine to receptor
Results in a greater entry of chloride ion
Antimicrobials drugs
Antiseptics
Disinfectants
Mechanism of action
Mode of action of a few antibacterial agents
Inhibition of cell metabolism
Inhibition of bacterial cell wall synthesis
Antibacterial agents which inhibit cell metabolism are called antimetabolites
Inhibits the metabolism of a microorganism, but not the metabolism of the host
Sulfonamides
Competitive inhibit of Dehydropterote synthetase enzyme
Biosynthesis of nucleic acids is disrupted
Cessation of cell growth and division
Effective against Gram-positive organisms, especially pneumococci and meningococei
Ineffective against infections such as Salmonella-the organism responsible for typhoid
Problems have resulted from the way these drugs are metabolized
Not very Acidic
Sulfathiazole and its metabolite are unionized at blood pH
Overcome by replacing thiazole ring with pyrimidine ring
Less toxic
More electron-withdrawing pyrimidine ring increase the acidity of NH proton by stabilizing the anion
Sulfadiazine and its metabolite are ionized at blood pH
Soluble and less toxic
Inhibition of cell wall synthesis
Lead to cell lysis and death
Animal cells do not have a cell wall
Unaffected by penicillins and cephalosporins
Discovery of penicillin
Alexander fleming 1928
Stuphylococcus culture was contaminated with a mould which had destroyed the bacteria
A mother of Serendipitous experiments
Penicillin G
Active against Gram-positive bacilli
Non-toxic
Ineffective when taken orally (breakdown in the acidic conditions of the stomach)
Sensitive to $\beta$-lactamase
Narrow spectrum of activity
To overcome these disadvantages
Penicillin analogues are highly desirable
Structure-activity studies have done
What feature of penicillin are important to Activity
SARs of penicillin
Amide essential
Cis stereochemistry
Lactam essential
Free acid essential
Bicyelic system essential
Acid sensitivity of penicillin
Acid catalysed opening of ring
Neighbouring acyl group participation
Acid stable penicillin
β-lactamase
Enzymes produced by penicillin-resistant bacteria which catalyse the following reaction
Deactivation of Penicillin
β-Lactamase sensitivity of penicillin
To overcome sensitivity to $\beta$-lactamase
Find the ideal “shield” which would be large enough to ward off the lactamase enzyme, but would be small enough to allow the penicillin to do its duty
β-Lactamase-resistant penicillins
Disinfectants are more toxic & stronger than antiseptics
Mode of action of chlorhexidine
Conclusion
Functioning of antacids
Antihistamines as H2 antagonists
Analgesics (morphine and its analogues)
Tranquilizers as GABA inhibitors
Antibiotics (sulfonamides, penicillins)
Antiseptics and Disinfectants
Thank you