Structure – Activity Relationship of Quinolones – PST05106 Pharmaceutical Organic Chemistry
NTA Level 5 • Semester 1 • PST05106 Structure – Activity Relationship of Quinolones Pharmaceutical Organic Chemistry • Source Session/Topic 28 Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability. Session 28: Structure – Activity Relationship of Quinolones. Total Session Time: 120 minutes Prerequisites None Learning Tasks By the end of this session students are expected to be able to: • Define Quinolones • Explain Chemical structure of Quinolones • Explain the structure – activity relationship of Quinolones Resources Needed: • Flip charts, marker pens, and masking tape. • Black/white board and chalk/whiteboard markers. SESSION OVERVIEW |Step |Time |Activity/ |Content | | | |Method | | |1 |05 minutes |Presentation |Introduction, Learning Tasks | |2 |10 minutes |Brainstorming |Definition of Quinolones. | | | |Presentation | | |3 |40 minutes |Presentation |Chemical Structure of | | | | |Quinolones. | |4 |45 minutes | Group |Structure – Activity | | | |discussion |Relationship of Quinolones. | | | |Presentation | | |5 |10 minutes |Presentation |Key Points | | 6 |10 minutes |Presentation |Evaluation | SESSION CONTENTS STEP 1: Presentation of Session Title and Learning Tasks (5 minutes) READ or ASK students to read the learning tasks and clarify ASK students if they have any questions before continuing. STEP 2: Definition of Quinolones (10 minutes). |Activity: Brainstorming (5 minutes) | | | |Ask students to brainstorm on the following question: | | | |What are Quinolones? | | | |ALLOW few students to respond | | | |WRITE their responses on the flip chart/ board | | | |CLARIFY and SUMMARISE by using the table below | • The Quinolones (fluoroquinolones) are broad-spectrum antibiotics with particular activity against gram-negative organisms, especially Pseudomonas aeruginosa. • The fluoroquinolones are bactericidal antibiotics that act by specifically targeting DNA gyrase. o Fluoroquinolones can be classified as; o First-generation drugs (e.g., nalidixic acid) o Second-generation quinolones (e.g., ciprofloxacin) o Third-generation drugs (e.g., levofloxacin) o Fourth-generation quinolone drugs (e.g., trovafloxacin) STEP 3: Chemical Structure of Quinolones (40 minutes). The following are chemical structure of quinolones; [pic] STEP 4: Structure – Activity relationship of Quinolones (45 minutes). |Activity: Small Group Discussion (20 minutes) | | | |DIVIDE students into small manageable groups. | | | |ASK students to discuss on the following question | |What is the importance of SAR of fluoroquinolones? | | | |ALLOW students to discuss for 15 minutes. | | | |ALLOW few groups to present and the rest to add points not mentioned. | | | |CLARIFY and SUMMARIZE by using the contents below | [pic] Structure of quinolone • Structure of the quinolone molecule, using the accepted numbering scheme for positions on the molecule. • An R indicates possible sites for structural modification. • Molecules at positions marked by a dashed box can also be changed; however, the most commonly used structure is shown. Position 1. • This position is part of the enzyme-DNA binding complex and has a hydrophobic interaction with the major grove of DNA. • A cyclopropyl substituent is now considered the most potent modification here, followed by addition of a 2,4-difluorophenyl. • Most other substituents, including one with only the wrong stearic position ((R)-ofloxacin) can presumably lower the number of molecules capable of binding to the enzyme-DNA pocket, and therefore reduce potency. • Interestingly, ofloxacin has a tricyclic ring structure with a CH3 attached to the asymmetric C-3 position on the oxazine ring, thus connecting positions 1 and 8 with a fused ring. • Although this has been a useful alternative to the cyclopropyl substituent, the S- isomer exhibits twice the order of magnitude of activity as the R- isomer, which seems to be determined by the number of molecules that can be assembled, or stacked, in the enzyme-DNA complex binding pocket. • Even the potency of the purified S- isomer fused ring is less than that of the cyclopropyl substituent, suggesting the difficulty of improving upon this latter modification. Position 2. • This location is very close to the site for DNA gyrase (or topoisomerase IV) binding so it is believed that any added bulk inhibits access and results in a lower level of microbiological activity. • Only sulfur, incorporated into a small ring, has been able to replace hydrogen at the R-2 position. • To accomplish this, researchers reconfigured positions 3 and 4. Positions 3 and 4. • These two positions on the quinolone nucleus are considered critical for binding to cleaved or perturbed DNA, and no useful substitutions have yet been reported. • Therefore, the 3-carboxylate and 4-carbonyl groups are considered essential for antimicrobial activity. Oxoquinolizines. • This is a new addition to the quinolone class, in which nitrogen replaces the carbon between ring carbons C-4 and C-5. • Making this alteration renumbers the other positions so that 5- becomes 6- , 6- becomes 7-, 7- becomes 8-, and 8- becomes position 9. • This substitution enhances the in vitro and in vivo (mouse protection) activity against gram-positive cocci, including methicillin-resistant S. aureus (MRSA) that are resistant to ciprofloxacin. Position 5. • Substituents at this position of the basic quinolone nucleus appear to have the capacity to alter overall stearic configuration (planar structure) of the molecule, which is how changes here are thought to affect activity. • Modestly sized additions, such as an amino, hydroxyl, or methyl group can markedly increase in vitro activity against gram-positive bacteria, as well as enhance potency against Toxoplasma gondii. • Also, it was found that the methyl group enhances action against gram- positive but not against gram-negative bacteria. Position 6. The addition of a fluorine molecule here markedly improved antimicrobial activity compared to the original quinolone agents and gave rise to the now widely used and clinically successful fluoroquinolone compounds. Position 7. • This position is considered to be one that directly interacts with DNA gyrase, or topoisomerase IV. The optimal substituents at this position have been found to