Biomedical Engineering Reference
In-Depth Information
OH
N
N
*
O
O
O
N
O
N
FIGURE 1.7
p -Hydroxylation of phenytoin. Asterisks indicates chiral center.
O
HO
*
N
N
O
O
NH 2
NH 2
(a)
(b)
FIGURE 1.8 Structure of (a) oxcarbazepine and (b) licarbazepine. Asterisks indicate the
chiral center.
An example of product stereoselectivity is the aromatic p -hydroxylation of one of
the phenyl rings of phenytoin, creating a chiral center at C-5 of the hydantoin ring
(Figure 1.7) [31,34]. A second example is the antiepileptic drug oxcarbazepine. In
humans, this achiral prodrug is rapidly reduced in the liver to the pharmacologically
active and chiral metabolite 10-hydroxycarbazepine or licarbazepine (Figure 1.8).
This metabolic reduction is stereoselective, resulting in a 4:1 ratio between the active
S -enantiomer and R -licarbazepine [39,47].
1.4.3.3 Substrate-Product Stereoselectivity
Substrate-product stereoselectivity means the stereoselective metabolization of
one of the enantiomers whereby another chiral center is introduced and diastere-
oisomers are thereby formed. Warfarin is metabolized via two principal routes:
aromatic hydroxylation of the coumarin ring (see substrate stereoselectivity) and
ketone reduction in the side chain that produces a new chiral center (Figure 1.9).
The latter pathway shows marked substrate stereoselectivity for the R -enantiomer,
as well as product stereoselectivity, namely, the formation of alcohols of the
S -coni guration [23,33,48].
CH 3
CH 3
O
*
OH
OH
OH
*
*
O
O
O
O
FIGURE 1.9
Structure of warfarin and warfarin alcohol. Asterisks indicate the chiral center.
 
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