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Advances in the stereoselective synthesis of antifungal agents and ...

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Chapter 1 5switches is <strong>in</strong> <strong>the</strong> area <strong>of</strong> analgesics. Thus Menar<strong>in</strong>i (Italy) has collaboratedwith <strong>the</strong> British Company Chiros, ( Cambridge, Engl<strong>and</strong>) to develop (S)-(+)-Ketopr<strong>of</strong>ene 1 (Fig 1.4). Discovered by Rhone-Poulenc it was sold <strong>in</strong><strong>the</strong> U.S. as racemate under <strong>the</strong> name Orudis, while <strong>the</strong> enantiomer has beenregistered by Menar<strong>in</strong>i <strong>in</strong> Spa<strong>in</strong>. The (S)-(+) enantiomer is an analgesic/anti<strong>in</strong>flammatorydrug whereas <strong>the</strong> (R)-(-) isomer shows activity aga<strong>in</strong>st boneloss <strong>in</strong> periodontal disease 5 .*MeO1CO 2 HFigure 1.4: (±) Ketopr<strong>of</strong>ene 1 (±) 2-(3-benzoylphenyl) propionic acidThe discovery <strong>of</strong> two different pharmacological effects for oppositeenantiomers is a common driv<strong>in</strong>g force for a racemic switch.Nebivolol, producted by Janssen Pharmaceuticals, is an example fordifferent pharmacological actions <strong>in</strong> two enantiomers. It had beendeveloped as a β-blocker for hypertension. But, whereas (+)-Nebivolol is aβ-blocker, <strong>the</strong> (-) enantiomer is a vasodilat<strong>in</strong>g agent. Thus, by alleviat<strong>in</strong>ghypertension by two different mechanisms <strong>of</strong> action, <strong>the</strong> racemate may beconsidered superior to ei<strong>the</strong>r enantiomer 5 .There is also a hypo<strong>the</strong>tical case <strong>of</strong> a chiral drug that is degraded bymetabolic reactions at a site distant from <strong>the</strong> asymmetrically substitutedcarbon atom. This way both enantiomers would be <strong>in</strong>activated at <strong>the</strong> samerate. Therefore, an <strong>in</strong>active enantiomer may serve as a sacrifical substratefor degradation <strong>of</strong> <strong>the</strong> enzyme, thus prolong<strong>in</strong>g <strong>the</strong> residence time <strong>of</strong> <strong>the</strong>active enantiomer <strong>in</strong> <strong>the</strong> body. To achieve <strong>the</strong> same <strong>the</strong>rapeutic benefit, <strong>the</strong>patient would have to take <strong>the</strong> same dose <strong>of</strong> expensive enantiomers as <strong>of</strong><strong>the</strong> cheaper racemate.Clearly, all <strong>in</strong>dustrial observers believe that if <strong>the</strong> potency <strong>of</strong> an active<strong>and</strong> <strong>in</strong>active enantiomer is such that <strong>the</strong> dose can be cut <strong>in</strong> half, <strong>the</strong> patientwill benefit.C<strong>and</strong>idates for racemic switches are also <strong>antifungal</strong> <strong>agents</strong>, nonsteroidal <strong>in</strong>hibitors <strong>of</strong> aromatase (anticancer), cardiovascular drugs, nonsteroidal anti <strong>in</strong>flammatory drugs (NSAIDs), central nervous system

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