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Chapter 2<br />

Figure 4: Non-identical tw<strong>in</strong> drugs<br />

cl<strong>of</strong>ibric acid nicot<strong>in</strong>ic acid<br />

2.2.C Symmetrical tw<strong>in</strong> drugs<br />

Symmetrical tw<strong>in</strong> drugs, also called "Siamese tw<strong>in</strong>s", conta<strong>in</strong> two identical structural<br />

moieties (fig. 5). After adm<strong>in</strong>istration these compounds, however, rema<strong>in</strong> <strong>in</strong>tact. In<br />

bifunctional symmetrical drugs, the two identical pharmacophore groups can be<br />

directly l<strong>in</strong>ked to each other or via a spacer. The examples shown <strong>in</strong> figure 5 are the<br />

anticoagulant dicoumarol, the analgesic forbisen <strong>and</strong> the a-adrenoceptor blocker<br />

dibozane.<br />

H,C.<br />

H 3C-<br />

N<br />

N<br />

Figure 5: Symmetrical drugs ("Siamese tw<strong>in</strong>s")<br />

Many symmetrical lig<strong>and</strong>s have been used to identify the <strong>in</strong>terb<strong>in</strong>d<strong>in</strong>g site distances<br />

at pharmacological receptors. In these drugs the aff<strong>in</strong>ity for the receptors might be<br />

enhanced by dimeric agents which are capable <strong>of</strong> successfully bridg<strong>in</strong>g two adjacent<br />

receptors.<br />

36

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