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kyleannkelsey
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Morphine is what type of opioid?
Multicyclic
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All clinically active opioid analgetics and antagonists have what pharamcophore?
4-phenylpiperidine
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Morphine has an amphorteric, lipophic or hydrophilic pharamcophore?
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Amphoteric
- pKa of the basic amine = 8
- pKa of the acidic phenol = 11
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Morphine exists predominantly in an ionic or non-ionic form at pH 7.4?
 - Both
- Ionic: protonated amine
- Phenol: almost completely unionized
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Morphine is a relatively polar or non-polar structure?
Polar
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What is the Log P of morphine?
0.15
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Morphine is relatively lipophilic or hydrophilic?
- Hyrdophilic
- (low lipophilicity)
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Other than morhine, all other opioids have higher or lower Log P values?
Higher
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When crossing the BBB, is a high Log P more or less advantageous?
More
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When crossing the BBB, is a low Log P more or less advantageous?
Less
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A low log P indicates lipophilicity of hydrophilicity?
Hydrophilicity
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A high log P indicates lipophilicity of hydrophilicity?
Lipophilicity
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What are the common metabolic pathways that opioids are involved in?
- N-dealkylation
- O-dealkylation
- Hydrolysis
- Phase II conjugation at C3
- Phase II conjugation at C6
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The N-dealkylated form of N-methylated opioids like Morphine is called what?
Nor-derivative
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Nor-derivatives of N-methylated opioids like morphine are active or inactive?
- Active but less so than the parent structure
- Because Less lipophilic
- Loses the ability to interact with the hydrophobic agonist site on the mu receptor
- Poorer BBB penetration
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Why is morphine less active in the nor-derivative form?
- Less lipophilic
- Loses the ability to interact with the hydrophobic agonist site on the mu receptor
- Poorer BBB penetration
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What enzyme catalyzes the N-dealkylation reaction?
CYP3A4
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What is this drug?
Morphine
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O-dealkylation of C3 ethers creates an active or inactive metabolite?
- Activates Codeine
- Necessary for Analgesic acitivty
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What enzyme activates codeine through an O-dealkylation of the C3 ether?
CYP2D6
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Is a phenolic OH group at C3 essential for binding multicyclic opioids to mu and kappa receptors?
Yes, must be free (not an ether)
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Hydrolysis of C3-esters creates an active or inactive metabolite?
- Active
- C3 must be free for analgesic activity
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What drug is a C3 ester opioid?
Heroin (the 3,6-diacetyl ester analog of morphine)
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Phase II conjugation at C3 are active or inactive metabolites?
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What types of conjugates are formed at the C3 OH of opioids?
Glucuronic acid or sulfate
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What metabolites of multicyclic opiods would you find in the urine?
 - Glucuronic acid or sulfate conjugates
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What types of conjugates are formed at the C6 OH of opioids?
Glucuronic acid
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A C6 glucuronide of Morphine is inactive or active?
Active, has a higher affinity for mu receptors than the free alcohol
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What metabolite of morphine is believed to be responsible for a significant amount of morphine’s analgetic action?
C6-OH glucoronide
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The C6-OH glucoronide metabolite of morphine is excreted quickly or slowly and why?
- Quickly
- Because it is highly ionized
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How many asymmetric centers does Morphine have and what are they?
 - 5
- = 5, 6, 9, 13, 14
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What is the stereochemistry of naturally occurring levorotatory (-) morphine ( the most active at the receptors)?
5R,6S,9R,13S,14R
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Which stereocenter of morphine can invert and still retain its activity (5R,6S,9R,13S,14R)?
C14 can be 14S
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Is morphine in the following configuration active: 5R,6S,9R,13R,14R
No, should be: 5R,6S,9R,13S,14R
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Is morphine in the following configuration active: 5R,6S,9R,13S,14S
- Yes, C14 is the only stereocenter that can invert
- Natural morphine is: 5R,6S,9R,13S,14R
- Activity of this isomer is 10x less than the 14R isomer
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Is morphine in the following configuration active: 5R,6S,9R,13S,14R
Yes
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Is morphine in the following configuration active: 5R,6S,9S,13R,14R
No, should be: 5R,6S,9R,13S,14R
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Ring C is forced into a ____________ conformation due to the presence of the 7,8-double bond and the restraining furan (E) ring.
pseudo-boat
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Where is the A ring?
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Where is the B ring?
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Where is the C ring?
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Where is the D ring?
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Where is the E ring?
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The C ring is most active in what conformation?
Chair
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What is the conformation of the B/C ring fusion in naturally occurring levorotatory (-) morphine?
- Cis
- (right angles to one another, creating a non-planar structure)
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How is the cis B/C ring conformation in naturally occurring levorotatory (-) morphine indicated?
By a solid line at the C14-H (coming out of the paper)
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A C14 with an H pointing away from you (dotted line) indicates what?
- 14R configuration
- Lower analgesic potency
- Alpha configuration
- Trans B/C ring fusion
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A C14 with an H pointing toward you (solid line) indicates what?
- 14S configuration
- Normal analgesic potency
- Beta configuration
- Cis B/C ring fusion
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When the B/C ring fusion is cis, what will the C/D ring fusion be?
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What is a morphinan?
 - Opioids that have four rings
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A Morphinan in a 14S configuration will have what effect on activity compared to the 14R version?
2 fold decrease
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With either the B/C-cis or the B/C-trans opioids, only the ___________ isomers have the proper stereochemistry to bind to receptors and evoke analgesic activity.
levorotatory (-)
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The __________________ opioid isomers are clinically inactive as analgetics.
Dextrorotatory (+)
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Dextrorotatory isomers of mu opioid analgetics retain ____________ action.
Antitussive
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The ____________________ structure gives opioid drugs their analgetic activity.
 - 4-phenylpiperidine
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What is the significance of the orientation of the phenyl ring?
- Essential
- Will dictate which of the two mu receptor Van der Waals (TRP) sites the opioid will bind
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Can the phenyl ring change conformation in all multicyclic opioids?
No
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What is the orientation of the phenyl ring relative to the piperidine ring (D ring) in all multicyclic opioids?
Axial
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Is the phenyl ring essential?
Yes
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What part of the receptor does the phenyl ring bind to in all multicyclic opioids?
TRP – one of the Van der Waals sites
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