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Xenobiotics That Release Active Drugs
Huba Kalász1,* and Kornélia Tekes2
1Department of Pharmacology and Pharmacotherapy, Semmelweis University,
Budapest, Hungary; e-mail: drkalasz@gmail.com
2Department of Pharmacodynamics, Semmelweis University, Budapest, Hungary; email:
drtekes@gmail.com
*Address of correspondence to this author at the Department of Pharmacology and
Pharmacotherapy, 1089 Budapest, Nagyvárad tér 4, Hungary
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Xenobiotics are foreign chemical compounds to a living organism. The overwhelming
majority of drugs belong to xenobiotics. In a broad sense, natural environmental
compounds, pesticides, herbicides and industrial pollutants are also xenobiotics.
The word “drug” is generally used for such compounds that are used in medicine for
treatment, cure, prevention or diagnosis, as well as enhancing either physical or mental
well-being [1]. However, the same word (drug) is used to specify illicit psychoactive
compounds. Neither strongly addictive hard drugs (illicit drugs) nor the less addictive
variations (soft drugs) are treated here. The definition of soft drugs and hard drugs here
solely means their ability to be either subjected to metabolic changes or to be resistant
to them. The concept of soft drug and hard drug was stated by Ariëns [2] and Ariëns
and Simonis [3]. One of the outcomes of this concept is the existence/construction of
prodrugs that are pharmacologically inert compounds to be changed metabolically into
active drugs. Today’s scope has definitely become wider. All drugs with
pharmacologically active metabolites come under the heading “prodrugs”. More emphasis has been given to drug-metabolizing enzyme systems, on pharmacokinetics (lipophilicity, biological half life, of t½) and pharmacological potency of active metabolite of the parent drug. Even relatively less active metabolites may have importance in their
clinical effect if they stay longer in the circulation than the more active but faster eliminating
parent drug [4].
Pharmacokinetic behavior of a given drug can be substantially modified by
pharmaceutical drug formulation methods. Recently, sophisticated techniques have
been developed. Drug formulation makes the production of “slow release” or “extended release”
drugs possible where the active compound is liberated continuously from the
specially constructed matrix to give the proper level at the site of action for an adequate
period of time. There is a wide variety of drug formulation techniques including
application of the drug molecule in liposomes and lipoplexes, polymer conjugates, microparticles, nanoparticles, nanofibers, nanutubes, microemulsions, micelles, nanogels, dendrimers, pH-responsive carrier systems, receptor-mediated delivery systems, |
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direct intratumoral delivery tools, convection-enhanced delivery, polymer implants and electrochemotherapy [5]. Methodology of producing such drug formulations is an extremely developing field of research.
One of the most widely used
preparations among the examples mentioned here is the liposomal doxorubicin (called Doxil®). It is a pegylated doxorubicin liposome where a single lipid bilayer membrane
separates the internal aqueous compartment (containing doxorubicin) from the liposome
surface coated with polyethylene glycol [5]. The mean diameter of the liposome is about
85 nm. Doxil® has a surfactant-free formulation that prolongs the time of liposomal
doxorubicin in circulation, lowers drug distribution to healthy tissues, and promotes
tumor uptake.
Adequate derivatization allows to prepare different salts or esters suitable for drug
formulation for oral and/or intravenous administration. The same method is useful for
masking bad taste and widely applied for the production of orally administered drugs,
especially in pediatric practice. Such intentions were realized in the introduction of
chloramphenicol palmitate, N-acetyl sulfisoxazole, N-acetyl sulfamethoxpyridazine,
erythromycin esteolate and clindamycin palmitate.
According to the classical concept, lipophilicity of a drug (characterized by logP) is one
of the most important physicochemical value predicting permeation through biological
membranes to reach site of action. This classical concept was followed when lipophilic
antiviral and anticancer prodrugs were administered to increase their penetration to the
site of action where local metabolizing enzyme/enzymes can convert them to a pharmacologically active form. There is a wide scope of metabolic procedures including
phosphate conjugation, hydrolysis, dealkylation, hydroxylation and decarboxylation.
The prodrug concept has blossomed and yielded practical results in many cases, such
as in the use of L-DOPA to increase neurotransmission in the central nervous system of
patients with Parkinson’s disease. The other well known application is the use of
angiotensine convertase enzyme inhibitors in the treatment of hypertension and chronic
heart failure (benazepril, enalapril, fosinopril, moexipril, etc.).
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