2013
DOI: 10.2174/1389557511313110002
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Medicinal Chemistry of Drugs with Active Metabolites Following Conjugation

Abstract: Authorities of Drug Administration in the United States of America approved about 5000 drugs for use in the therapy or management of several diseases. About two hundred of these drugs have active metabolites and the knowledge of their medicinal chemistry is important both in medical practice and pharmaceutical research. This review gives a detailed description of the medicinal chemistry of drugs with active metabolites generated after conjugation. This review focused on glucuronide-, acetyl-, sulphate- and pho… Show more

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Cited by 7 publications
(3 citation statements)
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“…Identification of the structure of phase-I and phase-II metabolites and its quantity is essential to understand the elimination of drugs, metabolites and residence time of drugs, metabolites in human system. LC-MS/MS plays a crucial role in rapid identification of the metabolic soft spots and hot spots and directs synthetic chemists to make appropriate modifications in the drug moiety [43,44].…”
Section: Identification Of Metabolitesmentioning
confidence: 99%
“…Identification of the structure of phase-I and phase-II metabolites and its quantity is essential to understand the elimination of drugs, metabolites and residence time of drugs, metabolites in human system. LC-MS/MS plays a crucial role in rapid identification of the metabolic soft spots and hot spots and directs synthetic chemists to make appropriate modifications in the drug moiety [43,44].…”
Section: Identification Of Metabolitesmentioning
confidence: 99%
“…The topic of xenobiotic phosphorylation has attracted more attention recently owing to intentionally designed kinase-substrate analogs that depend on kinase-catalyzed activation to form phosphorylated active drugs. Examples include a number of antiviral and anticancer drugs that are nucleoside mimetics requiring phosphorylation to activate, as well as the immunomodulatory drug fingolimod (Kalász et al, 2013;Mitchell, 2016). Fingolimod is a structural analog of sphingosine and is phosphorylated by sphingosine kinases to become an agonist of the sphingosine-1-phosphate receptor (Mandala et al, 2002;Billich et al, 2003;Zollinger et al, 2011;David et al, 2012).…”
Section: Introductionmentioning
confidence: 99%
“…However, some glucuronides (mostly O ‐acyl‐glucuronides such as diclofenac‐glucuronide) are held responsible for adverse drug reactions . On the other hand, some glucuronides, for example, morphine‐6‐glucuronide or ezetimibe‐glucuronide, exhibit biological effects that significantly contribute to the efficacy of the parent drugs . Together with the fact that glucuronidation can play a role in drug–drug interactions with clinical relevance, these findings led to an increased interest in pharmacokinetic data of drug glucuronides .…”
Section: Introductionmentioning
confidence: 99%