The
applications of fluorine in drug design continue to expand,
facilitated by an improved understanding of its effects on physicochemical
properties and the development of synthetic methodologies that are
providing access to new fluorinated motifs. In turn, studies of fluorinated
molecules are providing deeper insights into the effects of fluorine
on metabolic pathways, distribution, and disposition. Despite the
high strength of the C–F bond, the departure of fluoride from
metabolic intermediates can be facile. This reactivity has been leveraged
in the design of mechanism-based enzyme inhibitors and has influenced
the metabolic fate of fluorinated compounds. In this Perspective,
we summarize the literature associated with the metabolism of fluorinated
molecules, focusing on examples where the presence of fluorine influences
the metabolic profile. These studies have revealed potentially problematic
outcomes with some fluorinated motifs and are enhancing our understanding
of how fluorine should be deployed.