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An example of such an enantiomer is the sedative thalidomide, which was sold in a number of countries around the world from 1957 until 1961. It was withdrawn from the market when it was found to cause birth defects. One enantiomer caused the desirable sedative effects, while the other, unavoidably [23] present in equal quantities, caused birth ...
In case of penicillamine, the (S-isomer is used in the treatment of primary chronic arthritis, whereas the (R)-isomer has no therapeutic effect, as well as being highly toxic. [30] In some cases, the less therapeutically active enantiomer can cause side effects. For example, (S-naproxen is an analgesic but the (R-isomer causes renal problems. [31]
The eutomer is the enantiomer having the desired pharmacological activity, [4] e.g., as an active ingredient in a drug.. The distomer, on the other hand, is the enantiomer of the eutomer which may have undesired bioactivity or may be bio-inert.
One enantiomer of a drug may have a desired beneficial effect while the other may cause serious and undesired side effects, or sometimes even beneficial but entirely different effects. [1] The desired enantiomer is known as an eutomer while the undesired enantiomer is known as the distomer. [ 2 ]
Two enantiomers of a generic amino acid that are chiral (S)-Alanine (left) and (R)-alanine (right) in zwitterionic form at neutral pH. In chemistry, a molecule or ion is called chiral (/ ˈ k aɪ r əl /) if it cannot be superposed on its mirror image by any combination of rotations, translations, and some conformational changes.
In biology, 19 of the 20 natural amino acids are homochiral, being L-chiral (left-handed), while sugars are D-chiral (right-handed). [1] Homochirality can also refer to enantiopure substances in which all the constituents are the same enantiomer (a right-handed or left-handed version of an atom or molecule), but some sources discourage this use ...
The drug was withdrawn from world market when it became evident that the use in pregnancy causes phocomelia (clinical conditions where babies are born with deformed hand and limbs). Later in late 1970s studies indicated that the (R)- enantiomer is an effective sedative, the (S)-enantiomer harbors teratogenic effect and causes fetal abnormalities.
Levofloxacin as an example of a chiral switch. A chiral switch is a chiral drug that has already approved as racemate but has been re-developed as a single enantiomer. [1] [2] The term chiral switching was introduced by Agranat and Caner in 1999 [3] to describe the development of single enantiomers from racemate drugs.