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It:Tamiflu

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Tamiflu
Tamiflu
IUPAC Systematic name
(3R,4R,5S)-4-acetylamino-5-amino-3-

(1-ethylpropoxy)-1-cyclohexene- 1-carboxylic acid ethyl ester

Other name
Tamiflu
Indentifiers
ATC Code J05AH02
CAS number 196618-13-0
PubChem (CID) 65028
SMILES [C@@H(OC(CC)CC)

[C@H](NC(C)=O)[C@@H](N)C1)OCC' 'O=C(C1=C[C@@H](OC(CC)CC) [C@H](NC(C)=O)[C@@H](N)C1)OCC']

Chemical Data
Molecular formula C16H28N2O4
Molar mass 312.4 g/mol g/mol
Pharmacokinetic Data
Bioavailability 75%
Protein Binding None
Metabolism hepatic, to GS4071
Half life 6-10hours
Excretion renal (GS4071)
Therapeutic considerations
Pregnancy cat. B1, C
Legal status -
Routes Oral


Introduction

Tamiflu is an antiviral currently used to treat flu pandemic victims. It acts by inhibiting neuraminidase that lives on the flu virus cells. Tamiflu was developed by Gilead Sciences, and it is currently marketed by Roche.


Structure


Synthesis

The synthesis of Tamiflu uses shikimic acid which is extracted from the pods of star anise. The commercial synthesis of Tamiflu uses a complex 10 step synthesis with some steps using explosive azide. This limits the speed at which synthesis may be carried out. The process is extremely long, approximately 6-8 months to complete. To make things worse, 30kg of star anise only produces 1kg of shikimic acid. Hence, in order to be able to produce the quantities of Tamiflu required to fight a flu pandemic, either another source of shikimic acid must be found or another synthesis devised.

Image taken from http://en.wikipedia.org/wiki/Oseltamivir

Mode of action

Tamiflu binds to the neuraminidase on the surface of the virus, preventing it from invading the cell. This only inhibits the virus and not destroy it, thus at a certain point in time the drug will be useless as the infection would be too great to be inhibited effectively. Neuraminidase is important to the virus to both enter and exit the cell, thus by binding to it the infection is stopped as the virus can no longer leave and infect other cells.

References