Natural product chemistry

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Chapter 6 Natural product chemistry

This chapter looks briefly at the chemistry of natural products. This is the study of chemicals produced by the many diverse organisms of nature, including plants, microbes (fungi and bacteria), marine organisms and more exotic sources such as frog skins and insects.

Historically, natural products have formed the basis of medicines and, even now, many of the compounds that are pharmaceutically and medicinally important are derived from natural sources. The reasons for this are complicated, but probably stem from the ability of nature to produce a fantastic array of structurally complex and diverse molecules. A number of theories have been proposed as to why these compounds are produced and although we can only theorize as to why these products occur in nature, it is highly likely that many of them are produced as part of a chemical defence system to protect the producing organism from attack. Examples of this defence include the synthesis of antimicrobial compounds by plants that are infected by bacteria and fungi (compounds known as phytoalexins), or the synthesis of highly toxic natural products in the skins of Central American frogs to deter predation by other animals. Whatever the reasons for the presence of these compounds in nature, they are an invaluable and under-exploited resource that can be used to find new drug molecules.

Natural products in drug discovery

A survey of any pharmacopoeia will show that natural products have a key role as biologically active agents; in fact, it has been estimated that 20–25% of all medicines are derived from such sources. In this definition, the medicinal agent may be a natural product isolated straight from the producing organism (e.g. the β-lactamase inhibitor clavulanic acid isolated from the bacterium Streptomyces clavuligerus), a natural product that has undergone a minor chemical modification (semisynthetic) (e.g. aspirin, derived from salicylic acid, which occurs as esters and glycosides in Salix spp.), or a compound that was totally synthesized based on a particular natural product possessing biological activity (e.g. pethidine, which was based on morphine from the opium poppy, Papaver somniferum). It is sometimes difficult to see how the fully synthetic compound was modelled on the natural product (Fig. 6.1).

Natural products are historically the core of medicines and they are still a major source of drug leads, which is a term used to describe compounds that may be developed into medicines. A particular example of a natural product that is currently one of the best selling drugs is paclitaxel, marketed as Taxol (Fig. 6.2). This drug was developed by BristolMyers Squibb and marketed for the treatment of ovarian and mammary cancers, and became available for use in the USA in 1993. The compound was initially isolated from the bark of the Pacific yew tree, Taxus brevifolia, and demonstrates the best possible qualities of a natural product, being highly functional and chiral. Additionally, paclitaxel occurs in the bark with a wide range of structurally related compounds (taxanes diterpenes); this is a further important and valuable quality of natural products when they are considered as a source in the search for biologically active drug leads. Paclitaxel has many functional groups and chiral centres (11) and these qualities give rise to its distinct shape and fascinating biological activity. It is important not to be overwhelmed at such a complex molecule, but to look at the functional groups that make up the total structure of the compound. Even a natural product that is as structurally complex as paclitaxel can be broken down into the simple chemical features of functional groups and chiral centres.

Interest in natural drugs has long captured the imagination of the general public who has the impression that natural products are safe and non-toxic, but, as we will see, some of the most potent poisons are derived from nature. This view of natural medicines is in part based on the romantic notion of bioprospecting for new drug leads from areas with an exceptionally high level of biodiversity and beauty, such as the Amazonian rain forest. Although public interest in natural drugs is high, investment in the discovery of natural drugs by industry has been highly fashionable and cyclical, due to the development of alternative ways of finding new drug leads (e.g. combinatorial chemistry). An additional perceived benefit of compounds derived from nature is that they are ‘eco-friendly’ and that they may be produced as a renewable resource by growing the plants or by fermenting the micro-organisms that produce them. This approach has both advantages and disadvantages over the synthetic production of biologically active agents, but synthetic chemistry cannot yet readily mimic the ability of organisms to produce such structurally complex and diverse natural product molecules.

There are a number of approaches that can be used to discover new drug leads from nature, and all of the following have been used by large and small pharmaceutical companies in an attempt to harness the biological potential of natural products.

In the ethnobotanical approach, knowledge of the use of a particular plant by an indigenous people is used to direct a search for a drug lead. In this case, observation of a particular usage of a plant, usually made by a highly trained observer (ethnobotanist), allows the collection of that plant and its subsequent testing for biological activity. Examples of such uses include arrow poisons made from trees by South American Indians as a way of hunting animals for food. One of these agents, curare (from the liana Chondrodendron tomentosum) acts as a muscle relaxant, which kills by paralysing the muscles required to breathe. The active component in curare is tubocurarine. This ethnobotanical observation of curare used as an arrow poison led to the development of a muscle relaxant used in surgery known as atracurium. The use of ethnobotanical information is greatly under-exploited and, as many of the more remote regions of the planet become more readily accessible, without trained personnel to interview and retrieve this information, it is highly likely that much valuable local medicinal knowledge will be lost.

In the chemotaxonomic approach, knowledge that a particular group of plants contains a certain class of natural product may be used to predict that taxonomically related plants may contain structurally similar compounds. This approach is highly useful when the chemistry and biological activity of a compound is well described and compounds with similar chemical structure are needed for further biological testing. A good example of this is the plant family Solanaceae, which is a rich source of alkaloids of the tropane type. The knowledge that deadly nightshade (Atropa belladonna) produces hyoscyamine (a smooth muscle relaxant) would enable one to predict that the thorn apple (Datura stramonium) would contain structurally related compounds, and this is certainly the case, with hyoscine being the major constituent of this solanaceous plant (Fig. 6.3).

Using the random approach, plants are collected regardless of any existing previous knowledge of their chemistry or biological activity. This approach relies on the availability of plants that are abundant in a certain area (and may previously have been extensively studied). Plants that are rare or only exist in a specific habitat (e.g. alpine or parasitic plants) may be neglected and access to chemical diversity lost. This approach is purely serendipitous in that there is a chance that random plant selection will give access to extracts (and therefore compounds) with biological activity (bioactivity).

The information-driven approach utilizes a combination of ethnobotanical, chemotaxonomic and random approaches together with a database that contains all of the relevant information concerning a particular plant species. The database is used to prioritize which plants should be extracted and screened for bioactivity. This approach is favoured by large organizations (particularly pharmaceutical companies) interested in screening thousands (in some cases hundreds of thousands) of samples for bioactivity as it may reduce costs by a process known as dereplication – the process of avoiding the repeated discovery of common or known drugs. This is most important where millions of dollars are spent in the natural product drug lead discovery process.

An example of when a database would be of use in the information-driven approach is in the discovery of anti-tumour agents. Should bioactivity be demonstrated upon screening extracts from the English yew (Taxus baccata), then chemotaxonomic knowledge could be entered into the database indicating that this species is related to Taxus brevifolia and consequently may produce related chemical constituents and should be prioritized accordingly. This is certainly the case as Taxus brevifolia produces the antitumour drug paclitaxel.

The discovery of drugs from nature is complex and is depicted schematically in Fig. 6.4. The biomass (plant, microbe, marine organism) is collected, dried and extracted into a suitable organic solvent to give an extract, which is then screened in a bioassay to assess its biological activity (bioactivity). Screening or assessment of biological activity is generally divided into two formats depending on the number of extracts to be assessed. In low-throughput screening (LTS), small numbers of extracts (a single extract up to hundreds of extracts) are dispensed into a format that is compatible with the bioassay (e.g. a microtitre plate, sample tubes). This approach is used widely in academic laboratories where only a relatively low number of extracts are assessed. In high-throughput screening (HTS), thousands of extracts are dispensed into a format (usually microtitre plates with many wells, e.g. 384 wells per plate) and screened in the bioassay. This approach is favoured by the pharmaceutical industry, which may have hundreds of thousands of samples (both natural and synthetic) for biological evaluation. This large-scale approach means that decisions can be made rapidly about the status of an extract, which has an impact on the cost of the discovery process.

Active extracts are fractionated using bioassay-guided isolation, in which chromatographic techniques are used to separate the extract into its individual components; the biological activity is checked at all stages until a pure active compound is obtained. The natural product isolated will be designated as a lead compound and will be assessed for biological activity in a bank of other assays. This process is known as cross-screening and will give information on how selective the compound is – i.e. is it active in all the assays or does it exhibit specificity for one particular assay? This is an important consideration as one of the criteria for the selection of a compound for further development is specificity. Whilst biological evaluation is on-going, structure elucidation will be necessary to determine the three-dimensional structure of the active molecule. This will enable a search to be done to establish whether the compound is novel, what chemical class it belongs to and whether that type of compound has previously been reported to possess biological activity in the bioassay of interest or other bioassays.

Once novelty and potent biological activity have been established, large amounts of the lead compound are isolated and the decision is made as to whether the compound can be synthesized de novo or whether chemical modification needs to be made to enhance the biological activity. The lead compound will undergo extensive in vivo studies to establish activity, toxicity and efficacy; these studies are sometimes known as preclinical studies. Only once all of these steps have been completed will a drug lead finally enter clinical trials, which is the most extensive evaluation stage of a drug candidate during which many drug leads fail through toxicity or lack of efficacy in humans. Successful completion of these trials usually results in a product licence, which means that the compound is now a drug.

Given the complexity of the process described above, it is not surprising that many natural product drug leads fail to make their way onto the market. Some estimates state that only 1 in 10,000 drug leads may actually make their way to the market. The process is also very lengthy and it may take 12–15 years from the collection of the original biomass to the granting of a licence for a new natural product drug. Additionally, the process is very costly but the rewards are enormous. For example, although high costs could occur for the development of Taxol (US$300 million), these can be readily recovered, with initial sales in excess of US$1 billion per annum. In 2009 the best selling brand name drug was Lipitor (Atorvastatin), which made $13.3 billion; this highlights the potential value of the drug discovery process.

The expense, complexity and time of the natural drug lead process have militated against natural products in the past, but the fact remains that natural products are a tried and tested source and there are many examples of natural drugs. The most important strengths of natural products are their complex chemistry and structural diversity.

The polyketides

Polyketide natural products form an immense group of therapeutically important compounds comprising many antibiotics (macrolides and tetracyclines), fatty acids and aromatic compounds (anthrone purgative glycosides and anthracyclic antitumour agents).

Polyketides are mainly acetate (C2) derived metabolites and occur throughout all organisms (as fatty acids and glycerides), but it is the microbes, predominantly the filamentous bacteria of the genus Streptomyces, that produce structurally diverse types of polyketides, especially as antibiotic substances. The biosynthesis of these compounds begins (Fig. 6.5) with the condensation of one molecule of malonyl-CoA (CoA is short for coenzyme A) with one molecule of acetyl-CoA to form the simple polyketide acetoacetyl-CoA. In this reaction (Claisen reaction), one molecule of CO2 and one molecule of HSCoA are generated. The reaction occurs because the carbon between both carbonyl groups of malonyl-CoA (the acidic carbon) is nucleophilic and can attack an electropositive (electron-deficient) centre (e.g. the carbon of a carbonyl group).

The curved arrows in Fig. 6.5 indicate the movement of a pair of electrons to form a bond. Further condensation reactions between another molecule of malonyl-CoA and the growing polyketide lead to chain elongation, in which every other carbon in the chain is a carbonyl group. These chains are known as poly-β-keto esters and are the reactive intermediates that form the polyketides. Using these esters, large chains such as fatty acids can be constructed and, in fact, reduction of the carbonyl groups and hydrolysis of the -SHCoA thioester leads to the fatty acid class of compounds. The expanding polyketide chain may be attached as a thioester to either CoA or to a protein called an acyl-carrier protein. Multiple Claisen reactions with additional molecules of malonyl-CoA can generate long-chain fatty acids such as stearic acid and myristic acid.

The poly-β-keto ester can also cyclize to give aromatic natural products, and the way in which the poly-β-keto ester folds determines the type of natural product generated (Fig. 6.6). If the poly-β-keto ester folds as A1, then loss of a proton, followed by an intramolecular Claisen reaction of intermediate A2 (by attack of the acidic carbon on the carbonyl), would result in the formation of a cyclic polyketide enolate A3 which will rearrange to the keto compound with expulsion of the SCoA anion, resulting in the ketone A4. This ketone would readily undergo keto-enol tautomerism to the more favoured aromatic triphenol A5 (phloroacetophenone).

Should the poly-β-keto ester fold as B1, then an aldol reaction on intermediate B2 will occur by attack of the carbonyl by the acidic carbon, and, with the addition of a proton, an alcohol is formed, resulting in intermediate B3. This alcohol can then dehydrate to the conjugated alkene B4, which can also tautomerize and, via hydrolysis of the thioester-SCoA, the aromatic phenolic acid orsellinic acid (B5) is formed.

The reactive nature of poly-β-keto esters gives rise to many useful pharmaceuticals, and, because they are oxygen-rich starting precursors, the final natural products are generally rich in functional group chemistry. Ketone groups are often retained, but reduction to alcohols and the formation of ethers is common and many polyketides, particularly certain antibiotics and antitumour agents, also occur as glycosides.

Fatty acids and glycerides

This group of polyketides is widely distributed and present as part of the general biochemistry of all organisms, particularly as components of cell membranes. They are usually insoluble in water and soluble in organic solvents such as hexane, diethyl ether and chloroform. These natural products are sometimes referred to as fixed oils (liquid) or fats (solid), although these terms are imprecise as both fixed oils and fats contain mixtures of glycerides and free fatty acids and the state of the compound (i.e. liquid or solid) will depend on the temperature as well as the composition. Glycerides are fatty acid esters of propane-1,2,3-triol (glycerol). They are sometimes referred to as saponifiable natural products, meaning that they can be converted into soaps by a strong base (NaOH). The term saponifiable comes from the Latin word sapo meaning ‘soap’. Saponification of fatty acids and glycerides with sodium hydroxide results in the formation of the sodium salts of the fatty acids (Fig. 6.7).

Glycerides can be very complicated mixtures as, unlike the example given in Fig. 6.7, the substituents on the glycerol alcohol may be different from each other, and it is not uncommon for lipophilic plant extracts to contain many types of glycerides.

Fatty acids are very important as formulation agents and vehicles in pharmacy and as components of cosmetics and soaps. Table 6.1 lists the common names, chemical formulae, sources and uses of the more common fatty acids.

The saturated fats are widespread in nature. The three most common (myristic, palmitic and stearic acids) differ in two methylene groups and contain no double bonds.

The unsaturated fatty acids contain a varying number of double bonds. This, together with the length of the carbon chain, is indicated after the name of the fatty acid. For example, oleic acid (18:1), which is widespread in plants and is a major component of olive oil from the olive tree Olea europaea (Oleaceae), has an 18-carbon chain and one double bond. α-Linolenic acid (18:3) is a constituent of linseed oil from Linum usitatissimum (Linaceae) and is used in liniments and as a highly valued additive in oil-based paints. The related acid, γ-linolenic acid (18:3), is found in evening primrose oil from Oenothera biennis (Onagraceae) and is widely used as a dietary supplement. This acid (like α-linolenic acid) is an essential fatty acid and is a precursor to the prostaglandins, which are involved in many biochemical pathways. Evening primrose oil has gained increasing popularity as an aid to alleviating symptoms associated with multiple sclerosis and premenstrual tension. Ricinoleic acid is the main purgative ingredient of castor oil from the seeds of Ricinus communis (Euphorbiaceae), which was used as a domestic purgative but is now used as a source of the oil for the manufacture of soap and as a cream base.

The polyunsaturated fatty acids contain three or more double bonds and are particularly beneficial in the diet as antioxidants. A number of health-food supplements are available as oils or capsules containing fish liver oils from cod and halibut, which are rich in polyunsaturated fats.

Natural oils that are high in fatty acids and glycerides are also used as components of oral formulations and vehicles for injections of pharmaceuticals. Some of the most common oils used in oral preparations include cocoa, olive, almond and coconut oils.

In man, the saturated fats are precursors for the biosynthesis of cholesterol, high serum levels of which are implicated in heart disease through the formation of atherosclerotic plaques in arteries. By reducing fat intake or by consuming foods that are high in unsaturated fats (particularly polyunsaturated fats), the risk of heart disease is reduced.

The tetracyclines

These polyketide-derived natural products are tetracyclic (i.e. have four linear six-membered rings, from which the group was named) and were discovered as part of a screening programme of extracts produced by filamentous bacteria (Actinomycetes), which are common components of soil. The most widely studied group of actinomycetes are species of the genus Streptomyces, which are very adept at producing many types of polyketide natural products of which the antibiotic tetracycline (Fig. 6.8) and the anthracyclic antitumour agents (see Chapter 8) are excellent examples.

The key features of this class of compound are shown in Fig. 6.8. Although tetracycline has numerous functional groups, including a tertiary amine, hydroxyls, an amide, a phenolic hydroxy and keto groups, it is still possible to see that tetracycline is a member of the polyketide class of natural products by looking at the lower portion of the molecule. C10, C11, C12 and C1 are oxygenated, indicating that the precursor of this compound was a poly-β-keto ester. C10 and C11 and C12 and C1 form part of a chelating system that is essential for antibiotic activity and may readily chelate metal ions such as calcium, magnesium, iron or aluminium and become inactive. This is one of the reasons why oral formulations of the tetracycline antibiotics are never given with foodstuffs that are high in these ions (e.g. Ca2+ in milk) or with antacids, which are high in cations such as Mg2+. This group of antibiotics has been long known and they have a very broad spectrum of activity against Gram-positive and Gram-negative bacteria, spirochetes, mycoplasmae, rickettsiae and chlamydiae. Tetracycline comes from mutants of Streptomyces aureofaciens, and the related analogue oxytetracycline from S. rimosus (Fig. 6.9). These antibiotics are widely used as topical formulations for the treatment of acne, and as oral/injection preparations.

Minocycline and doxycycline are produced semisynthetically from natural tetracyclines. Minocycline has a very broad spectrum of activity and has been recommended for the treatment of respiratory and urinary tract infections and as a prophylaxis for meningitis caused by Neisseria meningitides. Doxycycline (Vibramycin) has use in treating chest infections caused by Mycoplasma and Chlamydia and has also been used prophylactically against malaria in regions where there is a high incidence of drug resistance.

The statins

A further group of polyketide-derived natural products is the statins, so named for their ability to lower (bring into stasis) the production of cholesterol, high levels of which are a major contributing factor to the development of heart disease. The rationale behind the use of these compounds is as inhibitors of the enzyme hydroxymethylglutaryl-CoA (HMG-CoA) reductase, which catalyses the conversion of HMG-CoA (Fig. 6.12) to mevalonic acid, one of the key intermediates in the biosynthesis of cholesterol. HMG-CoA reductase became a target for the discovery of the natural product inhibitor mevastatin, which was initially isolated from cultures of the fungi Penicillium citrinum and Penicillium brevicompactum (Fig. 6.12).

Following this discovery, the methyl analogue lovastatin was isolated from Monascus ruber and Aspergillus terreus and is also an inhibitor of HMG-CoA reductase. Simvastatin (Zocor) is the dimethyl analogue of mevastatin and all three compounds are prodrugs, being activated by the hydrolysis (ring opening) of the lactone ring to β-hydroxy acids by liver enzymes. These acids are similar in structure to HMG-CoA and are inhibitors of the reductase enzyme. Pravastatin (Lipostat) is semisynthetically produced by microbial hydroxylation of mevastatin by Streptomyces carbophilus. Unlike the previous examples, the lactone ring has been opened to form the β-hydroxy acid which has then been converted into the sodium salt, increasing its hydrophilic water-soluble nature.

Shikimic-acid-derived natural products

Shikimic acid, sometimes referred to as shikimate, is a simple acid precursor for many natural products and aromatic amino acids, including phenylalanine, tyrosine, tryptophan, the simple aromatic acids that are common in nature (e.g. benzoic and gallic acids) and aromatic aldehydes such as vanillin and benzaldehyde that contribute to the pungent smell of many plants (Fig. 6.13).

A number of natural product groups can be constructed from the amino acid phenylalanine, in particular the phenylpropenes, lignans, coumarins and flavonoids, all of which possess a common substructure based on an aromatic 6-carbon ring (C6 unit) with a 3-carbon chain (C3 unit) attached to the aromatic ring (Fig. 6.14). Many reactions can occur to this 9-carbon unit, including oxidation, reduction, methylation, cyclization, glycosylation (addition of a sugar) and dimerization, all of which contribute to the value of natural products as a resource of biologically active compounds and enhance the qualities of structural complexity with the presence of chirality and functionality.

Phenylpropenes

The phenylpropenes are the simplest of the shikimic-acid-derived natural products and consist purely of an aromatic ring with an unsaturated 3-carbon chain attached to the ring. They are biosynthesized by the oxidation of phenylalanine by the enzyme phenylalanine ammonia lyase, which through the loss of ammonia results in the formation of cinnamic acid. Cinnamic acid may then undergo a number of elaboration reactions to generate many of the phenylpropenes. For example, in Fig. 6.15, cinnamic acid is reduced to the corresponding aldehyde, cinnamaldehyde, which is the major component of cinnamon oil derived from the bark of Cinnamomum zeylanicum (Lauraceae) and used as a spice and flavouring. Cinnamon has a rich history, being used by the ancient Chinese as a treatment for fever and diarrhoea and by the Egyptians as a fragrant ingredient in embalming mixtures.

Cinnamon leaf also contains eugenol, the major constituent of oil of cloves derived from Syzygium aromaticum (Myrtaceae). Clove oil was used as a dental anaesthetic and antiseptic, both properties of which are due to eugenol, and the oil is still widely used as a short-term relief for dental pain. These phenylpropenes may have many different functional groups (e.g. OCH3, O-CH2-O, OH) and the double bond may be in a different position in the C3 chain (e.g. eugenol versus anethole) (Fig. 6.16). They are common components of spices, have highly aromatic pungent aromas and many are broadly antimicrobial, with activities against yeasts and bacteria. Some members of this class can also cause inflammation.

Myristicin is a component of nutmeg (Myristica fragrans, Myristicaceae) and is thought to be the hallucinogenic component when this spice is ingested in large quantities. This phenylpropene is very lipophilic due to the presence of methylenedioxy and methyl ether substituent groups and it has been proposed that in vivo the double bond of this compound is aminated (an amino group is added), resulting in the formation of an ‘amphetamine-like’ compound. It should be noted, however, that high doses can be fatal and the ingestion of large amounts of nutmeg should be avoided. Safrole, and particularly trans-anethole, are the major components of anise-flavoured essential oils from star anise (Illicium verum, Illiciaceae), aniseed (Pimpinella anisum, Apiaceae) and fennel (Foeniculum vulgare var. vulgare, Apiaceae). These oils are components of popular Mediterranean beverages such as anisette, ouzo and raki. When water is added to these drinks a cloudy white suspension results, which is attributable to a decrease in the solubility of these phenylpropenes as they are more soluble in ethanol than in water.

The phenylpropenes are generally produced by steam distillation of plant material (e.g. cloves) to produce an essential oil, which is normally a complex mixture of phenylpropenes and other volatile natural products such as hemiterpenes, monoterpenes and sesquiterpenes (see below). The steam distillation procedure involves boiling the plant material with water and trapping the vapour in a distillation apparatus. The condensed liquid is transferred to a separating funnel and, as the oils are immiscible with water and form a less dense layer, they can be readily removed.

Lignans

Lignans are low molecular weight polymers formed by the coupling of two phenylpropene units through their C3 side-chains (Fig. 6.17) and between the aromatic ring and the C3 chain. A common precursor of lignans is cinnamyl alcohol, which can readily form free radicals and enzymatically dimerize to form aryltetralin-type lignans of which the compounds podophyllotoxin, 4′-demethylpodophyllotoxin and α- and β-peltatin (from Podophyllum peltatum and Podophyllum hexandrum, Berberidaceae) are examples (Fig. 6.17).

This class of compound is common in the plant kingdom, especially in the heartwood and leaves and as major constituents of resinous exudates from roots and bark. The resin obtained from the roots of P. peltatum has long been used as a treatment for warts by North American Indians, and some preparations still exist which contain podophyllin, which is an ethanolic extraction of the resin rich in podophyllotoxin. This lignan is a dimer of two 9-carbon (C6-C3) units and is polycyclic (possessing more than one ring). This natural product has a five-membered lactone ring or cyclic ester and there are many examples of these types of lignans possessing this functional group.

Much work has been done on the podophyllotoxin (aryltetralin) class of lignans, the major active cytotoxic principle, podophyllotoxin, being isolated in the 1940s. This compound inhibits the enzyme tubulin polymerase which is needed for the synthesis of tubulin, a protein that is a vital component of cell division (mitosis). Podophyllotoxin is highly toxic and not used clinically for the treatment of cancers, but this class of compounds was an excellent template on which to base the semisynthetic analogues etoposide and teniposide (see Chapter 8).

Coumarins

The coumarins are shikimate-derived metabolites formed when phenylalanine is deaminated and hydroxylated to trans-hydroxycinnamic acid (Fig. 6.18). The double bond of this acid is readily converted to the cis form by light-catalysed isomerization, resulting in the formation of a compound that has phenol and acidic groups in close proximity. These may then react intramolecularly to form a lactone and the basic coumarin nucleus, typified by the compound coumarin itself, which contributes to the smell of newly mown hay.

The majority of the coumarins are oxygenated at position C7, resulting from para hydroxylation of cinnamic acid to give coumaric acid prior to further ortho hydroxylation, isomerization and lactone formation.

Coumarins have a limited distribution in the plant kingdom and have been used to classify plants according to their presence (chemotaxonomy). They are commonly found in the plant families Apiaceae, Rutaceae, Asteraceae and Fabaceae and, as with all of the natural products mentioned so far, undergo many elaboration reactions, including hydroxylation and methylation and, particularly, the addition of terpenoid-derived groups (C2, C5 and C10 units) (Fig. 6.19).

Some coumarins are phytoalexins and are synthesized de novo by the plant following infection by a bacterium or fungus. These phytoalexins are broadly antimicrobial; for example, scopoletin is synthesized by the potato (Solanum tuberosum) following fungal infection. Aesculetin occurs in the horse chestnut (Aesculus hippocastanum) and phytotherapeutic preparations of the bark of this species are used to treat capillary fragility. Hieracium pilosella (Asteraceae), also known as mouse ear, contains umbelliferone and was used to treat brucellosis in veterinary medicine and the antibacterial activity of this plant drug may in part be due to the presence of this simple phenol (Fig. 6.20). Khellin is an isocoumarin (chromone) natural product from Ammi visnaga (Apiaceae) and has activity as a spasmolytic and vasodilator.

It has long been known that animals fed sweet clover (Melilotus officinalis, Fabaceae) die from haemorrhaging. The poisonous compound responsible for this adverse effect was identified as the bishydroxycoumarin (hydroxylated coumarin dimer) dicoumarol (Fig. 6.21).

Dicoumarol is used as an anticoagulant in the USA. It is used alone or in conjunction with heparin in the prophylaxis and treatment of blood clotting and to arrest gangrene after frostbite. A number of compounds have been synthesized based on the dicoumarol structure and include salts of warfarin and nicoumalone, which are widely used as anticoagulants. These agents interfere with vitamin K function in liver cells; this vitamin is necessary for the synthesis of ‘normal’ prothrombin. A deficiency of vitamin K leads to abnormal prothrombin synthesis and a reduction in activity of the blood-clotting mechanism. Warfarin has also been used as a rat poison.

Warfarin and nicoumalone are examples of fully synthetic agents that have been developed from a natural product template.

The psoralens are coumarins that possess a furan ring and are sometimes known as furocoumarins or furanocoumarins because of this ring. Examples are psoralen, bergapten, xanthotoxin and isopimpinellin (Fig. 6.22).

Because of the extended chromophore of these compounds, they readily absorb light and fluoresce blue/yellow under long-wave ultraviolet light (UV-A, 320–380 nm). These compounds may be produced by the plant as a protection mechanism against high doses of sunlight and some coumarins are formulated into sunscreens and cosmetics for this purpose. The psoralens are typical of the citrus (Rutaceae) and celery (Apiaceae) families. Some plants of these groups are known as ‘blister bushes’ as the psoralens they contain are known to cause phototoxicity. This can prove difficult for farmers who clear large amounts of giant hogweed (Heracleum mantegazzianum) and come into contact with sap from the plant, which is rich in psoralens and, in the presence of sunlight, can cause inflammation and, in severe cases, blistering of the skin. Other species that are known to be phototoxic include hogweed (Heracleum sphondylium), rue (Ruta graveolens) and some Citrus spp., particularly essential oils from bergamot (Citrus aurantium subsp. bergamia, Rutaceae) of which a major constituent is bergapten. A number of apiaceous herbs that have culinary significance, such as celery (Apium graveolens), parsley (Petroselinum crispum), parsnip (Pastinaca sativa) and angelica (Angelica archangelica), may even cause phototoxicity due to the presence of furanocoumarins.

The mechanism of this phototoxicity has yet to be fully elucidated, but it is known that the psoralens are carcinogenic and mutagenic due to the formation of adducts with pyrimidine bases of DNA, such as thymine, via cycloaddition (Fig. 6.23). This reaction can occur with one (monoadduct) or two (diadduct) pyrimidine bases and may result in cross-linking of DNA.

Preparations using apiaceous and rutaceous plants containing psoralens have been used to promote skin pigmentation in the disease vitiligo, a disease that is common in the Middle East and results from patches of skin that are deficient in the pigment melanin. Pure xanthotoxin is used to treat severe vitiligo and psoriasis, and is given orally in combination with UV-A. This results in coloration and pigmentation of non-pigmented skin areas and an improvement in the psoriatic skin by reducing cell proliferation. The treatment is not without risks and requires careful regulation to prevent skin cancer or cataract formation. The therapy is referred to as PUVA (psoralen+UV-A) or photodynamic therapy in which a drug is activated by the application of UV light.

Flavonoids

The flavonoids are derived from a C6-C3 (phenylpropane) unit which has as its source shikimic acid (via phenylalanine) and a further C6 unit that is derived from the polyketide pathway. This polyketide fragment is generated by three molecules of malonyl-CoA, which combine with the C6-C3 unit (as a CoA thioester) to form a triketide starter unit (Fig. 6.24). Flavonoids are, therefore, of mixed biosynthesis, consisting of units derived from both shikimic acid and polyketide pathways.

The triketide starter unit undergoes cyclization by the enzyme chalcone synthase to generate the chalcone group of flavonoids. Cyclization can then occur to give a pyranone ring-containing flavanone nucleus, which can either have the C2-C3 bond oxidized (unsaturated) to give the flavones or be hydroxylated at position C3 of the pyranone ring to give the flavanol group of flavonoids. The flavanols may then be further oxidized to yield the anthocyanins, which contribute to the brilliant blues of flowers and the dark colour of red wine. The flavonoids contribute to many of the other colours found in nature, particularly the yellow and orange of petals; even the colourless flavonoids absorb light in the UV spectrum (due to their extensive chromophores) and are visible to many insects. It is likely that these compounds have high ecological importance in nature as colour attractants to insects and birds as an aid to plant pollination. Certain flavonoids also markedly affect the taste of foods; for example, some are very bitter and astringent such as the flavanone glycoside naringin (Fig. 6.24), which occurs in the peel of grapefruit (Citrus paradisi). Interestingly, the closely related compound naringin dihydrochalcone (Fig. 6.24), which lacks the pyranone ring of naringin, is exceptionally sweet, being some 1000 times sweeter than table sugar (sucrose).

It is likely that the flavonoids have important dietary significance because, being phenolic compounds, they are strongly antioxidant. Many disease states are known to be exacerbated by the presence of free radicals such as superoxide and hydroxyl, and flavonoids have the ability to scavenge and effectively ‘mop up’ these damaging oxidizing species. Foods rich in this group have, therefore, been proposed to be important in ameliorating diseases such as cancer and heart disease (which can be worsened by oxidation of low-density lipoprotein); quercetin (Fig. 6.25), a flavonoid present in many foodstuffs, is a strong antioxidant. Components of milk thistle (Silybum marianum), in particular silybin (Fig. 6.25), are antihepatotoxins; extracts of milk thistle are generally known as silymarin and are used to reduce the effects of poisoning by fungi of the genus Amanita, which produces the deadly peptide toxins the amanitins. The mechanism of action of these antihepatotoxins is not entirely clear, but it has been proposed that they protect liver cells by reducing entry of the toxic peptides through the cell membrane and by acting as broad-spectrum antioxidants by scavenging the free radicals that can lead to hepatotoxicity. Silybin is a flavanol that has an additional phenylpropane unit joined to it as a di-ether and it exists in the extract as a mixture of enantiomers at one of the positions where this additional unit is joined (* in Fig. 6.25).

The stilbenes, sometimes referred to as bisbenzyls or stilbenoids, are related to the flavonoids and have the basic structure C6-C2-C6 (Fig. 6.26) arising from the loss of one carbon (as CO2) from the triketide starter unit. The simplest member of this class is stilbene. There is much interest in this class of compounds, especially in resveratrol, a component of red wine that has antioxidant, anti-cancer and anti-inflammatory activity. There is a low incidence of heart disease among the French population where large concentrations of fatty acids are sometimes present in the diet. It has been suggested that this low rate of heart disease is due to the consumption of red wine, which is rich in resveratrol and other flavonoids, and that the presence of these antioxidant compounds is cardioprotective. This phenomenon is known as ‘the French paradox’ and cardiologists advise patients who have a history of heart disease to consume a glass of red wine per day. Another group of stilbenoids of current interest are the combretastatins. For example, combretastatin A1, which is a cytotoxic drug lead, is a potent inhibitor of microtubule assembly and thought to have antitumour activity as a result of specifically targeting the vasculature of tumours. Combretastatin A1 is derived from Combretum caffrum (Combretaceae) and there has been much work on the Combretaceae to look for other biologically active members of this class.

Tannins

In addition to the flavonoids, another class of natural products that gives rise to the astringency and bitterness in plants and food are the tannins. This group comprises water-soluble polyphenolic compounds, which may have a high molecular weight. They are broadly divided into two groups: the hydrolysable tannins, which are formed by the esterification of sugars (e.g. glucose) with simple phenolic acids that are shikimate-derived (e.g. gallic acid), and the non-hydrolysable tannins, which are sometimes referred to as condensed tannins, that occur due to polymerization (condensation) reactions between flavonoids (Fig. 6.27).

As their name suggests, the hydrolysable tannins may be hydrolysed with base to simple acids and sugars. A key feature of tannins is their ability to bind to proteins, and they have been used to tan leather, clarify beer and as astringent preparations in pharmacy. They have a very wide distribution in the plant kingdom and may be produced by a plant as a feeding deterrent, as their binding to proteins may reduce the dietary value of the plant as a food.

Tannic acid is a mixture of gallic acid esters of glucose and is obtained from nutgall, which is an abnormal growth of the tree Quercus infectoria produced by insects. These growths (galls) are harvested and extracted with solvents (ether and water); the aqueous layer is collected and evaporated to yield tannic acid, which is further purified and used as a topical preparation for cold sores.

The terpenes

The terpenes are very widespread in nature and occur in most species, including man. They are sometimes referred to as isoprenes because a common recurring motif in their structure (the branched repeating C5 unit, the isopentane skeleton) is similar to isoprene (Fig. 6.28). Terpenes (hemiterpenes, monoterpenes and sesquiterpenes) contribute to many of the aromas associated with plants and range in complexity from simple C5 units (hemiterpenes) up to the polyisoprenes, which include latex, leaf waxes and rubber. Terpenes are derived from a number of extensive reactions between two C5 units [dimethylallyl pyrophosphate (DMAPP) and isopentenyl pyrophosphate (IPP)] (Fig. 6.28); the products of these reactions will, therefore, have multiples of five carbons. DMAPP and IPP are biosynthesized from two sources (mevalonic acid or deoxyxylulose phosphate).

The terpenes are a perfect example of a natural product class that is highly structurally diverse, has many members that are chiral and have extensive functional group chemistry. The simplest are the hemiterpenes (C5) produced by modification reactions to either DMAPP or IPP and include simple acids such as the structural isomers tiglic acid and angelic acid (Fig. 6.28), which form esters with many natural products. The monoterpenes (C10), sesquiterpenes (C15), diterpenes (C20), triterpenes and steroids (C30-derived) and the tetraterpenes (carotenoids, C40) are all important medicinally and thus will be dealt with in more detail.

Monoterpenes (C10)

Together with the phenylpropenes, the monoterpenes are major constituents of the volatile oils that are common in plants and which contribute to their aroma. This group of compounds has highly characteristic odours and tastes and is used widely in the food and cosmetic industries in flavourings and perfumes. Monoterpenes are present in the leaf glands of plants and in the skin and peel of fruit (in particular Citrus spp.). The reasons for the presence of these compounds in the exterior organs of the plant are due to the many complex interactions that plants have with other organisms: some monoterpenes are insect attractants (to aid pollination), others have a broad spectrum of antimicrobial activity to inhibit growth and invasion by bacteria and fungi (e.g. thymol). Volatile oils in plants are highly complex and their analysis by gas chromatography (GC) can show the presence of hundreds of individual components, many of which are monoterpenoid. These oils are highly prized in the perfume industry; plants such as jasmine are cultivated and the monoterpene-rich oils harvested for the production of popular fragrances. Monoterpenes may be either aliphatic (acyclic or straight chain) or cyclic (saturated, partially unsaturated or fully aromatic) compounds. These natural products usually possess functional groups such as ethers, hydroxyls, acids, aldehydes, esters or ketone moieties, and are generally highly volatile and fat-soluble (lipophilic).

Biosynthetically, the monoterpenes are produced by the reaction between DMAPP and IPP in the presence of the enzyme prenyltransferase (Fig. 6.29). The first step of this reaction is thought to be the ionization of DMAPP to a cation (through the loss of pyrophosphate), which is then attacked by the double bond of IPP to generate a further cationic intermediate. Loss of a proton from the carbon neighbouring the cation (resulting in double bond formation) occurs in a stereospecific fashion (the R proton is lost) and this generates geranyl pyrophosphate (a C10 unit).

Geranyl pyrophosphate can then undergo many reactions to generate the variety of monoterpenes observed, such as simple modification to give the acyclic monoterpene β-citronellol, which is a component of rose oil. Geranyl pyrophosphate can be cyclized to give cyclic monoterpenes, which may be fully saturated, partially unsaturated or fully aromatic products of which menthol, piperitone and carvacrol are examples, respectively (Fig. 6.30).

As with the polyketides, some key features of monoterpenes (and terpenes in general) are the presence of stereochemical centres (chiral centres) and wide-ranging functional group chemistry. The extensive structural diversity of this group is astounding considering that all of the monoterpenes are derived from just one C10 unit, geranyl pyrophosphate.

Linalool, a major constituent of coriander oil (Coriandrum sativum), is used as a flavouring and carminative. Myrcene, which is present in hop oil, is also used as a flavouring. Tea tree oil (from Melaleuca alternifolia) has been used by the indigenous peoples of Australia as a treatment for skin infections; a main ingredient of this volatile oil is the tertiary hydroxylated monoterpene α-terpineol. 1,8-Cineole, the structurally related ether, also has antibacterial properties and comes from species of Eucalyptus that are in the same plant family as Melaleuca, the Myrtaceae. Menthol and menthone are major constituents of oils of plants belonging to the genus Mentha (Lamiaceae); in particular, peppermint (Mentha × piperita) is used as a flavouring and carminative tea, and menthone is included in some pharmaceutical preparations as a nasal decongestant. Thujone has a cyclopropane ring as a functional group and is a constituent of Artemisia absinthium, an extract of which was used as an anthelmintic by the French army, hence the common name for this plant, wormwood. The liqueur absinthe was prepared by making an alcoholic extract of wormwood; this was highly popular amongst artists and literati in 19th century France. Unfortunately, high doses of this beverage induce hallucinations and the drink is addictive (not just the alcohol), and these effects led to the term ‘absinthism’ to describe the side effects associated with absinthe. Due to these problems, the production of absinthe was banned in 1915. Carvone is derived from dill (Anethum graveolens) and caraway oils (Carum carvi), which have use as calming ingredients in gripe water preparations. α-Pinene, which has a cyclobutane ring system, is the major constituent of juniper oil (Juniperus communis), which is antiseptic and used in aromatherapy and as a flavouring. Oil from Cinnamomum camphora (Lauraceae) is produced by the steam distillation of the wood and is rich in camphor, which is antiseptic and used in soaps.

Although oils from plants such as caraway, coriander, dill, peppermint and eucalyptus are widely used as flavouring agents and perfumes for many preparations (including foods, cosmetics and pharmaceuticals), at present not a great deal is known about the biological activity of the monoterpene components present in these complex mixtures. Natural oils have a very specific aroma, which accounts for the preference to buy these complex natural mixtures rather than cheaper synthetic alternatives. They are produced by steam distillation (see Chapter 7) and, unless much is known about the stability of the oil components, care must be taken using this technique as some monoterpenes are thermolabile (i.e. they decompose on heating). The analysis of these complex mixtures is usually performed by GC or the combined technique of gas chromatography–mass spectrometry (GC-MS), which utilizes the separating power of GC with MS to yield the molecular ions of components of a mixture, and in some cases fragmentation information which can aid in determining the structure of these components.

The perfume industry has a great interest in monoterpene mixtures and uses preparative GC to separate and isolate individual components, which a highly qualified perfumer then smells to find compounds with a distinctive, novel or unusual aroma that can be blended with other volatiles to give a popular fragrance.

The iridoids are monoterpenes derived from the iridane skeleton, which is derived from geranyl pyrophosphate and, when oxidized, produces the iridoid skeleton (Fig. 6.31). These natural products are normally esterified and are common in the plant families Lamiaceae, Gentianaceae and Valerianaceae. The compounds are highly oxygenated and the esters are often derived from hemiterpenes; for example, valeric acid is esterified to form valtrate and didrovaltrate.

These compounds come from valerian (Valeriana officinalis, Valerianaceae), which was used as a sedative for the treatment of ‘shell shock’, a condition with which troops serving in the First World War were afflicted following extensive barrage by high explosive shells. This class of iridoids is often referred to as the valepotriates; they are highly functional, possessing isovalerate esters and an epoxide group that is possibly responsible for the in vitro cytotoxicity of valtrate and didrovaltrate. It is still not known exactly which class of compounds is responsible for the sedative activity, although the iridoids are widely regarded as the active components. However, it has been suggested that γ-aminobutyric acid (GABA), which is present in aqueous extracts of valerian, contributes to the sedative activity. Valerian also contains a number of small acids, such as isovaleric acid, that are structurally similar to GABA; these may, therefore, contribute to the sedative action of this herb extract. Valerian is commonly found in herbal remedies to improve sleep and is often used in conjunction with extracts from hops (Humulus lupulus) (e.g. in the preparation Valerina Night-Time).

Sesquiterpenes (C15)

These natural products have properties similar to those of the monoterpenes, are constituents of many of the volatile oils and in some cases are broadly antimicrobial and anti-insecticidal, therefore contributing to the overall chemical defence of the producing organism. The starting unit for these compounds is farnesyl pyrophosphate (FPP), which is produced by the reaction of GPP (the monoterpene precursor) with a molecule of IPP (Fig. 6.32). The reaction is analogous to that for the formation of the monoterpenes in which a cationic intermediate is formed that reacts with IPP with elimination of a hydrogen ion.

As with the monoterpenes, FPP can cyclize to form linear (acyclic) and cyclic sesquiterpenes. A key feature of these metabolites is their ability to undergo extensive elaboration chemistry, where they are highly functionalized, thus giving rise to the high structural diversity seen within this group of natural products. It is not always easy to see that these complex, functional, cyclic chiral compounds are derived from FPP due to these elaboration reactions. However, if the C15 skeleton of FPP is compared to arteannuin B, it can be seen how even complex structures are constructed (Fig. 6.33).

The most important sesquiterpene from the pharmaceutical perspective is the antimalarial product artemisinin (Fig. 6.34) from sweet wormwood (Artemisia annua, Asteraceae). This herb is widely distributed throughout Europe but also has a long history of use for the treatment of fevers and malaria in China where the drug is known as Qinghao. Artemisinin has a number of interesting features, including an ether, a lactone (cyclic ester) and an unusual peroxide functional group.

The peroxide is essential for the antimalarial activity and much work has been done to enhance the solubility of the compound whilst retaining the biological activity. Artemether, the methyl ether of dihydroartemisinin (which possesses an acetal functional group), is used for the treatment of chloroquine-resistant and multidrug-resistant Plasmodium falciparum under the trademark Paluther. Artesunic acid (a succinic acid derivative marketed as Artesunate) is more water-soluble than artemether and is hydrolysed in vitro to dihydroartemisinin. These compounds are very lipid-soluble, are rapidly absorbed into the central nervous system (CNS) and, therefore, may have potential in treating cerebral malaria. It has been proposed that these peroxides complex to the iron atom of haem (which is produced by the degradation of haemoglobin) resulting in the formation of oxy radicals. These radicals may then re-arrange to generate carbon-centred radicals, which can attack biomolecules such as DNA and proteins leading to parasite death.

Interestingly, another Chinese medicinal plant used for treating malaria, Artabotrys uncinatus (Annonaceae), also contains a series of sesquiterpene peroxides (typically, yingzhaosu A; Fig. 6.35), which are responsible for the antimalarial activity.

In China, studies have been conducted into cottonseed oil (Gossypium hirsutum), which has been shown to have contraceptive effects and restrict fertility in men and women when incorporated into the diet. In men, the oil has been shown to alter sperm maturation, motility and inhibit enzymes necessary for fertilization. In women, inhibition of implantation has been observed. The active component is the bis-sesquiterpene (sesquiterpene dimer) ()-gossypol, which exists in the plant with the (+)-isomer. These compounds are optically active due to restricted rotation around the bond that joins the two naphthalene ring systems. Studies show that the antifertility effect is reversible after stopping administration, provided that the treatment has not been prolonged.

Diterpenes

There are few examples of C20 diterpenes as drugs, but a former best-selling antitumour agent, paclitaxel, is based on this class of natural products. These compounds are complex in structure and, until the use of multidimensional nuclear magnetic resonance (NMR) spectroscopy, the structure elucidation of these compounds (along with other higher terpenes, e.g. triterpenes) was not routine. NMR has made the structure determination of these compounds readily achievable, even if only 1–2 mg of natural product is available, and it is likely that more examples of this class will become drug candidates in the future. Historically, plants producing diterpenes that contain a nitrogen atom (the so-called diterpene alkaloids), such as Aconitum sp. and Delphinium sp., have been used for a number of illnesses, including decongestants; however, these compounds (e.g. aconitine) are highly toxic and preparations containing these plants are no longer used.

Members of the diterpene class are formed by the reaction of farnesyl pyrophosphate (FPP), a C15 unit, with isopentenyl pyrophosphate (IPP), the C5 unit that is the common building block for all of the terpenes. The first step of this reaction is the formation of a farnesyl allylic cation (analogous to the other examples of terpenes seen) which then reacts with IPP with stereospecific loss of a proton, resulting in the formation of geranyl geranyl pyrophosphate (GGPP). Depending on how GGPP folds and cyclizes, a very large number of products may result (Fig. 6.36).

Loss of a proton from an allylic methyl (* in Fig. 6.36) and migration of bonds to form a bicyclic structure results in the formation of labdadienyl pyrophosphate (LDPP), which is a member of the labdane class of diterpenes of which sclareol from the clary sage (Salvia sclarea, Lamiaceae) is widely used in the perfumery industry. Sclareol is generated by hydrolysis of LDPP. If the exomethylene of LDPP reacts with a proton to form a cationic intermediate, this may undergo a series of Wagner–Meerwein hydride and methyl shifts (Fig. 6.37).

These reactions are sometimes referred to as 1,2-shifts (indicating a movement of a group from a position to a neighbouring carbon) or NIH shifts (after the National Institutes of Health, where this reaction was studied). The hydride on C9 migrates to C8, the methyl on C10 migrates to C9, the hydride on C5 migrates to C10, the β-methyl on C4 migrates to C5 and, finally, a proton is lost at C3 resulting in the formation of a C3-C4 double bond. This series of migrations yields clerodadienyl pyrophosphate (CDPP; a clerodane diterpene) with many members of this class; for example, hardwickiic acid which possesses a furan ring (produced by oxidation and cyclization of the six-carbon side-chain at C9) and a carboxylic acid (produced by oxidation of C20). An important facet of these Wagner–Meerwein shifts is the inversion of stereochemistry at the chiral centres where migration has occurred. For example, in LDPP, the methyl at C10 is β (coming up out of the plane of the page), whereas the corresponding group in CDPP is an α hydrogen (going down into the plane of the page).

GGPP can cyclize to give an extraordinarily wide range of diterpene groups, some of which are shown in Fig. 6.38.

It is important to understand that, once a simple skeleton has been produced, a wide array of further elaboration reactions can occur, resulting in the highly complicated natural products of this class (e.g. paclitaxel; Fig. 6.39). This antitumour diterpene was discovered in 1971 by Monroe Wall and Mansukh Wani at the Research Triangle Institute as part of a programme funded by the National Cancer Institute. This compound is dealt with in further detail in Chapter 8. It was not until the 1980s that further work on the mode of action of this compound prompted its development and release onto the US market in 1993 under the trade name Taxol for the treatment of ovarian cancers.

Paclitaxel is present in the bark of the Pacific yew (Taxus brevifolia, Taxaceae), a slow growing tree from the forests of north-west Canada and the USA that takes 100 years before it can be exploited for processing. The wood of T. brevifolia is not suitable for timber production and was in danger of replacement by faster growing conifers, but this practice has been stopped. The yield of paclitaxel is also low (0.01–0.02%) as it takes three 100-year-old trees to produce 1 g of the drug. Thus, with a course of treatment being 2 g, it was quickly realized that the supply of paclitaxel had to come from another source. Taxus brevifolia produces a wide range of taxane diterpenes, and related compounds are also found in the common English yew, Taxus baccata. Paclitaxel belongs to a small class of taxanes that possess a four-membered ether (also called an oxirane) and a complex nitrogen-containing ester side-chain; both of these functional groups are essential for antitumour activity. The solution to the problem of low concentration of the drug came from the knowledge that related compounds, such as baccatin III and 10-deacetylbaccatin III (Fig. 6.39), were present in greater concentrations than paclitaxel and could be converted to paclitaxel by simple reactions.

Most importantly, 10-deacetylbaccatin III is also present in the needles (leaves) of the faster growing English yew (T. baccata) at a higher concentration (0.1%) and, unlike the bark, the needles can be harvested without destroying the tree. This is an example of a renewable resource, which is an important concept in natural product chemistry, for, if a biologically active compound is developed into a drug, then large-scale production is always necessary. This is not problematic if a compound from a plant can be synthesized (semi- or fully synthesized) or produced by cell culture. Another route to this compound is to extract a mixture of taxanes and use enzymes that specifically cleave ester groups from the taxane nucleus, resulting in a higher concentration of 10-deacetylbaccatin.

It has also been shown that Taxomyces andreanae, a fungus that lives in close association with the yew tree, produces small concentrations of paclitaxel in fermentation culture. It is possible that the fungus has inherited the gene from the tree (or vice versa), which allows the organism to produce paclitaxel. Another fungus that has been isolated from the Himalayan yew tree (Taxus wallachiana) is Pestalotiopsis microspora, which produces higher concentrations of paclitaxel than T. andreanae. Taxol is now produced by large scale plant cell culture fermentation.

Docetaxel (Taxotere) (Fig. 6.39), a related semi-synthetically produced taxane diterpene, is also used clinically for the treatment of ovarian cancers and has a modified side-chain to that of paclitaxel.

Triterpenes

The triterpenes are C30-derived terpenoids with an exceptionally wide distribution, including man, plants, fungi, bacteria, soft corals and amphibia. The triterpenes include some very important molecules, such as the steroids (e.g. testosterone), which are degraded triterpenes with many important functions in mammals, notably as sex hormones. Other types include the sterols (e.g. β-sitosterol), which are common tetracyclic steroidal alcohols with ubiquitous distribution in plants, the pentacyclic triterpenes such as glycyrrhetic acid found in liquorice and the limonoids (e.g. limonin), which are highly oxidized bitter principles present in the Citrus plant family (Rutaceae) (Fig. 6.40).

Triterpenes are also components of resins and resinous exudates from plants (e.g. frankincense and myrrh); myrrh is derived from the Arabic word for bitter, a characteristic which many triterpenes display. These resins are common from trees belonging to the plant family Burseraceae (which includes the myrrh-producing Commiphora sp.) and are produced following damage to the tree as a physical barrier to attack by fungi and bacteria. Additionally, many of the terpenoid components of these resins have high antimicrobial activity, either killing potentially invasive microbes, slowing their growth until the tree has repaired the damage or providing a physical barrier toward further invasion.

Their biosynthesis starts with the reaction between two molecules of farnesyl pyrophosphate (FPP) to form the true precursor of all triterpenes, squalene (Fig. 6.41). Squalene is then enzymatically epoxidized to squalene epoxide which, when folded in a particular conformation such as the ‘chair-boat-chair-boat’ conformation, can cyclize to give sterol intermediate 1 which is the precursor of the steroids and sterols (Fig. 6.42). This intermediate can undergo a series of Wagner–Meerwein shifts to give lanosterol, a common component of plants and of wool fat.

Oxidation and loss of methyls at positions C4 and C14, introduction of a C5-C6 double bond (oxidation) and loss of two double bonds (one at C8-C9 and one in the side-chain) would result in the formation of cholesterol. Cholesterol is the main animal sterol, a component of cell membranes and gallstones, and control of the levels of this sterol is important in the management of heart disease. The basic steroid nucleus and numbering of the ring system depicting the A, B, C and D rings is given for cholesterol (Fig. 6.43).

Other common sterols include the phytosterols (plant sterols) β-sitosterol and stigmasterol (which differs from β-sitosterol only by the presence of a double bond at position C22-C23), which are widespread in plants, and ergosterol, which is ubiquitous in fungi as a cell wall component (Fig. 6.43).

There is a great need for steroids in the pharmaceutical industry and this is met by using the plant sterol diosgenin from the wild yam (Dioscorea sp.). Diosgenin also occurs naturally as a glycoside (a sugar is attached at the hydroxyl position) and without the sugar the compound is referred to as a genin. Unlike the other plant sterols mentioned, the side-chain that is normally present at position C17 has been formed into two ring structures. Diosgenin can be converted into progesterone via a chemical process known as the Marker degradation, which gives access to many important steroids such as testosterone (a male sex hormone) and oestradiol (a female sex hormone) which has had the A ring aromatized, resulting in the loss of a methyl group from C10 (Fig. 6.44).

Another semi-synthetic compound that lacks this methyl is the oral contraceptive norethisterone, which has an unusual acetylene group at position C17. One of the most widely used steroids in pharmaceutical preparations is the anti-inflammatory drug hydrocortisone (cortisol). This compound has an hydroxyl group at C11 which is introduced into the molecule in a stereospecific manner in fermentation culture using fungi of the genus Rhizopus.

If squalene is folded in a different conformation (chair-chair-chair-boat), then cyclization mediated by a cyclase enzyme results in the formation of a different intermediate, sterol intermediate II, which is the precursor of the pentacyclic triterpenes (Fig. 6.45).

Migration of the C16-C17 bond to satisfy the positive charge results in the formation of sterol intermediate III. This may undergo several rearrangements to give different triterpene skeletons. Pathway 1 involves formation of a bond between C18 and CX, resulting in a positive charge on CY (through removal of one pair of electrons from the double bond to form the C18-CX bond). This may be satisfied by a series of Wagner–Meerwein methyl and hydride shifts with loss of a proton from C12 resulting in a C12 double bond. This pathway gives us the ursane-type triterpenes of which α-amyrin is an example, possessing a double bond in position C12 (referred to as a Δ12 ursene) (Fig. 6.45).

Pathway 2 occurs through the formation of a C18-CY bond, which leaves a positive charge on CX which is stabilized by the two methyls attached to it. This intermediate may then lose a hydrogen ion from one of these methyls to forming a neutral double bond and the lupane skeleton (pathway a), or the bond between CY and CZ may migrate to CX, giving a carbocation at CY. Wagner–Meerwein migrations and loss of a hydrogen ion from C12 forming a double bond gives the oleanane triterpene skeleton, of which β-amyrin is typical, again possessing a double bond at C12. This compound may be referred to as a Δ12 oleanene.

Pentacyclic triterpenes are common in plants and herbal remedies such as horse chestnut (Aesculus hippocastanum) and liquorice (Glycyrrhiza glabra). Examples such as protoaescigenin, baringtogenol (both from horse chestnut) and glycyrrhetic acid (liquorice) (Fig. 6.46) have a high degree of functionality and chirality, and usually occur in the plant material in the form of glycosides.

Horse chestnut is used as an anti-inflammatory and antibruising remedy and liquorice has a long history of use as an anti-inflammatory (anti-ulcer) agent. Carbenoxolone sodium is a semi-synthetic derivative of glycyrrhetic acid that is widely prescribed for the treatment of gastric ulcers.

Tetraterpenes (C40)

The final class of terpenoids that will be dealt with are the tetraterpenes, which are C40 natural products derived from the reaction of two molecules of geranyl geranyl pyrophosphate (C20). Members of this class are sometimes referred to as carotenes or carotenoids because of their occurrence in the carrot (Daucus carota). As with the flavonoids, the tetraterpenes are highly pigmented natural products and are responsible for the very bright colours of certain plants, in particular the orange of carrots due to β-carotene, and the brilliant red colour of tomatoes (Lycopersicon esculentum) and peppers (Capsicum anuum), which is due to lycopene and capsanthin, respectively (Fig. 6.47). These compounds are highly conjugated and strongly UV light absorbing, and are involved in photosynthesis as light accessory pigments. They are widely distributed in plants and may also act as a protection factor against UV light damage. Because of their high colouration they are employed as colouring agents in foods, pharmaceuticals and cosmetics.

The tetraterpenes are strong antioxidants, being preferentially oxidized over biological molecules such as nucleic acids and proteins. It is thought that many disease states such as certain cancers and heart disease are exacerbated by species that cause oxidation; therefore, the presence of these compounds may retard the development of such diseases. The presence of lycopene in the diet has been shown to reduce the incidence of prostate cancer in men and it is likely that the tetraterpenes have high dietary significance and are important in cancer chemoprevention.

The tetraterpenes are precursors of vitamin A1 (retinol), a deficiency of which results in a reduction in sight efficiency through changes to the cornea and conjunctiva. Vitamin A1 occurs naturally in fish liver oils, carrots, green and yellow vegetables, and dairy products. It is biosynthesized by the oxidative cleavage of β-carotene to retinal, which is then reduced to retinol (vitamin A1) (Fig. 6.48).

Vitamin A preparations are also used to treat nappy rash, skin irritations and minor burns; vitamin A acid (retinoic acid) and vitamin A palmitate are used as treatments for acne.

The glycosides

The glycosides are discussed in a separate section here as they enhance the structural diversity of other natural product classes. The term glycoside is a generic term for a natural product that is chemically bound to a sugar. Thus the glycoside is composed of parts: the sugar and the aglycone. The aglycone may be a terpene, a flavonoid, a coumarin or practically any other natural product. If the aglycone is a triterpene, it is sometimes referred to as a genin (e.g. protoaescigenin; Fig. 6.46). Glycosides are very common in nature and provide extra chemical diversity and structural complexity in natural products.

There are two basic classes of glycosides: the C-glycosides, in which the sugar is attached to the aglycone through a carbon–carbon bond, and the O-glycosides in which the sugar is connected to the aglycone through an oxygen–carbon bond (Fig. 6.49).

Glycosides are usually more polar than the aglycone, and glycoside formation generally increases water solubility. This may allow the producing organism to transport and store the glycoside more effectively.

Cardiac glycosides

Many plants contain cardioactive or cardiac glycosides, which have a profound effect on heart rhythm. They are commonly found in the genera Convallaria, Nerium, Helleborus and Digitalis. The aglycone portion is steroidal in nature and is sometimes referred to as a cardenolide, being cardioactive and possessing an alkene and an olide (a cyclic ester) (Fig. 6.52).

Being ‘steroid-like’, the aglycone (genin) portion is derived from the triterpenes and these compounds may have a wide variety of sugars attached to the steroid portion. The most widely studied plant that contains these compounds is the foxglove (Digitalis purpurea) of the plant family Scrophulariaceae, which was used as long ago as the 18th century for the treatment of heart disease described as ‘dropsy’. The basis of this use was well founded as this plant contains the medicinal agents digoxin and digitoxin (Fig. 6.52). Digoxin is the most widely used cardiac glycoside in congestive heart failure and is now produced by isolation from the related species Digitalis lanata. Related cardiac glycosides, which because they are very fast-acting compounds are used in emergencies via the intravenous route, are lanatoside C and deacetyl-lanatoside C.

Triterpene glycosides have widespread distribution in plants and are sometimes referred to as saponins as they have soap-like properties and readily form foams. Medicinally important examples include glycyrrhizic acid from liquorice (Glycyrrhiza glabra) (Fig. 6.53), which is used as a treatment for stomach ulcers and the salts of which are intensely sweet. The sugars in Fig. 6.53 are of the glucuronic acid type and are shown as their Fisher projections.

Triterpene glycosides are steroid-like in structure and overuse can lead to similar symptoms associated with steroid overuse such as hypertension and thrombosis.

Anthraquinone glycosides

A number of plants that contain anthraquinone or anthrone glycosides (Fig. 6.54) have long been known for their laxative properties. They include cascara (Rhamnus purshiana), aloe (Aloe vera) and senna; the latter is divided into two species (Cassia angustifolia, known as Tinnevelly senna, and Cassia senna, known as Alexandrian senna). Aloe is used as a laxative as well as a treatment for minor burns. It contains a mixture of anthraquinone glycosides of which barbaloin is the major component and is a mixture of 10R and 10S isomers; the purified components are referred to as aloin A and B. The gel or mucilage from aloe is rich in polysaccharides and these anthraquinone glycosides, and is incorporated into creams and ointments to treat abrasions, burns and skin irritation.

Cascara was in use in the late 19th century as a laxative by the preparation of the bark of the tree. The main active principle is the diglucoside cascaroside, which, in common with barbaloin, exists as a mixture of epimers at position C10 as cascaroside A (10S) and B (10R).

There is little difference in the chemistry of the two senna species. The active constituents are sennosides A and B (Fig. 6.54). These natural products are dianthrones (dimers) of the anthrone skeleton. The fresh leaves of senna contain glycosides with additional sugar groups present and these are naturally hydrolysed to sennosides A and B. In vivo, the sennosides are then hydrolysed to the dianthrones (lacking the glucose sugars). Senna is widely prescribed for constipation; an example of a marketed product is Senokot.

The alkaloids

No other group of natural products has contributed more to medicines and pharmaceutical preparations than the alkaloids. As a group, they display an exceptionally wide array of biological activities and have an equally wide distribution, being present in plants, fungi, bacteria, amphibia, insects, marine animals and man. Plants and fungi rich in these natural products were used by early man to relieve pain, as recreational stimulants or, in religious ceremonies, to enter a psychological state to achieve ‘communication’ between his ancestors or God. The German pharmacist Karl Friedrich Wilhelm Meissner first coined the term ‘alkaloid’ in 1818, to describe substances that had alkaline (hence alkaloid) properties. Many alkaloids are, indeed, alkaline in nature (Fig. 6.55) as they possess either a primary, secondary or tertiary amine functional group and the alkaline (basic) properties of these groups may be exploited to aid their extraction and purification (see Chapter 7). However, some alkaloids exist as quaternary amine salts in which a lone pair of electrons from the nitrogen atom is used to form a bond with another group (e.g. methyl) and, therefore, a positive charge resides on the nitrogen making this group essentially neutral (neither basic nor acidic). Care must, therefore, be taken with the alkali or base definition of alkaloids as some are neutral, especially the amides (Fig. 6.55), and some alkaloids possess phenolic groups which actually contribute to the acidity of the molecule.

Alkaloids may also naturally exist as salts, which are the product of a reaction of a base (alkaloid) and an acid (e.g. sulphuric acid to give the sulphate, or hydrochloric acid to give the hydrochloride). A further definition of this group is that they are heterocyclic natural products containing nitrogen, but in our definition we will include compounds that contain nitrogen in an aliphatic chain (e.g. the phenyl-alkylamines; see below). Biosynthetically, the alkaloids are produced from several different amino acids thereby giving rise to a diverse group of fundamental structures (Fig. 6.56). A biosynthetic treatment of this class is outside the scope of this chapter; consequently this group of natural products will be dealt with by alkaloid class.

Pyridine, piperidine and pyrrolizidine alkaloids

The most widely studied member of the pyridine class is nicotine, the stimulant alkaloidal component of tobacco (Nicotiana tabacum, Solanaceae) (Fig. 6.57), which is responsible for the addictive nature of cigarettes and other tobacco preparations. Nicotine is used as a model for addiction to other drugs such as heroin. The compound has a pyrrole ring attached to the pyridine ring. Pharmaceutically, nicotine is formulated into chewing gum as an aid to cessation of smoking in products such as Nicorette.

The European plant hemlock (Conium maculatum, Apiaceae) produces the highly poisonous piperidine alkaloid coniine, which has an alkyl (C3) side-chain at the 2-position of the piperidine ring. This plant is famous as it was used to execute the Greek philosopher Socrates who was found guilty of treason and forced to drink a preparation of hemlock. Occasional poisoning with this plant occurs when children use the hollow stems as ‘pea shooters’ and ingest small quantities of the poison.

In the Indian subcontinent, large quantities of betel nuts (Areca catechu, Arecaceae) are consumed by farm workers for their stimulant properties to alleviate fatigue. The nuts are red (due to the presence of tannins), which causes staining of the teeth. These nuts are addictive, the active stimulant component being the piperidine alkaloid arecoline. Like nicotine, arecoline binds to the nicotinic receptors and has a stimulant effect on the CNS.

Lobeline is found in the leaves and tops of Lobelia inflata (Campanulaceae), which is also known as wild tobacco or pukeweed. It has similar effects to those of nicotine and arecoline and has been used as a smoking deterrent. Much work has been done to find alkaloids with activity against HIV of which castanospermine from Castanospermum australe (Fabaceae) is exceptional. This compound is an inhibitor of α-glucosidase, an enzyme involved in glycoprotein processing, which is important in the formation of viral coating, abnormalities of which stop infection of white blood cells. Castanospermine is a polyhydroxylated alkaloid (PHA) and is in fact a sugar analogue (compare with glucose in Fig. 6.57), which explains its activity against the glucosidase enzymes involved in the formation of glycoproteins. The compound is sometimes classified as an indolizidine alkaloid, but, as it also has a piperidine ring system, it is included in this section for convenience.

Senecionine is a member of the pyrrolizidine class of alkaloids, which have gained notoriety due to their hepatotoxic properties. These compounds possess a reactive carbon (* in Fig. 6.57), which is readily alkylated by reactive thiol groups present in many enzymes found in the liver. This accounts for the withdrawal of comfrey (Symphytum officinale, Boraginaceae), which has a long history of use as a medicinal plant but also contains these toxic alkaloids. Senecionine occurs in groundsel (Senecio vulgaris, Asteraceae), which is problematic in farms and paddocks where it can cause poisoning of livestock and horses.

Phenylalkylamine alkaloids

The natural products of this group do not have a cyclic nitrogen atom but have either a free amine or an alkyl-substituted amine. In Chinese medicine, Ma Huang (Ephedra sinica, Ephedraceae) has a long tradition of use as a treatment for colds, asthma and other bronchial conditions. The biologically active component of this species is ephedrine (Fig. 6.58), which possesses CNS stimulatory, vasoconstrictive and bronchodilatory properties. These effects are similar to those of the natural hormone adrenaline (epinephrine), which is structurally similar (Fig. 6.58). Ephedrine has two stereogenic (chiral) centres and, therefore, has four possible isomers. Injections of (–)-ephedrine are used for severe asthma and life-threatening anaphylactic shock. Another isomer of ephedrine, (+)-pseudoephedrine, is used in cough preparations such as Sudafed for its bronchodilatory properties. Herbal Ephedra has recently gained notoriety as ‘herbal ecstasy’, with a number of sources selling plant material over the Internet and in magazines. Claims of the stimulant’s ‘ecstasy-like’ properties are not unfounded due to the high similarity in structure of ephedrine and ecstasy (methylenedioxy-methylamphetamine, MDMA). These herbal preparations are dangerous and should therefore be avoided.

The indigenous peoples of central and north Mexico and the south-western USA ingest the dried heads (‘buttons’) of the cactus (Lophophora williamsii, Cactaceae) as part of their religious ceremonies. This plant material, known as peyote, induces vivid dreams and hallucinations; the biologically active natural product responsible is mescaline, a trimethoxylated phenylethylamine. Ingestion of pure mescaline fails to give the same response as consumption of peyote, which is possibly due to the contribution of other compounds present in the plant material.

A compound that is included in this section for convenience is colchicine, an alkaloidal amine from the autumn crocus (Colchicum autumnale, Colchicaceae). This plant was known by the Greek physician Dioscorides and has been widely used on the Arabian Peninsula for centuries in the treatment of gout and it is still used today for this purpose. However, it is highly cytotoxic and antimitotic, being an inhibitor of microtubule formation.

Quinoline alkaloids

The Spanish conquistadors who invaded Peru in the latter part of the 16th century discovered that the indigenous Incas of this area used a preparation of the bark of a rain-forest tree to treat fevers, especially malaria. The Jesuit priests accompanying the invading force collected large amounts of this bark and used it to prevent and treat malaria. The bark was shipped back to Europe where it became known as Jesuit bark or Peruvian bark and gained great fame as a treatment for malaria. The trees responsible for this biological activity are of the genus Cinchona (Rubiaceae), which produce the quinoline alkaloid quinine, first isolated in 1820 by the French pharmacists Pelletier and Caventou (Fig. 6.59). The structure of this compound was not known, however, until 1908 and total synthesis was only achieved in the mid-1940s. The pure compound was used extensively as an antimalarial and was a template for synthetic antimalarials such as quinacrine, chloroquine and mefloquine. Resistance to these agents, particularly chloroquine, has become increasingly widespread, in particular through removal of the antimalarial from the cell by plasmodial membrane-bound efflux mechanisms, resulting in a low intracellular (ineffective) concentration of the drug. Interestingly, quinine is active in many cases against chloroquine-resistant malaria and there has been increased use of this drug. It is thought that quinine and other quinoline antimalarials exert their effects by binding to haem, a degradation product of haemoglobin. This haem–quinoline conjugate is toxic and leads to death of the parasite. In the absence of quinine, haem is converted into a polymeric form known as haemozoin or malaria pigment which is non-toxic. Plasmodia are highly adaptable organisms and at present there is a need for new antimalarials to counter multidrug resistance in Plasmodium falciparum.

Quinine also has a use as a treatment for night cramps in the elderly and is added to Indian tonic water where it imparts a bitter taste and a brilliant fluorescence under UV light.

Quinidine is an isomer of quinine and has different configuration at the positions marked * in Fig. 6.59. It was observed that patients suffering from malaria who also had atrial fibrillation were cured of arrhythmias by quinine and quinidine. Quinidine is used to treat type I cardiac arrhythmias.

Isoquinoline alkaloids

Within the alkaloids as a group, the isoquinolines have had a profound effect on human society as agents for pain relief and as drugs of abuse. In particular, opium, which is rich in morphinane-type isoquinolines, has been used for millennia in the treatment of pain and as a narcotic substance and, arguably, no other substance has caused so much human misery.

Opium is the gummy exudate of the unripe capsules of the opium poppy (Papaver somniferum, Papaveraceae) and contains more than 30 alkaloids, of which the major components are morphine, codeine, thebaine, papaverine and noscapine (Fig. 6.60).

The majority of opium, which is produced for illegal drug use, now originates in Afghanistan.

When the British conquered the area of Bengal (now eastern India and Bangladesh) in the late 18th century, they discovered an area rich in opium fields and, as at that point in time there was a huge demand for Chinese tea, the opium was therefore used as a form of currency. Unfortunately, the addictive nature of opium was not well known and many Chinese became addicted through smoking the crude drug in opium dens (which were also a part of London life in the 19th century). This generated a huge social problem and resulted in war (opium war) between Britain and China, resulting in China having to cede land (including Hong Kong) to the British.

Morphine, derived from the name for the Greek god of sleep Morpheus, possesses both a basic tertiary amine and an acidic phenol functional group. These groups allow morphine to be readily purified by acids and bases; pure morphine was produced in the 1880s and was rapidly recognized as an excellent analgesic when injected (despite its addictive properties). Morphine is readily converted into the drug of abuse, heroin (diamorphine), by acetylation of both hydroxyl groups using acetic anhydride. Much has been written on the destructive nature of heroin as a drug of abuse, but this agent is highly useful in the management of pain, particularly in patients with terminal cancer.

Why morphine should dramatically affect analgesia in humans was a mystery until the discovery that we also produce a natural endogenous morphine-like substance (endorphin), which acts at the same site as morphine and is a pentapeptide (Tyr-Gly-Gly-Phe-Met). This molecule, named met-enkephalin (met being the terminal methionine residue, and enkephalin being derived from the Greek for ‘in head’) has a portion that shows striking similarity to morphine and explains why both molecules bind to the opiate receptor. Morphine is used as a centrally acting analgesic and as a smooth muscle relaxant.

Codeine is the phenolic methyl ether of morphine and is widely used as an over-the-counter analgesic and a cough suppressant. It is formulated with other analgesic agents such as aspirin and paracetamol. Both morphine and codeine are the most important analgesics for the management of moderate to severe pain. A number of semi-synthetic morphinanes have been produced as analgesics and cough suppressants; these include pholcodine and dihydrocodeine. Morphine was also used as a template for other analgesic agents including pethidine, which is one of the most widely used synthetic opiates.

Thebaine is the starting point for the synthesis of many agents, including codeine and veterinary sedatives such as etorphine.

Papaverine is an antispasmodic and is formulated with some analgesics such as aspirin. It is also used as a treatment for male impotence, and its activity as a Ca2+ channel blocker led to the development of verapamil. Apomorphine is prepared by heating morphine with concentrated hydrochloric acid and has recently been shown to be of use in the treatment of Parkinson’s disease as this compound is a dopamimetic. Papaveretum is a total alkaloid extract of opium (containing 85% morphine, 8% codeine and 7% papaverine) from which the minor alkaloid noscapine has been removed as it is genotoxic. Papaveretum is used as a premedication.

Indigenous peoples of South America use a variety of arrow poisons for hunting purposes, of which curare is a strong muscle relaxant. This poison is prepared from plants of the family Menispermaceae, notably Chondrodendron tomentosum, which kills by paralysis of the muscles required to breathe. The major active component of this species is the isoquinoline alkaloid tubocurarine, so named because the curare poison was carried in bamboo ‘tubes’ prior to use (Fig. 6.61).

Tubocurarine is a quaternary salt and as a chloride has found use as a muscle relaxant in surgical procedures. The compound was also a template for the development of other muscle relaxants of which atracurium (Tracrium) is an excellent example.

Ipecac (Caephaelis ipecacuanha, Rubiaceae) is a shrub indigenous to Brazil and produces rhizomes (underground stems) that were used by the indigenous peoples to treat diarrhoea. The main alkaloidal components of this species are emetine, psychotrine and cephaeline. Ipecac was used to treat amoebic dysentery, but the side effects (vomiting, nausea and severe gastrointestinal disturbance) stopped its use. However, it is used as an emetic in the form of a syrup to induce vomiting after poisoning and drug overdose. In addition to its emetic and amoebicidal properties, emetine (Fig. 6.61) is an expectorant and is added to many cough medicines.

Indole alkaloids

Like the isoquinolines, the indole alkaloids are a very important source of bioactive compounds. Snake root (Rauvolfia serpentina, Apocynaceae) is a shrub common to the Indian subcontinent; it has been used as a panacea in the Ayurvedic system of medicine, with uses described for the treatment of snakebite and madness. Reserpine, the major component of this species, was used as an antihypertensive agent, but due to side effects (neurotoxicity, cytotoxicity and depression) it is now not in use (Fig. 6.62).

British missionaries working in the Calabar coast area of West Africa (Nigeria and Cameroon) reported that criminal trials were conducted using the Calabar bean (Physostigma venenosum, Fabaceae). The beans of this plant are highly toxic and, when an individual was accused of a crime, they were forced to consume an extract of the bean. This practice was ‘trial by ordeal’ and accounts for the other name for the Calabar bean, the ‘ordeal bean’. Should the individual live then they were innocent of the crime, but death indicated guilt. The margin between innocence and guilt was probably a result of the completeness or incompleteness of extraction of the toxic chemicals from the plant! The toxic component of this species is physostigmine (Fig. 6.62), which is an inhibitor of acetylcholinesterase, resulting in an enhancement of the activity of acetylcholine (which is degraded by acetylcholinesterase). There is interest in this compound in the treatment of Alzheimer’s disease in which a low concentration of acetylcholine in the brain is observed. Synthetic compounds based on physostigmine include neostigmine and pyridostigmine, which are used to treat myasthenia gravis, a rare disease characterized by severe muscle weakness.

Poisoning through contamination of rye grain by fungi, in particular by Claviceps purpurea, has been described since the Middle Ages. This fungus produces dark-coloured structures (sclerotia) known as ergot on rye plants; these structures are rich in indole alkaloids. The poisoning from ingestion of bread made from contaminated grain is highly unpleasant, with victims complaining of burning, ‘fire-like’ sensations throughout their extremities and of vivid highly coloured hallucinations. These poisons can cause massive constriction of blood vessels, leading to ‘blackened’ limbs and gangrene. This condition became known as St Anthony’s fire after the saint who spent much of his life meditating in the fire-like heat of the Sinai desert. Because bread was the main staple diet in the Middle Ages, it is likely that this condition was widespread, especially as the damp surroundings in which grain was kept are conducive to the growth of the fungus. Ergot was used as an obstetric preparation in the 1500s to shorten labour during childbirth. It contains several groups of indole alkaloids such as the ergometrine type, which have simple amide side-chains, and the ergotamine group, which possess complex amino acid derived side-chains (Fig. 6.63).

Ergometrine is an oxytocic used to expel the placenta after childbirth or to increase contractions. This compound also acts on the pituitary as well as on the uterine muscles. Ergotamine was first used in the 1920s for the relief of migraine and is still used today. It reduces vasodilation, which can occur in throbbing migraine headache. The ergot alkaloids were used as a template for the semi-synthesis of bromocriptine, pergolide and cabergolide, which have use in neurological disorders such as Parkinson’s disease. Ergot can cause hallucinations, and the hallucinogenic drug of abuse LSD (lysergic acid diethylamide) is structurally related to these compounds (Fig. 6.63).

Many of the psychoactive compounds (including LSD) are structurally related to tryptamine, as are the harmine and harmaline alkaloids from Peganum harmala (Syrian Rue, Nitrariaceae) and the yahé or ayahuasca preparations (Bansiteriopsis caapi and B. inebrians, Malpighiaceae), which are prepared by Amazonian shamen. Ayahuasca is used as part of the community rituals of some Peruvian groups to preserve their traditional ways and to promote bonding and the establishment of social order. Ibogaine, from iboga (Tabernanthe iboga, Apocynaceae), is hallucinogenic and anticonvulsant, and has recently been studied as a treatment for heroin addiction. Psychoactive indole derivatives are even found in amphibia, notably in the skin of species of the genus Bufo, which produce bufotenin (Fig. 6.64).

Mushrooms of the genera Psilocybe, Panaeolus, Conocybe and Stropharia are known to produce psychoactive substances such as psilocybin, which is a phosphate salt in the fungi and is converted into psilocin in vivo (Fig. 6.64). The Aztecs of Mexico revered certain fungi (Psilocybe mexicana, Strophariaceae) as the ‘flesh of the Gods’ and gave it the name Teonanactl. The reverence for these mushrooms is presumably attributed to the profound hallucinogenic effects they exert, and, in Europe, many related species such as the liberty cap (Psilocybe semilanceata) are collected illegally for recreational abuse. These fungi are colloquially referred to as ‘magic mushrooms’, but as fungal taxonomy is highly complex there are risks of collecting poisonous species and the outcome may not be ‘magic’ at all.

The most important alkaloids of the indole group are the anticancer agents vincristine and vinblastine from the Madagascar periwinkle (Catharanthus roseus, Apocynaceae). These are complex bisindole (dimeric indole) natural products present in small quantities in the plant material. Vindesine is a semi-synthetic derivative which is also used clinically. These compounds are used for the treatment of Hodgkin’s lymphoma, acute leukaemia and some solid tumours (Fig. 6.65) and are dealt with in further detail in Chapter 8.

Strychnine and brucine (Fig. 6.66) are intensely bitter indoles from the seeds of nux-vomica or ‘vomiting nut’ (Strychnos nux-vomica, Loganiaceae), which is a tree indigenous to India. Preparations of nux-vomica were used as a stimulant tonic until the middle of the 20th century. However, these compounds are highly poisonous (strychnine is used as a rodenticide) and they are responsible for occasional poisoning incidents. They are of historical interest only in pharmacy and are now used as research tools.

Tropane alkaloids

The European plant deadly nightshade (Atropa belladonna, Solanaceae) produces hyoscyamine (Fig. 6.67), which occurs in the plant as a racemic mixture [(+) and (–) isomers, sometimes denoted (±)] at the chiral centre denoted * in Fig. 6.67. This mixture is often referred to as atropine. The generic name of the plant refers to Atropos, the ancient Greek Fate who, in mythology, cut the thread of life, and belladonna, meaning beautiful lady in Italian and refers to the use of the juice of the berries of this plant by ladies in the 16th century to dilate the pupils of their eyes which was considered an attractive feature. Hyoscyamine is an anticholinergic and also has been used to treat acute arrhythmias and to dilate the pupil of the eye (a mydriatic) for ophthalmic examinations. Semi-synthetic derivatives are also used (such as tropicamide) that are less longer-acting. Hyoscyamine also occurs in other species of Solanaceae, notably henbane (Hyoscyamus niger) and thornapple (Datura stramonium), together with hyoscine, also known as scopolamine, which is the epoxide derivative of hyoscyamine. Hyoscine is widely used as a premedication prior to operations to dry up secretions produced by inhalant anaesthetics and reduce nausea caused by the opiates. It is also a component of many travel (motion) sickness preparations.

The drug of abuse cocaine comes from the South American plants Erythroxylum coca and E. truxillense (Erythroxylaceae), which grow at high altitudes in the Andes in Colombia, Peru and Bolivia. As with heroin, this drug causes much misery and is a highly addictive CNS stimulant. Medicinally, cocaine has limited use as a local anaesthetic in ear, nose and throat surgery, and in the control of severe pain for patients with terminal cancer.

The calystegines, typically calystegine B2, are nor-tropane alkaloids (‘nor’ meaning lacking a carbon) which lack the N-methyl group of the tropanes. These compounds are widely distributed in the plant kingdom, particularly in the plant families Solanaceae and Convolvulaceae, which include a number of fruit and vegetables (e.g. tomatoes). The calystegines are currently of interest as inhibitors of glycosidase enzymes and they may have potential toxicity when ingested.

Xanthine alkaloids

The xanthine alkaloids are probably the most widely known (and used) group of alkaloids, being constituents of popular daily beverages such as tea (Camellia sinensis, Theaceae) and coffee (Coffea arabica, Rubiaceae). Coffee contains the xanthine (or purine) alkaloid caffeine (1–2%) (Fig. 6.68); typically a cup of instant coffee contains approximately 50 mg of caffeine. The caffeine content is appreciably higher in Turkish or Arabic coffees, which are highly concentrated and may contain up to 300 mg of caffeine per cup. Caffeine is a CNS stimulant and is a component of Proplus, a highly popular product amongst students to counter fatigue and drowsiness. It is also a diuretic and is used in combination with analgesics.

Together with caffeine, theophylline and theobromine (Fig. 6.68) are minor components of tea; theobromine also occurs in cocoa (Theobroma cacao, Malvaceae). All three alkaloids differ only in the number and position of methyl substituents around the xanthine ring system. Theophylline is a diuretic and its derivatives (e.g. aminophylline) are used to relax the smooth muscle of the bronchi for relief of asthma.

Imidazole alkaloids

The only member of this class that is of pharmaceutical merit is pilocarpine from jaborandi (Pilocarpus jaborandi, Rutaceae), a tree common to South America (Fig. 6.69). Pilocarpine is a cholinergic agent and is used to stimulate muscarinic receptors of the eye in the treatment of glaucoma. In the eye, this compound and derivatives (salts such as the hydrochloride and nitrate) cause pupillary constriction (miosis) and relieve eye pressure by facilitating better ocular drainage. Currently, there is interest in this class of alkaloid as muscarinic agonists in the treatment of Alzheimer’s disease.