Bioisosterism
Bioisosterism
Bioisosterism is a key concept in medicinal chemistry that involves the replacement of one molecular
fragment with another that has similar chemical and physical properties while retaining or improving
biological activity. This concept is used to optimize the pharmacokinetic profile, increase selectivity,
reduce toxicity, and improve metabolic stability of drug molecules. Bioisosteric modifications help in
scaffold hopping, enzyme inhibition, and the development of novel drug candidates.
Bioisosteres are classified into two main categories: classical and non-classical bioisosteres.
• Classical bioisosteres follow the Grimm’s hydride displacement law and include monovalent
(-NH₂, -CH₃, -OH), bivalent (-CH₂-, -NH-, -O-), trivalent (-CH=, -N=), and tetravalent (C, Si)
substitutions.
• Non-classical bioisosteres do not follow traditional rules but mimic the molecular shape and
function, including replacements such as carbonyl groups, amides, carboxylic acids, esters,
and ring equivalents.
•
The primary goal of bioisosteric replacement is to enhance the pharmacological and therapeutic
properties of a drug while minimizing adverse effects. It helps in:
• Reducing toxicity
A well-known example is 5-Fluorouracil (5-FU), an anticancer drug where the hydrogen atom in uracil
is replaced with fluorine. This modification enhances its ability to inhibit thymidylate synthase, an
enzyme crucial for DNA replication in cancer cells.
Prontosil, an early antibacterial drug, was discovered to be a prodrug that metabolizes into
sulfanilamide. The sulfonamide (-SO₂NH₂) group in sulfanilamide acts as a bioisosteric replacement
for the carboxyl (-COOH) group in para-aminobenzoic acid (PABA), allowing the drug to competitively
inhibit bacterial folate synthesis.
Zidovudine, an anti-HIV drug, was developed through the bioisosteric replacement of the hydroxyl (-
OH) group in thymidine with an azido (-N₃) group. This modification prevents the incorporation of
the drug into viral DNA, thereby inhibiting reverse transcriptase and viral replication.
The introduction of a fluorine (-F) atom at the 6th position of quinolone antibiotics led to the
development of fluoroquinolones, such as ciprofloxacin. This bioisosteric modification enhanced
bacterial enzyme affinity, broadened the antibacterial spectrum, and improved drug potency.
These case studies highlight the significance of bioisosteric modifications in improving drug efficacy
and safety in medicinal chemistry.