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              Alkaloids                                                                                   491

              TABLE IV Pharmacological Properties of Some Alkaloids  Other useful therapeutic agents are derivatives of alka-
                                                                loids with minor changes in the molecular structure, such
                  Alkaloid            Pharmacological action
                                                                as 2,3-dehydroemetine (amebicide), strychnine N-oxide

              Aconitine         Antipyretic, antineuralgic      (analeptic), and N,N -diallylnortoxiferine dichloride [po-
              Ajmalicine        Antihistaminic                  tent muscle relaxant; it differs from toxiferine dichloride
              Ajmaline          Antiadrenergic, antiarrhythmic  in the substituents of two nitrogen atoms: (N)—CH 2 —
              Atropine          Anticholinergic, mydriatic, antispasmodic  CH CH 2 instead of (N)—CH 3 ]. Finally, another group
              Camptothecine     Antitumor activity              of compounds used therapeutically differ substantially in
              Cocaine           Local anesthetic, vasoconstrictor  structure from the natural alkaloids. In their analgesic ac-
              Codeine           Antitussive                     tion cocaine and procaine are similar. The analgesic ac-
              Emetine           Emetic, amebicide               tivity of morphine greatly stimulated molecular modifi-
              Ephedrine         Sympathomimetic                 cation of its structure, even before all the details were
              Ergot alkaloids   α-Sympatholytic, vasodilator,   known. Cyclazocine is considered to be ∼40 times more
                                  antihypertensive
                                                                potent analgetically than morphine given subcutaneously
              Homoharringtonine  Antitumor activity
                                                                or orally. Because of side effects it is unacceptable as a
              Morphine          Analgesic, narcotic
                                                                general analgesic. Etorphine, another modified morphine,
              Papaverine        Antispasmodic
                                                                is 100–80,000 times more potent than morphine, depend-
              Physostigmine     Parasympathomimetic, miotic
                                                                ing on the test system used. It is interesting that compound
              Pilocarpine       Parasympathomimetic, diaphoretic, miotic
                                                                A given in Scheme 7 has enhanced antitussive activity,
              Quinidine         Antiarrhythmic
                                                                whereas its analgesic power is lower than that of mor-
              Quinine           Antimalarial
                                                                phine. The pharmacology and “modification” of alkaloids
              Reserpine         Antihypertensive                is a fascinating and at the same time very important aspect
              Scopolamine       Mydriatic, parasympatholytic    of medicinal chemistry.
              Tubocurarine chloride  Muscle relaxant              In many cases the source of clinically used alkaloids is
              Vincamine         Vasodilator, antihypertensive   still the natural plant (e.g., morphine, quinine), but in some
              Vincaleucoblastine  Antineoplastic                cases industrial synthetic products are preferred (e.g., vin-
              Vincristine       Antineoplastic                  camine, 2,3-dehydroemetine).

              B. Alkaloid Structures in Drug Design

              The pharmacological importance of alkaloids is enor-
              mous. Since the discovery of morphine by Sert¨urner, many
              plant alkaloids have been used directly or by molecular
              modification for therapeutic purposes. Even today a num-
              ber of alkaloids (or their hydro salts) are used clinically.
              Examples are given in Table IV; their structures are shown
              in Scheme 8.

                       H 3 C
                            N          O
                              COOCH 3
                                   O

                                   H
                               Cocaine

                                       O
                           C 2 H 5
                           N       O
                     H 5 C 2
                             C
                           H 2   CH 2
                                                NH 2
                                Procaine                            SCHEME 7 Morphine and three of its modifications.
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