Enalapril is an anti-hypertension "prodrug" (i.e, a drug precursor) that is inactive until the ethyl ester (arrow in figure) is hydrolyzed by esterases present in blood plasma. The active drug is the dicarboxylic acid ("enalaprilat") that results from this hydrolysis reaction. (a) Enalapril is administered in pill form, but enalaprilat must be administered intravenously. Why do you suppose enalapril works as a pill, but enalaprilat does not? EtOOC -NH CH3 HOOC Enalapril (b) Enalaprilat is a competitive inhibitor of the angiotensin-converting enzyme (ACE), which cleaves the blood-pressure regulating peptide angiotensin. ACE has a KM = 12 µM for angiotensin, which is present in plasma at a concentration of 75 µM. When enalaprilat is present at 2.4 nM, the activity of ACE in plasma is 10% of its uninhib- ited activity. What is the value of K; for enalaprilat?

Curren'S Math For Meds: Dosages & Sol
11th Edition
ISBN:9781305143531
Author:CURREN
Publisher:CURREN
Chapter9: Parenteral Medication Labels And Dosage Calculation
Section: Chapter Questions
Problem 6.4P
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Enalapril is an anti-hypertension "prodrug" (i.e, a drug precursor)
that is inactive until the ethyl ester (arrow in figure) is hydrolyzed by
esterases present in blood plasma. The active drug is the dicarboxylic
acid ("enalaprilat") that results from this hydrolysis reaction.
(a) Enalapril is administered in pill form, but enalaprilat must be
administered intravenously. Why do you suppose enalapril works as
a pill, but enalaprilat does not?
EtOOC
-NH
CH3
HOOC
Enalapril
(b) Enalaprilat is a competitive inhibitor of the angiotensin-converting
enzyme (ACE), which cleaves the blood-pressure regulating peptide
angiotensin. ACE has a KM = 12 µM for angiotensin, which is
present in plasma at a concentration of 75 µM. When enalaprilat is
present at 2.4 nM, the activity of ACE in plasma is 10% of its uninhib-
ited activity. What is the value of K; for enalaprilat?
Transcribed Image Text:Enalapril is an anti-hypertension "prodrug" (i.e, a drug precursor) that is inactive until the ethyl ester (arrow in figure) is hydrolyzed by esterases present in blood plasma. The active drug is the dicarboxylic acid ("enalaprilat") that results from this hydrolysis reaction. (a) Enalapril is administered in pill form, but enalaprilat must be administered intravenously. Why do you suppose enalapril works as a pill, but enalaprilat does not? EtOOC -NH CH3 HOOC Enalapril (b) Enalaprilat is a competitive inhibitor of the angiotensin-converting enzyme (ACE), which cleaves the blood-pressure regulating peptide angiotensin. ACE has a KM = 12 µM for angiotensin, which is present in plasma at a concentration of 75 µM. When enalaprilat is present at 2.4 nM, the activity of ACE in plasma is 10% of its uninhib- ited activity. What is the value of K; for enalaprilat?
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