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Organic Chemistry

Chemistry Matters—Statin Drugs

Organic ChemistryChemistry Matters—Statin Drugs

Table of contents
  1. Dedication and Preface
  2. 1 Structure and Bonding
    1. Why This Chapter?
    2. 1.1 Atomic Structure: The Nucleus
    3. 1.2 Atomic Structure: Orbitals
    4. 1.3 Atomic Structure: Electron Configurations
    5. 1.4 Development of Chemical Bonding Theory
    6. 1.5 Describing Chemical Bonds: Valence Bond Theory
    7. 1.6 sp3 Hybrid Orbitals and the Structure of Methane
    8. 1.7 sp3 Hybrid Orbitals and the Structure of Ethane
    9. 1.8 sp2 Hybrid Orbitals and the Structure of Ethylene
    10. 1.9 sp Hybrid Orbitals and the Structure of Acetylene
    11. 1.10 Hybridization of Nitrogen, Oxygen, Phosphorus, and Sulfur
    12. 1.11 Describing Chemical Bonds: Molecular Orbital Theory
    13. 1.12 Drawing Chemical Structures
    14. Chemistry Matters—Organic Foods: Risk versus Benefit
    15. Key Terms
    16. Summary
    17. Additional Problems
  3. 2 Polar Covalent Bonds; Acids and Bases
    1. Why This Chapter?
    2. 2.1 Polar Covalent Bonds and Electronegativity
    3. 2.2 Polar Covalent Bonds and Dipole Moments
    4. 2.3 Formal Charges
    5. 2.4 Resonance
    6. 2.5 Rules for Resonance Forms
    7. 2.6 Drawing Resonance Forms
    8. 2.7 Acids and Bases: The Brønsted–Lowry Definition
    9. 2.8 Acid and Base Strength
    10. 2.9 Predicting Acid–Base Reactions from pKa Values
    11. 2.10 Organic Acids and Organic Bases
    12. 2.11 Acids and Bases: The Lewis Definition
    13. 2.12 Noncovalent Interactions between Molecules
    14. Chemistry Matters—Alkaloids: From Cocaine to Dental Anesthetics
    15. Key Terms
    16. Summary
    17. Additional Problems
  4. 3 Organic Compounds: Alkanes and Their Stereochemistry
    1. Why This Chapter?
    2. 3.1 Functional Groups
    3. 3.2 Alkanes and Alkane Isomers
    4. 3.3 Alkyl Groups
    5. 3.4 Naming Alkanes
    6. 3.5 Properties of Alkanes
    7. 3.6 Conformations of Ethane
    8. 3.7 Conformations of Other Alkanes
    9. Chemistry Matters—Gasoline
    10. Key Terms
    11. Summary
    12. Additional Problems
  5. 4 Organic Compounds: Cycloalkanes and Their Stereochemistry
    1. Why This Chapter?
    2. 4.1 Naming Cycloalkanes
    3. 4.2 Cis–Trans Isomerism in Cycloalkanes
    4. 4.3 Stability of Cycloalkanes: Ring Strain
    5. 4.4 Conformations of Cycloalkanes
    6. 4.5 Conformations of Cyclohexane
    7. 4.6 Axial and Equatorial Bonds in Cyclohexane
    8. 4.7 Conformations of Monosubstituted Cyclohexanes
    9. 4.8 Conformations of Disubstituted Cyclohexanes
    10. 4.9 Conformations of Polycyclic Molecules
    11. Chemistry Matters—Molecular Mechanics
    12. Key Terms
    13. Summary
    14. Additional Problems
  6. 5 Stereochemistry at Tetrahedral Centers
    1. Why This Chapter?
    2. 5.1 Enantiomers and the Tetrahedral Carbon
    3. 5.2 The Reason for Handedness in Molecules: Chirality
    4. 5.3 Optical Activity
    5. 5.4 Pasteur’s Discovery of Enantiomers
    6. 5.5 Sequence Rules for Specifying Configuration
    7. 5.6 Diastereomers
    8. 5.7 Meso Compounds
    9. 5.8 Racemic Mixtures and the Resolution of Enantiomers
    10. 5.9 A Review of Isomerism
    11. 5.10 Chirality at Nitrogen, Phosphorus, and Sulfur
    12. 5.11 Prochirality
    13. 5.12 Chirality in Nature and Chiral Environments
    14. Chemistry Matters—Chiral Drugs
    15. Key Terms
    16. Summary
    17. Additional Problems
  7. 6 An Overview of Organic Reactions
    1. Why This Chapter?
    2. 6.1 Kinds of Organic Reactions
    3. 6.2 How Organic Reactions Occur: Mechanisms
    4. 6.3 Polar Reactions
    5. 6.4 An Example of a Polar Reaction: Addition of HBr to Ethylene
    6. 6.5 Using Curved Arrows in Polar Reaction Mechanisms
    7. 6.6 Radical Reactions
    8. 6.7 Describing a Reaction: Equilibria, Rates, and Energy Changes
    9. 6.8 Describing a Reaction: Bond Dissociation Energies
    10. 6.9 Describing a Reaction: Energy Diagrams and Transition States
    11. 6.10 Describing a Reaction: Intermediates
    12. 6.11 A Comparison Between Biological Reactions and Laboratory Reactions
    13. Chemistry Matters—Where Do Drugs Come From?
    14. Key Terms
    15. Summary
    16. Additional Problems
  8. 7 Alkenes: Structure and Reactivity
    1. Why This Chapter?
    2. 7.1 Industrial Preparation and Use of Alkenes
    3. 7.2 Calculating the Degree of Unsaturation
    4. 7.3 Naming Alkenes
    5. 7.4 Cis–Trans Isomerism in Alkenes
    6. 7.5 Alkene Stereochemistry and the E,Z Designation
    7. 7.6 Stability of Alkenes
    8. 7.7 Electrophilic Addition Reactions of Alkenes
    9. 7.8 Orientation of Electrophilic Additions: Markovnikov’s Rule
    10. 7.9 Carbocation Structure and Stability
    11. 7.10 The Hammond Postulate
    12. 7.11 Evidence for the Mechanism of Electrophilic Additions: Carbocation Rearrangements
    13. Chemistry Matters—Bioprospecting: Hunting for Natural Products
    14. Key Terms
    15. Summary
    16. Additional Problems
  9. 8 Alkenes: Reactions and Synthesis
    1. Why This Chapter?
    2. 8.1 Preparing Alkenes: A Preview of Elimination Reactions
    3. 8.2 Halogenation of Alkenes: Addition of X2
    4. 8.3 Halohydrins from Alkenes: Addition of HO-X
    5. 8.4 Hydration of Alkenes: Addition of H2O by Oxymercuration
    6. 8.5 Hydration of Alkenes: Addition of H2O by Hydroboration
    7. 8.6 Reduction of Alkenes: Hydrogenation
    8. 8.7 Oxidation of Alkenes: Epoxidation and Hydroxylation
    9. 8.8 Oxidation of Alkenes: Cleavage to Carbonyl Compounds
    10. 8.9 Addition of Carbenes to Alkenes: Cyclopropane Synthesis
    11. 8.10 Radical Additions to Alkenes: Chain-Growth Polymers
    12. 8.11 Biological Additions of Radicals to Alkenes
    13. 8.12 Reaction Stereochemistry: Addition of H2O to an Achiral Alkene
    14. 8.13 Reaction Stereochemistry: Addition of H2O to a Chiral Alkene
    15. Chemistry Matters—Terpenes: Naturally Occurring Alkenes
    16. Key Terms
    17. Summary
    18. Summary of Reactions
    19. Additional Problems
  10. 9 Alkynes: An Introduction to Organic Synthesis
    1. Why This Chapter?
    2. 9.1 Naming Alkynes
    3. 9.2 Preparation of Alkynes: Elimination Reactions of Dihalides
    4. 9.3 Reactions of Alkynes: Addition of HX and X2
    5. 9.4 Hydration of Alkynes
    6. 9.5 Reduction of Alkynes
    7. 9.6 Oxidative Cleavage of Alkynes
    8. 9.7 Alkyne Acidity: Formation of Acetylide Anions
    9. 9.8 Alkylation of Acetylide Anions
    10. 9.9 An Introduction to Organic Synthesis
    11. Chemistry Matters—The Art of Organic Synthesis
    12. Key Terms
    13. Summary
    14. Summary of Reactions
    15. Additional Problems
  11. 10 Organohalides
    1. Why This Chapter?
    2. 10.1 Names and Structures of Alkyl Halides
    3. 10.2 Preparing Alkyl Halides from Alkanes: Radical Halogenation
    4. 10.3 Preparing Alkyl Halides from Alkenes: Allylic Bromination
    5. 10.4 Stability of the Allyl Radical: Resonance Revisited
    6. 10.5 Preparing Alkyl Halides from Alcohols
    7. 10.6 Reactions of Alkyl Halides: Grignard Reagents
    8. 10.7 Organometallic Coupling Reactions
    9. 10.8 Oxidation and Reduction in Organic Chemistry
    10. Chemistry Matters—Naturally Occurring Organohalides
    11. Key Terms
    12. Summary
    13. Summary of Reactions
    14. Additional Problems
  12. 11 Reactions of Alkyl Halides: Nucleophilic Substitutions and Eliminations
    1. Why This Chapter?
    2. 11.1 The Discovery of Nucleophilic Substitution Reactions
    3. 11.2 The SN2 Reaction
    4. 11.3 Characteristics of the SN2 Reaction
    5. 11.4 The SN1 Reaction
    6. 11.5 Characteristics of the SN1 Reaction
    7. 11.6 Biological Substitution Reactions
    8. 11.7 Elimination Reactions: Zaitsev’s Rule
    9. 11.8 The E2 Reaction and the Deuterium Isotope Effect
    10. 11.9 The E2 Reaction and Cyclohexane Conformation
    11. 11.10 The E1 and E1cB Reactions
    12. 11.11 Biological Elimination Reactions
    13. 11.12 A Summary of Reactivity: SN1, SN2, E1, E1cB, and E2
    14. Chemistry Matters—Green Chemistry
    15. Key Terms
    16. Summary
    17. Summary of Reactions
    18. Additional Problems
  13. 12 Structure Determination: Mass Spectrometry and Infrared Spectroscopy
    1. Why This Chapter?
    2. 12.1 Mass Spectrometry of Small Molecules: Magnetic-Sector Instruments
    3. 12.2 Interpreting Mass Spectra
    4. 12.3 Mass Spectrometry of Some Common Functional Groups
    5. 12.4 Mass Spectrometry in Biological Chemistry: Time-of-Flight (TOF) Instruments
    6. 12.5 Spectroscopy and the Electromagnetic Spectrum
    7. 12.6 Infrared Spectroscopy
    8. 12.7 Interpreting Infrared Spectra
    9. 12.8 Infrared Spectra of Some Common Functional Groups
    10. Chemistry Matters—X-Ray Crystallography
    11. Key Terms
    12. Summary
    13. Additional Problems
  14. 13 Structure Determination: Nuclear Magnetic Resonance Spectroscopy
    1. Why This Chapter?
    2. 13.1 Nuclear Magnetic Resonance Spectroscopy
    3. 13.2 The Nature of NMR Absorptions
    4. 13.3 Chemical Shifts
    5. 13.4 Chemical Shifts in 1H NMR Spectroscopy
    6. 13.5 Integration of 1H NMR Absorptions: Proton Counting
    7. 13.6 Spin–Spin Splitting in 1H NMR Spectra
    8. 13.7 1H NMR Spectroscopy and Proton Equivalence
    9. 13.8 More Complex Spin–Spin Splitting Patterns
    10. 13.9 Uses of 1H NMR Spectroscopy
    11. 13.10 13C NMR Spectroscopy: Signal Averaging and FT–NMR
    12. 13.11 Characteristics of 13C NMR Spectroscopy
    13. 13.12 DEPT 13C NMR Spectroscopy
    14. 13.13 Uses of 13C NMR Spectroscopy
    15. Chemistry Matters—Magnetic Resonance Imaging (MRI)
    16. Key Terms
    17. Summary
    18. Additional Problems
  15. 14 Conjugated Compounds and Ultraviolet Spectroscopy
    1. Why This Chapter?
    2. 14.1 Stability of Conjugated Dienes: Molecular Orbital Theory
    3. 14.2 Electrophilic Additions to Conjugated Dienes: Allylic Carbocations
    4. 14.3 Kinetic versus Thermodynamic Control of Reactions
    5. 14.4 The Diels–Alder Cycloaddition Reaction
    6. 14.5 Characteristics of the Diels–Alder Reaction
    7. 14.6 Diene Polymers: Natural and Synthetic Rubbers
    8. 14.7 Ultraviolet Spectroscopy
    9. 14.8 Interpreting Ultraviolet Spectra: The Effect of Conjugation
    10. 14.9 Conjugation, Color, and the Chemistry of Vision
    11. Chemistry Matters—Photolithography
    12. Key Terms
    13. Summary
    14. Summary of Reactions
    15. Additional Problems
  16. 15 Benzene and Aromaticity
    1. Why This Chapter?
    2. 15.1 Naming Aromatic Compounds
    3. 15.2 Structure and Stability of Benzene
    4. 15.3 Aromaticity and the Hückel 4n + 2 Rule
    5. 15.4 Aromatic Ions
    6. 15.5 Aromatic Heterocycles: Pyridine and Pyrrole
    7. 15.6 Polycyclic Aromatic Compounds
    8. 15.7 Spectroscopy of Aromatic Compounds
    9. Chemistry Matters—Aspirin, NSAIDs, and COX-2 Inhibitors
    10. Key Terms
    11. Summary
    12. Additional Problems
  17. 16 Chemistry of Benzene: Electrophilic Aromatic Substitution
    1. Why This Chapter?
    2. 16.1 Electrophilic Aromatic Substitution Reactions: Bromination
    3. 16.2 Other Aromatic Substitutions
    4. 16.3 Alkylation and Acylation of Aromatic Rings: The Friedel–Crafts Reaction
    5. 16.4 Substituent Effects in Electrophilic Substitutions
    6. 16.5 Trisubstituted Benzenes: Additivity of Effects
    7. 16.6 Nucleophilic Aromatic Substitution
    8. 16.7 Benzyne
    9. 16.8 Oxidation of Aromatic Compounds
    10. 16.9 Reduction of Aromatic Compounds
    11. 16.10 Synthesis of Polysubstituted Benzenes
    12. Chemistry Matters—Combinatorial Chemistry
    13. Key Terms
    14. Summary
    15. Summary of Reactions
    16. Additional Problems
  18. 17 Alcohols and Phenols
    1. Why This Chapter?
    2. 17.1 Naming Alcohols and Phenols
    3. 17.2 Properties of Alcohols and Phenols
    4. 17.3 Preparation of Alcohols: A Review
    5. 17.4 Alcohols from Carbonyl Compounds: Reduction
    6. 17.5 Alcohols from Carbonyl Compounds: Grignard Reaction
    7. 17.6 Reactions of Alcohols
    8. 17.7 Oxidation of Alcohols
    9. 17.8 Protection of Alcohols
    10. 17.9 Phenols and Their Uses
    11. 17.10 Reactions of Phenols
    12. 17.11 Spectroscopy of Alcohols and Phenols
    13. Chemistry Matters—Ethanol: Chemical, Drug, and Poison
    14. Key Terms
    15. Summary
    16. Summary of Reactions
    17. Additional Problems
  19. 18 Ethers and Epoxides; Thiols and Sulfides
    1. Why This Chapter?
    2. 18.1 Names and Properties of Ethers
    3. 18.2 Preparing Ethers
    4. 18.3 Reactions of Ethers: Acidic Cleavage
    5. 18.4 Cyclic Ethers: Epoxides
    6. 18.5 Reactions of Epoxides: Ring-Opening
    7. 18.6 Crown Ethers
    8. 18.7 Thiols and Sulfides
    9. 18.8 Spectroscopy of Ethers
    10. Chemistry Matters—Epoxy Resins and Adhesives
    11. Key Terms
    12. Summary
    13. Summary of Reactions
    14. Additional Problems
    15. Preview of Carbonyl Chemistry
  20. 19 Aldehydes and Ketones: Nucleophilic Addition Reactions
    1. Why This Chapter?
    2. 19.1 Naming Aldehydes and Ketones
    3. 19.2 Preparing Aldehydes and Ketones
    4. 19.3 Oxidation of Aldehydes and Ketones
    5. 19.4 Nucleophilic Addition Reactions of Aldehydes and Ketones
    6. 19.5 Nucleophilic Addition of H2O: Hydration
    7. 19.6 Nucleophilic Addition of HCN: Cyanohydrin Formation
    8. 19.7 Nucleophilic Addition of Hydride and Grignard Reagents: Alcohol Formation
    9. 19.8 Nucleophilic Addition of Amines: Imine and Enamine Formation
    10. 19.9 Nucleophilic Addition of Hydrazine: The Wolff–Kishner Reaction
    11. 19.10 Nucleophilic Addition of Alcohols: Acetal Formation
    12. 19.11 Nucleophilic Addition of Phosphorus Ylides: The Wittig Reaction
    13. 19.12 Biological Reductions
    14. 19.13 Conjugate Nucleophilic Addition to α,β‑Unsaturated Aldehydes and Ketones
    15. 19.14 Spectroscopy of Aldehydes and Ketones
    16. Chemistry Matters—Enantioselective Synthesis
    17. Key Terms
    18. Summary
    19. Summary of Reactions
    20. Additional Problems
  21. 20 Carboxylic Acids and Nitriles
    1. Why This Chapter?
    2. 20.1 Naming Carboxylic Acids and Nitriles
    3. 20.2 Structure and Properties of Carboxylic Acids
    4. 20.3 Biological Acids and the Henderson–Hasselbalch Equation
    5. 20.4 Substituent Effects on Acidity
    6. 20.5 Preparing Carboxylic Acids
    7. 20.6 Reactions of Carboxylic Acids: An Overview
    8. 20.7 Chemistry of Nitriles
    9. 20.8 Spectroscopy of Carboxylic Acids and Nitriles
    10. Chemistry Matters—Vitamin C
    11. Key Terms
    12. Summary
    13. Summary of Reactions
    14. Additional Problems
  22. 21 Carboxylic Acid Derivatives: Nucleophilic Acyl Substitution Reactions
    1. Why This Chapter?
    2. 21.1 Naming Carboxylic Acid Derivatives
    3. 21.2 Nucleophilic Acyl Substitution Reactions
    4. 21.3 Reactions of Carboxylic Acids
    5. 21.4 Chemistry of Acid Halides
    6. 21.5 Chemistry of Acid Anhydrides
    7. 21.6 Chemistry of Esters
    8. 21.7 Chemistry of Amides
    9. 21.8 Chemistry of Thioesters and Acyl Phosphates: Biological Carboxylic Acid Derivatives
    10. 21.9 Polyamides and Polyesters: Step-Growth Polymers
    11. 21.10 Spectroscopy of Carboxylic Acid Derivatives
    12. Chemistry Matters—β-Lactam Antibiotics
    13. Key Terms
    14. Summary
    15. Summary of Reactions
    16. Additional Problems
  23. 22 Carbonyl Alpha-Substitution Reactions
    1. Why This Chapter?
    2. 22.1 Keto–Enol Tautomerism
    3. 22.2 Reactivity of Enols: α-Substitution Reactions
    4. 22.3 Alpha Halogenation of Aldehydes and Ketones
    5. 22.4 Alpha Bromination of Carboxylic Acids
    6. 22.5 Acidity of Alpha Hydrogen Atoms: Enolate Ion Formation
    7. 22.6 Reactivity of Enolate Ions
    8. 22.7 Alkylation of Enolate Ions
    9. Chemistry Matters—Barbiturates
    10. Key Terms
    11. Summary
    12. Summary of Reactions
    13. Additional Problems
  24. 23 Carbonyl Condensation Reactions
    1. Why This Chapter?
    2. 23.1 Carbonyl Condensations: The Aldol Reaction
    3. 23.2 Carbonyl Condensations versus Alpha Substitutions
    4. 23.3 Dehydration of Aldol Products: Synthesis of Enones
    5. 23.4 Using Aldol Reactions in Synthesis
    6. 23.5 Mixed Aldol Reactions
    7. 23.6 Intramolecular Aldol Reactions
    8. 23.7 The Claisen Condensation Reaction
    9. 23.8 Mixed Claisen Condensations
    10. 23.9 Intramolecular Claisen Condensations: The Dieckmann Cyclization
    11. 23.10 Conjugate Carbonyl Additions: The Michael Reaction
    12. 23.11 Carbonyl Condensations with Enamines: The Stork Enamine Reaction
    13. 23.12 The Robinson Annulation Reaction
    14. 23.13 Some Biological Carbonyl Condensation Reactions
    15. Chemistry Matters—A Prologue to Metabolism
    16. Key Terms
    17. Summary
    18. Summary of Reactions
    19. Additional Problems
  25. 24 Amines and Heterocycles
    1. Why This Chapter?
    2. 24.1 Naming Amines
    3. 24.2 Structure and Properties of Amines
    4. 24.3 Basicity of Amines
    5. 24.4 Basicity of Arylamines
    6. 24.5 Biological Amines and the Henderson–Hasselbalch Equation
    7. 24.6 Synthesis of Amines
    8. 24.7 Reactions of Amines
    9. 24.8 Reactions of Arylamines
    10. 24.9 Heterocyclic Amines
    11. 24.10 Spectroscopy of Amines
    12. Chemistry Matters—Green Chemistry II: Ionic Liquids
    13. Key Terms
    14. Summary
    15. Summary of Reactions
    16. Additional Problems
  26. 25 Biomolecules: Carbohydrates
    1. Why This Chapter?
    2. 25.1 Classification of Carbohydrates
    3. 25.2 Representing Carbohydrate Stereochemistry: Fischer Projections
    4. 25.3 D,L Sugars
    5. 25.4 Configurations of the Aldoses
    6. 25.5 Cyclic Structures of Monosaccharides: Anomers
    7. 25.6 Reactions of Monosaccharides
    8. 25.7 The Eight Essential Monosaccharides
    9. 25.8 Disaccharides
    10. 25.9 Polysaccharides and Their Synthesis
    11. 25.10 Some Other Important Carbohydrates
    12. Chemistry Matters—Sweetness
    13. Key Terms
    14. Summary
    15. Summary of Reactions
    16. Additional Problems
  27. 26 Biomolecules: Amino Acids, Peptides, and Proteins
    1. Why This Chapter?
    2. 26.1 Structures of Amino Acids
    3. 26.2 Amino Acids and the Henderson–Hasselbalch Equation: Isoelectric Points
    4. 26.3 Synthesis of Amino Acids
    5. 26.4 Peptides and Proteins
    6. 26.5 Amino Acid Analysis of Peptides
    7. 26.6 Peptide Sequencing: The Edman Degradation
    8. 26.7 Peptide Synthesis
    9. 26.8 Automated Peptide Synthesis: The Merrifield Solid-Phase Method
    10. 26.9 Protein Structure
    11. 26.10 Enzymes and Coenzymes
    12. 26.11 How Do Enzymes Work? Citrate Synthase
    13. Chemistry Matters—The Protein Data Bank
    14. Key Terms
    15. Summary
    16. Summary of Reactions
    17. Additional Problems
  28. 27 Biomolecules: Lipids
    1. Why This Chapter?
    2. 27.1 Waxes, Fats, and Oils
    3. 27.2 Soap
    4. 27.3 Phospholipids
    5. 27.4 Prostaglandins and Other Eicosanoids
    6. 27.5 Terpenoids
    7. 27.6 Steroids
    8. 27.7 Biosynthesis of Steroids
    9. Chemistry Matters—Saturated Fats, Cholesterol, and Heart Disease
    10. Key Terms
    11. Summary
    12. Additional Problems
  29. 28 Biomolecules: Nucleic Acids
    1. Why This Chapter?
    2. 28.1 Nucleotides and Nucleic Acids
    3. 28.2 Base Pairing in DNA
    4. 28.3 Replication of DNA
    5. 28.4 Transcription of DNA
    6. 28.5 Translation of RNA: Protein Biosynthesis
    7. 28.6 DNA Sequencing
    8. 28.7 DNA Synthesis
    9. 28.8 The Polymerase Chain Reaction
    10. Chemistry Matters—DNA Fingerprinting
    11. Key Terms
    12. Summary
    13. Additional Problems
  30. 29 The Organic Chemistry of Metabolic Pathways
    1. Why This Chapter?
    2. 29.1 An Overview of Metabolism and Biochemical Energy
    3. 29.2 Catabolism of Triacylglycerols: The Fate of Glycerol
    4. 29.3 Catabolism of Triacylglycerols: β-Oxidation
    5. 29.4 Biosynthesis of Fatty Acids
    6. 29.5 Catabolism of Carbohydrates: Glycolysis
    7. 29.6 Conversion of Pyruvate to Acetyl CoA
    8. 29.7 The Citric Acid Cycle
    9. 29.8 Carbohydrate Biosynthesis: Gluconeogenesis
    10. 29.9 Catabolism of Proteins: Deamination
    11. 29.10 Some Conclusions about Biological Chemistry
    12. Chemistry Matters—Statin Drugs
    13. Key Terms
    14. Summary
    15. Additional Problems
  31. 30 Orbitals and Organic Chemistry: Pericyclic Reactions
    1. Why This Chapter?
    2. 30.1 Molecular Orbitals of Conjugated Pi Systems
    3. 30.2 Electrocyclic Reactions
    4. 30.3 Stereochemistry of Thermal Electrocyclic Reactions
    5. 30.4 Photochemical Electrocyclic Reactions
    6. 30.5 Cycloaddition Reactions
    7. 30.6 Stereochemistry of Cycloadditions
    8. 30.7 Sigmatropic Rearrangements
    9. 30.8 Some Examples of Sigmatropic Rearrangements
    10. 30.9 A Summary of Rules for Pericyclic Reactions
    11. Chemistry Matters—Vitamin D, the Sunshine Vitamin
    12. Key Terms
    13. Summary
    14. Additional Problems
  32. 31 Synthetic Polymers
    1. Why This Chapter?
    2. 31.1 Chain-Growth Polymers
    3. 31.2 Stereochemistry of Polymerization: Ziegler–Natta Catalysts
    4. 31.3 Copolymers
    5. 31.4 Step-Growth Polymers
    6. 31.5 Olefin Metathesis Polymerization
    7. 31.6 Intramolecular Olefin Metathesis
    8. 31.7 Polymer Structure and Physical Properties
    9. Chemistry Matters—Degradable Polymers
    10. Key Terms
    11. Summary
    12. Additional Problems
  33. A | Nomenclature of Polyfunctional Organic Compounds
  34. B | Acidity Constants for Some Organic Compounds
  35. C | Glossary
  36. D | Periodic Table
  37. Answer Key
    1. Chapter 1
    2. Chapter 2
    3. Chapter 3
    4. Chapter 4
    5. Chapter 5
    6. Chapter 6
    7. Chapter 7
    8. Chapter 8
    9. Chapter 9
    10. Chapter 10
    11. Chapter 11
    12. Chapter 12
    13. Chapter 13
    14. Chapter 14
    15. Chapter 15
    16. Chapter 16
    17. Chapter 17
    18. Chapter 18
    19. Chapter 19
    20. Chapter 20
    21. Chapter 21
    22. Chapter 22
    23. Chapter 23
    24. Chapter 24
    25. Chapter 25
    26. Chapter 26
    27. Chapter 27
    28. Chapter 28
    29. Chapter 29
    30. Chapter 30
    31. Chapter 31
  38. Index

29 • Chemistry Matters

29 • Chemistry Matters

Coronary heart disease—the buildup of cholesterol-containing plaques on the walls of heart arteries—is the leading cause of death for people older than 20 in industrialized countries. It’s estimated that up to one-third of women and one-half of men will develop the disease at some point in their lives.

The onset of coronary heart disease is directly correlated with blood cholesterol levels (see the Chapter 27 Chemistry Matters), and the first step in disease prevention is to lower those levels. It turns out that only about 25% of your blood cholesterol comes from what you eat; the remaining 75%—about 1 gram each day—is biosynthesized in your liver from dietary fats and carbohydrates. Thus, any effective plan for lowering your cholesterol level means limiting the amount that your body makes, which is where a detailed chemical knowledge of cholesterol biosynthesis comes in.

Cutaway diagram of a blood vessel showing a smooth interior, labeled normal artery. Another cutaway diagram in which vessel is partially obstructed with a yellowish substance, labeled narrowing of artery.
Figure 29.18 The buildup of cholesterol deposits inside arteries can cause coronary heart disease, a leading cause of death for adults in industrialized nations.

We saw in Section 27.5 and Section 27.7 that all steroids, including cholesterol, are biosynthesized from the triterpenoid lanosterol, which in turn comes from acetyl CoA through isopentenyl diphosphate. If you knew all the mechanisms for all the chemical steps in cholesterol biosynthesis, you might be able to devise a drug that would block one of those steps, thereby short-circuiting the biosynthetic process and controlling the amount of cholesterol produced.

But we do know those mechanisms! Look back at the pathway for the biosynthesis of isopentenyl diphosphate from acetyl CoA, shown in Figure 27.8. It turns out that the rate-limiting step in the pathway is the reduction of 3-hydroxy-3-methylglutaryl CoA (abbreviated HMG-CoA) to mevalonate, brought about by the enzyme HMG-CoA reductase. If that enzyme could be stopped from functioning, cholesterol biosynthesis would also be stopped.

The biosynthesis of mevalonate from 3-hydroxy-3-methylglutaryl coenzyme A (HMG-coenzyme A) is shown to be  the rate-limiting step in the biosynthesis of cholesterol.

To find a drug that blocks HMG-CoA reductase, chemists did two simultaneous experiments on a large number of potential drug candidates isolated from soil microbes. In one experiment, the drug candidate and mevalonate were added to liver extract; in the second experiment, only the drug candidate was added without mevalonate. If cholesterol was produced only in the presence of added mevalonate but not in the absence of mevalonate, the drug candidate must have blocked the enzyme for mevalonate synthesis.

The drugs that block HMG-CoA reductase, and thus control cholesterol synthesis in the body, are called statins. In just the 10-year period following their introduction in 1994, the death rate from coronary heart disease decreased by 33% in the United States.

Like many drugs, statins don’t come without risks and have some serious side effects that people considering their use should be aware of, but approaching 30 years later, they remain among the most widely prescribed drugs in the world, with estimated annual sales of $14 billion. Atorvastatin (Lipitor), simvastatin (Zocor), rosuvastatin (Crestor), pravastatin (Pravachol), and lovastatin (Mevacor) are some examples. An X-ray crystal structure of the active site in the HMG-CoA reductase enzyme is shown in the accompanying graphic, along with a molecule of atorvastatin (purple) that is tightly bound in the active site and stops the enzyme from functioning. A good understanding of organic chemistry certainly paid off in this instance.

The X-ray crystal structure of the active site of the  H M G-coenzyme A reductase enzyme bound to atorvastatin (Lipitor) . The second figure shows the structure of Lipitor.
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