Oseltamivir/Tamiflu (Part 1: All About Chemistry)
2nd May 2006
Here is a topical one, Tamiflu. A lot of people are interested in it because it’s likely to be helpful against the “bird flu” strain of the H5N1 influenza subtype. Specifically, the concern is that bird flu might mutate into a form that is transmissible between humans. Today, some humans have gotten it - however, we don’t know of anyone who got it from a human - it’s occurred only in humans who work closely with birds.
I’m covering the drug in two parts. Today, we’re talking about the synthesis and precursors. Tomorrow, we’ll talk about how it works biochemically as an antiviral drug. Let’s get straight to the structure:

Enter Star Anise, the exotically-named unsung hero of the bird flu circus. While we fret about bird flu, star anise calmly, methodically, and homochirally puts out buckets (well, on the order of 5% by weight. relative buckets.) of shikimic acid like so.

What does this have to do with Tamiflu? Take a closer look. Shikimic acid has the proper chirality, and it is appropriate to use in preparing Tamiflu - the 1 in 8 stereoisomers of Tamiflu that is correct! Easy, huh?

(Image from Tamiflu Wikipedia article, public domain).
Hard. This is one of a few routes from shikimate to oseltamivir. This actually isn’t where any potential Tamiflu shortage results, though. Nobody is jumping up and down over a fifteen-plus-step synthesis route, but a lot of those steps are not-so-bad, and this is the kind of stuff process chemists know how to gear up and do. It turns out that the really hard part is getting enough shikimic acid! Some estimates have Roche using up to 90% of the star anise harvest, just to make Tamiflu. If you’ve tried to get a script for it filled lately, you know that it’s not enough.
If you have ever had the bizzare liqueur Galliano, you have drunk some star anise. I can only imagine the market will end up curtailing or making prohibitively expensive such frivolous uses, so if you’re a Harvey Wallbanger fan, stock up? Ew.
You may have wondered above where the first chiral stuff came from, if we need chirality to get there. Other people do, too. This is called the homochirality problem. This is an important part of the origin of life puzzle.
Shikimic acid is an example of a natural product precursor. Lots of natural products turn up in pharmaceutical design (penicillin was one, for example). Derek Lowe had a good post about them today. As he put it:
The famous natural product drugs - the taxanes, vinblastines, penicillins, quinines, and erythromycins of the world - hit specific biochemical targets like the ones the synthetic molecules are aimed at. They’ve had untold millions of years of optimization, and what we see are the variants that have been best at keeping other bacteria away, for example, or keeping insects from stripping the leaves. It’s often impossible to improve on the potency of a natural product for its target. The best chances for that are when you can optimize for the human forms of the enzyme or receptor that the compounds are hitting, as opposed to the ones its been honing itself against all these years, or to improve its characteristics in the human digestive and circulatory system, which it probably also hasn’t been under pressure to do anything about.
Structurally, they get lots worse. Here (PDF) are some examples of some natural products grad students gave up the better part of their twenties for.
Another recent discussion over at Nature’s blog, The Sceptical Chymist. From their entry:
[…] both syntheses avoid using either (-)-shikimic or (-)-quinic acid as starting materials: Corey’s synthesis starts with 1,3-butadiene and trifluoroethyl acrylate and Shibasaki’s synthesis starts with the asymmetric ring-opening reaction of a meso-aziridine with TMSN3. If these syntheses could be scaled up and optimized further, it might be possible to reduce the cost of oseltamivir/Tamiflu and pharmaceutical companies (or paranoid graduate students) could make plenty of the compound, which could be stockpiled and used if a human pandemic occurs.
The only catch: oseltamivir-resistant virus has already been reported in Vietnam…
The Corey in question is EJ Corey, yet another Nobel laureate and godfather of “retrosynthetic analysis.” If you are an undergrad in organic chemistry, this is close to your heart (or other vital organ). For the uninitiated, this is essentially the principle of working backwards from a desired product (Tamiflu, here) using a known structure (shikimic acid, or butadiene (!) in the case of Corey’s lab). While this might sound obvious, it’s only because it’s one of those brilliant ideas that sounds obvious after the fact. If you’ve ever looked at a synthetic scheme and thought, “hey, it’s kind of like Lego,” you owe a debt to Corey. We will no doubt talk about him another time.
Update 5/4: Take a look at the good folks at Totally Synthetic. They just did a two part series on the Corey synthesis of Tamiflu if you enjoy the organic synthesis side of things (Part One, Part Two).
Tomorrow: The biochemistry of Tamiflu. Have a good night, thanks for reading.
May 4th, 2006 at 8:55 pm
[…] Every organic compound has a systematic name like this, it’s just that they get prohibitively long for the larger ones. If you remember Tamiflu from the other day, its systematic name is “(3R,4R,5S)-4-Acetylamino-5-amino-3-(1-ethyl-propoxy)-cyclohex-1-enecarboxylic acid ethyl ester.” In practice, though, we rarely use these unless it’s easy - like SDS (and even here, we’ve abbreviated. lazy scientists.). If you happen to be taking an organic chemistry class right now, you are plenty familiar with naming compounds (don’t worry, it pretty much ends after you’re done with that class). If pressed, I could get that name, but only after a minute or two of staring at the structure and a few abortive attempts. If we ever really need a systematic name, The program I use to draw structures for the site has a brilliant piece of software called “AutoNom” in it that will convert names to structures. And back. Like I said, though, even chemists call the stuff in mosquito repellent DEET instead of N,N-diethyl-meta-toluamide. One more thing about nomenclature, then I’m done, promise. While SDS sounds like it belongs in the lab, you’ve used it. A lot. Go get everything out of your medicine cabinet and look at the labels. “Sodium lauryl sulfate” is the same thing. If you have something that gets foamy - liquid soap, shampoo, even toothpaste - there is a good chance it will have SDS in it. Sodium laureth sulfate is close, but not quite the same thing. OK. That’s it. For names, anyway. Go put everything away now. […]
June 2nd, 2006 at 3:22 am
why is the azeridine meso
how can the azeridine be prepared fro 1,4-cyclohexadiene
why is the azeridine opening desymmetric
give a summary of the corey synthesis