Mekanisme Reaksi Diklofenak Ibuprofen dan Ketoprofen a. Diklofenak Ibuprofen Ketoprofen Sintesis Prostaglandin

2.3 Mekanisme Reaksi Diklofenak Ibuprofen dan Ketoprofen a. Diklofenak

NH Cl Cl C O Cl C O Cl NH + Cl Cl C O Cl - O - Cl -HCl N Cl Cl O O Cl REAGEN - δ Al Cl Cl Cl N Cl Cl O O δ δ δ δ δ - + - + - H H N Cl Cl CH O OH N Cl Cl H 2 C O H2 -H2O HOH DALAM BASA NH Cl Cl H 2 C C O OH DIKLOOFENAK Universitas Sumatera Utara

b. Ibuprofen

O H N O O S O OH O H S O O O OH - H + N O O N O O + - H - OH HO H 2 C CH CH 3 CH 3 H 2 C CH H 3 C H 3 C NO 2 Zn+ HCl o N N OH H + HO H - N N+ N N + - - H 2 C CH H 3 C H 3 C H 2 C CH H 3 C H 3 C H 2 C CH H 3 C H 3 C CH 2 CO OC 2 H 5 CO OC 2 H 5 H 2 C CH H 3 C H 3 C CH CO OC 2 H 5 CO OC 2 H 5 CH3I -HI

a. Ketoprofen

H 2 C C H H 3 C H 3 C C C O O C 2 H 5 C O O C 2 H 5 C H 3 H 3 O + - C O 2 - C 2 H 5 O H H 2 C C H H 3 C H 3 C C H C O O C 2 H 5 C H 3 + H + + H 2 O - C 2 H 5 O H H 2 C C H H 3 C H 3 C C H C O O H C H 3 Universitas Sumatera Utara . N O OH + H+ N O OH H + - H2O N O + N H H N O + NUKLEOPILIK ELEKTROPILIK LAMBAT O H N O O S O OH O H S O O O OH - H + N O O N O O + - H - OH HO H 2 C CH CH 3 CH 3 NO 2 Zn+ HCl C O KE META C O N H H N O + -H+ N H N O CEPAT PROTONS REARR N N OH H + N N OH H + HOH - N N+ - - C O C O C O C O C O Universitas Sumatera Utara 3 H C C O S C o A - A T P C O O - H O C H C H H 2 C S C H N H H N O C H 2 4 C O O H + + C H C H H 2 C S C H N H N O C H 2 4 C O O H C O O - B I O T I N E N Z I M B I O T I N - C O O - A D P + P i E N Z I M B I O T I N H 2 C C O S C o A - - O O C M A L O N I L - C O A N N + CH 2 COOC 2 H 5 COOC 2 H 5 CH COOC 2 H 5 COOC 2 H 5 CH3I -HI C COOC 2 H 5 COOC 2 H 5 CH 3 H3O+ -CO2 -C2H5OH C H COOC 2 H 5 CH 3 + H+ + H2O -C2H5OH C H COOH CH 3 C O C O C O C O C O KETOPROFEN

2.4 Sintesis Prostaglandin

H S C H 2 C H 2 N H C O C H 2 C H N H 2 C O C H O H C C H 3 C H 3 C H 2 O P O - C H 2 O H H H O O H P O H O O - H N N N N N H 2 C O E N Z Y M A Universitas Sumatera Utara O S 9 1 2 O 2 + N A D H + H + H 2 O + N A D + K o A O S K o A 9 1 2 9 1 2 6 6 S A T U R A S I L I N O L E I L - K O E N Z I M A - O K T A D E K A D I O N I L - K o A g L I N O L E I L - K O E N Z I M A - O K T A D E K A T R I O N I L - K o A 6 9 1 2 2 H C COOH C O S- Ko A M E L O N I L - K o A C 2 1 8 1 8 1 1 1 4 8 2 C O S K o A S I S T E M E L O N G A S E R A N Y A I M I K R O S O M A L E L O N G A S E O 2 + N A D H + H + H 2 O + N A D + 5 S A T U R A S I 1 1 1 4 8 2 C O S KoA 5 D I H O M O - g - L I N O L E I L - K O A E L K O S A T R I O L - K o A 8 1 1 1 4 A R A K I D O N I L - K o A - E I K O S A T E T R A E N O I L - K o A 5 8 1 1 1 4 Universitas Sumatera Utara PERU BAH AN ARAK H I DON AT ASPI RI N I NDOMETASI N I BUBRUFEN O OH 1 2 3 4 5 6 7 8 9 10 11 _ 13 14 15 δ δ δ δ δ δ δ δ δ δ - - - - - + + + + + + δ δ δ - 12 O O O OH O OH 1 11 2 3 4 5 6 7 8 9 12 13 14 15 16 10 O O 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 CH CH 2 O C H 2 C O CH 2 nCH 3 O P O O - RO FOSFOLIPID-ESTER ARACHIDONAT ARACHIDONAT AA FOSFOLIPASE A2 12-HIDROPEROXYARACHIDONAT 12-HPAA 12-HIROKSIARACIDONAT=12HAA 2O2 AA SIKLOOKSIGENASE OH O OOH O O PROSTAGLANDIN ENDOPEOCID H2 G2 {PGH2{PGG2}] PROSTASIKLIN SINTESIS DENGAN PENATAAN ULANG O COOH HO OH PROSTASIKLIN PGI2 HO HO COOH OH O 6-KETO-PGF14 O O OH COOH DENGAN PENATAAN ULANG TROMBOKSAN SINTESIS TROMBOKSAN A TXA2 PENATAAN ULANG O COOH HO OH TROMBOXAN B2 TXB2 ? ? DENGAN PENATAAN ULANG TROMBOKSAN SINTESIS ANTAGONI S TROMBOKSAN Universitas Sumatera Utara OH O OOH + 2HC C C O O H H HYROXHEPTADECATRIONIKACID HHT MALONALDEHID 1. SINTESIS PGE2 2. SINTESIS PGD2 3. SINTESIS PGF 2 OH O OOH O O 1. PGE2 ; R1=O, R2 = α OH, H 2. PGD2 ; R1 = α OH, H, R2 = O 3. PGF2; R1 = R2 = αΟΗ, Η

2.3 Sifat Kimia Fisika dan Aktivitas Biologis