<S>:Cardiac glycosides are a class of organic compounds found in certain plants (particularly the rosemary and foxglove families) that can be effective drugs in treating abnormal heart rhythms or heart failure.
Glycosides are compounds that yield one or more sugars among the products of hydrolysis
Glycosides are involved in the regulatory, protective, and sanitary functions of plants
Glycosides are classified based on the chemical nature of the aglycone
Glucoside refers to the substance where the sugar formed is glucose
In glycosides, α and β varieties exist, but only the β variety occurs in plants
Emulsin and myrosin are enzymes that can hydrolyze more than one glycoside
Components of glycosides:
Sugar (glycone) – sugar component
Non-sugar (aglycone) – non-sugar component
Glycosides play an important role in the life of the plant and are involved in its regulatory, protective, and sanitary functions
Glycosides have therapeutically active agents valuable to humans, such as cardiac drugs and laxatives
Laxatives Glycosides: Senna, Aloe, Rhubarb, Cascara sagrada, Frangula, Black Mustard, White Mustard, Wintergreen
Biosynthesis of Glycosides involves the transfer of a uridylyl group from uridine triphosphate to a sugar 1-phosphate (glycone) by an enzyme known as uridylyl transferase
Biosynthesis of Glycosides also involves the transfer of the subsequent reaction of sugar by the mediation of glycosyl transferase from uridine diphosphate to a suitable acceptor (aglycone) forming the glycoside
Classification of Glycoside Containing Drugs:
1. Anthraquinone Glycosides
2. Cardioactive Glycosides
3. Saponin Glycosides
4. Cyanophore Glycosides
5. Isothiocyanate Glycosides
6. Flavonol Glycosides
7. Alcohol Glycosides
8. Aldehyde Glycosides
9. Lactone Glycosides
10. Phenol Glycosides
Anthraquinone Glycosides:
Are glycosides with aglycones related to anthracene
Yields upon hydrolysis aglycones that are di-, tri-, or tetra-hydroxyanthraquinones or modifications of these compounds
Examples include Frangulin (emodin + rhamnose) with uses as a stimulant cathartic/laxative
Biosynthesis of Anthraquinone Glycosides:
Obtained from studies of microorganisms like Penicillium islandicum
Anthranols and anthrones are intermediates in the formation of anthraquinones
Cardiac glycosides usually contain 3 to 4 sugars attached at C-3 OH, including glucose, rhamnose, and deoxysugars
Glycosides are soluble in water and alcohols
The number of sugars in glycosides affects their water solubility
Aglycones in glycosides are soluble in CHCl3 and EtOAc
Stability of cardiac glycosides:
Acid hydrolysis splits sugars from the aglycone first
Enzymatic hydrolysis splits sugars stepwise starting from the terminal sugar
Elevated temperature causes dehydration by removing the C-14 OH group to give an inactive anhydro-form
Cardiac glycosides are used as cardiotonics to treat congestive heart failure
Cardiac glycosides increase the force of contraction of cardiac muscles without increasing oxygen consumption
Cardiac glycosides increase cardiac output and prolong the diastolic phase, decreasing heart rate
Cardiac glycosides have a diuretic effect due to their direct action on renal tubules, increasing the amount of blood passing through the kidney
Plants containing cardiac glycosides:
Digitalis (Foxglove) from Digitalis purpurea and Digitalis lanata
Strophanthus from Strophanthus kombé
Squill (Urginea maritima)
Squill, also known as Scilla or Maritime squill, is derived from the sliced, dried, fleshy middle scales of the onion of the white variety of Urginea maritima
Squill's principal active constituent is Bufadienolides, which are aglycones containing only two hydroxyl groups at C-3 and C-14, and it has a 6-membered lactone ring
Squill is used for its medicinal properties, including increasing cardiac contractility, controlling heart rate and atrial fibrillation, and as an antiarrhythmic agent
Squill is also known for its historical use as a source of arrow poison
Araliaceae is known as the Ginseng family
Protopanaxdiols and b-Protopanaxatriols are classifications related to Araliaceae
Ginseng has an adaptogenic effect, improving physical and mental performance, immune function, metabolism, liver functions, and stabilizing blood glucose and pressure
Horse Chestnut is derived from Aesculus hippocastanum and is used for anti-inflammatory purposes and peripheral vascular disorders like varicose veins and hemorrhoids
Glycyrrhiza, known as Licorice root, has active constituent Glycyrrhizin, used for various purposes like demulcent, expectorant, flavorant, and anti-inflammatory properties
Senega is derived from Polygala senega and is used as a stimulant expectorant in chronic bronchitis
Cyanophore glycosides refer to glycosides found in rosaceous plants that yield hydrocyanic acid upon hydrolysis
Wild Cherry, derived from Prunus serotina, is used as a flavored vehicle in cough remedies and as a sedative expectorant
Isothiocyanate glycosides come from cruciferous plants and contain aglycones that are isothiocyanates, used as local irritants, emetics, rubefacients, vesicants, and condiments
Flavonol glycosides, known as flavonoids, are plant pigments synthesized from phenylalanine, classified into flavones, flavonols, and flavonones