MadSci Network: Medicine |
Hello, One common way to treat diseases is for medicinal chemists to synthesize drugs which bind to specific proteins. This is because many proteins in our bodies are enzymes, capable of catalyzing chemical reactions (that is, making a particular chemical reaction proceed more efficiently). By creating a drug molecule which binds specifically to a target protein, the chemical reaction catalyzed by that particular protein can be slowed down considerably. Paracetamol was originally discovered in the 1880’s, but the mechanism of action of paracetamol (known as acetaminophen in the U.S.) is still not clearly understood. Its ability to relieve pain and fever are similar to aspirin. Because paracetamol’s chemical structure is similar to aspirin, it has been thought that it acts in a similar manner to aspirin by attaching to proteins in the brain and central nervous system called cyclooxygenase (COX) enzymes responsible for controlling the body’s response to pain. However, paracetamol does not have the same side- effects, such as stomach irritation, that are caused by blocking these proteins. This suggests that paracetamol’s protein target may be different that aspirin. Some scientists believe that there is another COX protein similar to the one that aspirin blocks, but this continues to be a source of scientific inquiry and debate.
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