Taxol Paper

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Taxol was discovered in 1967 by Dr. Monroe E. Wall and Dr. Mansukh C. Wani. Working in the
Research Triangle Institute, they isolated the compound from the bark of the Pacific Yew tree, Taxus
brevifolia. Taxol, or paclitaxel, is a plant alkaloid (Paclitaxel, 2010). Plants use alkaloids to protect
themselves from predators. Some are toxic, while others have such a horrible taste that the animal
won’t eat it again. Some alkaloids are similar to human neurotransmitters, and have medicinal value
(Plant, 2010). Paclitaxel in particular was found to be a good anti-tumor drug when tested in rodents. In
December 1992, the FDA approved Taxol as a treatment for ovarian cancer. In April 1994, it was
approved as a treatment for breast cancer as well (Taxus, 2010).
With the use of Taxol growing, supply became a problem. In order to make enough Taxol to
treat only one patient, several trees had to be used. This would eventually destroy the population of the
pacific yew tree, so research began to find a way to synthesize the drug without destroying more trees.
Because it is a popular landscape plant, a plan was devised to take the clippings from the nurseries that
grow them. In these clippings, a precursor to Taxol was isolated. In 1994, Taxol was successfully made
through a process known as semi-synthesis (Taxus, 2010).
Figure 1: Structure of Taxol (Paclitaxel) (O=Chem, 2010)
Taxol, in its pure form, exists as an off-white powder that melts at 198-203 ℃. Its IUPAC name is
“Benzenepropanoic acid, beta - (benzoylamino) - alpha - hydroxy -, 6, 12b - bis(acetyloxy) - 12 (benzoyloxy) - 2a, 3, 4, 4a, 5, 6, 9, 10, 11, 12, 12a - , 12b - dodecahydro - 4, 11 - dihydroxy - 4a, 8, 13, 13
- tetramethyl - 5 - oxo - 7,11-methano - 1H - cyclodeca(3, 4)benz(1, 2-b)oxet - 9 - yl ester, (2aR - (2a alpha, 4beta, 4a - beta, 6beta, 9alpha(alphaR*, betaS*), 11alpha, 1 - 2alpha, 12a - alpha, 12b - alpha) (9CI)” (Taxol, 2010). Its molecular formula is C47H51NO14 and its molecular weight is 853.92 grams per
mole.
Patchoulene oxide (starting compound)
Compoun
d
Molecular
Formula
Molecular
weight
Melting
Point
Appearance CAS
at room
Number
temperature
Specific
optical
rotation
Paclitaxel
(generic)
Or Taxol
C47H51NO14
853.906
g/mol
213-216 
C
White
crystalline
powder
33069-62-4
- 49  -55
Bond types:
The bond types that are present in the Taxol molecule are all covalent bonds. The carbonyl and
ketone groups are nonpolar covalent bonds while the alcohol and the secondary amine are polar covalent
bonds. There are three aromatic benzene rings in the molecule however the molecule is non-aromatic.
While 45 out of the 47 carbon atoms in the molecule are sp3 hybridized the remaining two are sp2
hybridized.
Functional groups:
There are many functional groups on this molecule. The groups that are duplicated are noted in the
parentheses: Phenyl (3), Amide, Alcohol (3), Carbonyl (2), Ester (3), Epoxide ring and an Alkene.
Chiral centers:
There are eleven chiral centers in the Taxol molecule. In the structure pictured the chiral centers are
numbers 1, 2, 3, 4, 5, 7, 8, 10, 13, 2' and 3'. Nine of the eleven chirality centers can be found in what can
be called the ABCD ring framework. The A is the hexene ring; the B is the eight carbon ring that together
with A comprise an unfused bicyclo ring; C is a six carbon ring that is fused with B and D is referring to
the epoxide.
Synthesis:
The synthesis for Taxol is very long and complicated. The Holton Taxol total synthesis will be the
particular synthesis that is elaborated. The Holton synthesis was the first complete synthesis of Taxol that
was published in 1994, by Robert A. Holton and colleagues at Florida State University.
The reaction is in fact so complex that there is a long list of the groups that were required as they
were protecting groups. Benzyloxymethyl, Carbonate, cyclic carbonate, 2-methoxy-2-propyl, tert-
butyldimethylsilyl, triethylsilyl, and trimethylsilyl to name a few.
The Holton team began with a patchoulol. One reason Holton and his team chose to start the
synthesis with patchoulene oxide is the structure of the compound already contains three quarters of the
carbons that are needed to comprise the ABCD ring framework.
Two important reactions in the total synthesis are enolate oxidation by sulfonyl oxaziridines and a
Chan rearrangement. The enolate oxidation happens in the tenth step in the synthesis when a ketone in the
number nine position becomes an enolate by oxidation with (+)-camphorsulfonyl oxaziridine. This gives
a -hydroxyketone. The importance of this step of the reaction lies in ABCD framework. This sets the
stage for the formation of the C ring. The first step in the formation of the C ring is the Chan
rearrangement. This is the rearrangement of a carbonate ester in the presence of a strong base (lithium
tetramethylpiperidide) to make a -hydroxy ester. There are many more steps in the reaction but few are
more important than those that form the ring framework.
The mechanism is enantioselective in that synthesizing Taxol from (-)-patchoulene oxide will give
the (+)-Taxol enantiomer. The other enantiomer ((-)-Taxol enantiomer) can be obtained by synthesizing
Taxol from (-)-borneol.
The synthesis is complete, however, initially, Dr. Holton himself claimed that the process was not
commercially viable. A big reason for this is that the reaction is an example of linear synthesis, where
each subsequent step in the reaction significantly reduces the yield until the final product is exponentially
less that all the required reactants. After a series of months the Holton team managed to refine the
process, of each step, so that the average chemical yield reached 93 %. Attached is a copy of a summary
for the retrosynthesis of Taxol from patchoulene oxide.
Taxol is a mitotic inhibitor that is part of a group known as antineoplastic that is taken as a
prescription drug that is used with other drugs to treat patients with breast cancer or have
returned in six months of treatment and did not respond well to other regiments of treatment,
patients with ovarian cancer, lung cancer, some AIDS-related Kaposi's sarcoma patients,
prostate, melanoma, esophageal, and including other solid tumors cancers (TAXOLINJECTION, 2010). Taxol is used as a chemotherapeutic agent that depresses the growth by
attaching themselves to the cancer cells during the dividing stage causing the cells not to be able
to divide resulting in their ability to grow like they should where eventually they die and are
unable to spread throughout the rest of the body (Breast Cancer, 2010). Taxol is administered
through a fine tube that is inserted into the vein of the patients are for a continuous 24 hours a
day, seven days a week, for seven weeks or the cycle your doctor or physician may think is
necessary at the time. Taxol should not be given to patients who are pregnant and who have
allergic reactions to Taxol as while as similar medications containing castor oil, also having a
very low white blood count (Breast Cancer, 2010).
While taking Taxol and when treatment has been completed a patient may encounter
varies side effects depending on the dosage and the regimen that was given. No all patients will
experience these side effects some may experience very few while others could experience more
(TAXOL- INJECTION, 2010). Some common side effects are bone marrow decrease in making
the appropriate amount of blood cells causing the patient to become anemic also known as
having anemia. In addition to the becoming anemic the patient may experience having an
irregular heartbeat, slow heart rate, high and low blood pressure, on top of nerve pain and joints
two through three days following treatment. Sensations of burning in tingling in hands and feet
and may be more at a risk of catching an infection because of your immune system being low
from loss of white blood cells being produced. Patients are to avoid any administrates of
vaccinations since Taxol may lower you immune system causing the patient to receive the
infection they were trying to prevent from catching. Also requires that you avoid close contact
with people that are sick and have taken oral polio virus vaccine or that are currently taken it
now (TAXOL- INJECTION, 2010). Furthermore Patient may experience some vomiting and
nausea which may be mild but other cases not so much, however through it all you must continue
the treatment even during these times you may ask your physician if they can prescribe
something that will lighten the effects (Paclitaxel-Intravenous Route).
Although Taxol has been tested on limited patients from young to adults it has not
revealed any differentiation in side effects or problems among the age groups. In deciding if a
patient will take Taxol as a form of treatment, the patient must focus on the good it will do in the
end; in weighing it to the risk it may cause, but before proceeding to take treatment you must
provided your doctor about any allergies you may have from animals, dyes and foods
(Paclitaxel-Intravenous Route). In addition to providing your doctor or physician with allergies
you may also inform if you have any other medications that are being taken at that time; for
taking other medications is not recommended, as well as if you are pregnant or breast feeding for
it is not clear if Taxol effects the fetus or can travel to the breast tissue so it is taken as a
precautious response. It is very important that during this process you have continues visits with
your physician for checking if the treatment is working and is effective and for checking for any
unwanted effects of treatment (Paclitaxel-Intravenous Route).
In prescribing this treatment if I was a physician or doctor for patients that have ovarian
cancer, lung cancer, some AIDS-related Kaposi's sarcoma patients, prostate, melanoma,
esophageal, and including other solid tumors cancers. I would administer this as a treatment.
Although some of the side effects can cause lifelong problems such as becoming anemic,
abnormal heartbeats and live problems. The majority of people do not even experience these
major side effects and the outcome after treatment is finished as been very successful for
patients. Placing Taxol treatment in the top best treatment known for patients that do have the
previous mentioned forms of cancer.
Works Cited
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