Carbohydrates and Related Compounds: Unit 3
Carbohydrates and Related Compounds: Unit 3
Carbohydrates and
Related Compounds
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Awareness of the importance of carbohydrates in living systems and medicine is growing due to the increasing
understanding of their biological and pharmacological relevance. Carbohydrates are ubiquitous and perform a wide
array of biological roles. Carbohydrate-based or -modified therapeutics are used extensively in cardiovascular and
hematological treatments ranging from inflammatory diseases and anti-thrombotic treatments to wound healing.
(Carbohydrates in therapeutics: Michelle Kilcoyne, Lokesh Joshi. Retrieved from https://pubmed.ncbi.nlm.nih.gov/)
The Germans first and foremost introduced the word ‘kohlenhydrates’ which was later on coined to
carbohydrates. The name obviously suggests that these compounds are essentially the hydrates of carbon. In reality, all
carbohydrates comprise of carbon, hydrogen and oxygen; whereas, the last two elements are found to exist in the same
proportions as in water ( i.e., H2O – 2:1). However, it has been observed that there are certain compounds that do
conform to the said ‘hydrate rule’ i.e., maintain the ratio of H and O (2:1) but do not belong to the category of
carbohydrates.
▪ Compounds with same proportions as in water but are not hydrates of carbon:
o Formaldehyde [HCHO]
o Acetic Acid [CH3COOH]
o Lactic Acid [C3H6O3]
▪ Carbohydrates that do not abide in the “rule of H 2O”
o Cymarose C7H14O4
o Digitoxose C6H12O4
o Rhamnose C6H12O5
o Sarmentose C7H14O4
o Oleandrose C7H14O4
o Digitalose C7H14O5
Under this unit, carbohydrates represent not only the sugars but also those substances that are related to them
basically in structure and other characteristic features. They belong to the chemical class of the aldehydes, ketone
alcohols, and also the condensation polymers of these partially oxidized polyalcohol collectively known as
‘Polysaccharides’ or ‘Oligosaccharides’. It is important to recall the properties and classifications of carbohydrates
discussed in Pharmaceutical Biochemistry.
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Physical Properties
Solubility – with increasing complexity of the chemical structure, the water solubility decreases. This means that
monosaccharides and disaccharides are soluble in water while polysaccharides are insoluble, hence, heat is required
to dissolve them.
Shape - monosaccharides and disaccharides (like sucrose) appear as white crystalline while polysaccharides (like starch)
are amorphous
Taste – with increasing complexity of the chemical structure, the level of sweetness decreases). This means that
monosaccharides and disaccharides taste sweet while polysaccharides taste bland.
Chemical Properties
1. Can undergo hydrolysis - e.g. Starch hydrolyzes to amylodextrin → erythrodextrin → achrodextrin → maltose → 2
glucose
2. Can reduce metals – e.g. reducing sugars can reduce cupric ion from Fehling’s solution to produce cuprous ion.
3. Form osazones with phenylhydrazine
4. Can be fermented to produce ethanol and carbon dioxide:
▪ Initiated by yeast (Saccharomyces cerevisiae)
▪ Fruits and flowers are made into wine
▪ Honey is made into mead (alcoholic beverage)
▪ Malted barley is made into beer
▪ Apple is made into cider (alcoholic beverage made from the fermented juice)
▪ Molasses is made into rhum (distilled from fermented molasses)
5. Can be metabolized
a. When sugars undergo oxidation, they produce sugar acids – e.g. glucose to gluconic acid
b. When sugars undergo reduction, they produce sugar alcohols – e.g. mannose to mannitol
The synthesis of carbohydrates takes place due to photosynthesis wherein carbon dioxide (CO2) is one of the starting
materials. This chemical process occurs abundantly both in all plants and in certain purple bacteria.
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Biosynthesis of sucrose:
Steps:
1. Fructose 6-phosphate is converted to glucose 1-phosphate
2. Glucose 1-phosphate reacts with UTP uridylyltransferase to form UDP-
glucose Uridine diphosphate glucose
3. UDP-glucose reacts with fructose 6-phosphate to form sucrose
phosphate then sucrose or:
4. UDP-glucose reacts with fructose to form sucrose directly
5. Sucrose may remain as sucrose or be utilized to form
monosaccharides then oligosaccharides or polysaccharides
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*Dextrose excipients
Uses:
▪ Sweetening agent (substitute for sucrose in syrup)
▪ Tablet binder
▪ Coating agent
▪ Replacement for liquid glucose as pharmaceutic aid
B. Liquid glucose
D. Calcium gluceptate and calcium levulinate (aka Calcium salts of 7- and 5-carbon acids)
Biological Source/Source:
▪ Calcium gluceptate: glucose
▪ Calcium levulinate: starch and cane sugar
Description: Salts are calcemic
Uses: Electrolyte replenisher (accounts for the therapeutic effect of calcium)
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2. Fructose (aka D-fructose, levulose, B-D (-)-fructopyranose, B-D (-) – fructofuranose, fruit sugar
because it is present in most sweet fruits)
Biological Source/Source: Inversion of sucrose; honey; hydrolysis of inulin; enzymatically
prepared high fructose syrup inverted sugar glucose and fructose
Description:
▪ Ketone sugar carbonyl group (CO) bonded to an R group
▪ Colorless crystals or white crystalline or granular, odorless powder that has sweet taste
▪ Freely soluble in water
▪ Half as sweet to the taste as glucose
Uses:
▪ Food for diabetic patients (particularly diabetic acidosis)
▪ Infant feeding formulas
▪ Intravenously, less urinary secretion than glucose
▪ Fluid, nutrient and electrolyte replenisher (IV or SC)
▪ Ingredient in: fructose injection; fructose and NaCl injection
* High-fructose sweetener
Biological Source/Source: prepared by controlled enzymatic isomerization of Glucose (derived from starch)
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▪ Sweetening agent to troches and tablets
▪ Retards oxidation to some preparations
6. Lactulose
Biological Source/Source: lactose
Description:
▪ Semisynthetic sugar
▪ Yields fructose and galactose upon hydrolysis
▪ Poorly absorbed; remains unchanged in the colon
Uses:
▪ Laxative
o Bacteria in the colon metabolizes lactulose to acetic and lactic acid
o Accumulation of these irritating acids causes laxative effect
▪ Decreases blood ammonia concentration in portal systemic encephalopathy
o Acidified stools trap ammonia (ammonium ion), reabsorption is prevented
o Blood ammonia levels may be decreased by 25 to 50 %
▪ Product: Cephulac®; Chronuac ®; Duphalac ®; Lilac ®
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Drugs containing compounds metabolically related to sugars
Certain pharmaceutic products, such as ethanol and citric acid, are produced by the cellular respiration of
carbohydrates, especially glucose.
Pathways:
1. Embden-Meyerhof pathway: anaerobic conversion of glucose to pyruvic acid by glycolysis. In the absence of air,
pyruvic acid may be converted to lactic acid or to ethanol. Lactic acid can be converted to energy without oxygen.
Accumulation of it in the blood results to muscle cramps
2. Oxidative decarboxylation of pyruvic acid: pyruvic acid undergoes oxidative decarboxylation to yield acetyl
coenzyme A (acetyl-CoA or active acetate) which can be utilized in a variety of reactions including the acetylation of
aromatic amines and alkaloids or the biosynthesis of fatty acids or steroids.
3. Tricarboxylic acid cycle: most of the acetyl-CoA undergoes condensation with oxaloacetate to form citrate, thereby
entering the TCA cycle where it is oxidized to CO2 and water with the liberation of energy
2 Phases of Pentose Phosphate Pathway (watch the video “Pentose Phosphate Pathway”)
1. Oxidative phase: G6P is oxidized and decarboxylated to ribulose-5-Phosphate; products: 2 equivalents NADPH
2. Regenerative “sugar-shuffle” phase: Conversion of ribulose-5-phosphate to G-6-Phosphate
1. Plant juices
2. Acids
A. Citric acid (First isolated in crystal form from lemon juice by Sheele
1784)
Biological Source/Source: Lemons, limes, pineapples; Fermentation of
sucrose
Description:
▪ Colorless, odorless, translucent crystals Citric acid
▪ Readily soluble in water and alcohol
▪ Tricarboxylic acid
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Uses:
▪ Used in buffering systems
▪ Acidulant in effervescent formulations confer a tart, sour, or acidic flavor
▪ Ingredient in potassium citrate and citric acid solution; sodium citrate and citric acid solution; systemic alkalinizers;
anticoagulant citrate dextrose solution; anticoagulant citrate phosphate dextrose solution
B. Lactic acid
Biological Source/Source: sugar
Description:
▪ Colorless or yellowish, nearly odorless, syrupy liquid
▪ Miscible with water, alcohol, and ether
Chemical Constituents:
▪ Lactic acid (85-90 %by weight), lactic acid lactate
Uses:
▪ Acidulant: infant feeding formulas
▪ Electrolyte replenisher: sodium lactate injection
▪ Treatment of metabolic acidosis kidneys are not removing enough acid from the body
▪ Calcium replenisher: Calcium lactate (dose: 1 to 5 g 3x a day)
C. Tartaric acid
Biological Source/Source: wine Tartaric acid
Description:
▪ Dicarboxylic acid
▪ Soluble in water; freely soluble in alcohol
Uses: Used as a substitute for citric acid in buffer systems and effervescent formulations
D. Ferrous fumarate
Description: Comparable to ferrous gluconate
Uses:
▪ Hematinic agent (Dose: 200 mg 3-4x a day)
▪ Products: Feco-T®; Feostat®; Fumasorb®; Fumerin®; Hemocyte®; Ircon®; Palmiron®
E. Others: FUMARIC ACID, MALIC ACID
3. Alcohol
B. Diluted alcohol
Description
▪ Mixture of alcohol and water
▪ 48.4 to 49.5 % by volume at 15.56⁰ C
Uses: solvent
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Products of Reductive metabolism
Dulcitol, mannitol, sorbitol and other sugar alcohols are widely distributed in plants but enzymes or enzyme systems
capable of reducing sugars to sugar alcohols have never been isolated from higher plant sources. Use of microbial
enzymes indicates that sugar alcohol (glycitol) phosphates may be formed by reduction of ketose phosphates (e.g.
glycitols are produced by the action of the enzyme phosphatase).
3. Others: Xylitol
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Polysaccharides and Polysaccharide-containing Drugs
Classification of polysaccharides
▪ More accurate and precise demarcation of polysaccharides
▪ This classification is based on position and configuration of the glycosidic linkage involved and type of
monosaccharide building unit.
Homoglycan
o The polysaccharide is termed as homoglycan when it contains only one type of monosaccharide unit
o Ex: Cellulose - expressed as β-1, 4 –D-glycan
Heteroglycan
o The polysaccharide is known as heteroglycan when it involves more than one kind of monosaccharide unit.
o ex: D-gluco-D-mannose is a diheteroglycan
Starch is the most widely distributed compound in plants. It is produced in large quantities in green leaves as the
temporary storage form of photosynthetic products. Starch occurs in seeds and in pith, medullary rays and cortex of the
stems and roots of perennial and other plants. It constitutes
HOMOGLYCANS
Uses:
▪ It is used as a sweetening agent in confectionaries.
▪ Being a demulcent, it helps to relieve dryness and is, therefore, recommended for coughs, colds, sore-throats and
constipation.
▪ Because of its natural content of easily assimilable simple sugars, it is globally employed as a good source of
nutrient for infants, elderly persons and convalescing patients.
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2. Starch
Biological Source: Zea mays (Poaceae); Triticum aestivum (Poaceae), Solanum tuberosum (Solanaceae)
1. Amylose
▪ linear molecule; composed of 250-300 D-glucopyranose units linked by -1, 4 glucosidic bonds; helix like shape
▪ more soluble in water
▪ complexed and precipitated with suitable agents (alcohols and nitroparaffins)
▪ reacts with iodine to form deep blue complex
▪ 25% in starch
▪ Hydrolyzed by -amylase or -1,4-glucan 4-glucano-hydrolase (pancreatic juice and saliva) – random splitting of
-1, 4 glucosidic bonds
▪ Products: glucose, maltose and amylopectin
2. Amylopectin
▪ consists of 1000 or more glucose units linked by -1,4 linkages and a number of -1,6 linkages at branch points
(appears to about 4% of the total linkages or 1 in every 25 glucose units)
▪ less soluble in water
▪ reacts with iodine to form blue-violet or purple color
▪ 75% in starch
▪ Hydrolyzed by B-amylase or -1,6-glucan maltohydrolase by removing maltose units
▪ Products: polysaccharide fragments known as dextrins (product of incomplete hydrolysis)
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3. Hetastarch: semisynthetic material (contains 90% amylopectin)
Uses:
▪ a 6% solution is used as plasma expander to treat shock due to hemorrhage, burns,
etc.
▪ It is employed in the management and treatment of hypovolemic shock (Shock
caused due to diminished blood volume).
▪ It is also used as a suspension medium for leukapheresis (The separation of leukocytes
from blood, which are then transfused back into the patient).
▪ It is employed as a cryoprotective (A chemical that protects cells from the effect of
cold) agent for erythrocytes.
4. Inulin
Biological sources: Inula helenium; Eupatorium cannabinum; Cynara scolymus;
Carpesium cernuum; Calendula officinalis; Aretium lappa
Uses:
▪ it is a D-fructan used in culture media as fermentative identifying agent for certain
bacteria.
▪ it is employed as a diagnostic agent for evaluation of glomerular filteration i.e., renal–
function test (or kidney function test).
5. Dextran
Description: a-1,6-linked polyglucan that is formed from sucrose by the action of an
enzyme system, transglucosylase, present in Leuconostoc mesenteroides
Uses:
▪ plasma expander (6% solution).
▪ NOTE: May interfere with some laboratory tests and significantly increase clotting
time
6. Cellulose
Biological source/source: Gossypium hirsutum (Malvaceae)
A. Purified cotton
Description: white, soft, fine, filament -like hairs that appear under microscope as
hollow, flattened and twisted bands. (see image)
Uses:
▪ Surgical dressing – mechanical protection to absorb blood, mucus or pus
▪ Source of pure cellulose in the manufacture of cellulose acetate
B. Powdered cellulose
Description: purified, mechanically disintegrated cellulose prepared by processing a-
cellulose obtained as a pulp
Uses:
▪ Self-binding tablet diluent and disintegrating agent
C. Microcrystalline cellulose
Description: purified, partially depolymerized cellulose prepared by treating a-cellulose with mineral acids
Use: tablet diluent
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D. Cellulose derivatives
▪ Methylcellulose - obtained by the reaction of cellulose with caustic soda and methyl chloride used as bulk
laxative, suspending agent, topical protectants marketed as “artificial tears”
▪ Ethylcellulose – an ethyl ester of cellulose used tablet binder and film coating
▪ Hydroxyethylcellulose – used as thickening agent and as an ingredient in some formulations for artificial tears
▪ Hydroxypropylcellulose – used as stabilizer and thickener in liquid preparations; binder and film coating in tablet
formulations
▪ Hydroxypropylmethylcellulose – used as a suspending agent, thickening agent, a tablet excipient and topical
protectant for contact lenses
▪ Pyroxylin or soluble guncotton – obtained from the mixture of nitric and sulfuric acid on cotton. It is a mixture of
cellulose nitrates. It is used as a pharmaceutic aid in the manufacture of collodion and flexible collodion (topical
protectants)
▪ Oxidized cellulose and oxidized regenerated cellulose – usually available in the form of sterile pads, pledgets and
strips and are used as local hemostatics.
▪ Cellulose acetate phthalate – a free-flowing, white powder and is used for enteric coating of tablets.
▪ Sodium carboxymethylcellulose – used as suspending agent, thickening agent, tablet excipient and bulk laxative
These are natural plant hydrocolloids that may be classified as anionic (examples: arabic, karaya, tragacanth, gellan,
agar, algin, carrageenan, pectic acids) or non-ionic (examples: guar, locust bean, tamarind, xanthan, amylose,
arabinan, cellulose, galactomannan) polysaccharides or salts of polysaccharides.
a. Linear hydrocolloids
▪ Less soluble than branched polymers (like algin, amylose, cellulose, pectin)
▪ Yields solutions with greater viscosity:
o These features are related to the increased possibility for good alignment and considerable intermolecular
hydrogen boding among linear polymers. This tendency for intermolecular associations also explains why
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solutions of linear polysaccharides are less stable, especially with reductions in temperature that may result to
precipitation and insoluble in cold water.
o This phenomenon influences the shelf life or product formulations problem like recrystallization of these solutions.
b. Branched hydrocolloids
▪ Form gels rather than viscous solutions at higher concentrations
o Examples: xanthan, xylan, galactomannan, gum arabic, tragacanth
o They tend to be tacky (retaining a slightly sticky feel; not fully dry) when moist which is advantageous for
adhesive purposes.
o Gluemamela is an alternative for commercialized synthetic glue that is made out of gumamela mucilage.
▪ They rehydrate more readily than linear ones which is a property of importance in drug formulations that must be
reconstituted immediately before use (like suspensions).
1. Upon hydrolysis, these substances yield arabinose, galactose, glucose, mannose, xylose and various uronic acids,
class of sugar acids with both carbonyl (C=O) and carboxylic acid (COOH) functional groups
2. Because of the numerous components, this makes gums heterogenous in composition
3. The uronic acids may form salts with Calcium, Magnesium and other cations
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Sources
PLANT EXUDATES
3. Karaya Gum aka Sterculia gum, Indian tragacanth (Sterculia is from the Latin word Sterculius meaning fetid odors and
has a marked odor of acetic acid
Biological source/source: Sterculia urens, Sterculiaceae
Properties: One of the least soluble exuded plant gums. It absorbs and swells and forms a
discontinuous type of mucilage
Use/s:
▪ Bulk laxative, Agents forming emulsions and suspensions, dental adhesives
▪ Used extensively in skin lotions, textile and printing industries and food productions
▪ Found in Movicol® (Laxative)
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MARINE GUMS
4. Danish Agar
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SEED GUMS
3. Guar gum
Biological source/source: Cyamopsis tetragonolubus,
Fabaceae Cydonia vulgaris Cyamopsis tetragonolubus Ceratonia siliqua
Uses: bulk forming laxative, thickening agent, tablet binder,
disintegrating agent
In fast dissolving tablet (The result is that it released the 99.21% drug in 15min as compared to Sodium Starch Glycolate).
4. Locust bean gum aka St. John’s bread (legendary use as the food of St. John the Baptist), Carob Pulp
Biological source/source: Ceratonia siliqua, Fabaceae
Uses: thickener, stabilizer
MICROBIAL GUMS
Xanthan Gum
Description: High molecular weight microbial gum produced from the action of Xanthamonas
campestris on suitable carbohydrates
Component: branched, partially acetylated polysaccharide (d-glucose, d-glucuronic acid, d-
mannose)
Uses: Emulsifying and suspending agent
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PLANT EXTRACTIVES
Pectin
▪ Purified carbohydrate product obtained from the dilute acid extract of the inner portion of the rind of citrus fruits or
from apple pomace
o Citrus peel is rich in pectin with the amounts varying from the season and variety
o Pectin in fruit is found in an insoluble form known as Protopectin and is converted to the soluble form
Pectin by heating the fruit with dilute acid
▪ From Greek word meaning congealed or curdled
▪ Consists of partially methoxylated polygalacturonic acid
▪ Pharmaceutic pectin is pure pectin with no additions made
Types of pectin
▪ Protopectin – obtained from unripe sources
▪ Pectin – obtained from ripe sources
▪ Pectinic acid – obtained from over ripe sources
Sources of pectin:
Pomelo – Citrus grandis, Dalanghita – Citrus nobilis, Ponkan – Citrus sinensis, Orange – Citrus aurantium,
Rutaceae Rutaceae Rutaceae Rutaceae
Calamansi – Citrus Grapefruit – Citrus paradisi, Lemon – Citrus limon, Apple – Malus domestica,
microcarpa, Rutaceae Rutaceae Rutaceae Rosaceae
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