Ej. Ariens et Ew. Wuis, CHIRAL COGNISANCE - A ROAD TO SAFER AND MORE EFFECTIVE MEDICINAL PRODUCTS, Journal of the Royal College of Physicians of London, 28(5), 1994, pp. 395-398
A quarter of all synthetic medicinal drugs contain a mixture of equal
proportions of two molecules that have the same chemical constitution
but differ in the spatial arrangement of their constituent atoms such
that each is a mirror-image of the other, like the right and left hand
. Biologically, receptors which are stereospecific react with only one
of the two components of the mixture to produce the desired therapeut
ic effect, while the other is inactive or may interact with different
receptors to cause undesirable, even toxic, effects. Development of sy
nthesis that produce a preponderance of the required form, and efficie
nt separation of mixtues, will result in safer and more effective medi
cinal products.