The American Heart Association reported in March 2019 their update on heart diseases and stroke statistics. The report states that high blood pressure concerned 46% of the total population at ages 20 years and older in the United States between 2013-2016. It was the cause of death for 82,735 Americans in 2016 and costed the American society approximately
$ 55.9 billion in the period 2014-2015 [
1]. In 2018, cardiovascular treatment made up 4.9% of the total pharmaceutical marked in Norway, which corresponded to 1,17 million Norwegian kroner [
2]. A class of drugs that have been used in the treatment of both cardiovascular and non-cardiovascular diseases are the β-adrenergic blocking agents (beta-blockers). Approximately 300,000 patients in Norway use beta-blockers [
3]. Worldwide, the use of beta-blockers increase year by year and the sales are estimated to account for 13,684 million USD by 2030 [
4].
Atenolol is manufactured with enantiomerically pure active pharmaceutical ingredient (API) as Atpure® by Emcure Pharmaceuticals, (Pune, India) and with racemic API under the names Tenormin®, Mylan® and others. The eudismic ratio is 46 in favour of (
S)- to (
R)-atenolol [
6], and studies in rats show that the
R-enantiomer has no effect. While the racemic drug causes a lowering of the heart rate, this side effect is not observed with enantiopure (S)-atenolol [
7].
Several synthesis protocols for producing enantiopure (
S)-atenolol have been published. Emcure Pharmaceuticals uses enantiopure epichlorohydrin to produce enantiopure (
S)-atenolol from deprotonated 2-(4-hydroxyphenyl)acetamide. The specific rotation of the final drug (
S)-atenolol of
= −17.1 (1.0, 1N HCl) is reported [
8]. Dwivedee
et al. also started with deprotonation of 2-(4-hydroxyphenyl)acetamide gaining only the epoxide 2-(4-(2-oxiran-2-ylmethoxy)phenyl)benzeneacetamide. Reaction of this epoxide with acetyl chloride in methanol gave the racemic 4-(3-chloro-2 hydroxypropoxy)benzeneacetamide, which was resolved by several lipase preparations and vinyl acetate as the acyl donor. The authors claim to have formed (
S)-atenolol from (
S)-4-(3-chloro-2-hydroxypropoxy)benzeneacetamide, which is not possible according to their reaction conditions [
9]. To our knowledge, addition of isopropylamine in water to (
S)-4-(3-chloro-2-hydroxypropoxy)benzeneacetamide leads to (
R)-atenolol. The authors do not report any specific rotation of their (claimed) (
S)-atenolol product, nor of their enantiopure building blocks. Agustian
et al. present a similar study of (
S)-atenolol synthesis using several lipase preparations to resolve the racemic 4-(3-chloro-2 hydroxypropoxy)benzeneacetamide [
10]. The authors give no evidence of the absolute configuration of the product, nor any yields or evidence of the enantiomeric excess (
ee) of the product. Sikora
et al. reported in 2020 the kinetic resolution of racemic atenolol catalyzed by lipase from
Candida rugosa with isopropenyl acetate as the acyl donor, giving the acetate of (
S)-atenolol in 94%
ee. The authors give no evidence of the absolute configuration of this acetate, nor of the unreacted (
R)-atenolol [
11,
12]. The authors have previously published several articles of lipase catalyzed kinetic resolution of racemic atenolol with the amide of (
S)-atenolol presented as the acetate [13-15]. (
S)-Atenolol has been synthesized in 98%
ee in a seven step method using Jacobsen’s catalyst ((
R,R)-salen Co(III)OAc) [
16], and in 94%
ee through kinetic resolution of racemic atenolol using lipase from
Pseudomonas cepacia [
17]. We have produced the enantiopure building block (
R)-4-(3-chloro-2 hydroxypropoxy)benzeneacetamide starting with a deprotonation of 2-(4-hydroxyphenyl)acetamide with sodium hydroxide, and by using lipase B from
Candida antarctica (CALB) in the kinetic resolution of the racemic chlorohydrin 4-(3-chloro-2 hydroxypropoxy)benzeneacetamide the enantiopure chlorohydrin was obtained with 99%
ee [
18]. We have now improved the yield of the building block and reduced the amounts of reactants used. The enantiopure drug (
S)-atenolol has been synthezised from the enantiopure chlorohydrin.