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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/02/19 15:28:02」(JST)
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Alfaxalone
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Systematic (IUPAC) name |
3-hydroxypregnane-11,20-dione |
Clinical data |
AHFS/Drugs.com |
International Drug Names |
Legal status |
? |
Pharmacokinetic data |
Bioavailability |
The alfaxalone molecule is solubilised in the Alfaxan formulation using 2α- hydroxypropyl β cyclodextrin. Cyclodextrins are complex polysaccharides derived from starch that supply a hydrophobic centre for lipophilic drugs like alfaxalone. |
Identifiers |
CAS number |
23930-19-0 N |
ATC code |
N01AX05 |
PubChem |
CID 104845 |
ChemSpider |
94637 Y |
UNII |
BD07M97B2A Y |
KEGG |
D07282 Y |
ChEMBL |
CHEMBL190279 Y |
Chemical data |
Formula |
C21H32O3 |
Mol. mass |
332.477 g/mol |
SMILES
- O=C2[C@H]3[C@H]([C@@H]1CC[C@H](C(=O)C)[C@@]1(C)C2)CC[C@H]4C[C@H](O)CC[C@]34C
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InChI
-
InChI=1S/C21H32O3/c1-12(22)16-6-7-17-15-5-4-13-10-14(23)8-9-20(13,2)19(15)18(24)11-21(16,17)3/h13-17,19,23H,4-11H2,1-3H3/t13-,14+,15-,16+,17-,19+,20-,21+/m0/s1 Y
Key:DUHUCHOQIDJXAT-OLVMNOGESA-N Y
|
N (what is this?) (verify) |
Alfaxalone (INN, also known as alphaxalone or alphaxolone) is a neurosteroid general anaesthetic.
It is one of the constituents of althesin.
It is used in veterinary practice under the tradename Alfaxan. [1]
It is licensed for use in both dogs and cats.[citation needed]
Unlike some of its predecessors alfaxalone is not associated with histamine release and anaphylaxis.[citation needed]
A study 1987 found the primary mechanism for the anaesthetic action of alfaxalone to be modulation of neuronal cell membrane chloride ion transport, induced by binding of alfaxalone to GABAA cell surface receptors. [2]
A 1994 study found that alfaxalone binds to a different region of this receptor than the benzodiazepines. [3]
Alfaxalone is metabolised rapidly in the liver. Alfaxalone has a very short plasma elimination half-life in dogs and cats.[citation needed]
See also[edit]
References[edit]
- ^ "Alfaxalone". Drugs.com.
- ^ Harrison, N. L.; Vicini, S.; Barker, J. L. (1987). "A steroid anesthetic prolongs inhibitory postsynaptic currents in cultured rat hippocampal neurons" (pdf). The Journal of neuroscience 7 (2): 604–609. PMID 3819824. edit
- ^ Mihic, S. J.; Whiting, P. J.; Klein, R. L.; Wafford, K. A.; Harris, R. A. (1994). "A single amino acid of the human gamma-aminobutyric acid type A receptor gamma 2 subunit determines benzodiazepine efficacy" (pdf). The Journal of Biological Chemistry 269 (52): 32768–32773. PMID 7806498. edit
Hypnotics/sedatives (N05C)
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GABAA
agonists/PAMs |
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GABAB
agonists |
- 1,4-Butanediol
- Aceburic acid
- GABOB
- GHB (Sodium oxybate)
- GBL
- GVL
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H1 inverse
agonists |
Antihistamines: |
- Captodiame
- Cyproheptadine
- Diphenhydramine
- Doxylamine
- Hydroxyzine
- Methapyrilene
- Pheniramine
- Promethazine
- Propiomazine
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Antidepressants |
- Tricyclic antidepressants
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- Doxepin
- Trimipramine, etc.
- Tetracyclic antidepressants
- Mianserin
- Mirtazapine, etc.
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Antipsychotics |
- Typical antipsychotics
- Chlorpromazine
- Thioridazine, etc.
- Atypical antipsychotics
- Olanzapine
- Quetiapine
- Risperidone, etc.
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α1-Adrenergic
antagonists |
Antidepressants |
- Serotonin antagonists and reuptake inhibitors
- Tricyclic antidepressants
- Amitriptyline
- Doxepin
- Trimipramine, etc.
- Tetracyclic antidepressants
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Antipsychotics |
- Typical antipsychotics
- Chlorpromazine
- Thioridazine, etc.
- Atypical antipsychotics
- Olanzapine
- Quetiapine
- Risperidone, etc.
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Others: |
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α2-Adrenergic
agonists |
- 4-NEMD
- Clonidine
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- Dexmedetomidine
- Lofexidine
- Medetomidine
- Romifidine
- Tizanidine
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5-HT2A
antagonists |
Antidepressants |
- Serotonin antagonists and reuptake inhibitors
- Tricyclic antidepressants
- Amitriptyline
- Doxepin
- Trimipramine, etc.
- Tetracyclic antidepressants
- Mianserin
- Mirtazapine, etc.
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Antipsychotics |
- Typical antipsychotics
- Chlorpromazine
- Thioridazine, etc.
- Atypical antipsychotics
- Olanzapine
- Quetiapine
- Risperidone, etc.
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Others: |
- Eplivanserin
- Niaprazine
- Pruvanserin
- Volinanserin
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Melatonin
agonists |
- Agomelatine
- LY-156,735
- Melatonin
- Ramelteon
- Tasimelteon
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Orexin
antagonists |
- Almorexant
- SB-334,867
- SB-408,124
- SB-649,868
- Suvorexant
- TCS-OX2-29
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Others |
- Acecarbromal
- Apronal
- Bromisoval
- Cannabidiol
- Carbromal
- Embutramide
- Evoxine
- Fenadiazole
- Gabapentin
- Kavalactones
- Mephenoxalone
- Opioids
- Passion flower
- Scopolamine
- UMB68
- Valnoctamide
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Anesthetic: General anesthetics (N01A)
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Inhalation |
Ethers
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- Diethyl ether
- Methoxypropane
- Vinyl ether
- halogenated ethers
- Desflurane
- Enflurane
- Isoflurane
- Methoxyflurane
- Sevoflurane
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Haloalkanes
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- Chloroform
- Halothane#
- Trichloroethylene
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Others
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- Cyclopropane
- Ethylene
- Nitrous oxide#
- Xenon
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Injection |
Barbiturates
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- Hexobarbital
- Methohexital
- Narcobarbital
- Thiopental#
- Thiotetrabarbital
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Opioids
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- Alfentanil
- Anileridine
- Fentanyl
- Phenoperidine
- Remifentanil
- Sufentanil
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Neuroactive steroids
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Others
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- Droperidol
- Etomidate
- Fospropofol
- gamma-Hydroxybutyric acid
- Ketamine# /Esketamine
- Midazolam
- Propanidid
- Propofol
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- #WHO-EM
- ‡Withdrawn from market
- Clinical trials:
- †Phase III
- §Never to phase III
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anat (n/s/m/p/4/e/b/d/c/a/f/l/g)/phys/devp
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noco (m/d/e/h/v/s)/cong/tumr, sysi/epon, injr
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proc, drug (N1A/2AB/C/3/4/7A/B/C/D)
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GABAergics
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Receptor
ligands |
GABAA
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- Agonists: Main site: Bamaluzole
- Gaboxadol
- Ibotenic acid
- Isoguvacine
- Isonipecotic acid
- Muscimol (Amanita Muscaria)
- Progabide
- SL 75102
- Thiomuscimol
- Tolgabide; Positive allosteric modulators: Alcohols (2M2B, Ethanol, Ethchlorvynol, Methylpentynol
- Barbiturates
- Benzodiazepines
- Carbamates
- Chlormezanone
- Clomethiazole
- Etomidate
- Kavalactones (Kava)
- Loreclezole
- Metomidate
- Neuroactive steroids
- Nonbenzodiazepines (β-Carbolines, Cyclopyrrolones, Imidazopyridines, Pyrazolopyrimidines, etc.)
- Phenols
- Piperidinediones
- Propanidid
- Pyrazolopyridines
- Quinazolinones
- ROD-188
- Skullcap
- Stiripentol
- Valerenic acid (Valerian)
Note: See the GABAA receptor PAMs navbox for a full list of GABAA positive allosteric modulators.
- Antagonists: Main site: Bicuculline
- Gabazine
- Pitrazepin
- Quisqualamine; Negative allosteric modulators: 17-Phenylandrostenol (17-PA)
- α5IA
- Bilobalide
- Cicutoxin
- Cyclothiazide
- DMCM
- Flumazenil
- Flurothyl
- Furosemide
- Iomazenil (123I)
- L-655,708
- Oenanthotoxin
- Penicillin
- Pentylenetetrazol
- Picrotoxin
- PWZ-029
- Radequinil
- Ro15-4513
- Sarmazenil
- Suritozole
- Terbequinil
- Thujone
- Thiocolchicoside
- ZK-93426
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GABAB
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- Agonists: Main site: 1,4-Butanediol
- Baclofen
- GBL
- GHB
- GHV
- GVL
- Lesogaberan
- Phenibut
- Progabide
- SKF-97,541
- Tolgabide; Positive allosteric modulators: BHF-177
- BHFF
- BSPP
- CGP-7930
- GS-39783
Antagonists: Main site: CGP-35348
- Phaclofen
- Saclofen
- SCH-50911
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GABAC
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- Agonists: Main site: CACA
- CAMP
- GABOB
- N4-Chloroacetylcytosine arabinoside
- Progabide
- Tolgabide
Antagonists: Main site: Bilobalide
- TPMPA
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Reuptake
inhibitors |
Plasmalemmal
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GAT inhibitors
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- CI-966
- Deramciclane
- EF-1502
- Gabaculine
- Guvacine
- Nipecotic acid
- NNC 05-2090
- SKF-89976A
- SNAP-5114
- Tiagabine
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Enzyme
inhibitors |
Anabolism
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Catabolism
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GABA-T inhibitors
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- 3-Hydrazinopropionic acid
- Aminooxyacetic acid
- Gabaculine
- Isoniazid
- Phenelzine
- Phenylethylidenehydrazine
- Sodium valproate
- Valnoctamide
- Valproate pivoxil
- Valproate semisodium (Divalproex sodium)
- Valproic acid
- Valpromide
- Vigabatrin
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Others |
Precursors
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Cofactors
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- Vitamin B6 (pyridoxine
- pyridoxamine
- pyridoxal phosphate)
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Others
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- Gabapentin
- Hopantenic acid
- Picamilon
- Pregabalin
- L-Theanine
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English Journal
- The effect of alphaxalone-alphadolone, propofol, and pentobarbitone anaesthesia on the β-endorphin and ACTH response to haemorrhage in the pig.
- Ruane-O'Hora T, Hall WJ, Markos F.SourceDepartment of Physiology, University College Cork, Cork, Ireland.
- Canadian journal of physiology and pharmacology.Can J Physiol Pharmacol.2011 Jul;89(7):521-6.
- In the literature there appears to be variability in reported levels of certain hormones during haemorrhage, specifically adrenocorticotrophic hormone (ACTH) and β-endorphin. It is possible that this variability may be due to the choice of anaesthetic. Therefore, the effect of 3 common research-onl
- PMID 21812530
- Neurosteroid analogues. 16. A new explanation for the lack of anesthetic effects of δ(16)-alphaxalone and identification of a δ(17(20)) analogue with potent anesthetic activity.
- Stastna E, Krishnan K, Manion BD, Taylor A, Rath NP, Chen ZW, Evers AS, Zorumski CF, Mennerick S, Covey DF.SourceDepartment of Developmental Biology, Washington University in St. Louis School of Medicine, St. Louis, MO 63110, USA.
- Journal of medicinal chemistry.J Med Chem.2011 Jun 9;54(11):3926-34. Epub 2011 May 6.
- This study addresses the hypothesis that the lack of anesthetic activity for (3α,5α)-3-hydroxypregn-16-ene-11,20-dione (Δ(16)-alphaxalone) is explained by the steroid Δ(16) double bond constraining the steroid 20-carbonyl group to a position that prevents it from favorably interacting with γ-am
- PMID 21504158
Japanese Journal
- Mechanism-based pharmacokinetic-pharmacodynamic modeling of concentration dependent hysteresis and biphasic electroencephalogram effects of alphaxalone in rats
- High-performance liquid chromatography of the neuroactive steroids alphaxalone and pregnanolone in plasma using dansyl hydrazine as fluorescent label : application to a pharmacokinetic-pharmacodynamic study in rats
- VISSER Sandra A. G.,SMULDERS Chantal J. G. M.,GLADDINES Werner W. F. T.,IRTH Hubertus,VAN DER GRAAF Piet H.,DANHOF Meindert
- Journal of chromatography. B, Biomedical applications 745(2), 357-363, 2000-08-18
- NAID 10012267554
Related Links
- Alfaxalone (INN, also known as alphaxalone or alphaxolone) is a neurosteroid general anaesthetic. It is one of the constituents of althesin. It is used in veterinary practice under the tradename Alfaxan. It is licensed for use in both dogs and cats ...
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