双氢青蒿素可用于治疗各种疟疾,尤其适合抗氯喹和抗哌喹恶性疟以及凶险型脑型疟的救治。
理化性质双氢青蒿素为白色针状结晶,无臭且味苦。它在三氯甲烷中易溶,在丙酮中溶解,可在甲醇或乙醇中略溶,几乎不溶于水。其熔点范围为145~150℃。
药性与应用双氢青蒿素对疟原虫无性体有较强的杀灭作用,能够迅速控制症状并消灭各种形态的疟原虫无性繁殖期阶段,对氯喹、哌喹耐药的恶性疟同样有效。其毒性较低。动物实验显示,在小鼠妊娠感应期内给药会增加吸收胎的发生率,但并无致畸作用。
双氢青蒿素口服吸收良好,2mg/kg剂量下的血药浓度峰值为0.71μg/ml,达到最大血药浓度的时间为1.33小时。临床主要用于治疗各型疟疾,特别适用于对氯喹、哌喹耐药的脑型和病情凶险的恶性疟。
不良反应双氢青蒿素可能会导致外周网织红细胞及白细胞一过性降低,转氨酶升高。此外,该药物还可能引起恶心、呕吐、腹痛、腹泻以及食欲不振等消化系统症状。其他不良反应包括头晕、头痛、皮疹和皮肤瘙痒。
作用原理双氢青蒿素是青蒿素的衍生物,对疟原虫无性体具有强烈的杀灭作用,能够迅速控制症状并消灭原虫,对抗氯喹及哌喹耐药的恶性疟同样有效。
禁忌证对该药物过敏者禁用。患有严重肝肾疾病、血液病或处于妊娠前三个月的患者亦应避免使用双氢青蒿素哌喹片。
注意事项妊娠期需谨慎使用;由于双氢青蒿素哌喹片半衰期较长,半个月内不应重复给药。
中文名称 | 英文名称 | CAS号 | 化学式 | 分子量 |
---|---|---|---|---|
双氢青蒿素 | dihydroartemisinin | 71939-50-9 | C15H24O5 | 284.353 |
—— | artesunate | —— | C19H28O8 | 384.427 |
青蒿素 | Artemisinin | 63968-64-9 | C15H22O5 | 282.337 |
—— | β-glucuronide of α-dihydroartemisinin | —— | C21H32O11 | 460.478 |
中文名称 | 英文名称 | CAS号 | 化学式 | 分子量 |
---|---|---|---|---|
双氢青蒿素 | dihydroartemisinin | 71939-50-9 | C15H24O5 | 284.353 |
蒿甲醚 | artemether | 71963-77-4 | C16H26O5 | 298.379 |
蒿甲醚相关物质B | α-artemether | 71939-51-0 | C16H26O5 | 298.379 |
蒿乙醚 | artemotil | 75887-54-6 | C17H28O5 | 312.406 |
(3R,12aR)-3,6a,9b-三甲基-3b,12a-环氧-3,4,5,5aa,6,7,8,8aa,9,10-十氢-10a-乙氧基吡喃并[4,3-j]-1,2-苯并二氧杂卓 | Alpha-Arteether | 82534-75-6 | C17H28O5 | 312.406 |
—— | (3R,5aS,6R,9R,10S,12R,12aR)-10-(but-3-yn-1-yloxy)-3,6,9-trimethyldecahydro-12H-3,12-epoxy[1,2]dioxepino[4,3-i]isochromene | 1529786-53-5 | C19H28O5 | 336.428 |
—— | 1-bromo-3-(10β-dihydroartemisinoxy)propane | 165068-34-8 | C18H29BrO5 | 405.329 |
—— | 12-β-(prop-2-yn-1-yloxy)-dihydroartemisinin | 168768-43-2 | C18H26O5 | 322.401 |
—— | 10α-(prop-2-ynyloxy)dihydroartemisinin | 1351519-69-1 | C18H26O5 | 322.401 |
—— | 3-(10β-dihydroartemisinoxy)propene | 82596-21-2 | C18H28O5 | 324.417 |
—— | isobu-OH | 673500-72-6 | C34H54O9 | 606.797 |
—— | 12β-(3'-hydroxy-n-propyl)-deoxoartemisinin | 139757-19-0 | C18H30O5 | 326.433 |
—— | 10β-(2-hydroxyethyl)deoxoartemisinin | 162250-35-3 | C17H28O5 | 312.406 |
—— | 3-[(1R,4S,5R,8S,9R,10R,12R,13R)-1,5,9-trimethyl-11,14,15,16-tetraoxatetracyclo[10.3.1.04,13.08,13]hexadecan-10-yl]propan-1-amine | 1447817-02-8 | C18H31NO4 | 325.448 |
—— | dihydroartemisinin acetate | 75887-51-3 | C17H26O6 | 326.39 |
—— | O-acetyldihydroartemisinin | —— | C17H26O6 | 326.39 |
—— | 10-deoxoallylartemisinin | 142893-80-9 | C18H28O4 | 308.418 |
—— | (1R,4S,5R,8S,9R,10R,12R,13R)-1,5,9-trimethyl-10-[[2-[[(1R,4S,5R,8S,9R,10R,12R,13R)-1,5,9-trimethyl-11,14,15,16-tetraoxatetracyclo[10.3.1.04,13.08,13]hexadecan-10-yl]methyl]oxiran-2-yl]methyl]-11,14,15,16-tetraoxatetracyclo[10.3.1.04,13.08,13]hexadecane | 676620-22-7 | C34H52O9 | 604.781 |
青蒿琥酯 | artesunic acid | 88495-63-0 | C19H28O8 | 384.427 |
青蒿琥酯 | artesunate | 182824-33-5 | C19H28O8 | 384.427 |
—— | 10-(2-oxobutyl)deoxoartemisinin | —— | C19H30O5 | 338.444 |
—— | (3R,5aS,6R,8aS,9R,12R,12aR)-3,6,9-trimethyldecahydro-12H-3,12-epoxy[1,2]dioxepino[4,3-i]isochromen-10-yl acrylate | 134624-87-6 | C18H26O6 | 338.401 |
—— | 10-hydroxy-1-[(1R,4S,5R,8S,9R,10R,12R,13R)-1,5,9-trimethyl-11,14,15,16-tetraoxatetracyclo[10.3.1.04,13.08,13]hexadecan-10-yl]decan-2-one | 851380-70-6 | C25H42O6 | 438.605 |
—— | 1,3-bis[(1R,4S,5R,8S,9R,10R,12R,13R)-1,5,9-trimethyl-11,14,15,16-tetraoxatetracyclo[10.3.1.04,13.08,13]hexadecan-10-yl]propan-2-one | 676620-25-0 | C33H50O9 | 590.755 |
—— | 10-(3-methyl-2-oxobutyl)deoxoartemisinin | —— | C20H32O5 | 352.471 |
—— | (1R,4S,5R,8S,9R,10R,12R,13R)-1,5,9-trimethyl-10-[2-[[(1R,4S,5R,8S,9R,10R,12R,13R)-1,5,9-trimethyl-11,14,15,16-tetraoxatetracyclo[10.3.1.04,13.08,13]hexadecan-10-yl]methyl]prop-2-enyl]-11,14,15,16-tetraoxatetracyclo[10.3.1.04,13.08,13]hexadecane | 673500-71-5 | C34H52O8 | 588.782 |
—— | 10-(3,3-dimethyl-2-oxobutyl)deoxoartemisinin | —— | C21H34O5 | 366.498 |
—— | 2-((3R, 5aS, 6R, 8aS, 9R,10R, 12R, 12aR)-3,6,9-trimethyldecahydro-12H-3,12-epoxy[1,2]dioxepino[4,3-i]isochromen-10-yl)acetic acid | 161562-97-6 | C17H26O6 | 326.39 |
—— | 10-(trans-3-ethyl propenoate)deoxoartemisinin | —— | C21H32O6 | 380.481 |
—— | 10β-(phenylmethoxy)dihydroartemisinin | —— | C22H30O5 | 374.477 |
—— | 10-(6-oxotetrahydropyran-2-yl)deoxoartemisinin | —— | C20H30O6 | 366.455 |
—— | 10α-(trimethylsiloxy)dihydroartemisinin | 255731-10-3 | C18H32O5Si | 356.535 |
—— | 10β-[(4'-chlorophenyl)methoxy]dihydroartemisinin | 1364792-08-4 | C22H29ClO5 | 408.922 |
—— | N-hexadecyl-2-[(1R,4S,5R,8S,9R,10R,12R,13R)-1,5,9-trimethyl-11,14,15,16-tetraoxatetracyclo[10.3.1.04,13.08,13]hexadecan-10-yl]acetamide | 851380-87-5 | C33H59NO5 | 549.835 |
—— | 10β-aminoartemisinin | 1287709-13-0 | C15H25NO4 | 283.368 |
—— | 10α-aminodihydroartemisinin | 1287709-16-3 | C15H25NO4 | 283.368 |
—— | artelinic acid | 216963-49-4 | C23H30O7 | 418.487 |
—— | 10β-[(4'-methoxyphenyl)methoxy]dihydroartemisinin | —— | C23H32O6 | 404.503 |
—— | (1R,4S,5R,8S,9R,10R,12S,13R)-10-bromo-1,5,9-trimethyl-11,14,15,16-tetraoxatetracyclo[10.3.1.04,13.08,13]hexadecane | 887195-43-9 | C15H23BrO4 | 347.249 |
—— | 10β-[(cholest-5'-en-3'-yl)oxy]dihydroartemisinin | —— | C42H68O5 | 652.999 |
—— | 10α-phenoxydihydroartemisinin | —— | C21H28O5 | 360.45 |
—— | 10β-phenoxydihydroartemisinin | —— | C21H28O5 | 360.45 |
—— | 10α-(p-methoxyphenoxy)dihydroartemisinin | —— | C22H30O6 | 390.477 |
—— | 10β-(p-methoxyphenoxy)dihydroartemisinin | —— | C22H30O6 | 390.477 |
—— | (1R,4S,5R,8S,9R,10S,12R,13R)-1,5,9-trimethyl-10-[(4-nitrophenyl)methoxy]-11,14,15,16-tetraoxatetracyclo[10.3.1.04,13.08,13]hexadecane | 101769-59-9 | C22H29NO7 | 419.475 |
—— | 10α(4-chlorophenoxy)artemisinin | —— | C21H27ClO5 | 394.895 |
—— | dihydroartemisinin 10α-benzoate | 82596-25-6 | C22H28O6 | 388.461 |
—— | 10β-dihydroartemisinyl benzoate | 163381-14-4 | C22H28O6 | 388.461 |
—— | 10-(5-oxo-2,5-dihydrofuran-2-yl)deoxoartemisinin | —— | C19H26O6 | 350.412 |
—— | 10α-(p-methylphenoxy)dihydroartemisinin | —— | C22H30O5 | 374.477 |
—— | 10β-(p-methylphenoxy)dihydroartemisinin | —— | C22H30O5 | 374.477 |
—— | 10α-(p-fluorophenoxy)dihydroartemisinin | —— | C21H27FO5 | 378.441 |
—— | 10β-(p-fluorophenoxy)dihydroartemisinin | —— | C21H27FO5 | 378.441 |
—— | 10β-benzoylmethyl-10-deoxoartemisin | 253774-86-6 | C23H30O5 | 386.488 |
—— | Formic acid (1R,2R,5R,6S,9R,12S)-2-acetyl-5,9-dimethyl-10,11,13-trioxa-tricyclo[7.2.2.01,6]tridec-12-yl ester | 127867-60-1 | C15H22O6 | 298.336 |
—— | 9β,10α-azidoartemisinin | 1119668-68-6 | C15H23N3O4 | 309.365 |
—— | 9β,10β-azidoartemisinin | 1119668-65-3 | C15H23N3O4 | 309.365 |
—— | 10β-[((2',3'-methylenedioxy)phenyl)methoxy]dihydroartemisinin | 168768-34-1 | C23H30O7 | 418.487 |
脱水二氢青蒿素 | 9,10-dehydrodihydroartemisinin | 82596-30-3 | C15H22O4 | 266.337 |
—— | (10S)-N-chloroacetyl-aminodihydroartemisinin | 1287709-14-1 | C17H26ClNO5 | 359.85 |
—— | (10R)-N-chloroacetyl-aminodihydroartemisinin | 1287709-17-4 | C17H26ClNO5 | 359.85 |
—— | 2-(4-ethenylphenyl)-1,3-bis[(1R,4S,5R,8S,9R,10R,12R,13R)-1,5,9-trimethyl-11,14,15,16-tetraoxatetracyclo[10.3.1.04,13.08,13]hexadecan-10-yl]propan-2-ol | 676620-38-5 | C41H58O9 | 694.906 |
—— | 10-O-[4-(5-phenyl-1H-3-pyrazolyl)phenyl]-(10S)-dihydroartemisinin | —— | C30H34N2O5 | 502.61 |
—— | 10-O-[4-(5-(4-methoxyphenyl)-1H-3-pyrazolyl)phenyl]-(10R)-dihydroartemisinin | —— | C31H36N2O6 | 532.637 |
—— | methyl (2S)-1-[4-oxo-4-[[(1R,4S,5R,8S,9R,10S,12R,13R)-1,5,9-trimethyl-11,14,15,16-tetraoxatetracyclo[10.3.1.04,13.08,13]hexadecan-10-yl]oxy]butanoyl]pyrrolidine-2-carboxylate | —— | C25H37NO9 | 495.57 |
—— | artemiside | 255730-17-7 | C19H31NO4S | 369.525 |
—— | 10-O-[4-(5-(4-bromophenyl)-1H-3-pyrazolyl)phenyl]-(10R)-dihydroartemisinin | —— | C30H33BrN2O5 | 581.506 |
—— | 4-methyl-7-(2-((10S)-dihydroartemisin-10-oxy)-propoxy)-2H-1-chromen-2-one | —— | C28H36O8 | 500.589 |
—— | artemisox | —— | C19H31NO5S | 385.525 |
—— | 10-O-(4-((4-phenylpiperazin-1-yl)methyl)phenyl)-(10S)-dihydroartemisinin | —— | C32H42N2O5 | 534.696 |
青蒿酮 | artemisone | 255730-18-8 | C19H31NO6S | 401.524 |
—— | 10-O-(4-((4-(4-fluorophenyl)piperazin-1-yl)methyl)phenyl)-(10S)-dihydroartemisinin | —— | C32H41FN2O5 | 552.686 |
—— | 10α-(4-benzylpiperazin-1-yl)-10-deoxoartemisinin | 255730-31-5 | C26H38N2O4 | 442.599 |
—— | 10-O-(4-(2-oxo-2-(4-phenylpiperazin-1-yl)ethyl)phenyl)-(10S)-dihydroartemisinin | —— | C33H42N2O6 | 562.706 |
—— | α-2-deoxydihydroartemisinin | 94668-17-4 | C15H24O4 | 268.353 |
—— | 10-O-((E)-4-(3-oxo-3-(4-phenylpiperazin-1-yl)prop-1-enyl)phenyl)-(10S)-dihydroartemisinin | —— | C34H42N2O6 | 574.717 |
—— | 3,4-dimethyl-7-(2-((10S)-dihydroartemisin-10-oxy)-ethyoxyl)-2H-1-chromen-2-one | —— | C28H36O8 | 500.589 |
—— | 2-[4-[(1R,4S,5R,8S,9R,10R,12R,13R)-1,5,9-trimethyl-11,14,15,16-tetraoxatetracyclo[10.3.1.04,13.08,13]hexadecan-10-yl]piperazin-1-yl]pyrimidine | 694458-65-6 | C23H34N4O4 | 430.547 |
—— | 10-O-(4-((4-(2-methoxyphenyl)piperazin-1-yl)methyl)phenyl)-(10S)-dihydroartemisinin | —— | C33H44N2O6 | 564.722 |
—— | 10-O-(4-((4-(pyridin-2-yl)piperazin-1-yl)methyl)phenyl)-(10S)-dihydroartemisinin | —— | C31H41N3O5 | 535.684 |
—— | 4-(trifluoromethyl)-7-(2-((10S)-dihydroartemisin-10-oxy)-ethyoxyl)-2H-1-chromen-2-one | —— | C27H31F3O8 | 540.534 |
—— | 10α-(2'-furyl)-10-deoxo-10-dihydroartemisinin | 204503-68-4 | C19H26O5 | 334.412 |
—— | 4-(trifluoromethyl)-7-(2-((10S)-dihydroartemisin-10-oxy)-propoxy)-2H-1-chromen-2-one | —— | C28H33F3O8 | 554.56 |
—— | 10-O-((E)-4-(3-oxo-3-(4-(fluorophenyl)piperazin-1-yl)prop-1-enyl)phenyl)-(10S)-dihydroartemisinin | —— | C34H41FN2O6 | 592.708 |
—— | 3α-hydroxydeoxydihydroqinghaosu | —— | C15H24O5 | 284.353 |
—— | 10-O-(4-((4-(3-trifluoromethylphenyl)piperazin-1-yl)methyl)phenyl)-(10S)-dihydroartemisinin | —— | C33H41F3N2O5 | 602.694 |
—— | 10-O-(4-(2-oxo-2-(4-(pyridin-2-yl)piperazin-1-yl)ethyl)phenyl)-(10S)-dihydroartemisinin | —— | C32H41N3O6 | 563.694 |
—— | 10-O-(4-(2-(4-(2-methoxyphenyl)piperazin-1-yl)-2-oxoethyl)phenyl)-(10S)-dihydroartemisinin | —— | C34H44N2O7 | 592.733 |
—— | 10-O-((E)-4-(3-oxo-3-(4-(pyridin-2-yl)piperazin-1-yl)prop-1-enyl)phenyl)-(10S)-dihydroartemisinin | —— | C33H41N3O6 | 575.705 |
—— | 10-O-((E)-4-(3-oxo-3-(4-(2-methoxyphenyl)piperazin-1-yl)prop-1-enyl)phenyl)-(10S)-dihydroartemisinin | —— | C35H44N2O7 | 604.744 |
—— | 10-O-(4-(2-(4-(3-trifluoromethylphenyl)piperazin-1-yl)-2-oxoethyl)phenyl)-(10S)-dihydroartemisinin | —— | C34H41F3N2O6 | 630.705 |
—— | (10S)-N-{4-[3-phenyl-2-(E)-propenoyl]phenyloxyacetyl}aminodihydroartemisinin | 1287708-79-5 | C32H37NO7 | 547.648 |
—— | (10R)-N-{4-[3-phenyl-2-(E)-propenoyl]phenyloxyacetyl}aminodihydroartemisinin | 1287708-86-4 | C32H37NO7 | 547.648 |
—— | 10-O-((E)-4-(3-oxo-3-(4-(3-trifluoromethylphenyl)piperazin-1-yl)prop-1-enyl)phenyl)-(10S)-dihydroartemisinin | —— | C35H41F3N2O6 | 642.716 |
—— | (10S)-N-{4-[3-(4-fluorophenyl)-2-(E)-propenoyl]phenyloxyacetyl}aminodihydroartemisinin | 1287708-65-9 | C32H36FNO7 | 565.639 |
—— | (10R)-N-{4-[3-(4-fluorophenyl)-2-(E)-propenoyl]phenyloxyacetyl}aminodihydroartemisinin | 1287708-84-2 | C32H36FNO7 | 565.639 |
—— | (10S)-N-{4-[3-(4-chlorophenyl)-2-(E)-propenoyl]phenyloxyacetyl}aminodihydroartemisinin | 1287708-66-0 | C32H36ClNO7 | 582.093 |
—— | (10R)-N-{4-[3-(4-chlorophenyl)-2-(E)-propenoyl]phenyloxyacetyl}aminodihydroartemisinin | 1287708-85-3 | C32H36ClNO7 | 582.093 |
—— | 4-dimethyl-7-((10S)-dihydroartemisin-10-oxy)-2H-1-chromen-2-one | —— | C26H32O7 | 456.536 |
—— | (10S)-N-{4-[3-(4-trifluoromethoxyphenyl)-2-(E)-propenoyl]phenyloxyacetyl}aminodihydroartemisinin | 1287708-63-7 | C33H36F3NO8 | 631.646 |