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双氯西林 | 3116-76-5

中文名称
双氯西林
中文别名
(2S,5R,6R)-3,3-二甲基-6-[5-甲基-3-(2,6-二氯苯基)-4-异噁唑甲酰氨基]-7-氧代-4-硫杂-1-氮杂双环[3.2.0]庚烷-2-甲酸;双氯青霉素;双氯苯唑青霉素;(2S,5R,6R)-3,3-二甲基-6-[5-甲基-3-(2,6-二氯苯基)-4-异噁唑甲酰氨基
英文名称
dicloxacillin
英文别名
3-(2,6-dichlorophenyl)-5-methyl-4-isoxazolylpenicillin;[3-(2,6-dichlorophenyl)-5-methyl-α-isoxazolyl]penicillin;dicloxicillin;dicluxacillin;6β-[3-(2,6-dichloro-phenyl)-5-methyl-isoxazole-4-carbonylamino]-penicillanic acid;(2S,5R,6R)-6-[[3-(2,6-dichlorophenyl)-5-methyl-1,2-oxazole-4-carbonyl]amino]-3,3-dimethyl-7-oxo-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid
双氯西林化学式
CAS
3116-76-5
化学式
C19H17Cl2N3O5S
mdl
MFCD00210902
分子量
470.333
InChiKey
YFAGHNZHGGCZAX-JKIFEVAISA-N
BEILSTEIN
——
EINECS
——
  • 物化性质
  • 计算性质
  • ADMET
  • 安全信息
  • SDS
  • 制备方法与用途
  • 上下游信息
  • 反应信息
  • 文献信息
  • 表征谱图
  • 同类化合物
  • 相关功能分类
  • 相关结构分类

物化性质

  • 熔点:
    218 °C (decomp)
  • 沸点:
    692.4±55.0 °C(Predicted)
  • 密度:
    1.62±0.1 g/cm3(Predicted)
  • 物理描述:
    Solid
  • 溶解度:
    In water, 3.63 mg/L at 25 °C (est)
  • 蒸汽压力:
    3.37X10-16 mm Hg at 25 °C (est)
  • 稳定性/保质期:

    Stable under recommended storage conditions. /Dicloxacillin sodium salt monohydrate/

  • 旋光度:
    Crystals; decomposes 222-25 °C. Freely soluble in water; soluble in methanol; less soluble in butanol; slightly soluble in acetone and the usual organic solvents. Specific optical rotation: 127.2 deg at 20 °C/D (water) /Dicloxacillin sodium salt monohydrate/
  • 分解:
    Hazardous decomposition products formed under fire conditions - Carbon oxides, nitrogen oxides (NOx), sulfur oxides, hydrogen chloride gas, sodium oxides. /Dicloxacillin sodium salt monohydrate/
  • 解离常数:
    White to off-white, crystalline powder; soluble in alcohol; faint, characteristic odor; decomposes at 222-225 °C; pKa 2.67 /Dicloxacillin sodium/
  • 碰撞截面:
    197 Ų [M+H]+ [CCS Type: TW, Method: calibrated with Waters Major Mix]

计算性质

  • 辛醇/水分配系数(LogP):
    2.9
  • 重原子数:
    30
  • 可旋转键数:
    4
  • 环数:
    4.0
  • sp3杂化的碳原子比例:
    0.368
  • 拓扑面积:
    138
  • 氢给体数:
    2
  • 氢受体数:
    7

ADMET

代谢
地洛西林部分代谢为活性代谢物和非活性代谢物。在一项研究中,给患者单次口服500毫克地洛西林后,吸收的药物中有10%被解为微生物学上无活性的青霉酸。地洛西林还被少量羟基化为一种微生物学上活跃的代谢物,该代谢物的活性似乎略低于地洛西林。
Dicloxacillin is partially metabolized to active and inactive metabolites. In one study following administration of a single 500-mg oral dose of dicloxacillin, 10% of the absorbed drug was hydrolyzed to penicilloic acids which are microbiologically inactive. Dicloxacillin is also hydroxylated to a small extent to a microbiologically active metabolite which appears to be slightly less active than dicloxacillin.
来源:Hazardous Substances Data Bank (HSDB)
毒理性
  • 毒性总结
识别和使用:双氯西林与其他青霉素酶耐药青霉素具有相同用途,用于治疗人类患者和动物。人类研究:双氯西林与输注静脉炎的高发生率有关。急性肾损伤是包括双氯西林在内的抗生素使用的已知并发症。双氯西林对培养的内皮细胞产生毒性影响。动物研究:双氯西林表现出的高蛋白结合度可以解释其在小鼠中相对较低的化疗活性。
IDENTIFICATION AND USE: Dicloxacillin shares the uses of other penicillinase-resistant penicillins, and it is used in treatment of human patients, and animals. HUMAN STUDIES: Dicloxacillin is associated with a high incidence of infusion phlebitis. Acute kidney injury is a known complication of antibiotic use including dicloxacillin. Dicloxacillin exerts toxic effects on cultured endothelial cells. ANIMAL STUDIES: The high degree of protein binding exhibited by dicloxacillin could explain its relatively low chemotherapeutic activity in mice.
来源:Hazardous Substances Data Bank (HSDB)
毒理性
  • 肝毒性
迪克洛克西林治疗在治疗期间并未与血清酶平升高有关联,但已经与罕见情况下出现的临床明显的胆汁淤积性肝炎有关。发病的典型时间为1到6周,血清酶平升高的模式通常是胆汁淤积性的,尽管也有描述了混合模式的情况(案例1)。损伤通常表现为黄疸和瘙痒。发热、皮疹和嗜酸性粒细胞增多可能出现,但并不突出,自身抗体很少被检测到。与迪克洛克西林在结构和活性上相似,但从未在美国获得使用批准或可用的两种口服异恶唑青霉素——氟氯西林(也称为沙西林)和氯唑西林——发生类似模式的损伤更为频繁。在使用其他青霉素治疗1到6周后,也可能会出现类似的胆汁淤积性肝炎。
Dicloxacillin therapy has not been associated with serum enzyme elevations during treatment, but has been linked to rare instances of clinically apparent, cholestatic hepatitis. The typical time to onset is 1 to 6 weeks and the pattern of serum enzyme elevations is usually cholestatic, although cases with a mixed pattern have also been described (Case 1). The injury usually presents with jaundice and pruritus. Fever, rash and eosinophilia can occur, but are not prominent and autoantibodies are rarely detected. A similar pattern of injury occurs more frequently with flucloxacillin (also called floxacillin) and cloxacillin, two oral isoxazolyl penicillins similar in structure and activity to dicloxacillin, but never approved for use or available in the United States. Similar cholestatic hepatitis arising 1 to 6 weeks after starting therapy occurs with other penicillins.
来源:LiverTox
毒理性
  • 药物性肝损伤
复方:双氯西林
Compound:dicloxacillin
来源:Drug Induced Liver Injury Rank (DILIrank) Dataset
毒理性
  • 药物性肝损伤
药物性肝损伤标注:低药物性肝损伤关注
DILI Annotation:Less-DILI-Concern
来源:Drug Induced Liver Injury Rank (DILIrank) Dataset
毒理性
  • 药物性肝损伤
严重性等级:3
Severity Grade:3
来源:Drug Induced Liver Injury Rank (DILIrank) Dataset
吸收、分配和排泄
  • 吸收
异恶唑青霉素类口服给药后吸收迅速但不完全:血药浓度在1-1.5小时内达到峰值。当餐后给药时,氧西林、双氯西林氧氟沙星萘夫西林的口服吸收会延迟。
Absorption of the isoxazolyl penicillins after oral administration is rapid but incomplete: peak blood levels are achieved in 1-1.5 hours. Oral absorption of cloxacillin, dicloxacillin, oxacillin and nafcillin is delayed when the drugs are administered after meals.
来源:DrugBank
吸收、分配和排泄
  • 消除途径
去甲万古霉素通过肾小球滤过和积极的肾小管分泌,以未改变的药物形式迅速在尿液中排出。
Dicloxacillin sodium is rapidly excreted as unchanged drug in the urine by glomerular filtration and active tubular secretion.
来源:DrugBank
吸收、分配和排泄
在本研究中,对一群健康个体使用双室模型研究了 dicloxacillin(双氯西林)和 cloxacillin(西林)的消除、分布和吸收差异。在慢性间歇性血液透析患者中,仅研究了 dicloxacillin,并将结果与之前关于 cloxacillin 和 flucloxacillin 的研究数据进行比较。在健康志愿者中,口服给药 2 克 dicloxacillin 或 2 克 cloxacillin 后的生物利用度,根据血清浓度-时间曲线下面积计算,分别为剂量的 48.8% 和 36.9%,根据尿排泄计算分别为 74.1% 和 48.5%。口服给药后个体生物利用度的变异,dicloxacillin 略低于 cloxacillin。与 cloxacillin 相比,dicloxacillin 的高血清浓度也是由于更慢的(肾)消除(半衰期分别为 42 分钟和 33 分钟)。对健康受试者静脉给药 1 克和 2 克 dicloxacillin 后的血清浓度分析显示,肾消除具有浓度依赖性动力学。在血液透析患者中,dicloxacillin 的消除速率(半衰期:129 分钟)与健康受试者的非肾消除速率相对应。患者口服给药 1 克后的生物利用度良好(剂量的 75.9%)。
Differences in the elimination, distribution, and absorption of dicloxacillin and cloxacillin were studied in a group of healthy individuals with the use of a 2-compartment model. In patients on chronic intermittent hemodialysis, only dicloxacillin was investigated and the results were compared with data obtained in earlier studies on cloxacillin and flucloxacillin. In healthy volunteers the bioavailability after oral administration of 2 g dicloxacillin or 2 g cloxacillin amounted to 48.8% and 36.9% of the dose, respectively, when calculated from the area under the serum concentration-time curve, and to 74.1% and 48.5%, respectively, when calculated from the urinary excretion. Individual variation in bioavailability after oral administration was slightly lower for docloxacillin than for cloxacillin. The higher serum concentrations of dicloxacillin, as compared with cloxacillin, are also attributable to slower (renal) elimination (T 1/2: 42 and 33 min, respectively). Analysis of serum concentrations after intravenous administration of 1 and 2 g dicloxacillin to healthy subjects revealed concentration-dependent kinetics with respect ot renal elimination. In hemodialysis patients the elimination rate of dicloxacillin (T 1/2: 129 min) corresponds with the extrarenal elimination rate in healthy subjects. The bioavailability after oral administration of 1 g in patients is good (75.9% of the dose).
来源:Hazardous Substances Data Bank (HSDB)
吸收、分配和排泄
地洛西林是一种半合成的异恶唑青霉素类抗生素,对包括黄色葡萄球菌、A群链球菌、肺炎链球菌、表皮葡萄球菌、绿色链球菌、B群链球菌和脑膜炎奈瑟菌在内的一广泛谱的革兰氏阳性细菌具有抗菌活性。本研究的目的是评估地洛西林在中国健康志愿者中单次和多次口服给药的安全性及药代动力学特性。本研究为一项单中心、开放标签、随机分组的两阶段研究,共有16名受试者参与。在单次给药阶段,受试者被随机分配接受0.25、0.5、1.0和2.0克地洛西林胶囊的单次给药,采用4周期交叉设计,给药间隔为5天的清洗期。在多次给药阶段,受试者被分配接受每6小时0.25克或0.5克,连续3天的给药,采用2周期交叉设计。通过验证的高效液相色谱-串联质谱法测定血浆和尿液中的药代动力学样品。计算药代动力学参数并进行统计分析。整个研究过程中进行了安全性评估。在单次口服0.25-2.0克地洛西林后,最大血浆药物浓度(Cmax)和0至10小时浓度-时间曲线下面积(AUC0-10小时)呈剂量比例增加。平均消除半衰期(t1/2)在1.38-1.71小时范围内。地洛西林主要以原形通过肾脏排泄,没有累积倾向,变化范围为38.65%至50.10%。多次口服给药没有出现药物的明显累积。没有报告严重的不良事件。不良事件通常较轻。地洛西林在志愿者中是安全的,并且耐受性良好,其Cmax和AUC0-10小时值呈线性增加。
Dicloxacillin, a semisynthetic isoxazolyl penicillin antibiotic, has antimicrobial activity against a wide variety of gram-positive bacteria including Staphylococcus aureus, Streptococcus pyogenes, Streptococcus pneumonia, Streptococcus epidermidis, Streptococcus viridans, Streptococcus agalactiae, and Neisseria meningitidis. The objective of this study was to evaluate the safety and pharmacokinetic profile of dicloxacillin after single and multiple oral dose in healthy Chinese volunteers. A single-center, open-label, randomized, two-phase study was conducted in 16 subjects. In the single-dose phase, subjects were randomly assigned to receive single doses of 0.25, 0.5, 1.0, and 2.0 g of dicloxacillin sodium capsule in a 4-way crossover design with a 5-day washout period between administrations. In the multiple-dose phase, subjects were assigned to receive 0.25 or 0.5 g every 6 hours for 3 days in a 2-way crossover design. Plasma and urine pharmacokinetic samples were assayed by a validated high-performance liquid chromatography-tandem mass spectrometry method. Pharmacokinetic parameters were calculated and analyzed statistically. Safety assessments were conducted throughout the study. Following a single oral dose of 0.25-2.0 g dicloxacillin sodium, the maximum plasma drug concentration (Cmax) and the corresponding values for the area under the concentration- time curve from 0 to 10 hours (AUC0-10 hr) increased in a dose-proportional manner. The mean elimination half-life (t1/2) was in the range of 1.38-1.71 hours. Dicloxacillin was excreted in its unchanged form via the kidney, with no tendency of accumulation, and varied from 38.65% to 50.10%. No appreciable accumulation of drug occurred with multiple oral doses of dicloxacillin. No serious adverse events were reported. Adverse events were generally mild. Dicloxacillin was safe and well tolerated in the volunteers and displayed linear increases in the Cmax and AUC0-10 hr values.
来源:Hazardous Substances Data Bank (HSDB)
吸收、分配和排泄
孕妇抗生素治疗的目的是治疗母亲和/或胎儿,因为已知母亲服用的抗生素会穿过胎盘并到达胎儿。比较母体和胎儿血浆中的药物浓度可以了解胎儿对母体给予抗生素的暴露情况。本研究的目的是回顾有关人类胎盘抗生素转运的文献,并根据涉及的转运类型对抗生素进行分类……确定了3种胎盘转运类型。一些抗生素迅速穿过胎盘并在母体和脐带血浆中达到平衡;这种类型的转运被称为“完全”转运,包括青霉素、甲氧苄青霉素头孢美唑头孢替安。在胎盘转运不完整,脐带血中浓度低于母体血浆的抗生素被称为“不完全”转运,包括阿洛西林双氯西林哌拉西林磺苄西林头孢西丁阿米卡星庆大霉素卡那霉素链霉素磷霉素甲氧苄啶灰黄霉素万古霉素和枯草杆菌素甲磺酸钠。……所有检查的抗生素都能穿过人类胎盘,包括分子量大于1000 kDa的万古霉素和枯草杆菌素甲磺酸钠,但有3种不同的胎盘转运类型:完全、不完全和超过,大多数抗生素表现出不完全转运。
The purpose of antibiotic treatment in pregnant women is to treat the mother and/or the fetus since it is known that antibiotics administered to the mother cross the placenta and reach the fetus. A comparison of the drug concentration in maternal and fetal plasma gives an indication of the exposure of the fetus to the maternally administered antibiotics. The aim of this study was to review the literature pertaining to the placental transfer of antibiotics in man and to classify the antibiotics according to the type of transfer involved ... 3 types of placental transfers were identified. A few antibiotics cross the placenta rapidly and equilibrate in the maternal and cord plasma; this type of transfer is termed "complete" and include the antibiotics ampicillin, methicillin, cefmenoxime and cefotiam. Antibiotics which show incomplete transfer to the placenta where concentrations are lower in the cord than maternal plasma are said to have "incomplete" transfer and these include azlocillin, dicloxacillin, piperacillin, sulbenicillin, cefoxitin, amikacin, gentamicin, kanamycin, streptomycin, fosfomycin, thiamphenicol, griseofulvin, vancomycin and colistimethate. ... All examined antibiotics cross the human placenta including those with a molecular weight greater than 1000 kDa such as vancomycin and colistimethate but there are 3 distinct types of placental transfer: complete, incomplete and exceeding and most antibiotics exhibit incomplete transfer.
来源:Hazardous Substances Data Bank (HSDB)

SDS

SDS:143bcefecff00411d32fc8b1bdbef222
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制备方法与用途

药理作用

双氯西林是针对产酶黄色葡萄球菌作用最强的一种半合成青霉素,其抗菌效力比青霉素强100倍。它对不产酶黄色葡萄球菌、表皮葡萄球菌以及A组链球菌、肺炎球菌、疽杆菌等革兰阳性菌均有抗菌活性,但这些效果均不及青霉素;对于粪肠球菌的作用较弱或无效。

药代动力学

双氯西林口服吸收良好,生物利用度为60%,受食物影响较大。空腹服用0.5克后1小时达到最大血药浓度(Cmax),约为24毫克/升,几乎为苯唑西林氯唑西林的2至3倍;药物半衰期约0.8小时,在肾功能不全患者中会延长;蛋白结合率为97%。该药物在体内广泛分布,并可在脑膜炎情况下少量进入脑脊液。大约有60%的药物在6小时内通过尿液排出,其中一小部分经肝脏随胆汁排出,且不被血液透析或腹腔透析清除。

适应症

双氯西林适用于耐青霉素而对本品敏感的葡萄球菌引起的败血症、心内膜炎、呼吸道及皮肤软组织细菌感染等。也可用于由化脓性链球菌或肺炎球菌与耐青霉素黄色葡萄球菌导致的混合感染。但需要注意的是,该药物不适用于治疗MRS(甲氧西林耐药葡萄球菌)感染。

上下游信息

  • 下游产品
    中文名称 英文名称 CAS号 化学式 分子量

反应信息

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文献信息

  • [EN] DERIVATIVES OF AMANITA TOXINS AND THEIR CONJUGATION TO A CELL BINDING MOLECULE<br/>[FR] DÉRIVÉS DE TOXINES D'AMANITES ET LEUR CONJUGAISON À UNE MOLÉCULE DE LIAISON CELLULAIRE
    申请人:HANGZHOU DAC BIOTECH CO LTD
    公开号:WO2017046658A1
    公开(公告)日:2017-03-23
    Derivatives of Amernita toxins of Formula (I), wherein, formula (a) R 1, R 2, R 3, R 4, R 5, R 6, R 7, R 8, R 9, R 10, X, L, m, n and Q are defined herein. The preparation of the derivatives. The therapeutic use of the derivatives in the targeted treatment of cancers, autoimmune disorders, and infectious diseases.
    Amernita毒素的衍生物化学式(I),其中,化学式(a)中的R 1、R 2、R 3、R 4、R 5、R 6、R 7、R 8、R 9、R 10、X、L、m、n和Q在此处被定义。这些衍生物的制备。这些衍生物在靶向治疗癌症、自身免疫性疾病和传染病中的治疗用途。
  • [EN] A CONJUGATE OF A CYTOTOXIC AGENT TO A CELL BINDING MOLECULE WITH BRANCHED LINKERS<br/>[FR] CONJUGUÉ D'UN AGENT CYTOTOXIQUE À UNE MOLÉCULE DE LIAISON CELLULAIRE AVEC DES LIEURS RAMIFIÉS
    申请人:HANGZHOU DAC BIOTECH CO LTD
    公开号:WO2020257998A1
    公开(公告)日:2020-12-30
    Provided is a conjugation of cytotoxic drug to a cell-binding molecule with a side-chain linker. It provides side-chain linkage methods of making a conjugate of a cytotoxic molecule to a cell-binding ligand, as well as methods of using the conjugate in targeted treatment of cancer, infection and immunological disorders.
    提供了一种将细胞毒性药物与一个侧链连接分子结合的共轭物。它提供了制备细胞毒性分子与细胞结合配体的共轭物的侧链连接方法,以及在靶向治疗癌症、感染和免疫性疾病中使用该共轭物的方法。
  • [EN] CROSS-LINKED PYRROLOBENZODIAZEPINE DIMER (PBD) DERIVATIVE AND ITS CONJUGATES<br/>[FR] DÉRIVÉ DE DIMÈRE DE PYRROLOBENZODIAZÉPINE RÉTICULÉ (PBD) ET SES CONJUGUÉS
    申请人:HANGZHOU DAC BIOTECH CO LTD
    公开号:WO2020006722A1
    公开(公告)日:2020-01-09
    A novel cross-linked cytotoxic agents, pyrrolobenzo-diazepine dimer (PBD) derivatives, and their conjugates to a cell-binding molecule, a method for preparation of the conjugates and the therapeutic use of the conjugates.
    一种新型的交联细胞毒剂,吡咯苯并二氮杂环二聚体(PBD)衍生物,以及它们与细胞结合分子的结合物,一种制备这些结合物的方法以及这些结合物的治疗用途。
  • [EN] ANTIBACTERIAL COMPOUNDS<br/>[FR] COMPOSÉS ANTIBACTÉRIENS
    申请人:MASSACHUSETTS GEN HOSPITAL
    公开号:WO2019199979A1
    公开(公告)日:2019-10-17
    The present application provides compounds of formula: Methods of using these compounds for killing bacterial growth and treating bacterial infections are also provided.
    本申请提供了以下化合物的公式:还提供了使用这些化合物杀灭细菌生长和治疗细菌感染的方法。
  • [EN] HETEROCYCLIC AMIDES USEFUL AS PROTEIN MODULATORS<br/>[FR] AMIDES HÉTÉROCYCLIQUES UTILES EN TANT QUE MODULATEURS DE PROTÉINE
    申请人:GLAXOSMITHKLINE IP DEV LTD
    公开号:WO2017175147A1
    公开(公告)日:2017-10-12
    Disclosed are compounds having the formula (I-N), wherein q, r, s, A, B, C, RA1, RA2, RB1, RB2, RC1, RC2, R3, R4, R5, R6, R14, R15, R16, and R17, are as defined herein, or a tautomer thereof, or a salt, particularly a pharmaceutically acceptable salt, thereof.
    揭示了具有化学式(I-N)的化合物,其中q、r、s、A、B、C、RA1、RA2、RB1、RB2、RC1、RC2、R3、R4、R5、R6、R14、R15、R16和R17如本文所定义,或其互变异构体,或其盐,特别是其药用可接受盐。
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