Isoflurane

Identification

Summary

Isofluraneis an inhaled general anesthetic used in surgery.

Brand Names
Forane, Terrell
Generic Name
Isoflurane
DrugBank Accession Number
DB00753
Background

A stable, non-explosive inhalation anesthetic, relatively free from significant side effects.

Type
Small Molecule
Groups
Approved, Vet approved
Structure
Weight
Average: 184.492
Monoisotopic: 183.971433418
Chemical Formula
C3H2ClF5O
Synonyms
  • 1-chloro-2,2,2-trifluoroethyl difluoromethyl ether
  • Isoflurane
  • Isoflurano
  • Isofluranum

Pharmacology

Indication

For induction and maintenance of general anesthesia.

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Associated Therapies
Contraindications & Blackbox Warnings
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Pharmacodynamics

Isoflurane is a general inhalation anesthetic used for induction and maintenance of general anesthesia. It induces muscle relaxation and reduces pains sensitivity by altering tissue excitability. It does so by decreasing the extent of gap junction mediated cell-cell coupling and altering the activity of the channels that underlie the action potential.

Mechanism of action

Isoflurane induces a reduction in junctional conductance by decreasing gap junction channel opening times and increasing gap junction channel closing times. Isoflurane also activates calcium dependent ATPase in the sarcoplasmic reticulum by increasing the fluidity of the lipid membrane. Also appears to bind the D subunit of ATP synthase and NADH dehydogenase. Isoflurane also binds to the GABA receptor, the large conductance Ca2+activated potassium channel, the glutamate receptor and the glycine receptor.

Target Actions Organism
AGamma-aminobutyric acid receptor subunit alpha-1
agonist
Humans
ACalcium-transporting ATPase type 2C member 1
inhibitor
Humans
AGlycine receptor subunit alpha-1
agonist
Humans
AGlutamate receptor 1
antagonist
Humans
APotassium voltage-gated channel subfamily A member 1
inducer
Humans
AGABA(A) Receptor
positive allosteric modulator
Humans
UATP synthase subunit delta, mitochondrial
unknown
Humans
UCalmodulin
other/unknown
Humans
UNeuronal acetylcholine receptor subunit alpha-4
antagonist
Humans
UNeuronal acetylcholine receptor subunit beta-2
antagonist
Humans
Absorption

Not Available

Volume of distribution

Not Available

Protein binding

Not Available

Metabolism

Minimal

Route of elimination

Not Available

Half-life

Not Available

Clearance

Not Available

Adverse Effects
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Toxicity

LC50=15300 ppm/3 hrs (inhalation by rat)

Pathways
Not Available
Pharmacogenomic Effects/ADRsBrowse all" title="" id="snp-actions-info" class="drug-info-popup" href="javascript:void(0);">
Interacting Gene/Enzyme Allele name Genotype(s) Defining Change(s) Type(s) Description Details
Voltage-dependent L-type calcium channel subunit alpha-1S --- Not Available c.3257G>A/c.520C>T ADRInferred Malignant hyperthermia. Details
Ryanodine receptor 1 --- Not Available c.103T>C/c.487C>Tshow all ADRInferred Malignant hyperthermia. Details

Interactions

Drug InteractionsLearn More" title="" id="structured-interactions-info" class="drug-info-popup" href="javascript:void(0);">
This information should not be interpreted without the help of a healthcare provider. If you believe you are experiencing an interaction, contact a healthcare provider immediately. The absence of an interaction does not necessarily mean no interactions exist.
Drug Interaction
1,2-Benzodiazepine 不利影响的风险或严重性可以公司reased when Isoflurane is combined with 1,2-Benzodiazepine.
Abaloparatide 不利影响的风险或严重性可以公司reased when Isoflurane is combined with Abaloparatide.
Abametapir The serum concentration of Isoflurane can be increased when it is combined with Abametapir.
Abatacept The metabolism of Isoflurane can be increased when combined with Abatacept.
Acebutolol Isoflurane may decrease the antihypertensive activities of Acebutolol.
Aceclofenac The risk or severity of hypertension can be increased when Isoflurane is combined with Aceclofenac.
Acemetacin The risk or severity of hypertension can be increased when Isoflurane is combined with Acemetacin.
Acetaminophen Isoflurane may increase the hepatotoxic activities of Acetaminophen.
Acetazolamide 不利影响的风险或严重性可以公司reased when Isoflurane is combined with Acetazolamide.
Acetophenazine 不利影响的风险或严重性可以公司reased when Isoflurane is combined with Acetophenazine.
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Food Interactions
No interactions found.

Products

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International/Other Brands
Aerrane (Baxter)/Forene (Abbott)/Isocane (Lunan)/Isorane (Abbott)
Brand Name Prescription Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image
Forane Liquid 100 % Respiratory (inhalation) Baxter Laboratories 1996-12-31 Not applicable Canada flag
Forane Inhalant 1 mL/1mL Respiratory (inhalation) Baxter Healthcare Corporation 1979-12-18 Not applicable US flag
Forane Liq Inh Liquid 100 % Respiratory (inhalation) Ohmeda Pharmaceutical Products, Division Of Boc Canada Limited 1994-12-31 1996-09-26 Canada flag
Isoflurane USP Liquid 99.9 % Respiratory (inhalation) Halocarbon Laboratories, A Division Of Halocarbon Products Corp 2004-11-03 2019-03-22 Canada flag
Isoflurane USP Liquid 100 % Respiratory (inhalation) Technilab Pharma Inc. 1999-01-21 2008-08-05 Canada flag
Isoflurane USP Liquid 99.9 % Respiratory (inhalation) Abbvie 1993-12-31 2016-03-21 Canada flag
Isoflurane USP Liquid 99.9 % Respiratory (inhalation) Fresenius Kabi 1997-11-14 Not applicable Canada flag
Generic Prescription Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image
Isoflurane Liquid 1 mL/1mL Respiratory (inhalation) Halocarbon Life Sciences, LLC 1999-10-20 Not applicable US flag
Isoflurane Liquid 1 mL/1mL Respiratory (inhalation) Piramal Critical Care Inc 2013-11-13 Not applicable US flag
Isoflurane Liquid 1 mL/1mL Respiratory (inhalation) Piramal Critical Care, Inc. 2011-10-07 Not applicable US flag
Isoflurane Liquid 1 mL/1mL Respiratory (inhalation) Hospira, Inc. 2005-08-01 2012-03-01 US flag
Terrell Liquid 1 mL/1mL Respiratory (inhalation) Piramal Critical Care Inc 2010-02-28 Not applicable US flag
Terrell Liquid 1 mL/1mL Respiratory (inhalation) Piramal Critical Care Inc 2012-03-21 Not applicable US flag

Categories

ATC Codes
N01AB06 — Isoflurane
Drug Categories
Chemical TaxonomyProvided byClassyfire
Description
This compound belongs to the class of organic compounds known as organofluorides. These are compounds containing a chemical bond between a carbon atom and a fluorine atom.
Kingdom
Organic compounds
Super Class
Organohalogen compounds
Class
Organofluorides
Sub Class
Not Available
Direct Parent
Organofluorides
Alternative Parents
Organooxygen compounds/Organochlorides/Hydrocarbon derivatives/Alkyl fluorides/Alkyl chlorides
Substituents
Aliphatic acyclic compound/Alkyl chloride/Alkyl fluoride/Alkyl halide/Hydrocarbon derivative/Organic oxygen compound/Organochloride/Organofluoride/Organooxygen compound
Molecular Framework
Aliphatic acyclic compounds
External Descriptors
organofluorine compound (CHEBI:6015)
Affected organisms
  • Humans and other mammals

Chemical Identifiers

UNII
CYS9AKD70P
CAS number
26675-46-7
InChI Key
PIWKPBJCKXDKJR-UHFFFAOYSA-N
InChI
InChI=1S/C3H2ClF5O/c4-1(3(7,8)9)10-2(5)6/h1-2H
IUPAC Name
2-chloro-2-(difluoromethoxy)-1,1,1-trifluoroethane
SMILES
FC(F)OC(Cl)C(F)(F)F

References

Synthesis Reference

Leonid A. Rozov, Fernando Quiroz, Gerald G. Vernice, "Preparation of isoflurane." U.S. Patent US5416244, issued March, 1973.

US5416244
General References
Not Available
Human Metabolome Database
HMDB0014891
KEGG Drug
D00545
KEGG Compound
C07518
PubChem Compound
3763
PubChem Substance
46505880
ChemSpider
3631
BindingDB
217353
RxNav
6026
ChEBI
6015
ChEMBL
CHEMBL1256
Therapeutic Targets Database
DAP001033
PharmGKB
PA450106
PDBe Ligand
ICF
RxList
RxList Drug Page
Wikipedia
Isoflurane
FDA label
Download (99.6 KB)
MSDS
Download (37 KB)

Clinical Trials

Clinical TrialsLearn More" title="" id="clinical-trials-info" class="drug-info-popup" href="javascript:void(0);">
Phase Status Purpose Conditions Count
4 Completed Diagnostic Alzheimer's Disease (AD)/POCD - Postoperative Cognitive Dysfunction/Postoperative Delirium (POD) 1
4 Completed Diagnostic Postoperative Delirium (POD) 1
4 Completed Diagnostic Pulmonary Hypertension (PH) 1
4 Completed Other Breast Cancer/Colorectal Cancer/Lung Cancer/Melanoma (Skin Cancer)/Other Cancers/Prostate Cancer 1
4 Completed Prevention Analgesia/Functional Endoscopic Sinus Surgery (FESS)/Premedication 1
4 Completed Supportive Care DNA Damage/Patients in Good Health/Types of General Anesthesia 1
4 Completed Supportive Care Hematoma, Subdural, Acute 1
4 Completed Supportive Care Patients in Good Health 1
4 Completed Treatment Advanced Chronic Rhinosinusitis 1
4 Completed Treatment Breast Neoplasms 1

Pharmacoeconomics

Manufacturers
  • Baxter healthcare corp anesthesia critical care
  • Halocarbon products corp
  • Hospira inc
  • Marsam pharmaceuticals llc
  • Piramal critical care inc
  • Rhodia ltd
Packagers
  • Apothecon
  • Baxter International Inc.
  • Halocarbon Laboratories
  • Hospira Inc.
  • Minrad Inc.
  • Nicholas Pirmal India Ltd. Uk
  • Rhodia Organique Fine Ltd.
  • Rx Elite
Dosage Forms
Form Route Strength
Inhalant Respiratory (inhalation) 100 %
Inhalant Respiratory (inhalation) 250 %
Aerosol Respiratory (inhalation)
Inhalant Respiratory (inhalation) 1 mL/1mL
Liquid Respiratory (inhalation) 100 %
Solution Respiratory (inhalation) 100 ml/100ml
Solution Respiratory (inhalation) 99.9 %
Liquid Respiratory (inhalation) 1 mL/1mL
Solution Nasal 100 %
Liquid Respiratory (inhalation) 99.9 %
Solution Respiratory (inhalation) 100 %
Solution Respiratory (inhalation) 100 mL
Aerosol Respiratory (inhalation) 250毫升
Aerosol; solution Respiratory (inhalation) 100 %
Aerosol Respiratory (inhalation) 100 ml/1bottle
Aerosol Respiratory (inhalation) 250 ml/1bottle
Liquid Nasal 100 ml/1bottle
Prices
Unit description Cost Unit
Forane liquid 0.24USD ml
DrugBank does not sell nor buy drugs. Pricing information is supplied for informational purposes only.
Patents
Not Available

Properties

State
Liquid
Experimental Properties
Property Value Source
melting point (°C) 48-48.5 U.S. Patent 3,535,388.
boiling point (°C) 48.5 °C PhysProp
water solubility 4470 mg/L (at 37 °C) YALKOWSKY,SH & DANNENFELSER,RM (1992)
logP 2.06 HANSCH,C ET AL. (1995)
Predicted Properties
Property Value Source
Water Solubility 3.56 mg/mL ALOGPS
logP 2.3 ALOGPS
logP 2.84 Chemaxon
logS -1.7 ALOGPS
pKa (Strongest Basic) -4.7 Chemaxon
Physiological Charge 0 Chemaxon
Hydrogen Acceptor Count 1 Chemaxon
Hydrogen Donor Count 0 Chemaxon
Polar Surface Area 9.23 Å2 Chemaxon
Rotatable Bond Count 3 Chemaxon
Refractivity 23.04 m3·mol-1 Chemaxon
Polarizability 9.73 Å3 Chemaxon
Number of Rings 0 Chemaxon
Bioavailability 1 Chemaxon
Rule of Five Yes Chemaxon
Ghose Filter No Chemaxon
Veber's Rule Yes Chemaxon
MDDR-like Rule No Chemaxon
Predicted ADMET Features
Property Value Probability
Human Intestinal Absorption + 1.0
Blood Brain Barrier + 0.994
Caco-2 permeable + 0.6125
P-glycoprotein substrate Non-substrate 0.8919
P-glycoprotein inhibitor I Non-inhibitor 0.9553
P-glycoprotein inhibitor II Non-inhibitor 0.9297
Renal organic cation transporter Non-inhibitor 0.9293
CYP450 2C9 substrate Non-substrate 0.8407
CYP450 2D6 substrate Non-substrate 0.9116
CYP450 3A4 substrate Non-substrate 0.7179
CYP450 1A2 substrate Non-inhibitor 0.5701
CYP450 2C9 inhibitor Non-inhibitor 0.8112
CYP450 2D6 inhibitor Non-inhibitor 0.9408
CYP450 2C19 inhibitor Non-inhibitor 0.5794
CYP450 3A4 inhibitor Non-inhibitor 0.9604
CYP450 inhibitory promiscuity Low CYP Inhibitory Promiscuity 0.8702
Ames test Non AMES toxic 0.9132
Carcinogenicity Carcinogens 0.7574
Biodegradation Not ready biodegradable 0.9642
Rat acute toxicity 1.3804 LD50, mol/kg Not applicable
hERG inhibition (predictor I) Weak inhibitor 0.9576
hERG inhibition (predictor II) Non-inhibitor 0.9032
ADMET data is predicted usingadmetSAR, a free tool for evaluating chemical ADMET properties. (23092397)

Spectra

Mass Spec (NIST)
Download (7.33 KB)
Spectra
Spectrum Spectrum Type Splash Key
Predicted GC-MS Spectrum - GC-MS Predicted GC-MS Not Available
Mass Spectrum (Electron Ionization) MS splash10-0udi-9300000000-c134e176400bbe7073c2
Predicted MS/MS Spectrum - 10V, Positive (Annotated) Predicted LC-MS/MS Not Available
Predicted MS/MS Spectrum - 20V, Positive (Annotated) Predicted LC-MS/MS Not Available
Predicted MS/MS Spectrum - 40V, Positive (Annotated) Predicted LC-MS/MS Not Available
Predicted MS/MS Spectrum - 10V, Negative (Annotated) Predicted LC-MS/MS Not Available
Predicted MS/MS Spectrum - 20V, Negative (Annotated) Predicted LC-MS/MS Not Available
Predicted MS/MS Spectrum - 40V, Negative (Annotated) Predicted LC-MS/MS Not Available

Targets

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Use our structured and evidence-based datasets tounlock new
insights and accelerate drug research.
Learn more
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Kind
Protein
Organism
Humans
Pharmacological action
Yes
Actions
Agonist
General Function
Inhibitory extracellular ligand-gated ion channel activity
Specific Function
Component of the heteropentameric receptor for GABA, the major inhibitory neurotransmitter in the vertebrate brain. Functions also as histamine receptor and mediates cellular responses to histamine...
Gene Name
GABRA1
Uniprot ID
P14867
Uniprot Name
Gamma-aminobutyric acid receptor subunit alpha-1
分子量
51801.395 Da
References
  1. Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. [Article]
  2. Imming P, Sinning C, Meyer A: Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. [Article]
  3. McCracken ML, Borghese CM, Trudell JR, Harris RA: A transmembrane amino acid in the GABAA receptor beta2 subunit critical for the actions of alcohols and anesthetics. J Pharmacol Exp Ther. 2010 Dec;335(3):600-6. doi: 10.1124/jpet.110.170472. Epub 2010 Sep 8. [Article]
  4. Seo K, Seino H, Yoshikawa H, Petrenko AB, Baba H, Fujiwara N, Someya G, Kawano Y, Maeda T, Matsuda M, Kanematsu T, Hirata M: Genetic reduction of GABA(A) receptor gamma2 subunit expression potentiates the immobilizing action of isoflurane. Neurosci Lett. 2010 Mar 12;472(1):1-4. doi: 10.1016/j.neulet.2010.01.031. Epub 2010 Jan 25. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Yes
Actions
Inhibitor
General Function
Signal transducer activity
Specific Function
This magnesium-dependent enzyme catalyzes the hydrolysis of ATP coupled with the transport of the calcium.
Gene Name
ATP2C1
Uniprot ID
P98194
Uniprot Name
Calcium-transporting ATPase type 2C member 1
分子量
100576.42 Da
References
  1. Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. [Article]
  2. Imming P, Sinning C, Meyer A: Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. [Article]
  3. Kosk-Kosicka D, Roszczynska G: Inhibition of plasma membrane Ca(2+)-ATPase activity by volatile anesthetics. Anesthesiology. 1993 Oct;79(4):774-80. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Yes
Actions
Agonist
General Function
Transmitter-gated ion channel activity
Specific Function
The glycine receptor is a neurotransmitter-gated ion channel. Binding of glycine to its receptor increases the chloride conductance and thus produces hyperpolarization (inhibition of neuronal firing).
Gene Name
GLRA1
Uniprot ID
P23415
Uniprot Name
Glycine receptor subunit alpha-1
分子量
52623.35 Da
References
  1. Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. [Article]
  2. Imming P, Sinning C, Meyer A: Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. [Article]
  3. Grasshoff C, Antkowiak B:异氟烷的影响d enflurane on GABAA and glycine receptors contribute equally to depressant actions on spinal ventral horn neurones in rats. Br J Anaesth. 2006 Nov;97(5):687-94. doi: 10.1093/bja/ael239. Epub 2006 Sep 13. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Yes
Actions
Antagonist
General Function
Pdz domain binding
Specific Function
Ionotropic glutamate receptor. L-glutamate acts as an excitatory neurotransmitter at many synapses in the central nervous system. Binding of the excitatory neurotransmitter L-glutamate induces a co...
Gene Name
GRIA1
Uniprot ID
P42261
Uniprot Name
Glutamate receptor 1
分子量
101505.245 Da
References
  1. Guo L, Wang Y: Glutamate stimulates glutamate receptor interacting protein 1 degradation by ubiquitin-proteasome system to regulate surface expression of GluR2. Neuroscience. 2007 Mar 2;145(1):100-9. Epub 2007 Jan 3. [Article]
  2. Dildy-Mayfield我,埃格尔EI 2日,哈里斯RA: Anesthetics produce subunit-selective actions on glutamate receptors. J Pharmacol Exp Ther. 1996 Mar;276(3):1058-65. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Yes
Actions
Inducer
General Function
Voltage-gated potassium channel activity
Specific Function
Voltage-gated potassium channel that mediates transmembrane potassium transport in excitable membranes, primarily in the brain and the central nervous system, but also in the kidney (PubMed:1990381...
Gene Name
KCNA1
Uniprot ID
Q09470
Uniprot Name
Potassium voltage-gated channel subfamily A member 1
分子量
56465.01 Da
References
  1. Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. [Article]
  2. Imming P, Sinning C, Meyer A: Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. [Article]
  3. Matchett GA, Allard MW, Martin RD, Zhang JH: Neuroprotective effect of volatile anesthetic agents: molecular mechanisms. Neurol Res. 2009 Mar;31(2):128-34. doi: 10.1179/174313209X393546. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Unknown
General Function
Transporter activity
Specific Function
Mitochondrial membrane ATP synthase (F(1)F(0) ATP synthase or Complex V) produces ATP from ADP in the presence of a proton gradient across the membrane which is generated by electron transport comp...
Gene Name
ATP5D
Uniprot ID
P30049
Uniprot Name
ATP synthase subunit delta, mitochondrial
分子量
17489.755 Da
References
  1. Pravdic D, Hirata N, Barber L, Sedlic F, Bosnjak ZJ, Bienengraeber M: Complex I and ATP synthase mediate membrane depolarization and matrix acidification by isoflurane in mitochondria. Eur J Pharmacol. 2012 Sep 5;690(1-3):149-57. doi: 10.1016/j.ejphar.2012.07.003. Epub 2012 Jul 11. [Article]
  2. Bains R, Moe MC, Vinje ML, Berg-Johnsen J: Isoflurane-induced depolarization of neural mitochondria increases with age. Acta Anaesthesiol Scand. 2009 Jan;53(1):85-92. doi: 10.1111/j.1399-6576.2008.01823.x. Epub 2008 Nov 12. [Article]
  3. Bains R, Moe MC, Larsen GA, Berg-Johnsen J, Vinje ML: Volatile anaesthetics depolarize neural mitochondria by inhibiton of the electron transport chain. Acta Anaesthesiol Scand. 2006 May;50(5):572-9. doi: 10.1111/j.1399-6576.2006.00988.x. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Other/unknown
General Function
Titin binding
Specific Function
Calmodulin mediates the control of a large number of enzymes, ion channels, aquaporins and other proteins by Ca(2+). Among the enzymes to be stimulated by the calmodulin-Ca(2+) complex are a number...
Gene Name
CALM1
Uniprot ID
P0DP23
Uniprot Name
Calmodulin
分子量
16837.47 Da
References
  1. Fan RS, Jacamo RO, Jiang X, Sinnett-Smith J, Rozengurt E: G protein-coupled receptor activation rapidly stimulates focal adhesion kinase phosphorylation at Ser-843. Mediation by Ca2+, calmodulin, and Ca2+/calmodulin-dependent kinase II. J Biol Chem. 2005 Jun 24;280(25):24212-20. Epub 2005 Apr 21. [Article]
  2. Bickler PE, Zhan X, Fahlman CS: Isoflurane preconditions hippocampal neurons against oxygen-glucose deprivation: role of intracellular Ca2+ and mitogen-activated protein kinase signaling. Anesthesiology. 2005 Sep;103(3):532-9. [Article]
  3. Sazonova OV, Blishchenko EY, Tolmazova AG, Khachin DP, Leontiev KV, Karelin AA, Ivanov VT: Stimulation of fibroblast proliferation by neokyotorphin requires Ca influx and activation of PKA, CaMK II and MAPK/ERK. FEBS J. 2007 Jan;274(2):474-84. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Antagonist
General Function
Ligand-gated ion channel activity
Specific Function
After binding acetylcholine, the AChR responds by an extensive change in conformation that affects all subunits and leads to opening of an ion-conducting channel across the plasma membrane permeabl...
Gene Name
CHRNA4
Uniprot ID
P43681
Uniprot Name
Neuronal acetylcholine receptor subunit alpha-4
分子量
69956.47 Da
References
  1. Brannigan G, LeBard DN, Henin J, Eckenhoff RG, Klein ML: Multiple binding sites for the general anesthetic isoflurane identified in the nicotinic acetylcholine receptor transmembrane domain. Proc Natl Acad Sci U S A. 2010 Aug 10;107(32):14122-7. doi: 10.1073/pnas.1008534107. Epub 2010 Jul 26. [Article]
  2. Flood P, Sonner JM, Gong D, Coates KM: Isoflurane hyperalgesia is modulated by nicotinic inhibition. Anesthesiology. 2002 Jul;97(1):192-8. [Article]
  3. 山下式M, Mori T,经营着K,叶生理改变,Narahashi T: Isoflurane modulation of neuronal nicotinic acetylcholine receptors expressed in human embryonic kidney cells. Anesthesiology. 2005 Jan;102(1):76-84. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Antagonist
General Function
Ligand-gated ion channel activity
Specific Function
After binding acetylcholine, the AChR responds by an extensive change in conformation that affects all subunits and leads to opening of an ion-conducting channel across the plasma membrane permeabl...
Gene Name
CHRNB2
Uniprot ID
P17787
Uniprot Name
Neuronal acetylcholine receptor subunit beta-2
分子量
57018.575 Da
References
  1. Brannigan G, LeBard DN, Henin J, Eckenhoff RG, Klein ML: Multiple binding sites for the general anesthetic isoflurane identified in the nicotinic acetylcholine receptor transmembrane domain. Proc Natl Acad Sci U S A. 2010 Aug 10;107(32):14122-7. doi: 10.1073/pnas.1008534107. Epub 2010 Jul 26. [Article]
  2. Flood P, Sonner JM, Gong D, Coates KM: Isoflurane hyperalgesia is modulated by nicotinic inhibition. Anesthesiology. 2002 Jul;97(1):192-8. [Article]
  3. 山下式M, Mori T,经营着K,叶生理改变,Narahashi T: Isoflurane modulation of neuronal nicotinic acetylcholine receptors expressed in human embryonic kidney cells. Anesthesiology. 2005 Jan;102(1):76-84. [Article]

Enzymes

Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Substrate
Inducer
General Function
Steroid hydroxylase activity
Specific Function
Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It oxidizes a variety of structurally un...
Gene Name
CYP2B6
Uniprot ID
P20813
Uniprot Name
Cytochrome P450 2B6
分子量
56277.81 Da
References
  1. Rendic S: Summary of information on human CYP enzymes: human P450 metabolism data. Drug Metab Rev. 2002 Feb-May;34(1-2):83-448. [Article]
  2. Baker MT, Olson MJ, Wang Y, Ronnenberg WC Jr, Johnson JT, Brady AN: Isoflurane-chlorodifluoroethene interaction in human liver microsomes. Role of cytochrome P4502B6 in potentiation of haloethene metabolism. Drug Metab Dispos. 1995 Jan;23(1):60-4. [Article]
  3. Potential CYP2B6 Substrates, Inhibitors, Inudcers (https://ctep.cancer.gov/protocoldevelopment/docs/cyp2b6.doc) [File]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Inhibitor
General Function
Nadh dehydrogenase (ubiquinone) activity
Specific Function
Core subunit of the mitochondrial membrane respiratory chain NADH dehydrogenase (Complex I) that is believed to belong to the minimal assembly required for catalysis. Complex I functions in the tra...
Gene Name
MT-ND1
Uniprot ID
P03886
Uniprot Name
NADH-ubiquinone oxidoreductase chain 1
分子量
35660.055 Da
References
  1. Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. [Article]
  2. Imming P, Sinning C, Meyer A: Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. [Article]
  3. Hanley PJ, Ray J, Brandt U, Daut J: Halothane, isoflurane and sevoflurane inhibit NADH:ubiquinone oxidoreductase (complex I) of cardiac mitochondria. J Physiol. 2002 Nov 1;544(Pt 3):687-93. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Substrate
General Function
Steroid hydroxylase activity
Specific Function
Metabolizes several precarcinogens, drugs, and solvents to reactive metabolites. Inactivates a number of drugs and xenobiotics and also bioactivates many xenobiotic substrates to their hepatotoxic ...
Gene Name
CYP2E1
Uniprot ID
P05181
Uniprot Name
Cytochrome P450 2E1
分子量
56848.42 Da
References
  1. Kharasch ED, Thummel客:我dentification of cytochrome P450 2E1 as the predominant enzyme catalyzing human liver microsomal defluorination of sevoflurane, isoflurane, and methoxyflurane. Anesthesiology. 1993 Oct;79(4):795-807. [Article]
  2. Kharasch ED, Hankins DC, Cox K: Clinical isoflurane metabolism by cytochrome P450 2E1. Anesthesiology. 1999 Mar;90(3):766-71. doi: 10.1097/00000542-199903000-00019. [Article]
  3. Flockhart Table of Drug Interactions [Link]

Carriers

Kind
Protein
Organism
Humans
Pharmacological action
Unknown
General Function
Toxic substance binding
Specific Function
Serum albumin, the main protein of plasma, has a good binding capacity for water, Ca(2+), Na(+), K(+), fatty acids, hormones, bilirubin and drugs. Its main function is the regulation of the colloid...
Gene Name
ALB
Uniprot ID
P02768
Uniprot Name
Serum albumin
分子量
69365.94 Da
References
  1. Liu R, Eckenhoff RG: Weak polar interactions confer albumin binding site selectivity for haloether anesthetics. Anesthesiology. 2005 Apr;102(4):799-805. [Article]
  2. Sawas AH, Pentyala SN, Rebecchi MJ: Binding of volatile anesthetics to serum albumin: measurements of enthalpy and solvent contributions. Biochemistry. 2004 Oct 5;43(39):12675-85. [Article]

Drug created at June 13, 2005 13:24 / Updated at April 26, 2023 07:53