Chlortetracycline

Identification

Summary

Chlortetracycline is the first tetracycline antibiotic most commonly used for veterinary purposes.

Generic Name
Chlortetracycline
DrugBank Accession Number
DB09093
Background

Chlortetracycline is a tetracycline antibiotic, and historically the first member of this class to be identified. It was discovered in 1945 by the scientist, Benjamin Minge Duggar, working at Lederle Laboratories under the supervision of Yellapragada Subbarow. He discovered that this antibiotic was the product of an actinomycete strain he cultured and obtained from a soil sample from a field in Missouri. The organism was named Streptomyces aureofaciens due to its gold-hued color.

Type
Small Molecule
Groups
Approved, Investigational, Vet approved
Structure
Weight
Average: 478.88
Monoisotopic: 478.114293429
Chemical Formula
C22H23ClN2O8
Synonyms
  • Chlortetracycline
  • Chlortétracycline
  • Chlortetracyclinum
  • Clortetraciclina

Pharmacology

Indication

Used in the manufacuring of medicated animal feeds Label.

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Associated Conditions
Indication TypeIndicationCombined Product DetailsApproval LevelAge GroupPatient CharacteristicsDose Form
Treatment ofEye and eyelid infections•••••••••••••••••••• • •••••
Treatment ofPyoderma••••••••••••••••••••
Used in combination to treatWound infectionsCombination Product in combination with: Chloramphenicol (DB00446), Neomycin (DB00994)••• •••••••••••
Used in combination to treatCorticosteroid-responsive dermatosesCombination Product in combination with: Triamcinolone (DB00620)•••••••••••••••••• •••••••••••••
Contraindications & Blackbox Warnings
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Pharmacodynamics

Tetracycline antibiotics are bacteriostatic agents which act to inhibit bacterial growth and reproduction 2.

Mechanism of action

Chlortetracycline, like other tetracyclines, competes for the A site of the bacterial ribosome 2. This binding competes with tRNA carrying amino acids preventing the addition of more amino acids to the peptide chain. This inhibition of protein synthesis ultimately inhibits growth and reproduction of the bacterial cell as necessary proteins cannot be synthesized.

TargetActionsOrganism
A16S ribosomal RNA
inhibitor
Enteric bacteria and other eubacteria
A30S ribosomal protein S3
inhibitor
Escherichia coli (strain K12)
A30S ribosomal protein S8
inhibitor
Escherichia coli (strain K12)
A30S ribosomal protein S19
inhibitor
Escherichia coli (strain K12)
A30S ribosomal protein S14
inhibitor
Escherichia coli (strain K12)
A30S ribosomal protein S7
inhibitor
Escherichia coli (strain K12)
UADP-ribosylation factor 1
inhibitor
Humans
UCatalase
inhibitor
Micrococcus luteus
UEphrin type-B receptor 1
inhibitor
Humans
UPancreatic triacylglycerol lipase
inhibitor
Humans
UProtein-arginine deiminase type-4
inhibitor
Humans
Absorption

Chortetracycline reaches peak plasma concentation in about 3 hours 1. Its oral bioavailability is 25-30%.

Volume of distribution

Chlortetracycline has a volume of distribution of 100 liters 1.

Protein binding

Chlortetracline is 50-55% bound to plasma proteins 1.

Metabolism

Chlortetracycline is not known to undergo significant metabolism 1.

Route of elimination

Chlortetracycline is mainly eliminated in feces 1. Renal function does not appear to affect the rate of elimination.

Half-life

The half-life of Chlortetracycline is 5.6 hours 1.

Clearance

Not Available

Adverse Effects
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Toxicity

The acute oral LD50 in mice is 2314mg/kg MSDS.The most common adverse effects of tertacylines are gastrointestinal disturbances, and staining of teeth and bone. Some occurences of dental hypoplasia and bone deformity have been noted 2. In pregnant women tetracyclines may produce hepatotoxicity.

Pathways
Not Available
Pharmacogenomic Effects/ADRs
Not Available

Interactions

Drug Interactions
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.
DrugInteraction
AcetylcysteineThe therapeutic efficacy of Acetylcysteine can be decreased when used in combination with Chlortetracycline.
AmbroxolThe risk or severity of methemoglobinemia can be increased when Chlortetracycline is combined with Ambroxol.
ArticaineThe risk or severity of methemoglobinemia can be increased when Chlortetracycline is combined with Articaine.
BenzocaineThe risk or severity of methemoglobinemia can be increased when Chlortetracycline is combined with Benzocaine.
Benzyl alcoholThe risk or severity of methemoglobinemia can be increased when Chlortetracycline is combined with Benzyl alcohol.
Food Interactions
No interactions found.

Products

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Product Ingredients
IngredientUNIICASInChI Key
Chlortetracycline bisulfate1D06KZ672I27823-62-7GQUMQTDURIYYIA-MRFRVZCGSA-N
Chlortetracycline calcium complexNR4B2SX17S57122-99-3BRXWPGYMDYZZNU-NAUDNZITSA-L
Chlortetracycline hydrochlorideO1GX33ON8R64-72-2CBHYYLPALVVVEY-MRFRVZCGSA-N
International/Other Brands
Aueromycin
Brand Name Prescription Products
NameDosageStrengthRouteLabellerMarketing StartMarketing EndRegionImage
Aureomycin - Ont Top 3%Ointment3 %TopicalWyeth Ayerst Canada Inc.1997-10-242000-08-02Canada flag
Aureomycin Ont 3%Ointment3 %TopicalLederle Cyanamid Canada Inc.1952-12-311997-11-24Canada flag
Aureomycin Ont Oph 1%Ointment1 %OphthalmicLederle Cyanamid Canada Inc.1955-12-311997-01-14Canada flag
Over the Counter Products
NameDosageStrengthRouteLabellerMarketing StartMarketing EndRegionImage
ขี้ผึ้งทรามัยซิน ใส่แผลOintment3 %w/wTopicalบริษัท แลชแมน จำกัด จำกัด1986-01-16Not applicableThailand flag
ขี้ผึ้งใส่แผล ฮีโร่มัยซินOintment3 %w/wTopicalบริษัท ฮีโร่มัยซิน ฟาร์ม่า จำกัด จำกัด2003-04-23Not applicableThailand flag
ออริโอมัยซิน *Ointment3 %w/wTopicalบริษัท อินเตอร์ไทย ฟาร์มาซูติเคิ้ล แมนูแฟคเจอริ่ง จำกัด จำกัด1998-01-30Not applicableThailand flag
โคบาล มัยซิน ออยเม้นท์Ointment3 %w/wTopicalบริษัท ไบร์วู๊ดฟาร์มาซูติคอล จำกัด1987-08-03Not applicableThailand flag
Mixture Products
NameIngredientsDosageRouteLabellerMarketing StartMarketing EndRegionImage
Aureocort 1 mg/g + 30 mg/g SalbeChlortetracycline hydrochloride (30 mg/g) + Triamcinolone acetonide (1 mg/g)OintmentTopicalDermapharm Gmb H1966-09-28Not applicableAustria flag
ไทรไมซิน ออยท์เมนท์Chlortetracycline (5 MG/1G) + Chloramphenicol (5 MG/1G) + Neomycin (5 MG/1G)OintmentTopicalบริษัท สหแพทย์เภสัช จำกัด2017-01-252020-08-24Thailand flag

Categories

ATC Codes
D06AA02 — ChlortetracyclineS01AA02 — ChlortetracyclineJ01AA03 — ChlortetracyclineJ01AA20 — Combinations of tetracyclinesA01AB21 — Chlortetracycline
Drug Categories
Chemical TaxonomyProvided by Classyfire
Description
This compound belongs to the class of organic compounds known as tetracyclines. These are polyketides having an octahydrotetracene-2-carboxamide skeleton, substituted with many hydroxy and other groups.
Kingdom
Organic compounds
Super Class
Phenylpropanoids and polyketides
Class
Tetracyclines
Sub Class
Not Available
Direct Parent
Tetracyclines
Alternative Parents
Naphthacenes / Anthracenecarboxylic acids and derivatives / Tetralins / Aryl ketones / 1-hydroxy-2-unsubstituted benzenoids / Aralkylamines / Cyclohexenones / Aryl chlorides / Vinylogous acids / Tertiary alcohols
show 9 more
Substituents
1-hydroxy-2-unsubstituted benzenoid / Alcohol / Amine / Amino acid or derivatives / Anthracene carboxylic acid or derivatives / Aralkylamine / Aromatic homopolycyclic compound / Aryl chloride / Aryl halide / Aryl ketone
show 26 more
Molecular Framework
Aromatic homopolycyclic compounds
External Descriptors
tertiary alcohol, tertiary amino compound, monocarboxylic acid amide, monochlorobenzenes, tetracyclines (CHEBI:27644) / Linear tetracyclines (C06571) / Linear tetracyclines (LMPK07000004)
Affected organisms
Not Available

Chemical Identifiers

UNII
WCK1KIQ23Q
CAS number
57-62-5
InChI Key
CYDMQBQPVICBEU-XRNKAMNCSA-N
InChI
InChI=1S/C22H23ClN2O8/c1-21(32)7-6-8-15(25(2)3)17(28)13(20(24)31)19(30)22(8,33)18(29)11(7)16(27)12-10(26)5-4-9(23)14(12)21/h4-5,7-8,15,26,28-29,32-33H,6H2,1-3H3,(H2,24,31)/t7-,8-,15-,21-,22-/m0/s1
IUPAC Name
(4S,4aS,5aS,6S,12aS)-7-chloro-4-(dimethylamino)-3,6,10,12,12a-pentahydroxy-6-methyl-1,11-dioxo-1,4,4a,5,5a,6,11,12a-octahydrotetracene-2-carboxamide
SMILES
[H][C@@]12C[C@@]3([H])C(=C(O)[C@]1(O)C(=O)C(C(N)=O)=C(O)[C@H]2N(C)C)C(=O)C1=C(O)C=CC(Cl)=C1[C@@]3(C)O

References

General References
  1. Agwuh KN, MacGowan A: Pharmacokinetics and pharmacodynamics of the tetracyclines including glycylcyclines. J Antimicrob Chemother. 2006 Aug;58(2):256-65. Epub 2006 Jul 1. [Article]
  2. 49, 50. (2012). In Rang and Dale's Pharmacology (7th ed., pp. 614, 629). Edinburgh: Elsevier/Churchill Livingstone. [ISBN:978-0-7020-3471-8]
KEGG Drug
D07689
KEGG Compound
C06571
PubChem Compound
54708735
PubChem Substance
310265020
ChemSpider
10469370
RxNav
2408
ChEBI
27644
ChEMBL
CHEMBL404520
ZINC
ZINC000019701769
PDBe Ligand
CTC
Wikipedia
Chlortetracycline
PDB Entries
2fj1 / 2tct / 2y6r / 3egz / 4v2g / 5tui / 6qjw / 6umw
FDA label
Download (218 KB)
MSDS
Download (179 KB)

Clinical Trials

Clinical Trials
PhaseStatusPurposeConditionsCount
0TerminatedTreatmentOsteomyelitis1

Pharmacoeconomics

Manufacturers
Not Available
Packagers
Not Available
Dosage Forms
FormRouteStrength
Cream
CreamOphthalmic1 %
OintmentTopical3 %
Solution / drops20 ML
OintmentOphthalmic1 %
OintmentOphthalmic
OintmentOphthalmic10 mg/g
OintmentTopical3 %w/w
Capsule250 mg
OintmentTopical
Prices
Not Available
Patents
Not Available

Properties

State
Solid
Experimental Properties
PropertyValueSource
melting point (°C)Decomposes at 210-215MSDS
Predicted Properties
PropertyValueSource
Water Solubility0.259 mg/mLALOGPS
logP-0.13ALOGPS
logP-2.9Chemaxon
logS-3.3ALOGPS
pKa (Strongest Acidic)2.99Chemaxon
pKa (Strongest Basic)9.04Chemaxon
Physiological Charge-1Chemaxon
Hydrogen Acceptor Count9Chemaxon
Hydrogen Donor Count6Chemaxon
Polar Surface Area181.62 Å2Chemaxon
Rotatable Bond Count2Chemaxon
Refractivity118.99 m3·mol-1Chemaxon
Polarizability45.61 Å3Chemaxon
Number of Rings4Chemaxon
Bioavailability1Chemaxon
Rule of FiveNoChemaxon
Ghose FilterNoChemaxon
Veber's RuleNoChemaxon
MDDR-like RuleNoChemaxon
Predicted ADMET Features
Not Available

Spectra

Mass Spec (NIST)
Not Available
Spectra
SpectrumSpectrum TypeSplash Key
Predicted MS/MS Spectrum - 10V, Positive (Annotated)Predicted LC-MS/MSsplash10-01t9-0000900000-a3bd564bfed5c6bc761b
Predicted MS/MS Spectrum - 10V, Negative (Annotated)Predicted LC-MS/MSsplash10-002f-0009700000-c725c9e77c980b61f11f
Predicted MS/MS Spectrum - 20V, Positive (Annotated)Predicted LC-MS/MSsplash10-0006-0000900000-0823696773829952578f
Predicted MS/MS Spectrum - 20V, Negative (Annotated)Predicted LC-MS/MSsplash10-0006-0009400000-53a084c65f0be98ed440
Predicted MS/MS Spectrum - 40V, Positive (Annotated)Predicted LC-MS/MSsplash10-03xr-3695300000-c8973e90dc33f7f8d08d
Predicted MS/MS Spectrum - 40V, Negative (Annotated)Predicted LC-MS/MSsplash10-08gi-2019500000-9eb19da0c650341d3d22
Predicted 1H NMR Spectrum1D NMRNot Applicable
Predicted 13C NMR Spectrum1D NMRNot Applicable
Chromatographic Properties
Collision Cross Sections (CCS)
AdductCCS Value (Å2)Source typeSource
[M-H]-212.5838107
predicted
DarkChem Lite v0.1.0
[M-H]-205.57065
predicted
DeepCCS 1.0 (2019)
[M+H]+211.6348107
predicted
DarkChem Lite v0.1.0
[M+H]+207.46608
predicted
DeepCCS 1.0 (2019)
[M+Na]+210.4818107
predicted
DarkChem Lite v0.1.0
[M+Na]+213.27031
predicted
DeepCCS 1.0 (2019)

Targets

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insights and accelerate drug research.
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Kind
Nucleotide
Organism
Enteric bacteria and other eubacteria
Pharmacological action
Yes
Actions
Inhibitor
In prokaryotes, the 16S rRNA is essential for recognizing the 5' end of mRNA and hence positioning it correctly on the ribosome. The 16S rRNA has a characteristic secondary structure in which half of the nucleotides are base-paired. The 16S rRNA sequence has been highly conserved and is often used for evolutionary and species comparative analysis.
References
  1. Nawaz M, Sung K, Khan SA, Khan AA, Steele R: Biochemical and molecular characterization of tetracycline-resistant Aeromonas veronii isolates from catfish. Appl Environ Microbiol. 2006 Oct;72(10):6461-6. [Article]
  2. Domingue GJ Sr: Cryptic bacterial infection in chronic prostatitis: diagnostic and therapeutic implications. Curr Opin Urol. 1998 Jan;8(1):45-9. [Article]
  3. Pringle M, Fellstrom C, Johansson KE: Decreased susceptibility to doxycycline associated with a 16S rRNA gene mutation in Brachyspira hyodysenteriae. Vet Microbiol. 2007 Jul 20;123(1-3):245-8. Epub 2007 Feb 25. [Article]
  4. Rasmussen B, Noller HF, Daubresse G, Oliva B, Misulovin Z, Rothstein DM, Ellestad GA, Gluzman Y, Tally FP, Chopra I: Molecular basis of tetracycline action: identification of analogs whose primary target is not the bacterial ribosome. Antimicrob Agents Chemother. 1991 Nov;35(11):2306-11. [Article]
Kind
Protein
Organism
Escherichia coli (strain K12)
Pharmacological action
Yes
Actions
Inhibitor
General Function
Structural constituent of ribosome
Specific Function
Binds the lower part of the 30S subunit head. Binds mRNA in the 70S ribosome, positioning it for translation (By similarity).Plays a role in mRNA unwinding by the ribosome, possibly by forming part...
Gene Name
rpsC
Uniprot ID
P0A7V3
Uniprot Name
30S ribosomal protein S3
Molecular Weight
25983.07 Da
References
  1. Buck MA, Cooperman BS: Single protein omission reconstitution studies of tetracycline binding to the 30S subunit of Escherichia coli ribosomes. Biochemistry. 1990 Jun 5;29(22):5374-9. [Article]
Kind
Protein
Organism
Escherichia coli (strain K12)
Pharmacological action
Yes
Actions
Inhibitor
General Function
Structural constituent of ribosome
Specific Function
One of the primary rRNA binding proteins, it binds directly to 16S rRNA central domain where it helps coordinate assembly of the platform of the 30S subunit.Protein S8 is a translational repressor ...
Gene Name
rpsH
Uniprot ID
P0A7W7
Uniprot Name
30S ribosomal protein S8
Molecular Weight
14126.435 Da
References
  1. Buck MA, Cooperman BS: Single protein omission reconstitution studies of tetracycline binding to the 30S subunit of Escherichia coli ribosomes. Biochemistry. 1990 Jun 5;29(22):5374-9. [Article]
Kind
Protein
Organism
Escherichia coli (strain K12)
Pharmacological action
Yes
Actions
Inhibitor
General Function
Trna binding
Specific Function
In the E.coli 70S ribosome in the initiation state (PubMed:12809609) it has been modeled to contact the 23S rRNA of the 50S subunit forming part of bridge B1a; this bridge is broken in the model wi...
Gene Name
rpsS
Uniprot ID
P0A7U3
Uniprot Name
30S ribosomal protein S19
Molecular Weight
10430.235 Da
References
  1. Buck MA, Cooperman BS: Single protein omission reconstitution studies of tetracycline binding to the 30S subunit of Escherichia coli ribosomes. Biochemistry. 1990 Jun 5;29(22):5374-9. [Article]
Kind
Protein
Organism
Escherichia coli (strain K12)
Pharmacological action
Yes
Actions
Inhibitor
General Function
Structural constituent of ribosome
Specific Function
Binds 16S rRNA, required for the assembly of 30S particles and may also be responsible for determining the conformation of the 16S rRNA at the A site.
Gene Name
rpsN
Uniprot ID
P0AG59
Uniprot Name
30S ribosomal protein S14
Molecular Weight
11580.36 Da
References
  1. Buck MA, Cooperman BS: Single protein omission reconstitution studies of tetracycline binding to the 30S subunit of Escherichia coli ribosomes. Biochemistry. 1990 Jun 5;29(22):5374-9. [Article]
Kind
Protein
Organism
Escherichia coli (strain K12)
Pharmacological action
Yes
Actions
Inhibitor
General Function
Trna binding
Specific Function
One of the primary rRNA binding proteins, it binds directly to 16S rRNA where it nucleates assembly of the head domain of the 30S subunit. Is located at the subunit interface close to the decoding ...
Gene Name
rpsG
Uniprot ID
P02359
Uniprot Name
30S ribosomal protein S7
Molecular Weight
20018.91 Da
References
  1. Buck MA, Cooperman BS: Single protein omission reconstitution studies of tetracycline binding to the 30S subunit of Escherichia coli ribosomes. Biochemistry. 1990 Jun 5;29(22):5374-9. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Inhibitor
General Function
Receptor signaling protein activity
Specific Function
GTP-binding protein that functions as an allosteric activator of the cholera toxin catalytic subunit, an ADP-ribosyltransferase. Involved in protein trafficking among different compartments. Modula...
Gene Name
ARF1
Uniprot ID
P84077
Uniprot Name
ADP-ribosylation factor 1
Molecular Weight
20696.62 Da
References
  1. Macia E, Vazquez-Rojas M, Robiolo A, Fayad R, Abelanet S, Mus-Veteau I, Fontaine-Vive F, Mehiri M, Luton F, Franco M: Chlortetracycline, a Novel Arf Inhibitor That Decreases the Arf6-Dependent Invasive Properties of Breast Cancer Cells. Molecules. 2021 Feb 12;26(4). pii: molecules26040969. doi: 10.3390/molecules26040969. [Article]
Kind
Protein
Organism
Micrococcus luteus
Pharmacological action
Unknown
Actions
Inhibitor
General Function
Metal ion binding
Specific Function
Decomposes hydrogen peroxide into water and oxygen; serves to protect cells from the toxic effects of hydrogen peroxide.
Gene Name
katA
Uniprot ID
P29422
Uniprot Name
Catalase
Molecular Weight
56905.52 Da
References
  1. Ren L, Wang Q, Du Y, Xu P, Zong W: Research on the Impact and Mechanism for the Inhibition of Micrococcus Catalase Activity by Typical Tetracyclines. Biomed Res Int. 2020 Oct 13;2020:5085369. doi: 10.1155/2020/5085369. eCollection 2020. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Inhibitor
General Function
Receptor tyrosine kinase which binds promiscuously transmembrane ephrin-B family ligands residing on adjacent cells, leading to contact-dependent bidirectional signaling into neighboring cells. The signaling pathway downstream of the receptor is referred to as forward signaling while the signaling pathway downstream of the ephrin ligand is referred to as reverse signaling. Cognate/functional ephrin ligands for this receptor include EFNB1, EFNB2 and EFNB3. During nervous system development, regulates retinal axon guidance redirecting ipsilaterally ventrotemporal retinal ganglion cells axons at the optic chiasm midline. This probably requires repulsive interaction with EFNB2. In the adult nervous system together with EFNB3, regulates chemotaxis, proliferation and polarity of the hippocampus neural progenitors. In addition to its role in axon guidance plays also an important redundant role with other ephrin-B receptors in development and maturation of dendritic spines and synapse formation. May also regulate angiogenesis. More generally, may play a role in targeted cell migration and adhesion. Upon activation by EFNB1 and probably other ephrin-B ligands activates the MAPK/ERK and the JNK signaling cascades to regulate cell migration and adhesion respectively. Involved in the maintenance of the pool of satellite cells (muscle stem cells) by promoting their self-renewal and reducing their activation and differentiation (By similarity).
Specific Function
Atp binding
Gene Name
EPHB1
Uniprot ID
P54762
Uniprot Name
Ephrin type-B receptor 1
Molecular Weight
109884.175 Da
References
  1. Ahmed MS, Wang P, Nguyen NUN, Nakada Y, Menendez-Montes I, Ismail M, Bachoo R, Henkemeyer M, Sadek HA, Kandil ES: Identification of tetracycline combinations as EphB1 tyrosine kinase inhibitors for treatment of neuropathic pain. Proc Natl Acad Sci U S A. 2021 Mar 9;118(10). pii: 2016265118. doi: 10.1073/pnas.2016265118. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Inhibitor
General Function
Triglyceride lipase activity
Specific Function
Not Available
Gene Name
PNLIP
Uniprot ID
P16233
Uniprot Name
Pancreatic triacylglycerol lipase
Molecular Weight
51156.48 Da
References
  1. ROKOS J, MALEK P, BURGER M, PROCHAZKA P, KOLC J: The effect of divalent metals on the inhibition of pancreatic lipase by chlortetracycline. Antibiot Chemother (Northfield). 1959 Oct;9:600-8. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Inhibitor
General Function
Protein-arginine deiminase activity
Specific Function
Catalyzes the citrullination/deimination of arginine residues of proteins such as histones, thereby playing a key role in histone code and regulation of stem cell maintenance. Citrullinates histone...
Gene Name
PADI4
Uniprot ID
Q9UM07
Uniprot Name
Protein-arginine deiminase type-4
Molecular Weight
74078.65 Da
References
  1. Knuckley B, Luo Y, Thompson PR: Profiling Protein Arginine Deiminase 4 (PAD4): a novel screen to identify PAD4 inhibitors. Bioorg Med Chem. 2008 Jan 15;16(2):739-45. Epub 2007 Oct 13. [Article]

Carriers

Kind
Protein
Organism
Humans
Pharmacological action
No
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
Molecular Weight
69365.94 Da
References
  1. Bratlid D, Bergan T: Displacement of albumin-bound antimicrobial agents by bilirubin. Pharmacology. 1976;14(5):464-72. doi: 10.1159/000136629. [Article]

Drug created at September 16, 2015 17:03 / Updated at December 02, 2023 07:01