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Chemistry

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Also known as: Renoquid, Sulfacitine, 17784-12-2, 1-ethyl-n-sulfanilylcytosine, 1-ethyl n4-sulfanilylcytosin, Sulfacitinum [inn-latin]
Molecular Formula
C12H14N4O3S
Molecular Weight
294.33  g/mol
InChI Key
SIBQAECNSSQUOD-UHFFFAOYSA-N
FDA UNII
T795873AJP

Sulfacytine
Sulfacytine is a short-acting, broad-spectrum sulfonamide and a synthetic analog of para-aminobenzoic acid (PABA) with bacteriostatic property. Sulfacytine competes with PABA for the bacterial enzyme dihydropteroate synthase, thereby preventing the incorporation of PABA into dihydrofolic acid, the immediate precursor of folic acid. This leads to an inhibition of bacterial folic acid synthesis and de novo synthesis of purines and pyrimidines, ultimately resulting in cell growth arrest and cell death.
1 2D Structure

Sulfacytine

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
4-amino-N-(1-ethyl-2-oxopyrimidin-4-yl)benzenesulfonamide
2.1.2 InChI
InChI=1S/C12H14N4O3S/c1-2-16-8-7-11(14-12(16)17)15-20(18,19)10-5-3-9(13)4-6-10/h3-8H,2,13H2,1H3,(H,14,15,17)
2.1.3 InChI Key
SIBQAECNSSQUOD-UHFFFAOYSA-N
2.1.4 Canonical SMILES
CCN1C=CC(=NC1=O)NS(=O)(=O)C2=CC=C(C=C2)N
2.2 Other Identifiers
2.2.1 UNII
T795873AJP
2.3 Synonyms
2.3.1 MeSH Synonyms

1. N(1)-(1-ethyl-1,2-dihydro-2-oxo-4-pyrimidinyl)sulfanilamide

2.3.2 Depositor-Supplied Synonyms

1. Renoquid

2. Sulfacitine

3. 17784-12-2

4. 1-ethyl-n-sulfanilylcytosine

5. 1-ethyl N4-sulfanilylcytosin

6. Sulfacitinum [inn-latin]

7. Sulfacitina [inn-spanish]

8. Ci-636

9. N-sulfanilyl-l-ethylcytosine

10. 1401-49-6

11. N-sulfanilyl-1-ethylcytosine

12. 4-amino-n-(1-ethyl-2-oxopyrimidin-4-yl)benzenesulfonamide

13. Nsc 356717

14. Sulfacitine [inn]

15. Sulfacytine (usan)

16. Renoquid; Sulfacitine

17. Cl 636

18. Sulfanilamide, N1-(1-ethyl-1,2-dihydro-2-oxo-4-pyrimidinyl)-

19. Nsc-356717

20. N(sup 1)-(1-ethyl-1,2-dihydro-2-oxo-4-pyrimidinyl)sulfanilamide

21. 4-amino-n-(1-ethyl-2-oxo-1,2-dihydropyrimidin-4-yl)benzenesulfonamide

22. Benzenesulfonamide, 4-amino-n-(1-ethyl-1,2-dihydro-2-oxo-4-pyrimidinyl)-

23. T795873ajp

24. Sulfacitina

25. Sulfacitinum

26. Sulfacytine [usan]

27. Nl-sulfanilyl-1-ethylcytosine

28. Benzenesulfonamide,4-amino-n-(1-ethyl-1,2-dihydro-2-oxo-4-pyrimidinyl)-

29. Renoquid (tn)

30. Hsdb 3272

31. Sulfactin (antibiotic)

32. Ci 636

33. Unii-t795873ajp

34. Sulfacytine [usan:inn:ban]

35. Starbld0009659

36. Sulfacytine [mi]

37. Sulfanilamide, N(1)-(1-ethyl-1,2-dihydro-2-oxo-4-pyrimidinyl)-

38. Dsstox_cid_3606

39. Sulfacytine [hsdb]

40. Sulfacytine [vandf]

41. Dsstox_rid_97550

42. Sulfacytine [mart.]

43. Dsstox_gsid_23606

44. Schembl49377

45. Sulfacitine [who-dd]

46. Zinc2092

47. Chembl1201056

48. Dtxsid6023606

49. Sulfacytine [orange Book]

50. Chebi:135230

51. N(sup1)-(1-ethyl-1,2-dihydro-2-oxo-4-pyrimidinyl)sulfanilamide

52. Tox21_113734

53. Nsc356717

54. Db01298

55. Ncgc00253598-01

56. Da-09179

57. Hy-16472

58. Cas-17784-12-2

59. Cs-0006353

60. Ft-0710995

61. D02519

62. Sulfanilamide,2-dihydro-2-oxo-4-pyrimidinyl)-

63. Benzenesulfonamide,2-dihydro-2-oxo-4-pyrimidinyl)-

64. Q7636169

65. N1-(1-ethyl-1,2-dihydro-2-oxo-4-pyrimidinyl)sulfanilamide

66. 4-amino-n-(1-ethyl-2-oxo-1,2-dihydro-4-pyrimidinyl)benzenesulfonamide #

67. 4-amino-n-(1-ethyl-2-oxo-1,2-dihydropyrimidin-4-yl)benzene-1-sulfonamide

2.4 Create Date
2005-03-25
3 Chemical and Physical Properties
Molecular Weight 294.33 g/mol
Molecular Formula C12H14N4O3S
XLogP30.1
Hydrogen Bond Donor Count2
Hydrogen Bond Acceptor Count4
Rotatable Bond Count4
Exact Mass294.07866149 g/mol
Monoisotopic Mass294.07866149 g/mol
Topological Polar Surface Area113 Ų
Heavy Atom Count20
Formal Charge0
Complexity527
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Therapeutic Uses

Anti-Infective Agents /SRP: Antibacterial/

National Library of Medicine's Medical Subject Headings online file (MeSH, 1999)


Sulfacytine is used to treat acute urinary tract infections caused by susceptible strains of Escherichia coli, the Klebsiella-Enterobacter group, Staphylococcus aureus, Proteus mirabilis, & less frequently, Proteus vulgaris.

American Medical Association, AMA Department of Drugs. AMA Drug Evaluations. 4th ed. Chicago: American Medical Association, 1980., p. 1310


Sulfonamides are indicated in the treatment of chancroid caused by Hemophilus ducreyi. However, other agents such as erythromycin and ceftriaxone, are considered to be first line agents. /Sulfonamides; Included in US product labeling/

Thomson/Micromedex. Drug Information for the Health Care Professional. Volume 1, Greenwood Village, CO. 2007., p. 2660


Sulfonamides are indicated in the treatment of endocervical and urethral infections caused by Chlamydia trachomatis. However, other agents, such as doxycycline and azithromycin, are considered to be first line agents. /Sulfonamides; Included in US product labeling/

Thomson/Micromedex. Drug Information for the Health Care Professional. Volume 1, Greenwood Village, CO. 2007., p. 2660


For more Therapeutic Uses (Complete) data for SULFACYTINE (15 total), please visit the HSDB record page.


4.2 Drug Warning

The number of conditions for which the sulfonamides are therapeutically useful and constitute drugs of first choice has been reduced sharply by the development of more effective antimicrobial agents and by the gradual increase in the resistance of a number of bacterial species to this class of drugs. /Sulfonamides/

Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996., p. 1062


Although the risk of crystalluria apparently is minimal, fluid intake should be increased when this drug is prescribed. Sulfacytine should be used with caution in patients with impaired renal function.

American Medical Association, AMA Department of Drugs. AMA Drug Evaluations. 4th ed. Chicago: American Medical Association, 1980., p. 1310


...Because no well-controlled clinical studies exist.../sulfacytine/ should not be used during pregnancy unless the expected benefits outweigh the possible adverse effects of the drug.

American Medical Association, AMA Department of Drugs. AMA Drug Evaluations. 4th ed. Chicago: American Medical Association, 1980., p. 1310


Sulfacytine is contraindicated in individuals allergic to sulfonamides.

American Medical Association, AMA Department of Drugs. AMA Drug Evaluations. 4th ed. Chicago: American Medical Association, 1980., p. 1310


For more Drug Warnings (Complete) data for SULFACYTINE (26 total), please visit the HSDB record page.


4.3 Drug Indication

Used orally in the treatment of acute urinary tract infections.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Sulfacytine is a short-acting sulfonamide. The sulfonamides are synthetic bacteriostatic antibiotics with a wide spectrum against most gram-positive and many gram-negative organisms. However, many strains of an individual species may be resistant. Sulfonamides inhibit multiplication of bacteria by acting as competitive inhibitors of p-aminobenzoic acid in the folic acid metabolism cycle. Bacterial sensitivity is the same for the various sulfonamides, and resistance to one sulfonamide indicates resistance to all. Most sulfonamides are readily absorbed orally. However, parenteral administration is difficult, since the soluble sulfonamide salts are highly alkaline and irritating to the tissues. The sulfonamides are widely distributed throughout all tissues. High levels are achieved in pleural, peritoneal, synovial, and ocular fluids. Although these drugs are no longer used to treat meningitis, CSF levels are high in meningeal infections. Their antibacterial action is inhibited by pus.


5.2 Absorption, Distribution and Excretion

Absorption

Well absorbed following oral administration.


Sulfacytine...is rapidly absorded following oral administration. More than 90% is excreted by kidneys almost entirely in the free, active form. ...86% is bound to serum proteins. ...The drug crosses the placenta & is excreted in milk...

American Medical Association, AMA Department of Drugs. AMA Drug Evaluations. 4th ed. Chicago: American Medical Association, 1980., p. 1310


By comparison to sulfisoxazole urine levels, 1 g/day of sulfacytine appears to be appropriate therapeutic dose & produces urine concn at least 10 times highest min inhibitory concentration found for sensitive microorganisms.

SMITH TC ET AL; COMPARATIVE URINE CONCN OF SULFACYTINE, A NEW SULFONAMIDE; J INT MED RES 1 (2) (1973)


Sulfacytine is highly soluble in urine within the normal acidic pH range.

American Medical Association, AMA Department of Drugs. AMA Drug Evaluations. 4th ed. Chicago: American Medical Association, 1980., p. 1310


Thirty-four subjects were divided into 3 groups of 12, 12, and 10 respectively. The first group received 250 mg /sulfacytine/ 4 times a day, the second, 500 mg 4 times a day, and the third group received placebo. The renal function was not altered during the 84 days of the trial. Creatinine clearance, urea nitrogen, urinalysis, and phenosulfophthalein excretion tests were performed to evaluate kidney function.

PMID:4483531 Moyer C et al; J Clin Pharmacol New Drugs 12: 254-258 (1972)


For more Absorption, Distribution and Excretion (Complete) data for SULFACYTINE (11 total), please visit the HSDB record page.


5.3 Metabolism/Metabolites

Sulfonamides undergo metabolic alterations to varying extent in tissues, especially in liver. Both acetylation & oxidation occur. ... In nearly all species, major metabolic derivative is N4-acetylated sulfonamide. /Sulfonamides/

Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996., p. 1059


Although the liver is the major site of metabolism, sulfonamides may also be metabolized in other body tissues. Most sulfonamides are metabolized mainly by N4-acetylation. The degree of acetylation, which is a function of time, varies from less than 5% for sulfamethizole to up to 40% for sulfadiazine. The N4-acetyl metabolites, which do not possess antibacterial activity, have greater affinity for plasma albumin than does the nonacetylated drug and are usually less soluble than the parent sulfonamide, particularly in acidic urine. Like acetyl derivatives, glucuronide derivatives do not possess antibacterial activity; however, glucuronide derivatives are water soluble, appear to resemble the nonacetylated sulfonamide in plasma binding capacity, and have not been associated with adverse effects. /Sulfonamides/

American Society of Health System Pharmacists. AHFS Drug Information 2008. Bethesda, Maryland 2008, p. 425


5.4 Biological Half-Life

Sulfacytine has a biological half-life of approximately 4 hrs...

American Medical Association, AMA Department of Drugs. AMA Drug Evaluations. 4th ed. Chicago: American Medical Association, 1980., p. 1310


5.5 Mechanism of Action

Sulfacytine is a competitive inhibitor of the enzyme dihydropteroate synthetase. It inhibits bacterial synthesis of of dihydrofolic acid by preventing the condensation of the pteridine with para-aminobenzoic acid (PABA), a substrate of the enzyme dihydropteroate synthetase. The inhibited reaction is necessary in these organisms for the synthesis of folic acid.


Sulfonamides are usually bacteriostatic in action. Sulfonamides interfere with the utilization of p-aminobenzoic acid (PABA) in the biosynthesis of tetrahydrofolic acid (the reduced form of folic acid) cofactors in susceptible bacteria. Sulfonamides are structural analogs of PABA and appear to interfere with PABA utilization by competitively inhibiting the enzyme dihydropteroate synthase, which catalyzes the formation of dihydropteroic acid (a precursor of tetrahydrofolic acid) from PABA and pteridine; however, other mechanism(s) affecting the biosynthetic pathway also may be involved. Compounds such as pyrimethamine and trimethoprim, which block later stages in the synthesis of folic acid, act synergistically with sulfonamides. Only microorganisms that synthesize their own folic acid are inhibited by sulfonamides; animal cells and bacteria which are capable of utilizing folic acid precursors or preformed folic acid are not affected by these drugs. The antibacterial activity of the sulfonamides is reportedly decreased in the presence of blood or purulent body exudates. /Sulfonamides/

American Society of Health System Pharmacists. AHFS Drug Information 2008. Bethesda, Maryland 2008, p. 424


The sulfonamides are structural analogs of para-aminobenzoic acid (PABA) and competitively inhibit an enzymatic step (dihydropterate synthetase) during which PABA is incorporated into the synthesis of dihydrofolic acid (folic acid). Because dihydrofolate synthesis is reduced, the levels of tetrahydrofolate (folinic acid) formed from dihydrofolate diminish. Tetrahydrofolate is an essential component of the coenzymes responsible for single carbon metabolism in cells. Acting as antimetabolites to PABA, sulfonamides eventually block, in a complex fashion, several enzymes. These enzymes include those needed for the biogenesis of purine bases; for the transfer of desoxyuridine to thymidine; and for the biosynthesis of methionine, glycine, and formylmethionyl-transfer-RNA. This results in suppression of protein synthesis, impairment of metabolic processes, and inhibition of growth and multiplication of those organisms that cannot use preformed folate. The effect is bacteriostatic, although a bactericidal action is evident at the high concentrations that may be found in urine.

Kahn, C.M. (Ed.); The Merck Veterinary Manual 9th ed. Merck & Co. Whitehouse Station, NJ. 2005, p. 2076


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