616-91-1 Usage
Description
N-Acetyl-L-cysteine (NAC) is a membrane-penetrating antioxidant and a derivative of the dietary amino acid L-cysteine. It has anti-inflammatory activity through regulating the activation of NF-kappaB and HIF-1alpha, as well as modulation of reactive oxygen species (ROS). NAC can penetrate cell membranes, replenish intracellular glutathione (GSH), and help cells combat oxidative stress. Due to these properties, NAC has potential therapeutic applications in treating neurodegeneration (e.g., Parkinson's disease), radiation exposure, and other oxidation-induced disorders. Additionally, it can attenuate allergic airway diseases.
Uses
Used in Pharmaceutical Industry:
N-Acetyl-L-cysteine is used as a nephroprotective agent for the prevention of radiocontrast-induced nephropathy (a form of acute renal failure). Some studies show that prior administration of NAC markedly decreases radiocontrast nephropathy, while others cast doubt on its efficacy.
Used in Respiratory Therapy:
N-Acetyl-L-cysteine is used as a mucolytic therapy, indicated for "mucus-dissolving" therapy as an adjuvant in respiratory conditions with excessive and/or thick mucus production. Such conditions include emphysema, bronchitis, tuberculosis, bronchiectasis, amyloidosis, pneumonia, cystic fibrosis, chronic obstructive pulmonary disease, and pulmonary fibrosis. It is also used post-operatively, as a diagnostic aid, and in tracheotomy care. However, it may be considered ineffective in cystic fibrosis.
Used in Skincare Industry:
N-Acetyl-L-cysteine is used as a skin conditioner and may also be used as an anti-aging ingredient due to its demonstrated ability to regulate skin atrophy and reduce the appearance of fine lines and wrinkles.
Used in Antioxidant Therapy:
N-Acetyl-L-cysteine is used as an antioxidant mucolytic acetylated amino acid, supporting lung tissue through mucolytic and antioxidant action. It also enhances glutathione production and plays a role in heavy metal detoxification.
Used in Emergency Medicine:
Intravenous N-Acetyl-L-cysteine is indicated for the treatment of paracetamol (acetaminophen) overdose. When paracetamol is taken in large quantities, a minor metabolite called N-acetyl-p-benzoquinone imine (NAPQI) accumulates within the body. NAC acts to augment the glutathione reserves in the body and, together with glutathione, directly bind to toxic metabolites, protecting hepatocytes in the liver from NAPQI toxicity.
Used in Microbiological Applications:
N-Acetyl-L-cysteine can be used in Petroff's method, i.e., liquefaction and decontamination of sputum, in preparation for the diagnosis of tuberculosis.
Used in Psychiatry:
N-Acetyl-L-cysteine has been shown to reduce the symptoms of both schizophrenia and bipolar disorder in clinical trials. It is thought to act via modulation of NMDA glutamate receptors or by increasing glutathione.
Used in Polycystic Ovary Syndrome Treatment:
In a small prospective trial, N-Acetyl-L-cysteine was compared to metformin (the standard drug treatment for PCOS), and both treatments resulted in a significant decrease in body mass index, hirsutism score, fasting insulin, HOMA index, free testosterone, and menstrual irregularity compared with baseline values, demonstrating equal efficacy.
Used in Interstitial Lung Disease Treatment:
N-Acetyl-L-cysteine is used in the treatment of interstitial lung disease to prevent disease progression.
Used in Metabolite of Methyl Isocyanate:
N-Acetyl-L-cysteine, by itself a poor scavenger of oxidants, is converted inside cells to yield sulfane sulfur species, which are very potent scavengers of oxidants.
Used in Treatment of Cyclophosphamide-Induced Hemorrhagic Cystitis:
N-Acetyl-L-cysteine has been used for cyclophosphamide-induced hemorrhagic cystitis, although mesna is generally preferred due to the ability of NAC to diminish the effectiveness of cyclophosphamide.
Originator
Mucomyst ,Mead Johnson,US
Manufacturing Process
To a suspension of 35.2 grams (0.2 mol) of L-cysteine hydrochloride
monohydrate stirred in a reaction vessel containing 87 ml of 91% aqueous
tetrahydrofuran under a nitrogen atmosphere there is added 54.4 grams (0.4
mol) of sodium acetate trihydrate. The mixture is stirred for 20 minutes at
room temperature to insure neutralization of the hydrochloride salt resulting in
the formation of a suspension of equimolar amounts of cysteine and sodium
acetate.
The mixture is then chilled to 3-6°C by external cooling and 20 ml (20.8
grams, 0.21 mol) of acetic anhydride is added thereto in dropwise fashion
with cooling in the above range. The resulting mobile suspension is stirred for
6 hours at room temperature, allowed to stand overnight, and finally heated
at reflux (72°C) for 4 hours. The resulting suspension of sodium N-acetyl-Lcysteinate
is then neutralized by treatment at 5-10°C with 8 grams of
hydrogen chloride. Resulting sodium chloride is removed by filtration and the
product is isolated by distilling the solvent from the filtrate in vacuum and
crystallizing the residue from 35 ml of water, yield 26.3 grams (80.6%) of Nacetylcysteine
as a white solid, MP 109-110°C.
Flammability and Explosibility
Notclassified
Biochem/physiol Actions
Antioxidant and mucolytic agent. Increases cellular pools of free radical scavengers. Reported to prevent apoptosis in neuronal cells but induce apoptosis in smooth muscle cells. Inhibits HIV replication. May serve as a substrate for microsomal glutathione transferase.
Mechanism of action
The
final product in an important detoxication sequence for potentially
harmful electrophiles. The initial stage in mercapturic acid biosynthesis
involves conjugation of the electrophile with endogenous
glutathione by the glutathione S-transferases. The glutathione conjugates
are converted in separate steps to the mercapturic acid by
removal of the γ-glutamyl moiety, removal of the glycine moiety
and N-acetylation of the cysteine conjugate. Mercapturic acids are
excreted in either the bile or urine.
Clinical Use
Treatment of paracetamol overdose
Renal protection during radiological scans involving
contrast media (unlicensed)
Treatment of mucolytic in respiratory disorders
Side effects
Researchers at the University of Virginia reported in 2007 study using very large doses in a mouse model that acetylcysteine could potentially cause damage to the heart and lungs. They found that acetyl cysteine was metabolized to S-nitroso-N-acetyl cysteine (SNOAC), which increased blood pressure in the lungs and right ventricle of the heart (pulmonary artery hypertension) in mice treated with acetylcysteine. The effect was similar to that observed following a 3-week exposure to an oxygen - deprived environment (chronic hypoxia). The authors also found that SNOAC induced a hypoxia-like response in the expression of several important genes both in vitro and in vivo. The implications of these findings for long-term treatment with acetylcysteine have not yet been investigated. The dose used by Palmer and colleagues was dramatically higher than that used in humans; nonetheless, positive effects on age-diminished control of respiration (the hypoxic ventilatory response) have been observed previously in human subjects at more moderate doses.
Safety Profile
Poison by intraperitoneal route. Moderately toxic by other routes. Mutation data reported. When heated to decomposition it emits very toxic fumes of NO, and SOx,
Synthesis
Acetylcysteine, N-acetyl-L-cysteine (23.2.4), is synthesized by reacting
L-cysteine hydrochloride with acetic anhydride in the presence of sodium acetate.
Veterinary Drugs and Treatments
N-Acetyl-L-cysteine is a mucolytic agent which is also used to stop
the melting effect of collagenases and proteases on the cornea.
N-Acetyl-L-cysteine is useful in halting melting through inhibition of
metalloproteinases, but is not felt to be useful for melting caused
by infectious agents.
Drug interactions
Potentially hazardous interactions with other drugs
None known
Environmental Fate
Fatalities from normal doses and overdoses of intravenous
N-Acetyl-L-cysteine have not been reported. This is most probably due to the
fact that the body produces this compound naturally and can
rapidly metabolize it in the liver. Toxicity is usually limited to
anaphylactoid reactions and nausea/vomiting. The average
time for the onset of adverse effects following commencement of the infusion of N-Acetyl-L-cysteine was 30 min (range, 5–70 min). In vivo
and in vitro tests indicate that N-Acetyl-L-cysteine is an inhibitor of allergen
tolerance by inhibition of prostaglandin E synthesis. Adverse
reactions are anaphylactoid in type and have been attributed to
cause histamine release.
Metabolism
N-Acetyl-L-cysteine undergoes transformation in the liver, and may be present in plasma as the parent compound or as various oxidised metabolites such as N-acetylcystine, N,N-diacetylcystine, and cysteine either free or bound to plasma proteins. Oral bioavailability is low (4-10%). It has been suggested that N-Acetyl-L-cysteine's low oral bioavailability may be due to metabolism in the gut wall and first-pass metabolism in the liver.
Toxicity evaluation
Because N-Acetyl-L-cysteine is a natural compound that contains no halogen
atoms or substitutions, it would be expected to be easily
metabolized by microorganisms in the environment and thus
not present a risk from the standpoint of persistence or
bioaccumulation.
Complexing agent
N-Acetyl-L-cysteine has been used to complex palladium, to help it dissolve in water. This helps to remove palladium from drugs or precursors synthesized by palladium-catalyzed coupling reactions.
Dosage forms
N-Acetyl-L-cysteine?is available in different dosage forms for different indications :N-Acetyl-L-cysteine?is available in different dosage forms for different indications :Solution for inhalation (Assist,Mucomyst, Mucosil) – inhaled for mucolytic therapy or ingested for nephroprotective effect (to protect the kidneys)IV injection (Assist,?Parvolex, Acetadote) – treatment of paracetamol/acetaminophen overdoseOral solution – various indications.Effervescent Tablets (200 mg) - Reolin (Hochland Pharma Germany), Solmucol (600 mg)(IBSA, Switzerland), Cystaline (Thailand), Mucinac (Cipla India), Siran (MegaPharm, Israel / Temmler Pharma, Germany), Amuco200 (Camox Pharmaceuticals, South Africa), ACC200 (Hexal Pharma, South Africa).Ocular solution - for mucolytic therapySachet (600 mg) - Bilim Pharmaceuticals, trebon N (Uni-Pharma Greece)CysNAC (900 mg) – NeuroScience Inc.PharmaNAC Effervescent Tablets (900 mg) - Bioadvantex Pharma.The IV injection and inhalation preparations are, in general, prescription only, whereas the oral solution and the effervescent tablets are available over the counter in many countries.
Research
The following uses have not been well-established or investigated :N-Acetyl-L-cysteine?has been successfully used to aid in the treatment of cannabis dependence in adolescents. N-Acetyl-L-cysteine?has had anecdotal reports and some research suggesting efficacy in preventing nail biting.N-Acetyl-L-cysteine?is being tested in a double blind trial in Systemic Lupus Erythematosus. The objective is to correct mitochondrial dysfunction.N-Acetyl-L-cysteine?has been shown to reduce cravings associated with chronic cocaine use in a study conducted at the Medical University of South Carolina.It may reduce the incidence of chronic obstructive pulmonary disease (COPD) exacerbations. In the treatment of AIDS, N-Acetyl-L-cysteine?has been shown to cause a "marked increase in immunological functions and plasma albumin concentrations".
References
http://www.sigmaaldrich.com/catalog/product/sigma/a0737?lang=en®ion=US
Grinberg, L, et al. "N-acetylcysteine amide, a novel cell-permeating thiol, restores cellular glutathione and protects human red blood cells from oxidative stress." Free Radical Biology & Medicine 38.1(2005):136-145.
Zhang, Xinsheng, et al. "N-Acetylcysteine Amide Protects Against Methamphetamine-Induced Oxidative Stress and Neurotoxicity in Immortalized Human Brain Endothelial Cells." Brain Research1275(2009):87-95.
Penugonda, S, et al. "Effects of N-acetylcysteine amide (NACA), a novel thiol antioxidant against glutamate-induced cytotoxicity in neuronal cell line PC12."Brain Research 1056.2(2005):132.
Lee, Kyung Sun, et al. "A novel thiol compound, N-acetylcysteine amide, attenuates allergic airway disease by regulating activation of NF-|[kappa]|B and hypoxia-inducible factor-1|[alpha]|." Experimental & Molecular Medicine 39.6(2007):756.
Check Digit Verification of cas no
The CAS Registry Mumber 616-91-1 includes 6 digits separated into 3 groups by hyphens. The first part of the number,starting from the left, has 3 digits, 6,1 and 6 respectively; the second part has 2 digits, 9 and 1 respectively.
Calculate Digit Verification of CAS Registry Number 616-91:
(5*6)+(4*1)+(3*6)+(2*9)+(1*1)=71
71 % 10 = 1
So 616-91-1 is a valid CAS Registry Number.
InChI:InChI=1/C5H9NO3S/c1-3(7)6-4(2-10)5(8)9/h4,10H,2H2,1H3,(H,6,7)(H,8,9)/p-1/t4-/m0/s1
616-91-1Relevant articles and documents
Bacterial flavoprotein monooxygenase YxeK salvages toxic S-(2-succino)-adducts via oxygenolytic C–S bond cleavage
Ellis, Holly R.,Kammerer, Bernd,Lagies, Simon,Matthews, Arne,Sch?nfelder, Julia,Schleicher, Erik,Stull, Frederick,Teufel, Robin
, (2021/10/06)
Thiol-containing nucleophiles such as cysteine react spontaneously with the citric acid cycle intermediate fumarate to form S-(2-succino)-adducts. In Bacillus subtilis, a salvaging pathway encoded by the yxe operon has recently been identified for the detoxification and exploitation of these compounds as sulfur sources. This route involves acetylation of S-(2-succino)cysteine to N-acetyl-2-succinocysteine, which is presumably converted to oxaloacetate and N-acetylcysteine, before a final deacetylation step affords cysteine. The critical oxidative cleavage of the C–S bond of N-acetyl-S-(2-succino)cysteine was proposed to depend on the predicted flavoprotein monooxygenase YxeK. Here, we characterize YxeK and verify its role in S-(2-succino)-adduct detoxification and sulfur metabolism. Detailed biochemical and mechanistic investigation of YxeK including 18O-isotope-labeling experiments, homology modeling, substrate specificity tests, site-directed mutagenesis, and (pre-)steady-state kinetics provides insight into the enzyme’s mechanism of action, which may involve a noncanonical flavin-N5-peroxide species for C–S bond oxygenolysis.
Preparation method of N-acetyl-L-cysteine
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Paragraph 0013-0017, (2019/05/15)
The invention belongs to the field of organic synthesis and particularly relates to a preparation method of N-acetyl-L-cysteine. In the method, with cysteine being a raw material and acetic anhydridebeing an acylating agent, the N-acetyl-L-cysteine is prepared through a one-step direct acylation reaction. In the method, the optimum pH value range is disclosed and a recrystallization reagent is determined; meanwhile, by means of a sectional temperature control method, the yield and mass percentage of the product are greatly increased, wherein the finish yield of the product is 80-85% and the mass percentage can reach more than 99%. The method can greatly reduce production cost and reaction steps, and has excellent industrial prospect.
BINARY AND TERTIARY GALVANIC PARTICULATES AND METHODS OF MANUFACTURING AND USE THEREOF
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, (2012/06/18)
The present invention relates to galvanic particulates, their methods of manufacture and uses in treatments are described. The galvanic particulates may be binary or tertiary galvanic particulates, for example, containing multiple layers or phases of conductive materials.