molecular formula C18H26ClN3 B1663885 クロロキン CAS No. 54-05-7

クロロキン

カタログ番号: B1663885
CAS番号: 54-05-7
分子量: 319.9 g/mol
InChIキー: WHTVZRBIWZFKQO-UHFFFAOYSA-N
注意: 研究専用です。人間または獣医用ではありません。
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作用機序

クロロキンは、いくつかのメカニズムを通じてその効果を発揮します。

類似化合物の比較

クロロキンは、他の類似化合物と比較して、その独自性を強調しています。

    ヒドロキシクロロキン: クロロキンと構造と機能が類似していますが、一般的に毒性が低いと考えられています。

    キニーネ: マラリアの治療に用いられる天然化合物。

    メフロキン: 別の合成抗マラリア薬で、作用機序が異なります。

    アルテミシニン: 強力な抗マラリア活性を示す天然化合物。

ヘムポリメラーゼを阻害し、免疫応答を調節する能力など、クロロキンの独自の特性は、医療および科学研究の両方において、貴重な化合物となっています。

科学的研究の応用

Antimalarial Applications

Chloroquine is primarily known for its role in treating malaria caused by Plasmodium species. It is effective against chloroquine-sensitive strains of P. falciparum, P. vivax, P. ovale, and P. malariae. The drug functions by preventing the polymerization of heme into hemozoin, leading to toxic accumulation of free heme within the parasite .

Autoimmune Disorders

Chloroquine has established roles in managing several autoimmune diseases, including:

  • Systemic Lupus Erythematosus (SLE) : Chloroquine is effective in treating different forms of SLE, including discoid lupus and systemic lupus erythematosus, and is particularly beneficial for pregnant patients .
  • Rheumatoid Arthritis (RA) : It acts as a first-line disease-modifying antirheumatic drug (DMARD), preventing the activation of CD4+ T cells by inhibiting autoantigen presentation .
  • Other Conditions : Chloroquine has shown efficacy in treating skin diseases like lichen planus and Sjögren's syndrome .

Cancer Treatment

Recent studies indicate that chloroquine may enhance the efficacy of chemotherapy and radiation therapy in cancer treatment:

  • Mechanism : Chloroquine disrupts autophagy in cancer cells, potentially making them more susceptible to anticancer agents .
  • Clinical Trials : Investigational studies have explored its use in various cancers, including local metastatic melanoma and chronic lymphocytic leukemia .

Infectious Diseases Beyond Malaria

Chloroquine's antiviral properties have been investigated in the context of several viral infections:

  • COVID-19 : Initially proposed as a treatment due to its immunomodulatory effects and ability to alter endosomal pH, chloroquine was used during the early stages of the COVID-19 pandemic. However, clinical trials yielded mixed results regarding its efficacy against SARS-CoV-2 .
  • SARS and AIDS : Research has also explored chloroquine's potential against severe acute respiratory syndrome (SARS) and human immunodeficiency virus (HIV) due to its ability to inhibit viral entry .

Pharmacokinetics and Safety Profile

Chloroquine is generally well-tolerated but can cause side effects such as retinopathy with long-term use. Monitoring is essential for patients on prolonged therapy . The safety profile varies across populations, necessitating further research to establish comprehensive guidelines for its use.

Table 1: Approved Indications for Chloroquine

ConditionFDA Approval Status
MalariaApproved
Systemic Lupus ErythematosusApproved
Rheumatoid ArthritisApproved
Extraintestinal AmebiasisApproved
Cancer (adjunct therapy)Investigational

Table 2: Summary of Clinical Trials on Chloroquine for COVID-19

Study ReferenceSample SizeOutcome MeasureResults Summary
Gao et al.100Symptom alleviationReported improvement but lacked peer review
Million et al.VariousMeta-analysisCriticized for flawed methodologies
Karolyi et al.VariousTime to negative test conversionModerate reduction observed

生化学分析

Biochemical Properties

Chloroquine interacts with various enzymes, proteins, and other biomolecules. High-performance liquid chromatography (HPLC) coupled to UV detectors is the most employed method to quantify Chloroquine in pharmaceutical products and biological samples .

Cellular Effects

Chloroquine has exhibited a broad spectrum of action against various fungus, bacteria, and viruses . It has been identified to have severe gastrointestinal, neurological, cardiac, and ocular side effects, which are commonly related to Chloroquine dose and treatment time .

Molecular Mechanism

Chloroquine and its analog, hydroxychloroquine, have similar chemical structure and pharmacokinetics properties . Both drugs cross cell membranes well . Hydroxychloroquine is more polar, less lipophilic, and has more difficulty diffusing across cell membranes .

Temporal Effects in Laboratory Settings

The main chromatographic conditions used to identify and quantify Chloroquine from tablets and injections, degradation products, and metabolites are presented and discussed .

Dosage Effects in Animal Models

The occurrence and intensity of side effects of Chloroquine are commonly related to its dose and treatment time .

Metabolic Pathways

Chloroquine is involved in various metabolic pathways. The main chromatographic conditions used to identify and quantify Chloroquine from tablets and injections, degradation products, and metabolites are presented and discussed .

Transport and Distribution

Both Chloroquine and hydroxychloroquine cross cell membranes well . Hydroxychloroquine is more polar, less lipophilic, and has more difficulty diffusing across cell membranes .

準備方法

合成経路と反応条件

クロロキンの合成には、4,7-ジクロロキノリンと2-アミノ-5-ジエチルアミノペンタンの縮合反応が関与します . 反応は以下の手順で進行します。

工業生産方法

クロロキンの工業生産は、同様の合成経路に従いますが、より大規模に行われます。 このプロセスには以下が含まれます。

化学反応の分析

反応の種類

クロロキンは、以下を含むさまざまな化学反応を起こします。

一般的な試薬と条件

主な生成物

科学研究への応用

クロロキンは、幅広い科学研究用途を持っています。

類似化合物との比較

Chloroquine is compared with other similar compounds, highlighting its uniqueness:

    Hydroxychloroquine: Similar in structure and function to chloroquine but generally considered less toxic.

    Quinine: A natural compound used to treat malaria.

    Mefloquine: Another synthetic antimalarial agent with a different mechanism of action.

    Artemisinin: A natural compound with potent antimalarial activity.

Chloroquine’s unique properties, such as its ability to inhibit heme polymerase and modulate immune responses, make it a valuable compound in both medical and scientific research.

生物活性

Chloroquine (CQ) is a 4-aminoquinoline compound primarily known for its antimalarial properties. Its biological activity extends beyond malaria treatment, encompassing antiviral and anticancer effects. This article delves into the mechanisms, clinical applications, and research findings related to chloroquine's biological activity.

Chloroquine exerts its biological effects through several mechanisms:

  • Antimalarial Activity : CQ inhibits heme polymerase in Plasmodium species, leading to the accumulation of toxic heme within the parasite. This mechanism is crucial for its effectiveness against malaria, as it disrupts the parasite's ability to detoxify heme, ultimately resulting in cell death .
  • Antiviral Effects : CQ has been shown to interfere with viral entry and replication. It raises the pH in endosomes, which prevents virus particles from fusing with host cell membranes. Additionally, it inhibits glycosylation of the ACE2 receptor, which is essential for SARS-CoV-2 entry into cells .
  • Anticancer Properties : The compound has demonstrated immunomodulatory effects and the ability to inhibit autophagy, which can contribute to tumor growth suppression. These properties suggest potential applications in cancer therapy .

Pharmacokinetics

Chloroquine is well-absorbed when taken orally, with bioavailability ranging from 52% to 114% depending on the formulation. The drug has a long half-life of approximately 20-60 days, allowing for sustained therapeutic effects .

Antimalarial Use

Chloroquine remains a first-line treatment for malaria in many regions. Its efficacy against both chloroquine-sensitive and resistant strains of Plasmodium has been documented extensively. A notable study indicated that CQ effectively reduced parasitemia in patients with malaria, demonstrating a significant clinical response .

COVID-19 Research

Chloroquine gained attention during the COVID-19 pandemic as a potential treatment. Several studies have investigated its efficacy:

  • A multicenter observational study involving 197 patients showed that CQ treatment resulted in a median reduction of 6 days to achieve undetectable viral RNA compared to controls. Additionally, the duration of fever was significantly shorter in the CQ group .
  • Another study reported that patients treated with CQ experienced lung clearance improvements on CT scans compared to those receiving standard care (lopinavir/ritonavir) .

Summary of Findings

The following table summarizes key findings from various studies on chloroquine:

Study TypeFindingsReference
Antimalarial EfficacySignificant reduction in parasitemia; effective against resistant strains
COVID-19 TreatmentMedian time to undetectable viral RNA shortened by 6 days
Lung CT ImprovementHigher rates of lung clearance compared to control group
Safety ProfileNo serious adverse events reported; lower adverse events at half dose

特性

IUPAC Name

4-N-(7-chloroquinolin-4-yl)-1-N,1-N-diethylpentane-1,4-diamine
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

InChI

InChI=1S/C18H26ClN3/c1-4-22(5-2)12-6-7-14(3)21-17-10-11-20-18-13-15(19)8-9-16(17)18/h8-11,13-14H,4-7,12H2,1-3H3,(H,20,21)
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

InChI Key

WHTVZRBIWZFKQO-UHFFFAOYSA-N
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

Canonical SMILES

CCN(CC)CCCC(C)NC1=C2C=CC(=CC2=NC=C1)Cl
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

Molecular Formula

C18H26ClN3
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

DSSTOX Substance ID

DTXSID2040446
Record name Chloroquine
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Molecular Weight

319.9 g/mol
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

Physical Description

Solid
Record name Chloroquine
Source Human Metabolome Database (HMDB)
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Explanation HMDB is offered to the public as a freely available resource. Use and re-distribution of the data, in whole or in part, for commercial purposes requires explicit permission of the authors and explicit acknowledgment of the source material (HMDB) and the original publication (see the HMDB citing page). We ask that users who download significant portions of the database cite the HMDB paper in any resulting publications.

Solubility

Bitter colorless crystals, dimorphic. Freely soluble in water, less sol in neutral or alkaline pH. Stable to heat in soln pH4 to 6.5. Practically in soluble in alcohol, benzene and chloroform /Diphosphate/, WHITE CRYSTALLINE POWDER; ODORLESS; BITTER TASTE; FREELY SOL IN WATER;PRACTICALLY INSOL IN ALCOHOL, CHLOROFORM, ETHER; AQ SOLN HAS PH OF ABOUT 4.5; PKA1= 7; PKA2= 9.2 /PHOSPHATE/, VERY SLIGHTLY SOL IN WATER; SOL IN DIL ACIDS, CHLOROFORM, ETHER, Insoluble in alcohol, benzene, chloroform, ether., 1.75e-02 g/L
Record name CHLOROQUINE
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Record name Chloroquine
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Mechanism of Action

Chloroquine inhibits the action of heme polymerase in malarial trophozoites, preventing the conversion of heme to hemazoin. _Plasmodium_ species continue to accumulate toxic heme, killing the parasite. Chloroquine passively diffuses through cell membranes and into endosomes, lysosomes, and Golgi vesicles; where it becomes protonated, trapping the chloroquine in the organelle and raising the surrounding pH. The raised pH in endosomes, prevent virus particles from utilizing their activity for fusion and entry into the cell. Chloroquine does not affect the level of ACE2 expression on cell surfaces, but inhibits terminal glycosylation of ACE2, the receptor that SARS-CoV and SARS-CoV-2 target for cell entry. ACE2 that is not in the glycosylated state may less efficiently interact with the SARS-CoV-2 spike protein, further inhibiting viral entry., The exact mechanism of antimalarial activity of chloroquine has not been determined. The 4-aminoquinoline derivatives appear to bind to nucleoproteins and interfere with protein synthesis in susceptible organisms; the drugs intercalate readily into double-stranded DNA and inhibit both DNA and RNA polymerase. In addition, studies using chloroquine indicate that the drug apparently concentrates in parasite digestive vacuoles, increases the pH of the vacuoles, and interferes with the parasite's ability to metabolize and utilize erythrocyte hemoglobin. Plasmodial forms that do not have digestive vacuoles and do not utilize hemoglobin, such as exoerythrocytic forms, are not affected by chloroquine., The 4-aminoquinoline derivatives, including chloroquine, also have anti-inflammatory activity; however, the mechanism(s) of action of the drugs in the treatment of rheumatoid arthritis and lupus erythematosus has not been determined. Chloroquine reportedly antagonizes histamine in vitro, has antiserotonin effects, and inhibits prostaglandin effects in mammalian cells presumably by inhibiting conversion of arachidonic acid to prostaglandin F2. In vitro studies indicate that chloroquine also inhibits chemotaxis of polymorphonuclear leukocytes, macrophages, and eosinophils., Antiprotozoal-Malaria: /Mechanism of action/ may be based on ability of chloroquine to bind and alter the properties of DNA. Chloroquine also is taken up into the acidic food vacuoles of the parasite in the erythrocyte. It increases the pH of the acid vesicles, interfering with vesicle functions and possibly inhibiting phospholipid metabolism. In suppressive treatment, chloroquine inhibits the erythrocytic stage of development of plasmodia. In acute attacks of malaria, chloroquine interrupts erythrocytic schizogony of the parasite. its ability to concentrate in parasitized erythrocytes may account for its selective toxicity against the erythrocytic stages of plasmodial infection., Antirheumatic-Chloroquine is though to act as a mild immunosuppressant, inhibiting the production of rheumatoid factor and acute phase reactants. It also accumulates in white blood cells, stabilizing lysosomal membranes and inhibiting the activity of many enzymes, including collagenase and the proteases that cause cartilage breakdown.
Record name Chloroquine
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Record name CHLOROQUINE
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Color/Form

WHITE TO SLIGHTLY YELLOW, CRYSTALLINE POWDER, Colorless crystals

CAS No.

54-05-7
Record name Chloroquine
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Melting Point

87-89.5, 87 °C, 289 °C
Record name Chloroquine
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Record name Chloroquine
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Synthesis routes and methods I

Procedure details

17.904 millimols, i.e. a yield of 98.05% relative to the 7-chloro-1,2,3,4-tetrahydroquinolin-4-one converted, and a yield of 96.86% relative to the 1-diethylamino-4-amino-pentane converted, and
Quantity
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98.05%

Synthesis routes and methods II

Procedure details

3.665 millimols, i.e. a yield of 90% relative to the 7-chloro-1,2,3,4-tetrahydroquinolinone converted, and a yield of 91.2% relative to the 1-diethylamino-4-aminopentane converted, and
Quantity
0 (± 1) mol
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reactant
Reaction Step One
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Yield
90%

Retrosynthesis Analysis

AI-Powered Synthesis Planning: Our tool employs the Template_relevance Pistachio, Template_relevance Bkms_metabolic, Template_relevance Pistachio_ringbreaker, Template_relevance Reaxys, Template_relevance Reaxys_biocatalysis model, leveraging a vast database of chemical reactions to predict feasible synthetic routes.

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Strategy Settings

Precursor scoring Relevance Heuristic
Min. plausibility 0.01
Model Template_relevance
Template Set Pistachio/Bkms_metabolic/Pistachio_ringbreaker/Reaxys/Reaxys_biocatalysis
Top-N result to add to graph 6

Feasible Synthetic Routes

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