Details
| Stereochemistry | ABSOLUTE |
| Molecular Formula | C41H67NO15 |
| Molecular Weight | 813.9684 |
| Optical Activity | UNSPECIFIED |
| Defined Stereocenters | 18 / 18 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CO[C@H]1C[C@H](O[C@H]2[C@H](C)[C@@H](O[C@@H]3O[C@H](C)C[C@@H]([C@H]3OC(C)=O)N(C)C)[C@@H](C)C[C@@]4(CO4)C(=O)[C@H](C)[C@@H](OC(C)=O)[C@@H](C)[C@@H](C)OC(=O)[C@@H]2C)O[C@@H](C)[C@@H]1OC(C)=O
InChI
InChIKey=LQCLVBQBTUVCEQ-QTFUVMRISA-N
InChI=1S/C41H67NO15/c1-19-17-41(18-49-41)38(46)23(5)34(53-27(9)43)21(3)25(7)52-39(47)24(6)35(56-32-16-31(48-14)36(26(8)51-32)54-28(10)44)22(4)33(19)57-40-37(55-29(11)45)30(42(12)13)15-20(2)50-40/h19-26,30-37,40H,15-18H2,1-14H3/t19-,20+,21-,22+,23+,24+,25+,26-,30-,31-,32-,33-,34-,35-,36-,37+,40-,41+/m0/s1
| Molecular Formula | C41H67NO15 |
| Molecular Weight | 813.9684 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 18 / 18 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
Troleandomycin (also known Triacetyl-oleandomycin and having brand name Tao) is a macrolide antibiotic which used to for the treat of infections of the upper and lower respiratory tract: such as tonsillitis, bronchitis, sinusitis, and pneumonia. However, the brand name Tao was discontinued. Troleandomycin acts by penetrating the bacterial cell membrane and reversibly binding to the 50 S subunit of bacterial ribosomes or near the "P" or donor site so that binding of tRNA (transfer RNA) to the donor site is blocked. Translocation of peptides from the "A" or acceptor site to the "P" or donor site is prevented, and subsequent protein synthesis is inhibited.
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2363853 Sources: https://www.ncbi.nlm.nih.gov/pubmed/6972981 |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Curative | TAO Approved UseUnknown Launch Date1969 |
Doses
| Dose | Population | Adverse events |
|---|---|---|
2 g multiple, oral Recommended |
unhealthy, 62 |
Disc. AE: Hepatitis, Anicteric cholestasis... AEs leading to discontinuation/dose reduction: Hepatitis Sources: Anicteric cholestasis |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Anicteric cholestasis | Disc. AE | 2 g multiple, oral Recommended |
unhealthy, 62 |
| Hepatitis | Disc. AE | 2 g multiple, oral Recommended |
unhealthy, 62 |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| negligible [IC50 >1000 uM] | ||||
| negligible [IC50 >1000 uM] | ||||
| negligible [IC50 >1000 uM] | ||||
| negligible [IC50 >1000 uM] | ||||
| negligible [IC50 >1000 uM] | ||||
| negligible [IC50 >1000 uM] | ||||
| negligible [IC50 >1000 uM] | ||||
Sources: https://pubmed.ncbi.nlm.nih.gov/15557344/ Page: 4.0 |
yes [IC50 0.28 uM] | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/15557344/ Page: 4.0 |
yes [IC50 0.62 uM] | |||
| yes [IC50 517.6 uM] | ||||
Sources: https://pubmed.ncbi.nlm.nih.gov/11716514/ Page: 4.0 |
yes [IC50 68.3 uM] | |||
| yes [IC50 953 uM] |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Metabolism of alfentanil by cytochrome p4503a (cyp3a) enzymes. | 2005-03 |
|
| CYP3A4 is a vitamin D-24- and 25-hydroxylase: analysis of structure function by site-directed mutagenesis. | 2005-02 |
|
| Intravenous and oral alfentanil as in vivo probes for hepatic and first-pass cytochrome P450 3A activity: noninvasive assessment by use of pupillary miosis. | 2004-11 |
|
| Cytochrome P450 3A4 is the major enzyme involved in the metabolism of the substance P receptor antagonist aprepitant. | 2004-11 |
|
| Oral erythromycin and the risk of sudden death from cardiac causes. | 2004-09-09 |
|
| CYP3A induction aggravates endotoxemic liver injury via reactive oxygen species in male rats. | 2004-09-01 |
|
| Role of cytochrome P4503A in cysteine S-conjugates sulfoxidation and the nephrotoxicity of the sevoflurane degradation product fluoromethyl-2,2-difluoro-1-(trifluoromethyl)vinyl ether (compound A) in rats. | 2004-09 |
|
| Role of hepatic and intestinal cytochrome P450 3A and 2B6 in the metabolism, disposition, and miotic effects of methadone. | 2004-09 |
|
| Pharmacokinetics of clarithromycin in rats with acute renal failure induced by uranyl nitrate. | 2004-09 |
|
| Influence of hepatic and intestinal cytochrome P4503A activity on the acute disposition and effects of oral transmucosal fentanyl citrate. | 2004-09 |
|
| Characterization of human cytochrome P450 enzymes catalyzing domperidone N-dealkylation and hydroxylation in vitro. | 2004-09 |
|
| Relationship between content and activity of cytochrome P450 and induction of heterocyclic amine DNA adducts in human liver samples in vivo and in vitro. | 2004-06 |
|
| Different in vitro metabolism of paclitaxel and docetaxel in humans, rats, pigs, and minipigs. | 2004-06 |
|
| Identification of cytochromes P450 2C9 and 3A4 as the major catalysts of phenprocoumon hydroxylation in vitro. | 2004-05 |
|
| Role of individual human cytochrome P450 enzymes in the in vitro metabolism of hydromorphone. | 2004-04 |
|
| Key structural features of ligands for activation of human pregnane X receptor. | 2004-04 |
|
| CYP3A4 is a human microsomal vitamin D 25-hydroxylase. | 2004-04 |
|
| Biochemical background of toxic interaction between tiamulin and monensin. | 2004-03-15 |
|
| Sulfoxidation of cysteine and mercapturic acid conjugates of the sevoflurane degradation product fluoromethyl-2,2-difluoro-1-(trifluoromethyl)vinyl ether (compound A). | 2004-03 |
|
| CYP2D6 and CYP3A4 involvement in the primary oxidative metabolism of hydrocodone by human liver microsomes. | 2004-03 |
|
| Regulation of CYP2B6 in primary human hepatocytes by prototypical inducers. | 2004-03 |
|
| Utility of microtiter plate assays for human cytochrome P450 inhibition studies in drug discovery: application of simple method for detecting quasi-irreversible and irreversible inhibitors. | 2004-02 |
|
| Immunomodulatory activity and effectiveness of macrolides in chronic airway disease. | 2004-02 |
|
| High-throughput screening for the assessment of time-dependent inhibitions of new drug candidates on recombinant CYP2D6 and CYP3A4 using a single concentration method. | 2004-01 |
|
| Studies on the metabolism of the novel, selective cyclooxygenase-2 inhibitor indomethacin phenethylamide in rat, mouse, and human liver microsomes: identification of active metabolites. | 2004-01 |
|
| Large interindividual variability in the in vitro formation of tamoxifen metabolites related to the development of genotoxicity. | 2004-01 |
|
| Active tamoxifen metabolite plasma concentrations after coadministration of tamoxifen and the selective serotonin reuptake inhibitor paroxetine. | 2003-12-03 |
|
| Effects of imatinib mesylate (STI571, Glivec) on the pharmacokinetics of simvastatin, a cytochrome p450 3A4 substrate, in patients with chronic myeloid leukaemia. | 2003-11-17 |
|
| Disposition of tacrolimus in isolated perfused rat liver: influence of troleandomycin, cyclosporine, and gg918. | 2003-11 |
|
| Evaluation of hepatotoxic potential of drugs by inhibition of bile-acid transport in cultured primary human hepatocytes and intact rats. | 2003-11 |
|
| An evaluation of a low-density DNA microarray using cytochrome P450 inducers. | 2003-09 |
|
| Demethylation of radiolabelled dextromethorphan in rat microsomes and intact hepatocytes. | 2003-09 |
|
| Identification of CYP3A4 and CYP2C8 as the major cytochrome P450 s responsible for morphine N-demethylation in human liver microsomes. | 2003-08 |
|
| Evidence for the involvement of human liver microsomes CYP1A2 in the mono-hydroxylation of daidzein. | 2003-08 |
|
| The human hepatic metabolism of simvastatin hydroxy acid is mediated primarily by CYP3A, and not CYP2D6. | 2003-07 |
|
| Eletriptan metabolism by human hepatic CYP450 enzymes and transport by human P-glycoprotein. | 2003-07 |
|
| Upregulation of cytochromes P450 2B in rat liver by orphenadrine. | 2003-06 |
|
| In vitro metabolism of chloroquine: identification of CYP2C8, CYP3A4, and CYP2D6 as the main isoforms catalyzing N-desethylchloroquine formation. | 2003-06 |
|
| Structural insight into the role of the ribosomal tunnel in cellular regulation. | 2003-05 |
|
| Differential metabolism of midazolam in mouse liver and intestine microsomes: a comparison of cytochrome P450 activity and expression. | 2003-04 |
|
| Alternate treatments in asthma. | 2003-04 |
|
| Simultaneous assessment of drug interactions with low- and high-extraction opioids: application to parecoxib effects on the pharmacokinetics and pharmacodynamics of fentanyl and alfentanil. | 2003-04 |
|
| Apparent mechanism-based inhibition of human CYP3A in-vitro by lopinavir. | 2003-03 |
|
| Inhibitory effect of troleandomycin on the metabolism of omeprazole is CYP2C19 genotype-dependent. | 2003-02 |
|
| Atorvastatin reduces the ability of clopidogrel to inhibit platelet aggregation: a new drug-drug interaction. | 2003-01-07 |
|
| Human liver microsomal metabolism and DNA adduct formation of the tumorigenic pyrrolizidine alkaloid, riddelliine. | 2003-01 |
|
| Effect of caffeine on acetaminophen hepatotoxicity in cultured hepatocytes treated with ethanol and isopentanol. | 2002-12-01 |
|
| Inhibition of the microsomal metabolism of 1,8-cineole in the common brushtail possum (Trichosurus vulpecula) by terpenes and other chemicals. | 2002-12 |
|
| Is quinine a suitable probe to assess the hepatic drug-metabolizing enzyme CYP3A4? | 2002-12 |
|
| Comparative analysis of in vitro and in vivo pharmacokinetic parameters related to individual variability of GTS-21 in canine. | 2002 |
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/mtm/troleandomycin.html
Usual Adult Dose for Pneumonia: 250 to 500 mg orally 4 times a day.
Usual Adult Dose for Streptococcal Infection: 250 to 500 mg orally 4 times a day.
Usual Pediatric Dose for Pneumonia: The safety and efficacy of troleandomycin in children < 1 year have not been established. >= 1 year: 125 to 250 mg every 6 hours. When used in streptococcal infections, therapy should be continued for 10 days.
Usual Pediatric Dose for Streptococcal Infection: The safety and efficacy of troleandomycin in children < 1 year have not been established. >= 1 year: 125 to 250 mg every 6 hours. When used in streptococcal infections, therapy should be continued for 10 days.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/8948090
Curator's Comment: Recombinant 3A4 catalysed very efficiently the N-demethylation of roxithromycin, erythromycin and troleandomycin in reconstituted monooxygenase systems, troleandomycin was able to induce CYP3A1 in rat liver microsomes, and N-demethylation of troleandomycin was catalysed mainly by 3A1 (and partly by 2B1) in rat and by 3A4 in man.
Unknown
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 18:20:03 GMT 2025
by
admin
on
Mon Mar 31 18:20:03 GMT 2025
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| Record UNII |
C4DZ64560D
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| Record Status |
Validated (UNII)
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WHO-ATC |
J01FA08
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QJ01FA08
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C261
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FDA ORPHAN DRUG |
39089
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10864
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