Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C9H5ClINO |
| Molecular Weight | 305.5 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
OC1=C2N=CC=CC2=C(Cl)C=C1I
InChI
InChIKey=QCDFBFJGMNKBDO-UHFFFAOYSA-N
InChI=1S/C9H5ClINO/c10-6-4-7(11)9(13)8-5(6)2-1-3-12-8/h1-4,13H
DescriptionCurator's Comment: Description was created based on several sources, including:
https://pubchem.ncbi.nlm.nih.gov/compound/clioquinol;
https://www.ebi.ac.uk/chembldb/compound/inspect/CHEMBL497;
http://www.cell.com/trends/neurosciences/pdf/S0166-2236(00)02086-5.pdf
http://www.ncbi.nlm.nih.gov/pubmed/11598313;
http://harvoa.org/polio/smon.htm;
http://www.ncbi.nlm.nih.gov/pubmed/20526539
Curator's Comment: Description was created based on several sources, including:
https://pubchem.ncbi.nlm.nih.gov/compound/clioquinol;
https://www.ebi.ac.uk/chembldb/compound/inspect/CHEMBL497;
http://www.cell.com/trends/neurosciences/pdf/S0166-2236(00)02086-5.pdf
http://www.ncbi.nlm.nih.gov/pubmed/11598313;
http://harvoa.org/polio/smon.htm;
http://www.ncbi.nlm.nih.gov/pubmed/20526539
Clioquinol is a broad-spectrum antibacterial with antifungal properties, bacteriostatic. It is used as an antifungal and antiprotozoal topical drug OTC product for treatment of human infections. Previousely was used for wide number of intestinal disorders including lambliasis, shigellosis, balantidiral dysentery and some forms of diarrheas. The physiologic effect of clioquinol is by increased histamine release and cell-mediated immunity. It is a member of a family hydroxyquinolines which inhibit certain enzymes related to DNA replication. It is a copper, iron and zink chelating agent. It is an organic molecule with a quinolinic acid as its apparent core which itself is a neurotransmitter. In large doses it possesses neurotoxicity and may induce neurological disease such as subacute myelo-optic neuropathy by creating copper deficiency that leads to zink excess. SMON (Sub-Acute-Myelo-Optical-Neuropathy) - a polio-like disease began as an epidemic in 1959 in Japan was believed to be a Clioquinol caused. Clioquinol is a standardized chemical allergen. It has been resurrected as a potential treatment for Alzheimer's disease since it perturbs metallo-chemistry of amyloid and clioquinol treatment has been shown to be beneficial in a mouse model of Alzheimer's disease.
CNS Activity
Sources: http://www.ncbi.nlm.nih.gov/pubmed/18725588
Curator's Comment: Clioquinol is capable of being absorbed into the human nervous system.
Originator
Curator's Comment: Was initially developed in 1934 by CIBA as a topical and intestinal antiseptic. CIBA started marketing clioquinol in 1934 to fight amoebic dysentery as an oral intestinal embicide. By the time the company entered the lucrative Japanese market in 1953, it was pushing clioquinol worldwide for all forms of dysentery. Ciba was permitted to market the drug in Japan for all types of abdominal trouble, with no limitation as to dosage or length of treatment. Ciba promoted the drug throughout the 1950s and 1960s as being safe and effective, even for children, and as having no adverse permanent side effects. The 1970 merger of CIBA and GEIGY (Swiss chemical company) was followed by a lawsuit against the company for clioquinol as a couse of the epidemic of subacute-myelo-optico- neuropathy (SMON) in Japan. In March 1985, Ciba Geigy finally took the drug off the market worldwide.
Approval Year
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
42 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22683301/ |
1600 mg 2 times / day multiple, oral dose: 1600 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
CLIOQUINOL plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1600 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22683301/ |
1600 mg 2 times / day multiple, oral dose: 1600 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
CLIOQUINOL plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
41 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22683301/ |
1600 mg 2 times / day multiple, oral dose: 1600 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
CLIOQUINOL plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
4 g single, oral Studied dose |
unhealthy, 32 years |
Other AEs: Late onset epilepsy... |
5 g single, oral Studied dose |
unhealthy, 43 years |
Other AEs: Late onset epilepsy... |
6 % 1 times / day steady, topical Recommended Dose: 6 %, 1 times / day Route: topical Route: steady Dose: 6 %, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
Other AEs: Skin irritation... |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Late onset epilepsy | 1 patient | 4 g single, oral Studied dose |
unhealthy, 32 years |
| Late onset epilepsy | 1 patient | 5 g single, oral Studied dose |
unhealthy, 43 years |
| Skin irritation | 35 patients | 6 % 1 times / day steady, topical Recommended Dose: 6 %, 1 times / day Route: topical Route: steady Dose: 6 %, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/30738852/ |
no |
PubMed
| Title | Date | PubMed |
|---|---|---|
| The redox chemistry of the Alzheimer's disease amyloid beta peptide. | 2007-08 |
|
| Clioquinol attenuates zinc-dependent beta-cell death and the onset of insulitis and hyperglycemia associated with experimental type I diabetes in mice. | 2007-06-22 |
|
| Stoichiometry and conditional stability constants of Cu(II) or Zn(II) clioquinol complexes; implications for Alzheimer's and Huntington's disease therapy. | 2007-05 |
|
| Copper and clioquinol treatment in young APP transgenic and wild-type mice: effects on life expectancy, body weight, and metal-ion levels. | 2007-04 |
|
| Mechanisms of copper ion mediated Huntington's disease progression. | 2007-03-28 |
|
| Pharmacokinetics and distribution of clioquinol in golden hamsters. | 2007-03 |
|
| Clioquinol, a therapeutic agent for Alzheimer's disease, has proteasome-inhibitory, androgen receptor-suppressing, apoptosis-inducing, and antitumor activities in human prostate cancer cells and xenografts. | 2007-02-15 |
|
| The inhalation anesthetic isoflurane induces a vicious cycle of apoptosis and amyloid beta-protein accumulation. | 2007-02-07 |
|
| The copper chelator, D-penicillamine, does not attenuate MPTP induced dopamine depletion in mice. | 2007-02 |
|
| Copper-binding compounds as proteasome inhibitors and apoptosis inducers in human cancer. | 2007-01-01 |
|
| Oral administration of metal chelator ameliorates motor dysfunction after a small hemorrhage near the internal capsule in rat. | 2007-01 |
|
| Synthesis and anti-HIV properties of new hydroxyquinoline-polyamine conjugates on cells infected by HIV-1 LAV and HIV-1 BaL viral strains. | 2006-12-01 |
|
| Medical treatment of vulvar squamous cell hyperplasia. | 2006-12 |
|
| Novel Schiff base copper complexes of quinoline-2 carboxaldehyde as proteasome inhibitors in human prostate cancer cells. | 2006-11-30 |
|
| Clioquinol, a Cu(II)/Zn(II) chelator, inhibits both ubiquitination and asparagine hydroxylation of hypoxia-inducible factor-1alpha, leading to expression of vascular endothelial growth factor and erythropoietin in normoxic cells. | 2006-11-10 |
|
| Aluminum and other metals in Alzheimer's disease: a review of potential therapy with chelating agents. | 2006-11 |
|
| Short G-rich oligonucleotides as a potential therapeutic for Huntington's Disease. | 2006-10-02 |
|
| Therapeutic treatments for Alzheimer's disease based on metal bioavailability. | 2006-10 |
|
| Natural distribution of environmental radon daughters in the different brain areas of an Alzheimer disease victim. | 2006-09-11 |
|
| Iron: a new target for pharmacological intervention in neurodegenerative diseases. | 2006-09 |
|
| European Standard Series patch test results from a contact dermatitis clinic in Israel during the 7-year period from 1998 to 2004. | 2006-08 |
|
| Clioquinol and docosahexaenoic acid act synergistically to kill tumor cells. | 2006-07 |
|
| Degradation of the Alzheimer disease amyloid beta-peptide by metal-dependent up-regulation of metalloprotease activity. | 2006-06-30 |
|
| 1,1'-Xylyl bis-1,4,8,11-tetraaza cyclotetradecane: a new potential copper chelator agent for neuroprotection in Alzheimer's disease. Its comparative effects with clioquinol on rat brain copper distribution. | 2006-06-15 |
|
| Determination of 5-chloro-7-iodo-8-quinolinol (clioquinol) in plasma and tissues of hamsters by high-performance liquid chromatography and electrochemical detection. | 2006-06-06 |
|
| Effect of copper and manganese on the de novo generation of protease-resistant prion protein in yeast cells. | 2006-05-30 |
|
| Metal homeostasis in Alzheimer's disease. | 2006-05 |
|
| Infiltrative intestinal disease. | 2006-04 |
|
| Clioquinol treatment in familiar early onset of Alzheimer's disease: Ibach B et al., Pharmacopsychiatry 2005; 38: 178-179. | 2006-03 |
|
| Radioiodinated clioquinol as a biomarker for beta-amyloid: Zn complexes in Alzheimer's disease. | 2006-02 |
|
| Clioquinol for the treatment of Alzheimer's Disease. | 2006-01-25 |
|
| Pharmacological strategies for the prevention of Alzheimer's disease. | 2006-01 |
|
| A rapid and efficient preparation of [123I]radiopharmaceuticals using a small HPLC (Rocket) column. | 2006-01 |
|
| Metal specificity of an iron-responsive element in Alzheimer's APP mRNA 5'untranslated region, tolerance of SH-SY5Y and H4 neural cells to desferrioxamine, clioquinol, VK-28, and a piperazine chelator. | 2006 |
|
| [Contact allergy to preservatives contained in cosmetics]. | 2006 |
|
| M30, a novel multifunctional neuroprotective drug with potent iron chelating and brain selective monoamine oxidase-ab inhibitory activity for Parkinson's disease. | 2006 |
|
| Hope for Huntington's from an old antibiotic. | 2005-12 |
|
| Translational research on the way to effective therapy for Alzheimer disease. | 2005-11 |
|
| The oxidative neurotoxicity of clioquinol. | 2005-10 |
|
| Alzheimer disease beta-amyloid activity mimics cholesterol oxidase. | 2005-09 |
|
| Evaluation of anti-prionic activity of clioquinol in an in vivo model (Mesocricetus auratus). | 2005-08 |
|
| [Antimicrobially effective compounded medications. Clinical value and critical comments]. | 2005-08 |
|
| Clioquinol treatment in familiar early onset of Alzheimer's disease: a case report. | 2005-07 |
|
| Metal ion-dependent effects of clioquinol on the fibril growth of an amyloid {beta} peptide. | 2005-04-22 |
|
| Anticancer activity of the antibiotic clioquinol. | 2005-04-15 |
|
| Why nutraceuticals do not prevent or treat Alzheimer's disease. | 2005-04-12 |
|
| Clioquinol and pyrrolidine dithiocarbamate complex with copper to form proteasome inhibitors and apoptosis inducers in human breast cancer cells. | 2005 |
|
| Evaluation of phototoxic properties of antimicrobials used in topical preparations by a photohaemolysis test. | 2005 |
|
| Transient global amnesia after clioquinol: five personal observations from outside Japan. | 1979-12 |
|
| [Subacute myelopathy during a course of treatment with clioquinol in a patient colectomized for Crohn's disease]. | 1978-01-01 |
Patents
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| Classification Tree | Code System | Code | ||
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WHO-ATC |
D09AA10
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CFR |
21 CFR 333.210
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NDF-RT |
N0000185508
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WHO-VATC |
QG01AC02
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NCI_THESAURUS |
C1742
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NCI_THESAURUS |
C254
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WHO-ATC |
D08AH30
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WHO-VATC |
QD08AH30
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WHO-ATC |
P01AA52
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WHO-ATC |
G01AC02
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EPA PESTICIDE CODE |
24001
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WHO-VATC |
QD09AA10
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CFR |
21 CFR 520.1158
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WHO-ATC |
S02AA05
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WHO-ATC |
P01AA02
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WHO-VATC |
QS02AA05
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100000092134
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C65337
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5942
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N0000171131
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681
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1138201
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74938
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3531
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2116
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6843
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D007464
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7BHQ856EJ5
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74460
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N0000175629
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PRIMARY | Increased Histamine Release [PE] | ||
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N0000184306
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PRIMARY | Cell-mediated Immunity [PE] | ||
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130-26-7
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Clioquinol
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204-984-4
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2788
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SUB06669MIG
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DTXSID7022837
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m6345
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PRIMARY | Merck Index | ||
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CHEMBL497
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7BHQ856EJ5
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DB04815
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ACTIVE MOIETY
METABOLITE (PARENT)
METABOLITE (PARENT)