U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ACHIRAL
Molecular Formula C12H6Cl4O2S
Molecular Weight 356.052
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of BITHIONOL

SMILES

OC1=C(SC2=C(O)C(Cl)=CC(Cl)=C2)C=C(Cl)C=C1Cl

InChI

InChIKey=JFIOVJDNOJYLKP-UHFFFAOYSA-N
InChI=1S/C12H6Cl4O2S/c13-5-1-7(15)11(17)9(3-5)19-10-4-6(14)2-8(16)12(10)18/h1-4,17-18H

HIDE SMILES / InChI

Description
Curator's Comment: description was created based on several sources, including https://www.drugbank.ca/drugs/DB04813 | https://goo.gl/7Qnwi7 | https://www.ncbi.nlm.nih.gov/pubmed/26961873 | https://www.ncbi.nlm.nih.gov/pubmed/5567745 | https://www.ncbi.nlm.nih.gov/pubmed/23990907

Bithionol is a synthetic sulfanediyl-bis-dichlorphenol), potent photosensitizer with the potential to cause serious skin disorders, formerly marketed as an active ingredient in various topical drug products. Bithionol has antibacterial and anthelmintic properties along with algaecide activity. Bithionol has been shown to be a potent inhibitor of soluble adenylyl cyclase (sAC, Adenylate cyclase type 10 ), an intracellular enzyme important in the catalysis of ATP to cAMP. Bithionol is the first known sAC inhibitor to act through the bicarbonate binding site via a mostly allosteric mechanism. Bithionol is used for treatment of tapeworm infections of dogs, cats, and poultry and for tapeworm and rumen fluke infections of sheep, horses, cattle, and goats.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
4.0 µM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Actamer

Approved Use

Unknown
Doses

Doses

DosePopulationAdverse events​
1 % 1 times / day single, topical
Studied dose
Dose: 1 %, 1 times / day
Route: topical
Route: single
Dose: 1 %, 1 times / day
Sources:
healthy, 22 years
n = 1
Health Status: healthy
Age Group: 22 years
Sex: F
Population Size: 1
Sources:
Other AEs: Contact dermatitis...
Other AEs:
Contact dermatitis
Sources:
2.4 g 1 times / day multiple, oral
Studied dose
Dose: 2.4 g, 1 times / day
Route: oral
Route: multiple
Dose: 2.4 g, 1 times / day
Sources:
unhealthy, mean age 35 years
n = 8
Health Status: unhealthy
Condition: intestinal capillariasis
Age Group: mean age 35 years
Sex: M+F
Population Size: 8
Sources:
Other AEs: Abdominal pain aggravated...
Other AEs:
Abdominal pain aggravated (37.5%)
Sources:
AEs

AEs

AESignificanceDosePopulation
Contact dermatitis
1 % 1 times / day single, topical
Studied dose
Dose: 1 %, 1 times / day
Route: topical
Route: single
Dose: 1 %, 1 times / day
Sources:
healthy, 22 years
n = 1
Health Status: healthy
Age Group: 22 years
Sex: F
Population Size: 1
Sources:
Abdominal pain aggravated 37.5%
2.4 g 1 times / day multiple, oral
Studied dose
Dose: 2.4 g, 1 times / day
Route: oral
Route: multiple
Dose: 2.4 g, 1 times / day
Sources:
unhealthy, mean age 35 years
n = 8
Health Status: unhealthy
Condition: intestinal capillariasis
Age Group: mean age 35 years
Sex: M+F
Population Size: 8
Sources:
PubMed

PubMed

TitleDatePubMed
Treatment of experimental pneumocystosis: review of 7 years of experience and development of a new system for classifying antimicrobial drugs.
1992 Sep
Efficacy of 101 antimicrobials and other agents on the development of Cryptosporidium parvum in vitro.
1996 Dec
Hydrogen peroxide induced stress in human keratinocytes and its effect on bithionol toxicity.
2001 Aug-Oct
Paragonimiasis in Yongjia County, Zhejiang Province, China: clinical, parasitological and karyotypic studies on Paragonimus westermani.
2001 Dec
[Fasciola hepatica. study of a series of 37 patients].
2001 Oct
[Antiparasitic treatments in pregnant women and in children in 2003].
2003
[Fascioliasis: diagnosis, epidemiology and treatment].
2003 Apr-Jun
Spectrum of cross-photosensitization in 18 consecutive patients with contact photoallergy to ketoprofen: associated photoallergies to non-benzophenone-containing molecules.
2003 Mar
Sonographic findings of hepatic lesions in human fascioliasis.
2003 Sep
Fasciola hepatica infestation as a very rare cause of extrahepatic cholestasis.
2004 Oct 15
A native 13-kDa fatty acid binding protein from the liver fluke Fasciola hepatica.
2004 Sep 24
Search of chemical scaffolds for novel antituberculosis agents.
2005 Apr
Acute toxicity to freshwater organisms of antiparasitic drugs for veterinary use.
2005 Feb
Infection with Fasciola hepatica.
2005 Nov
Contractile activity and motility responses of the dog heartworm Dirofilaria immitis to classical anthelmintics and other compounds.
2005 Nov 25
Kinetic, inhibition and structural studies on 3-oxoacyl-ACP reductase from Plasmodium falciparum, a key enzyme in fatty acid biosynthesis.
2006 Jan 15
Fasciola hepatica infection: clinical and computerized tomographic findings of ten patients.
2006 Mar
Indirect evidence of ectopic pancreatic fascioliasis in a human.
2006 Oct
Pharmacological activation and inhibition of Slack (Slo2.2) channels.
2006 Sep
Treatment of helminth co-infection in individuals with HIV-1: A systematic review of the literature.
2007 Dec 19
Induction of keratinocyte apoptosis by photosensitizing chemicals plus UVA.
2007 Feb
Evaluation of bithionol as a bath treatment for amoebic gill disease caused by Neoparamoeba spp.
2007 Mar 31
Slack and Slick K(Na) channels regulate the accuracy of timing of auditory neurons.
2007 Mar 7
An evaluation of the effects of photoactivation of bithionol, amiodarone and chlorpromazine on human keratinocytes in vitro.
2007 Oct
In Vitro Anthelmintic Activity of Baliospermum montanum Muell. Arg roots.
2008 Jan
The old and new therapeutic approaches to the treatment of giardiasis: where are we?
2009
Novel inhibitors complexed with glutamate dehydrogenase: allosteric regulation by control of protein dynamics.
2009 Aug 21
Prediction of pharmacological and xenobiotic responses to drugs based on time course gene expression profiles.
2009 Dec 2
Combining chemical genomics screens in yeast to reveal spectrum of effects of chemical inhibition of sphingolipid biosynthesis.
2009 Jan 14
Drug discovery for schistosomiasis: hit and lead compounds identified in a library of known drugs by medium-throughput phenotypic screening.
2009 Jul 14
Diphyllobothriasis associated with eating raw pacific salmon.
2009 Jun
[Phosphatases of cestodes Bothriocephalus scorpii and influence of some anthelmintic preparations on activities of these enzymes].
2009 Mar-Apr
Evaluation of marked rise in fecal egg output after bithionol administration to horse and its application as a diagnostic marker for equine Anoplocephala perfoliata infection.
2009 May
Further development of bithionol therapy as a treatment for amoebic gill disease in Atlantic salmon, Salmo salar L.
2009 May
Molecular cloning, expression and characterization of a novel mouse SULT6 cytosolic sulfotransferase.
2009 Sep
A 20-year analysis of previous and emerging allergens that elicit photoallergic contact dermatitis.
2010 Apr
Determination of bithionol, bromophen, nitroxynil, oxyclozanide, and tribromsalan in milk with liquid chromatography coupled with tandem mass spectrometry.
2010 Jul-Aug
Endoscopic management of biliary fascioliasis: a case report.
2010 Mar 6
Identification of known drugs that act as inhibitors of NF-kappaB signaling and their mechanism of action.
2010 May 1
In vitro toxicity of bithionol and bithionol sulphoxide to Neoparamoeba spp., the causative agent of amoebic gill disease (AGD).
2010 Sep 17
Profiling of a prescription drug library for potential renal drug-drug interactions mediated by the organic cation transporter 2.
2011 Jul 14
An improved thyroid hormone reporter assay to determine the thyroid hormone-like activity of amiodarone, bithionol, closantel and rafoxanide.
2012 Jan 5
Patents

Patents

Sample Use Guides

In Vivo Use Guide
Curator's Comment: Bithionol is given orally at a dose of 30 to 50 mg per kg of body weight on alternate days for ten to fifteen doses for the treatment of fascioliasis and paragonimiasis in adults and children.
After oral administration of single bithionol doses of 30 mg/kg body weight to healthy test persons (fasting, number not stated) no effects were observed, single oral doses of 50 mg/kg body weight caused diarrhoea and 150 mg/kg body weight prolonged diarrhoea, nausea and abdominal pains
Route of Administration: Oral
Cytotoxic effect of BT (Bithionol) was evaluated against a panel of ovarian cancer cell lines (A2780 & A2780-CDDP OVACAR-3, SKOV-3, IGROV-1, and IGROV-1CDDP). A 20 mM stock of BT was prepared in DMSO and all the working dilutions were prepared in DMEM media. Ovarian cancer cell lines (5 × 103 cells/well) were plated into 96-well flat bottom plates (Corning, Inc., Corning, NY) and incubated for overnight. Cells were treated with different concentrations of BT ranging from 0.178 μM to 400 μM and further incubated for 48 hrs or 72 hrs. At least 4–6 hrs before the end of treatment time, presto blue reagent was added and incubated for total of 48 or 72 hrs and fluorescence measured (540 nm excitation/590 nm emissions). DMSO concentration was corrected to 1% in all wells.
Name Type Language
BITHIONOL
HSDB   INN   JAN   MART.   MI   WHO-DD  
INN  
Official Name English
Bithionol [WHO-DD]
Common Name English
bithionol [INN]
Common Name English
BITHIN
Brand Name English
BITHIONOL [HSDB]
Common Name English
BITHIONOL [MART.]
Common Name English
NSC-47129
Code English
BITHIONOL [MI]
Common Name English
LOROTHIDOL
Brand Name English
BITHIONOL [JAN]
Common Name English
2,2'-THIOBIS(4,6-DICHLOROPHENOL)
Systematic Name English
Classification Tree Code System Code
WHO-ATC P02BX01
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
WHO-VATC QD10AB01
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
EPA PESTICIDE CODE 64201
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
CFR 21 CFR 700.11
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
WHO-ATC D10AB01
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
NCI_THESAURUS C28394
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
WHO-VATC QP52AG07
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
Code System Code Type Description
NCI_THESAURUS
C77030
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY
EVMPD
SUB05857MIG
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY
DRUG BANK
DB04813
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY
ECHA (EC/EINECS)
202-565-0
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY
MERCK INDEX
m2577
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY Merck Index
INN
201
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY
MESH
D001735
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY
FDA UNII
AMT77LS62O
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY
HSDB
6380
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY
EPA CompTox
DTXSID9021342
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY
CAS
97-18-7
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY
SMS_ID
100000086322
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY
ChEMBL
CHEMBL290106
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY
WIKIPEDIA
BITHIONOL
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY
DRUG CENTRAL
3032
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY
ALANWOOD
bithionol
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY
NSC
47129
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY
PUBCHEM
2406
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY
CHEBI
3131
Created by admin on Fri Dec 15 15:00:09 GMT 2023 , Edited by admin on Fri Dec 15 15:00:09 GMT 2023
PRIMARY