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Details

Stereochemistry ACHIRAL
Molecular Formula C6H15N.C2H2Cl2O2
Molecular Weight 230.132
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of DIISOPROPYLAMMONIUM DICHLOROACETATE

SMILES

OC(=O)C(Cl)Cl.CC(C)NC(C)C

InChI

InChIKey=ILKBHIBYKSHTKQ-UHFFFAOYSA-N
InChI=1S/C6H15N.C2H2Cl2O2/c1-5(2)7-6(3)4;3-1(4)2(5)6/h5-7H,1-4H3;1H,(H,5,6)

HIDE SMILES / InChI

Molecular Formula C6H15N
Molecular Weight 101.19
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C2H2Cl2O2
Molecular Weight 128.942
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Dichloroacetic acid, often abbreviated DCA (dichloroacetate), is an acid analog of acetic acid in which two of the three hydrogen atoms of the methyl group have been replaced by chlorine atoms. The salts and esters of dichloroacetic acid are called dichloroacetates. Salts of DCA are used as drugs since they inhibit the enzyme pyruvate dehydrogenase kinase. Early reports of its activity against brain cancer cells led patients to treat themselves with DCA, which is commercially available in non-pharmaceutical grade. A phase 1 study in 5 patients concluded that DCA was safe, but wasn't designed to establish effectiveness. DCA was approved for use in Canada in 1989 (as a topical formulation for the treatment of warts and for cauterization and removal of a wide variety of skin and tissue lesions), but was cancelled post market. DCA is a noncompetitive inhibitor of the endoplasmic reticulum enzyme HMG CoA reductase, which catalyzes the rate limiting step in cholesterol biosynthesis. DCA has been researched in adults, children, animals, and cells as a monotherapy as well as in combination with other therapies for the treatment of severe metabolic disorders including diabetes and hypercholesterolemia, lactic acidosis, certain heart conditions, and cancer. DCA has been prescribed to reduce tumour size and tumour markers, prevent angiogenesis, reduce cancer related symptoms, manage pain, and aid in palliation.

CNS Activity

Curator's Comment: The drug easily crosses the blood-brain barrier when given in a pill form and there is no evidence that it is more effective when given intravenously.

Approval Year

PubMed

PubMed

TitleDatePubMed
trans-Activation of PPARalpha and PPARgamma by structurally diverse environmental chemicals.
1999 Dec 1
Effect of trichloroethylene and its metabolites, dichloroacetic acid and trichloroacetic acid, on the methylation and expression of c-Jun and c-Myc protooncogenes in mouse liver: prevention by methionine.
2000 Apr
Gene transfer and metabolic modulators as new therapies for pulmonary hypertension. Increasing expression and activity of potassium channels in rat and human models.
2001
[Benign infantile mitochondrial myopathy].
2001
The effect of dichloroacetic acid and trichloroacetic acid on DNA methylation and cell proliferation in B6C3F1 mice.
2001
Direct imaging of dehydrogenase activity within living cells using enzyme-dependent fluorescence recovery after photobleaching (ED-FRAP).
2001 Apr
Dichloroacetate improves cardiac efficiency after ischemia independent of changes in mitochondrial proton leak.
2001 Apr
Haloacetates in fog and rain.
2001 Apr 1
Detection of early gene expression changes by differential display in the livers of mice exposed to dichloroacetic acid.
2001 Aug
Trichloroethylene oxidative metabolism in plants: the trichloroethanol pathway.
2001 Dec
Diffusion-weighted image and MR spectroscopic analysis of a case of MELAS with repeated attacks.
2001 Feb
Lactic acidosis update for critical care clinicians.
2001 Feb
Effects of dichloroacetate (DCA) on serum insulin levels and insulin-controlled signaling proteins in livers of male B6C3F1 mice.
2001 Jan
The fate and persistence of trifluoroacetic and chloroacetic acids in pond waters.
2001 Jan
Lack of IL-6 production during exercise in patients with mitochondrial myopathy.
2001 Jan-Feb
Nerve conduction changes in patients with mitochondrial diseases treated with dichloroacetate.
2001 Jul
Study on the cytochrome P-450- and glutathione-dependent biotransformation of trichloroethylene in humans.
2001 Mar
Differential effects of dihalogenated and trihalogenated acetates in the liver of B6C3F1 mice.
2001 Mar-Apr
GSTZ1d: a new allele of glutathione transferase zeta and maleylacetoacetate isomerase.
2001 Nov
Trichloroethylene, trichloroacetic acid, and dichloroacetic acid: do they affect fetal rat heart development?
2001 Sep-Oct
Genetic polymorphisms in assessing interindividual variability in delivered dose.
2002 Apr
[Drug therapy for mitochondrial diseases].
2002 Apr
Low-dose pharmacokinetics and oral bioavailability of dichloroacetate in naive and GST-zeta-depleted rats.
2002 Aug
Dichloroacetate stimulates glycogen accumulation in primary hepatocytes through an insulin-independent mechanism.
2002 Aug
Monochloramine loss in the presence of humic acid.
2002 Feb
Enhanced pyruvate dehydrogenase activity does not affect muscle O2 uptake at onset of intense exercise in humans.
2002 Jan
Dichloroacetate, a metabolic modulator, prevents and reverses chronic hypoxic pulmonary hypertension in rats: role of increased expression and activity of voltage-gated potassium channels.
2002 Jan 15
Skeletal muscle metabolism is unaffected by DCA infusion and hyperoxia after onset of intense aerobic exercise.
2002 Jul
Distribution of haloacetic acids in the water columns of the Laurentian Great Lakes and Lake Malawi.
2002 May 1
The use of partial fatty acid oxidation inhibitors for metabolic therapy of angina pectoris and heart failure.
2002 Nov
Brief increase in carbohydrate oxidation after reperfusion reverses myocardial stunning in conscious pigs.
2002 Nov 26
[Acute complications due to diabetes mellitus: Lactic acidosis].
2002 Oct
Chloroacetic acids in European soils and vegetation.
2003 Apr
Measurement of 13C/12C of chloroacetic acids by gas chromatography/combustion/isotope ratio mass spectrometry.
2003 Feb
Differential modulation of glucose, lactate, and pyruvate oxidation by insulin and dichloroacetate in the rat heart.
2003 Jul
Perturbation of maleylacetoacetic acid metabolism in rats with dichloroacetic Acid-induced glutathione transferase zeta deficiency.
2003 Jul
Regulation of transforming growth factor-beta, type III collagen, and fibronectin by dichloroacetic acid in human fibroblasts from normal peritoneum and adhesions.
2003 May
Dichloroacetate increases skeletal muscle pyruvate dehydrogenase activity during acute limb ischemia.
2003 May-Jun
Patents

Patents

Sample Use Guides

In Vivo Use Guide
Curator's Comment: Patients are typically started at a lower dose and slowly increased until the benefit is observed or adverse effects become apparent. Doses are based upon weight, and optimal therapeutic dosing is typically achieved at a range of 50 mg/kg to 80 mg/kg. In order to avoid adverse effects such as peripheral neuropathy, intravenous DCA is administered twice weekly and oral DCA is given in a cyclical nature with two weeks of administration being followed by a week-long break from treatment. http://www.oicc.ca/uploads/dca-health-professional.pdf
Brain Cancer treatment: Oral DCA given twice daily for the 24 week period of the study.
Route of Administration: Oral
Cells were treated with 25 and 50 mmol/L dichloroacetate for 24 hours, and cell-cycle profiles were analyzed using flow cytometry. Dichloroacetate treatment induced changes in the cell-cycle profiles of all tested glioblastoma cells. Specifically, after 24 hours of treatment with 25 mmol/L dichloroacetate, there was a slight increase (not significant) in the cells in G2–M phase in U87 and U251 cells and a 1.2-fold increase (P < 0.001) in RN1 cells. Significant increase in the mean percentage of all 3 tested cell lines in G2–M phase was observed when dichloroacetate dose was increased to 50 mmol/L. When compared with untreated control (U251, 8.8%; U87, 15.2%; RN1, 14.1%), dichloroacetate treatment increased the proportion of cells at G2–M phase to 35.5%, 34.7%, and 45.5%, respectively
Substance Class Chemical
Created
by admin
on Fri Dec 15 15:16:20 GMT 2023
Edited
by admin
on Fri Dec 15 15:16:20 GMT 2023
Record UNII
BA6QDP0R4E
Record Status Validated (UNII)
Record Version
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Name Type Language
DIISOPROPYLAMMONIUM DICHLOROACETATE
Systematic Name English
OXYPANGAM
Brand Name English
2,2-DICHLOROACETIC ACID COMPD WITH N-(1-METHYLETHYL)-2-PROPANAMINE (1:1)
Common Name English
DICHLOROACETIC ACID DIISOPROPYLAMMONIUM SALT
Common Name English
DI-ISOPROPYLAMMONIUM DICHLOROACETATE [MART.]
Common Name English
DI-ISOPROPYLAMINE DICHLOROACETATE
Systematic Name English
DISOTAT
Brand Name English
DIISOPROPYLAMINE DICHLOROACETATE
JAN   MI   WHO-DD  
Systematic Name English
DIISOPROPYLAMINE DICHLOROACETATE [JAN]
Common Name English
IS-401
Code English
DIPA-DCA
Common Name English
Diisopropylamine dichloroacetate [WHO-DD]
Common Name English
DIISOPROPYLAMINE DICHLOROACETATE [MI]
Common Name English
KALODIL
Brand Name English
Code System Code Type Description
FDA UNII
BA6QDP0R4E
Created by admin on Fri Dec 15 15:16:20 GMT 2023 , Edited by admin on Fri Dec 15 15:16:20 GMT 2023
PRIMARY
ECHA (EC/EINECS)
211-538-2
Created by admin on Fri Dec 15 15:16:20 GMT 2023 , Edited by admin on Fri Dec 15 15:16:20 GMT 2023
PRIMARY
MERCK INDEX
m4486
Created by admin on Fri Dec 15 15:16:20 GMT 2023 , Edited by admin on Fri Dec 15 15:16:20 GMT 2023
PRIMARY Merck Index
SMS_ID
100000079225
Created by admin on Fri Dec 15 15:16:20 GMT 2023 , Edited by admin on Fri Dec 15 15:16:20 GMT 2023
PRIMARY
PUBCHEM
12617
Created by admin on Fri Dec 15 15:16:20 GMT 2023 , Edited by admin on Fri Dec 15 15:16:20 GMT 2023
PRIMARY
EPA CompTox
DTXSID7060962
Created by admin on Fri Dec 15 15:16:20 GMT 2023 , Edited by admin on Fri Dec 15 15:16:20 GMT 2023
PRIMARY
EVMPD
SUB13601MIG
Created by admin on Fri Dec 15 15:16:20 GMT 2023 , Edited by admin on Fri Dec 15 15:16:20 GMT 2023
PRIMARY
CAS
660-27-5
Created by admin on Fri Dec 15 15:16:20 GMT 2023 , Edited by admin on Fri Dec 15 15:16:20 GMT 2023
PRIMARY
RXCUI
1727556
Created by admin on Fri Dec 15 15:16:20 GMT 2023 , Edited by admin on Fri Dec 15 15:16:20 GMT 2023
PRIMARY RxNorm
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PARENT -> SALT/SOLVATE
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ACTIVE MOIETY