Record Information |
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Version | 2.0 |
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Creation Date | 2009-07-15 20:47:03 UTC |
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Update Date | 2014-12-24 20:25:49 UTC |
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Accession Number | T3D2675 |
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Identification |
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Common Name | Linezolid |
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Class | Small Molecule |
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Description | Linezolid is only found in individuals that have used or taken this drug. It is a synthetic antibiotic, the first of the oxazolidinone class, used for the treatment of infections caused by multi-resistant bacteria including streptococcus and methicillin-resistant Staphylococcus aureus (MRSA). Linezolid is a synthetic antibacterial agent of the oxazolidinone class of antibiotics. It has in vitro activity against aerobic Gram positive bacteria, certain Gram negative bacteria and anaerobic microorganisms. It selectively inhibits bacterial protein synthesis through binding to sites on the bacterial ribosome and prevents the formation of a functional 70S-initiation complex. Specifically, linezolid binds to a site on the bacterial 23S ribosomal RNA of the 50S subunit and prevents the formation of a functional 70S initiation complex, which is an essential component of the bacterial translation process. The results of time-kill studies have shown linezolid to be bacteriostatic against enterococci and staphylococci. For streptococci, linezolid was found to be bactericidal for the majority of strains. Linezolid is also a reversible, nonselective inhibitor of monoamine oxidase. Therefore, linezolid has the potential for interaction with adrenergic and serotonergic agents. |
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Compound Type | - Amide
- Amine
- Anti-Bacterial Agent
- Anti-Infective Agent
- Drug
- Ester
- Ether
- Metabolite
- Organic Compound
- Organofluoride
- Protein Synthesis Inhibitor
- Synthetic Compound
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Chemical Structure | |
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Synonyms | Synonym | Antizolid | Linezolide | Linezolidum | Linosept | Linozid | Lizbid | Lizemox | Lizolid | N-(((S)-3-(3-Fluoro-4-morpholinophenyl)-2-oxo-5-oxazolidinyl)methyl)acetamide | Xolid | Zenix | Zizolid | Zodlin | Zolinid | Zyvox | Zyvoxam | Zyvoxid |
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Chemical Formula | C16H20FN3O4 |
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Average Molecular Mass | 337.346 g/mol |
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Monoisotopic Mass | 337.144 g/mol |
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CAS Registry Number | 165800-03-3 |
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IUPAC Name | N-{[(5S)-3-[3-fluoro-4-(morpholin-4-yl)phenyl]-2-oxo-1,3-oxazolidin-5-yl]methyl}acetamide |
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Traditional Name | linezolid |
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SMILES | CC(=O)NC[C@H]1CN(C(=O)O1)C1=CC(F)=C(C=C1)N1CCOCC1 |
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InChI Identifier | InChI=1S/C16H20FN3O4/c1-11(21)18-9-13-10-20(16(22)24-13)12-2-3-15(14(17)8-12)19-4-6-23-7-5-19/h2-3,8,13H,4-7,9-10H2,1H3,(H,18,21)/t13-/m0/s1 |
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InChI Key | InChIKey=TYZROVQLWOKYKF-ZDUSSCGKSA-N |
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Chemical Taxonomy |
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Description | belongs to the class of organic compounds known as phenylmorpholines. These are aromatic compounds containing a morpholine ring and a benzene ring linked to each other through a CC or a CN bond. |
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Kingdom | Organic compounds |
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Super Class | Organoheterocyclic compounds |
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Class | Oxazinanes |
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Sub Class | Morpholines |
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Direct Parent | Phenylmorpholines |
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Alternative Parents | |
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Substituents | - Phenylmorpholine
- Aniline or substituted anilines
- Tertiary aliphatic/aromatic amine
- Dialkylarylamine
- Fluorobenzene
- Halobenzene
- Aryl fluoride
- Aryl halide
- Monocyclic benzene moiety
- Oxazolidinone
- Benzenoid
- Oxazolidine
- Acetamide
- Carbamic acid ester
- Secondary carboxylic acid amide
- Tertiary amine
- Amino acid or derivatives
- Carboxamide group
- Carbonic acid derivative
- Azacycle
- Oxacycle
- Carboxylic acid derivative
- Dialkyl ether
- Ether
- Amine
- Organic oxide
- Hydrocarbon derivative
- Organohalogen compound
- Organofluoride
- Organonitrogen compound
- Carbonyl group
- Organopnictogen compound
- Organic oxygen compound
- Organic nitrogen compound
- Organooxygen compound
- Aromatic heteromonocyclic compound
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Molecular Framework | Aromatic heteromonocyclic compounds |
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External Descriptors | |
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Biological Properties |
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Status | Detected and Not Quantified |
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Origin | Exogenous |
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Cellular Locations | |
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Biofluid Locations | Not Available |
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Tissue Locations | - Bone Marrow
- Eyes
- Nerve Cells
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Pathways | Not Available |
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Applications | |
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Biological Roles | |
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Chemical Roles | |
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Physical Properties |
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State | Solid |
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Appearance | Whitish crystalline powder (MSDS, A308). |
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Experimental Properties | Property | Value |
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Melting Point | 182°C | Boiling Point | Not Available | Solubility | 3 mg/mL | LogP | 0.9 |
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Predicted Properties | |
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Spectra |
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Spectra | Spectrum Type | Description | Splash Key | Deposition Date | View |
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Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (Non-derivatized) - 70eV, Positive | splash10-0006-4292000000-5170fb56647608eed430 | 2017-09-01 | View Spectrum | Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (Non-derivatized) - 70eV, Positive | Not Available | 2021-10-12 | View Spectrum | Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (Non-derivatized) - 70eV, Positive | Not Available | 2021-10-12 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , positive | splash10-000i-0009000000-05a0d0b23e80851df1d5 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , positive | splash10-000j-0396000000-959c643931df034e05fc | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , positive | splash10-000b-0940000000-066fc762e228726946fb | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , positive | splash10-0292-0900000000-99847141a31b0134dcfa | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , positive | splash10-000j-0900000000-7cf676c358a3890ab460 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , positive | splash10-000j-0900000000-fdccf108eb9fcb8a102d | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - , positive | splash10-000i-1649000000-a1dedd5c256e9f3bfa4f | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - , positive | splash10-000i-0649000000-1ac199ac8af65a2644f8 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 35V, Positive | splash10-000j-0972000000-f92653e1d91ee8543bb4 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 45V, Positive | splash10-000b-0940000000-0711d88ecca97721cf7e | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 35V, Negative | splash10-008b-4090000000-c3f9f9dd9eae71988eba | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 60V, Positive | splash10-0292-0900000000-1570ab964080c874de43 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 30V, Positive | splash10-000j-0297000000-73173bf0292e65c16841 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 15V, Positive | splash10-000i-0009000000-8562c06c8dcd0b4893cf | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 75V, Positive | splash10-000j-0900000000-79bb52e9543128544127 | 2021-09-20 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 10V, Positive | splash10-000f-0095000000-3ebea74048f88df3cb4a | 2016-08-01 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 20V, Positive | splash10-0006-0090000000-96eb6763b5a2a907e2f1 | 2016-08-01 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 40V, Positive | splash10-053r-9860000000-947b5be602b12bd9b78f | 2016-08-01 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 10V, Negative | splash10-000l-2179000000-12bfdea8c4c5e2b1143e | 2016-08-03 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 20V, Negative | splash10-0arc-9283000000-ab9a9e6dc95bc68ff6c3 | 2016-08-03 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 40V, Negative | splash10-0btc-9740000000-4ca38bd856baf42e4179 | 2016-08-03 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 10V, Positive | splash10-000i-0009000000-15a1e52af5b01e425943 | 2021-10-11 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 20V, Positive | splash10-004i-0091000000-cc6595bff24fbc8c1727 | 2021-10-11 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 40V, Positive | splash10-0k96-3490000000-fdd909ee5e5fd9c99651 | 2021-10-11 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 10V, Negative | splash10-000i-3019000000-024547f1b0b65495d5a4 | 2021-10-11 | View Spectrum |
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Toxicity Profile |
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Route of Exposure | Inhalation (MSDS).
Linezolid is rapidly and extensively absorbed after oral dosing. Maximum plasma concentrations are reached approximately 1 to 2 hours after dosing, and the absolute bioavailability is approximately 100%. |
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Mechanism of Toxicity | Linezolid targets the large 39S subunit of the mitochondrial ribosome thereby deactivation mitochondrial protein synthesis. As a result Linezolid is cytotoxic to the most metabolically active cells or tissues including the heart, liver, thymus and bone-marrow. (3). The likely target of Linezolid is the 16S rRNA molecule in the mitochondrial ribosome, which is analogous to the 23S rRNA in bacterial ribosomes. |
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Metabolism | Linezolid is rapidly and extensively absorbed after oral dosing. Maximum plasma concentrations are reached approximately 1 to 2 hours after dosing, and the absolute bioavailability is approximately 100%. Linezolid is primarily metabolized by oxidation of the morpholine ring, which results in two inactive ring-opened carboxylic acid metabolites: the aminoethoxyacetic acid metabolite (A), and the hydroxyethyl glycine metabolite (1). Half Life: 4.5-5.5 hours. |
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Toxicity Values | Not Available |
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Lethal Dose | Not Available |
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Carcinogenicity (IARC Classification) | No indication of carcinogenicity to humans (not listed by IARC). |
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Uses/Sources | For the treatment of bacterial infections caused by susceptible strains of vancomycin resistant Enterococcus faecium, Staphylococcal aureus (methicillin resistant and susceptible strains), Streptococcus pneumoniae, Streptococcus pyogenes, Streptococcus agalactiae (1). |
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Minimum Risk Level | Not Available |
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Health Effects | Common adverse effects of short-term use include headache, diarrhea, and nausea. Long-term use, however, has been associated with serious adverse effects; linezolid can cause bone marrow suppression and low platelet counts, particularly when used for more than two weeks. If used for longer periods still, it may cause sometimes irreversible chemotherapy-induced peripheral neuropathy and optic nerve damage, and lactic acidosis (a buildup of lactic acid in the body), all most likely due to mitochondrial toxicity. |
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Symptoms | Clinical signs of acute toxicity lead to decreased activity, ataxia, vomiting and tremors. |
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Treatment | Drug therapy is discontinued immediately; exchange transfusion may be required to remove the drug. Sometimes, phenobarbital (UGT induction) is used. |
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Normal Concentrations |
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| Not Available |
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Abnormal Concentrations |
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| Not Available |
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External Links |
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DrugBank ID | DB00601 |
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HMDB ID | HMDB14739 |
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PubChem Compound ID | 441401 |
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ChEMBL ID | CHEMBL126 |
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ChemSpider ID | 390139 |
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KEGG ID | C08146 |
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UniProt ID | Not Available |
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OMIM ID | |
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ChEBI ID | 63607 |
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BioCyc ID | Not Available |
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CTD ID | Not Available |
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Stitch ID | Linezolid |
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PDB ID | ZLD |
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ACToR ID | Not Available |
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Wikipedia Link | Linezolid |
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References |
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Synthesis Reference | DrugSyn.org |
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MSDS | Link |
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General References | - Wishart DS, Knox C, Guo AC, Cheng D, Shrivastava S, Tzur D, Gautam B, Hassanali M: DrugBank: a knowledgebase for drugs, drug actions and drug targets. Nucleic Acids Res. 2008 Jan;36(Database issue):D901-6. Epub 2007 Nov 29. [18048412 ]
- Park IN, Hong SB, Oh YM, Kim MN, Lim CM, Lee SD, Koh Y, Kim WS, Kim DS, Kim WD, Shim TS: Efficacy and tolerability of daily-half dose linezolid in patients with intractable multidrug-resistant tuberculosis. J Antimicrob Chemother. 2006 Sep;58(3):701-4. Epub 2006 Jul 19. [16857689 ]
- McKee EE, Ferguson M, Bentley AT, Marks TA: Inhibition of mammalian mitochondrial protein synthesis by oxazolidinones. Antimicrob Agents Chemother. 2006 Jun;50(6):2042-9. [16723564 ]
- South African Electronic Package Inserts (2001). Zyvoxid. [Link]
- Wikipedia. Linezolid. Last updated on 30 July 2014. [Link]
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Gene Regulation |
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Up-Regulated Genes | Not Available |
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Down-Regulated Genes | Not Available |
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