Sulfonamides
- CAS NO.:158089-76-0
- Empirical Formula: C11H15NO3S
- Molecular Weight: 241.31
- MDL number: MFCD09972135
- SAFETY DATA SHEET (SDS)
- Update Date: 2023-04-23 13:52:06
What is Sulfonamides?
Description
The antibacterial properties of the sulfonamides were discovered in the mid-1930s following an incorrect hypothesis but after observing the results carefully and drawing correct conclusions. Prontosil rubrum, a red dye, was one of a series of dyes examined by Gerhard Domagk of Bayer of Germany in the belief that it might be taken up selectively by certain pathogenic bacteria and not by human cells, in a manner analogous to the way in which the Gram stain works, and, therefore, serve as a selective poison to kill these cells. The dye, indeed, proved to be active in vivo against streptococcal infections in mice. Curiously, it was not active in vitro.
The Uses of Sulfonamides
Sulfanilamide drugs do not currently have a clear classification. However, they are grouped as systemic (absorptive action), and local. They are subdivided into short-lasting (sulfacytine, sulfadiazin, sulfamerazine, sulfametazine, sulfametizole, sulfisoxazole); moderate-lasting (sulfamethoxazole, sulfapyridine); and long-lasting (sulfamethoxypiridazine, sulfamter), which, however, are no longer used as independent drugs because of extremely rare, yet nonetheless occurring, hypersensitivity reactions. Drugs for local use include those for ophthalmological use (sulfacetamide, sulfozoxazol); vaginal use (sulfabenzamide, sulfacetamide, sulfathiazole, sulfizoxazol); and external use (maphenid, silver sulfadiazine). Finally, this group includes sulfasalazine and phthalylsulfathiazole, a drug that acts in the lumen of the intestines, but which is poorly absorbed from the gastrointestinal tract.
The Uses of Sulfonamides
2-(4-Methoxybenzyl)isothiazolidine 1,1-Dioxide (cas# 158089-76-0) is a useful a reagent in palladium-catalyzed α-arylation of sultams with aryl and heteroaryl iodides.
Antimicrobial activity
Sulfonamides exhibit broad-spectrum activity against common Gram-positive and Gram-negative pathogens, although the potency against many bacteria within the spectrum is modest by present standards. Meningococci are generally much more susceptible than gonococci. Other organisms commonly susceptible include Bordetella pertussis, Yersinia pestis, Actinomyces spp., Nocardia spp., Bacillus anthracis, Corynebacterium diphtheriae, Legionella pneumophila, Brucella spp. and several important causes of sexually transmitted diseases (Chlamydia trachomatis, Haemophilus ducreyi and Calymmatobacterium granulomatis). Activity against anaerobes is generally poor. Pseudomonas aeruginosa is usually resistant, as are Leptospira, Treponema and Borrelia spp., rickettsiae, Coxiella burnetii and mycoplasmas. Mycobacteria are resistant, although the related sulfone, dapsone, exhibits good activity against M. leprae and para-aminosalicylic acid, which is structurally similar, was formerly widely used in tuberculosis. Sulfonamides act synergistically with certain diaminopyrimidines against many bacteria and some protozoa, including plasmodia and Toxoplasma gondii.
In-vitro tests are markedly influenced by the composition of the culture medium and the size of the inoculum. The
different derivatives vary somewhat in antibacterial activity . Among those that are still fairly widely available as antibacterial agents, sulfadimidine shows comparatively low activity, whereas sulfadiazine, sulfisoxazole (sulphafurazole) and sulfamethoxazole, the sulfonamide commonly combined with trimethoprim , are relatively more active.
Acquired resistance
Resistance is now widespread and there is complete crossresistance among sulfonamides. Plasmid-mediated resistance in all enterobacteria is common. Resistance is found in 25–40% of strains of Escherichia coli and other enterobacteria infecting the urinary tract. Many strains of meningococci and H. ducreyi are now resistant.
Pharmaceutical Applications
The original sulphonamide, sulphanilamide, is the active principle of Prontosil, which holds a special place in medicine as the first agent to exhibit broad-spectrum activity against systemic bacterial disease . Within a few years of the introduction of Prontosil, numerous sulfonamide derivatives were synthesized. Advances included increased antibacterial potency, decreased toxicity, and the introduction of compounds with special properties such as high or low solubility and prolonged duration of action. Most have since been discarded, as safer and more active antibacterial agents have overtaken them, but a few are still in use for particular purposes, often in combination with diaminopyrimidines . Some survive in topical preparations, often in multi-ingredient formulations. Discussion here is limited to the most important sulfonamides that are still widely available; a short description is included of some of the many other compounds that are of more restricted availability.
Mechanism of action
The sulfonamides are bacteriostatic when administered to humans in achievable doses. They inhibit the enzyme dihydropteroate synthase, an important enzyme needed for the biosynthesis of folic acid derivatives and, ultimately, the thymidine required for DNA. They do this by competing at the active site with p-aminobenzoic acid (PABA), a normal structural component of folic acid derivatives.
Pharmacokinetics
Most sulfonamides are well absorbed after oral administration,
reaching a peak concentration in the blood of 50–100 mg/L
2–4 h after a dose of 2 g. After absorption, the behavior of the
individual compounds varies widely, depending on the extent
of protein-binding and metabolization. The main metabolic
pathway is conjugation by acetylation in the liver, although
glucuronidation and oxidation also occur. Sulfonamide acetylation
shows a bimodal distribution in the population, rapid
and slow inactivators corresponding with rapid and slow inactivators
of isoniazid. The conjugates are inactive antibacterially
and the low solubility of the acetyl conjugates of
some of the earlier compounds may give rise to renal toxicity.
A proportion, varying considerably with different compounds,
is contained in the red cells, some is free in the
plasma and some is bound to plasma albumin. Protein binding
varies widely, the highest levels being seen with long-
acting sulfonamides
such as sulfadoxine. Sulfonamides can be displaced
from their protein binding sites by a variety of compounds,
the most important clinically being oral anticoagulant
drugs. Administration of these compounds with sulfonamides
potentiates the anticoagulant effect and produces higher concentrations
of diffusible sulfonamide. Competition for plasma
albumin binding sites causes sulfonamides to displace albumin-
bound bilirubin.
Sulfonamides are distributed throughout the body tissues.
Access to the cerebrospinal fluid (CSF) is normally limited to
the unbound drug, but with increasing capillary permeability
and the passage of protein into the CSF in inflammation,
protein-bound sulfonamide enters and the total concentration
of drug in the CSF rises. The concentration of shortacting
sulfonamides in CSF varies between 30% and 80% of
the corresponding plasma concentration. Sulfonamides also
enter other body fluids, including the eye. They pass readily
through the placenta into the fetal circulation and also reach
the infant via the breast milk.
Sulfonamides are excreted mainly in the urine, the free
drug and its conjugates being frequently excreted at different
rates and by different mechanisms. Excretion is partly
by glomerular filtration and partly by tubular secretion, during
which some of the drug is reabsorbed. Substances with
high clearances (e.g. sulfisoxazole) are rapidly eliminated
from the plasma and achieve high concentrations in the urine.
Substances with low clearances are slowly excreted, plasma
levels are maintained for long periods, and low concentrations
appear in the urine. If renal function is impaired, excretion
may be delayed still further and therapeutic levels may persist
for considerably longer: if the drugs are given repeatedly, high
and possibly toxic levels may develop. Less than 1% of the
dose of most sulfonamides is excreted in the bile, but the proportion
is 2.4–6.3% for the long-acting compounds.
Clinical Use
Sulfonamides were formerly much used, alone or in combination with trimethoprim, for the treatment of urinary tract infection, but are no longer recommended because of potential adverse reactions. Use in the treatment of respiratory infections is now confined to a few special problems, notably nocardiasis (and also for cerebral nocardiasis) and, in combination with trimethoprim, in the prevention and treatment of Pneumocystis jirovecii pneumonia. The value of sulfonamides in the prophylaxis and treatment of meningococcal infection is now greatly reduced by bacterial resistance. Sulfonamides are sometimes used for chlamydial infections and chancroid but are unreliable. Some formulations are used topically in eye infections and bacterial vaginosis. Combined preparations with pyrimethamine are used in the treatment of drug-resistant malaria and for toxoplasmosis.
Side Effects
With proper attention to dosage, side effects are relatively
uncommon, but some are serious. Crystals of less soluble
compounds, such as sulfadiazine, or of less soluble conjugates
may deposit in the urine and block the renal tubules or
the upper orifice of the ureter. Hematuria is a common early
sign. However, renal damage during sulfonamide therapy is
often due to a hypersensitivity reaction, rather than to tubular
blockage, with changes of tubular necrosis or vasculitis. Renal
failure has been recorded in several patients after treatment
with sulfamethoxazole, as a component of co-trimoxazole.
Hypersensitivity reactions usually occur as moderate
fever with a rash on about the ninth day of a course of treatment.
Repetition after an interval elicits the reaction immediately.
Rashes are commonly erythematous, maculopapular
or urticarial, and recur if the drug is given again. Well documented,
but uncommon, is a severe serum-sickness-like
reaction with fever, urticarial rash, polyarthropathy and
eosinophilia. Eosinophilia may occur without other allergic
manifestations.
Stevens–Johnson syndrome is a rare but potentially fatal
complication (one estimate puts the risk at 1–2 cases per
10 million doses). The relative risks of different sulfonamides
are not known accurately, but there are many reports of this
complication following the use of long-acting sulfonamides.
The time of onset varies from 2 to 24 days, and sometimes
as long as 6 weeks after discontinuing the drug. Toxic epidermal
necrolysis (Lyell’s syndrome) has also been recorded after
administration of long-acting sulfonamides.
Drug fever without other features may occur. A special
problem of hypersensitivity to the sulfonamide component
of co-trimoxazole is its frequency in the treatment of AIDS. Sulfonamides are among the compounds reported to provoke
systemic lupus erythematosus. An intractable type of sensitization
may result from local applications.
In patients with inherited glucose-6-phosphate dehydrogenase
deficiency, intravascular hemolysis and hemoglobinuria
may occur. Hemolysis may also occur as part of a generalized
sensitivity reaction. Agranulocytosis, aplastic anemia and
thrombocytopenia have been occasionally reported, especially
with earlier sulfonamides. Liver injury is rare.
Interference with bilirubin transport in the fetus by sulfonamide
administered to the mother may increase the free
plasma bilirubin level and result in kernicterus. Many other
interactions arise as a result of competition for plasma albumin
binding sites. Those of greatest potential clinical importance
are increases in the actions of oral anticoagulants and
sulfonylureas (but not biguanides) and increased toxicity of
methotrexate.
Properties of Sulfonamides
Melting point: | >47°C (dec.) |
Boiling point: | 397.0±44.0 °C(Predicted) |
Density | 1.279±0.06 g/cm3(Predicted) |
storage temp. | 2-8°C |
solubility | Acetonitrile (Slightly), Chloroform (Slightly) |
form | Solid |
pka | -4.81±0.20(Predicted) |
color | Light Orange to Orange |
CAS DataBase Reference | 158089-76-0 |
Safety information for Sulfonamides
Signal word | Warning |
Pictogram(s) |
Exclamation Mark Irritant GHS07 |
GHS Hazard Statements |
H302:Acute toxicity,oral H315:Skin corrosion/irritation H319:Serious eye damage/eye irritation H335:Specific target organ toxicity, single exposure;Respiratory tract irritation |
Precautionary Statement Codes |
P261:Avoid breathing dust/fume/gas/mist/vapours/spray. P305+P351+P338:IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continuerinsing. |
Computed Descriptors for Sulfonamides
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