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Digitoxin Sale

(Synonyms: 洋地黄毒苷) 目录号 : GC34013

A cardiac glycoside with diverse biological activities

Digitoxin Chemical Structure

Cas No.:71-63-6

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10mM (in 1mL DMSO)
¥471.00
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5mg
¥350.00
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10mg
¥560.00
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50mg
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100mg
¥2,520.00
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产品描述

Digitoxin is a cardiac glycoside that has been found in Digitalis and has diverse biological activities.1,2,3,4,5 It inhibits human recombinant α1β1, α2β2, and α3β1 subunit-containing Na+/K+-ATPases with Ki values of 250, 63, and 136 nM, respectively.1 Digitoxin inhibits the human-ether-a-go-go (hERG) potassium channel, also known as Kv11.1, in HEK293 cells expressing hERG (IC50 = 11.1 nM).2 It enhances developed tension and contractile force in electrically stimulated isolated guinea pig left atrial muscle when used at concentrations of 0.2 and 0.4 ?M, respectively.3 Dietary administration of digitoxin (~1 mg/kg per day) attenuates congestive heart failure and reduces myocardial hypertrophy in a rat model of myocardial infarction induced by coronary artery ligation.4 Digitoxin is also cytotoxic to a panel of 10 human cancer cell lines, including myeloma, lymphoma, and leukemia cancer cells, with IC50 values ranging from 12 to 76 nM.5 Formulations containing digitoxin have previously been used in the treatment of congestive heart failure and cardiac arrhythmias.

1.Katz, A., Lifshitz, Y., Bab-Dinitz, E., et al.Selectivity of digitalis glycosides for isoforms of human Na,K-ATPaseJ. Biol. Chem.285(25)19582-19592(2010) 2.Wang, L., Wible, B.A., Wan, X., et al.Cardiac glycosides as novel inhibitors of human ether-a-go-go-related gene channel traffickingJ. Pharmacol. Exp. Ther.320(2)525-534(2007) 3.Temma, K., Akera, T., and Brody, T.M.Inotropic effects of digitoxin in solated guines-pig heart under conditions which alter contractionEur. J. Pharm.76(4)361-370(1981) 4.Picollo, C.T., dos Santos, A.A., Antonio, E.L., et al.Digitoxin attenuates heart failure, reduces myocardial hypertrophy, and preserves the calcium-binding proteins in infarcted ratsJ. Cardiovasc. Pharmacol. Ther.25(3)265-272(2019) 5.Johansson, S., Lindholm, P., Gullbo, J., et al.Cytotoxicity of digitoxin and related cardiac glycosides in human tumor cellsAnticancer Drugs12(5)475-483(2001)

Chemical Properties

Cas No. 71-63-6 SDF
别名 洋地黄毒苷
Canonical SMILES C[C@H]1O[C@](O[C@@H]2[C@@H](C)O[C@](O[C@H]3[C@@H](O)C[C@@](O[C@@H]4C[C@](CC[C@]5([H])[C@]6([H])CC[C@@]7(C)[C@]5(O)CC[C@@H]7C(CO8)=CC8=O)([H])[C@]6(C)CC4)([H])O[C@@H]3C)([H])C[C@@H]2O)([H])C[C@H](O)[C@@H]1O
分子式 C41H64O13 分子量 764.94
溶解度 DMSO : ≥ 100 mg/mL (130.73 mM) 储存条件 Store at -20°C
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1 mM 1.3073 mL 6.5365 mL 13.0729 mL
5 mM 0.2615 mL 1.3073 mL 2.6146 mL
10 mM 0.1307 mL 0.6536 mL 1.3073 mL
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Research Update

Digitoxin accumulation

Br J Clin Pharmacol 1982 Aug;14(2):225-9.PMID:7104174DOI:10.1111/j.1365-2125.1982.tb01966.x.

1 Nine healthy volunteers received single 1 mg intravenous doses of Digitoxin, following which serum Digitoxin concentrations were measured at multiple points in time over the next 14 days. 2 Mean kinetic variables for Digitoxin were: volume of distribution, 0.76 l/kg; elimination half-life, 8 days; total clearance, 0.049 ml min-1 kg-1. 3 After a drug-free interval of at least 4 months, subjects took 0.07 mg of oral Digitoxin daily for 28 consecutive days. Serum Digitoxin concentrations were measured during the period of dosage and in the 21 day post-dosage washout. 4 Digitoxin accumulation was slow, proceeding with a mean half-life (7.9 days) that was nearly identical to the single-dose half-life. However, the two were not significantly correlated. 5 Mean observed steady-state serum concentrations (15.4 ng/ml) also were nearly identical to those predicted from the single-dose study (15.3 ng/ml), but again the two were not significantly correlated. 6 Steady state is very slowly attained after initiation of maintenance therapy with Digitoxin. The kinetic data suggest that a loading dose on the average should be 12 times the maintenance dose.

Digitoxin as an anticancer agent with selectivity for cancer cells: possible mechanisms involved

Expert Opin Ther Targets 2007 Aug;11(8):1043-53.PMID:17665977DOI:10.1517/14728222.11.8.1043.

Accumulating preclinical and clinical data suggest that the cardiac drug Digitoxin might be used in cancer therapy. Recent reports have shown that Digitoxin can inhibit the growth and induce apoptosis in cancer cells at concentrations commonly found in the plasma of cardiac patients treated with this drug. Several mechanisms have been associated with the anticancer activity of Digitoxin, yet at present it is unknown why malignant cells are more susceptible to this cardiac glycoside than non-malignant cells. This report analyses the possible anticancer mechanisms of Digitoxin and proposes that the inhibition of glycolysis may be a key mechanism by which this natural product selectively targets cancer cells. Finally, whether or not there is enough evidence to support the clinical evaluation of Digitoxin in patients with cancer is discussed.

Accidental Digitoxin poisoning

Am J Dis Child 1976 Apr;130(4):425-7.PMID:1266828DOI:10.1001/archpedi.1976.02120050083016.

A healthy 141/2-month-old child ingested 1.5 mg of Digitoxin by accident. Digitoxin was wrongly identified as digoxin, the initial electrocardiogram was misinterpreted, and the vomiting was underestimated as an important symptom of toxicity. Symptoms persisted and the patient was hospitalized. Serial Digitoxin levels were obtained and correlated with ECG and clinical course. It appears that serial Digitoxin levels can be a useful adjunct in diagnosis, assessment of severity, and indication of recovery from Digitoxin poisoning. In each patient, it is imperative that ECG, pharmacologic, and clinical indicators of digitalis toxicity be accurately identified for proper assessment of severity and appropriate management.

Successful Treatment of Severe Digitoxin Intoxication with CytoSorb® Hemoadsorption

Blood Purif 2021;50(1):137-140.PMID:32937619DOI:10.1159/000510292.

While several intoxications can be successfully treated with specific antidotes, intoxications with the steroid glycoside Digitoxin still represent a major challenge. Besides conventional approaches, CytoSorb® hemoadsorption might be another treatment option. We report on an 81-year-old female patient treated in our intensive care unit (ICU) with severe Digitoxin intoxication, acute renal failure, and urinary tract infection (UTI). As physiological Digitoxin elimination kinetics are known to appear slow, and also in regard to the renal failure, the decision was made to initiate continuous renal replacement therapy combined with CytoSorb hemoadsorption. The patient was hemodynamically stabilized within the first 4 h of treatment and initially required catecholamines to be stopped within 24 h of treatment. Pre- and post-adsorber drug level measurements showed a rapid elimination of Digitoxin. Antibiotic treatment with piperacillin/tazobactam was initiated, and despite CytoSorb hemoadsorption therapy and its known potential to reduce plasma concentrations of several drugs, the UTI was successfully treated. After 3 days of CytoSorb treatment, Digitoxin plasma levels were stable and almost normalized, and no clinical signs of intoxication were present. Five days after presentation, the patient was transferred from the ICU in a stable condition. CytoSorb hemoadsorption may be an easily available, efficient, and less cost-intensive therapy option than treatment with the Fab fragment, which is the currently recommended therapy for digitalis intoxications. Therefore, the use of CytoSorb might represent an alternative treatment for life-threatening complications of Digitoxin intoxications.

Digitoxin-quinidine interaction: pharmacokinetic evaluation

Ann Intern Med 1980 Nov;93(5):698-701.PMID:7212478DOI:10.7326/0003-4819-93-5-698.

The effect of quinidine on Digitoxin single-dose pharmacokinetics was evaluated in five healthy adults. Blood was collected for 3 weeks, and a complete urine collection was obtained for 4 days, after a single intravenous dose of Digitoxin. The protocol was conducted once while each subject was taking oral quinidine, for 3 weeks, and then repeated 10 days after discontinuing quinidine treatment. Quinidine induced the following changes in Digitoxin pharmacokinetics: Elimination half-life was prolonged from 174 +/- 25 to 261 +/- 58 hours (p less than 0.02); total body clearance decreased from 1.54 +/- 0.40 to 1.09 +/- 0.31 mL/h . kg (p less than 0.05); renal clearance decreased from 0.65 +/- 0.07 to 0.46 +/- 0.17 mL/h . kg (p less than 0.05). Digitoxin volume of distribution and protein binding were unaltered by quinidine. Quinidine caused a rise in serum Digitoxin levels. Digitoxin total body clearance was decreased by quinidine to an extent comparable to that reported for digoxin; however, the mechanism of the interaction with the two digitalis glycosides may, in part, be different.