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Prestwick3_000895
Also known as: 4-aminohippuric acid, 61-78-9, P-aminohippuric acid, N-(4-aminobenzoyl)glycine, Glycine, n-(4-aminobenzoyl)-, Paha
Molecular Formula
C9H10N2O3
Molecular Weight
194.19  g/mol
InChI Key
HSMNQINEKMPTIC-UHFFFAOYSA-N
FDA UNII
Y79XT83BJ9

The glycine amide of 4-aminobenzoic acid. Its sodium salt is used as a diagnostic aid to measure effective renal plasma flow (ERPF) and excretory capacity.
1 2D Structure

Prestwick3_000895

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
2-[(4-aminobenzoyl)amino]acetic acid
2.1.2 InChI
InChI=1S/C9H10N2O3/c10-7-3-1-6(2-4-7)9(14)11-5-8(12)13/h1-4H,5,10H2,(H,11,14)(H,12,13)
2.1.3 InChI Key
HSMNQINEKMPTIC-UHFFFAOYSA-N
2.1.4 Canonical SMILES
C1=CC(=CC=C1C(=O)NCC(=O)O)N
2.2 Other Identifiers
2.2.1 UNII
Y79XT83BJ9
2.3 Synonyms
2.3.1 MeSH Synonyms

1. 4 Aminohippuric Acid

2. 4-aminohippuric Acid

3. Aminohippurate Sodium

4. Nephrotest

5. P Aminohippurate

6. P Aminohippuric Acid

7. P-aminohippurate

8. P-aminohippuric Acid

9. Para Aminohippuric Acid

10. Para-aminohippurate, Sodium

11. Para-aminohippuric Acid

12. Sodium Para Aminohippurate

13. Sodium Para-aminohippurate

14. Sodium, Aminohippurate

2.3.2 Depositor-Supplied Synonyms

1. 4-aminohippuric Acid

2. 61-78-9

3. P-aminohippuric Acid

4. N-(4-aminobenzoyl)glycine

5. Glycine, N-(4-aminobenzoyl)-

6. Paha

7. Para-aminohippuric Acid

8. Nefrotest

9. 2-(4-aminobenzamido)acetic Acid

10. N-(p-aminobenzoyl)glycine

11. Aminohippurate

12. Para-aminohippurate

13. Pah (amino Acid)

14. Aminohippurate Sodium

15. P-aminohippurate

16. 4-amino Hippuric Acid

17. N-(para-aminobenzoyl)glycine

18. Hippuric Acid, P-amino-

19. N-(p-aminobenzoyl)aminoacetic Acid

20. 2-[(4-aminobenzoyl)amino]acetic Acid

21. Pah

22. Paraaminohippuric Acid

23. Nsc 13064

24. 2-[(4-aminophenyl)formamido]acetic Acid

25. Aminohippuric Acid, P-

26. Nsc-13064

27. Aminohippuric Acid [usp]

28. N-(4-aminobenzoyl-d4)glycine

29. Y79xt83bj9

30. Chebi:104011

31. N-[(4-aminophenyl)carbonyl]glycine

32. 4-aminohippurate

33. Cas-61-78-9

34. Ncgc00016279-01

35. Aminohippuric Acid (usp)

36. Dsstox_cid_2590

37. 94-16-6

38. Dsstox_rid_76648

39. Dsstox_gsid_22590

40. N-(p-aminobenzoyl)aminoacetate

41. Hsdb 2139

42. Sr-05000002048

43. Einecs 200-518-9

44. Mfcd00007890

45. Unii-y79xt83bj9

46. Ai3-52275

47. 4-aminohippuricacid

48. 4-aminohippuric-acid

49. Spectrum_001310

50. (p-aminobenzoyl)glycine

51. (4-aminobenzoyl)glycine

52. Prestwick0_000895

53. Prestwick1_000895

54. Prestwick2_000895

55. Prestwick3_000895

56. Spectrum2_001515

57. Spectrum3_000952

58. Spectrum4_001065

59. Spectrum5_001100

60. Chembl463

61. Oprea1_490712

62. Bspbio_000710

63. Kbiogr_001390

64. Kbioss_001790

65. Mls002154055

66. Divk1c_000694

67. Schembl196513

68. Spectrum1503069

69. Spbio_001589

70. Spbio_002919

71. Bpbio1_000782

72. Gtpl4810

73. P-aminohippuric Acid, >=99%

74. Dtxsid7022590

75. Hms502c16

76. Kbio1_000694

77. Kbio2_001790

78. Kbio2_004358

79. Kbio2_006926

80. Kbio3_002044

81. Aminohippuric Acid [hsdb]

82. Nsc7550

83. Ninds_000694

84. P-aminohippuric Acid [mi]

85. Hms1570d12

86. Hms1922c07

87. Hms2092h18

88. Hms2097d12

89. Hms2233a21

90. Hms3373e19

91. Hms3651l04

92. Hms3714d12

93. Pharmakon1600-01503069

94. Zinc119344

95. Aminohippuric Acid [mart.]

96. Albb-025851

97. Aminohippuric Acid [usp-rs]

98. Aminohippuric Acid [who-dd]

99. Bcp04299

100. Hy-b1306

101. Nsc-7550

102. Nsc13064

103. 4-aminohippuric Acid Biotech

104. Tox21_110345

105. Bbl027666

106. Ccg-39181

107. Nsc758232

108. S2883

109. Stk801822

110. [(4-aminobenzoyl)amino]acetic Acid #

111. Akos000120722

112. Tox21_110345_1

113. Cs-4816

114. Db00345

115. Nsc-758232

116. Idi1_000694

117. P-aminohippuric Acid, >=98.0% (t)

118. Ncgc00016279-02

119. Ncgc00016279-03

120. Ncgc00016279-05

121. Ncgc00094993-01

122. Ncgc00094993-02

123. Ac-29237

124. Aminohippuric Acid [usp Monograph]

125. Smr001233372

126. Sbi-0051760.p002

127. Db-053989

128. A0313

129. Ab00052309

130. Ft-0617576

131. Ft-0622289

132. Sw197249-3

133. 7e-944

134. A16384

135. D06890

136. D88242

137. Ab00052309_08

138. A833420

139. A936052

140. Q291271

141. Sr-05000002048-1

142. Sr-05000002048-3

143. W-203306

144. Z1270312078

145. Aminohippuric Acid, United States Pharmacopeia (usp) Reference Standard

2.4 Create Date
2005-03-25
3 Chemical and Physical Properties
Molecular Weight 194.19 g/mol
Molecular Formula C9H10N2O3
XLogP3-0.9
Hydrogen Bond Donor Count3
Hydrogen Bond Acceptor Count4
Rotatable Bond Count3
Exact Mass194.06914219 g/mol
Monoisotopic Mass194.06914219 g/mol
Topological Polar Surface Area92.4 Ų
Heavy Atom Count14
Formal Charge0
Complexity222
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Therapeutic Uses

Aminohippurate sodium (PAH) is used in plasma concentrations of 10-20 ug/ml to estimate effective renal plasma flow (ERPF) which is an index of renal function. In these low plasma concentrations, PAH is extracted almost completely from the plasma with each passage through functional renal tissue, and the value obtained for PAH clearance is accepted as being numerically equal to the ERPF. In plasma concentration of 400-600 ug/ml, PAH is used in conjunction with glomerular filtration rate (GFR) measurements to estimate the functional capacity of the renal tubular secretory mechanism. Since PAH is excreted both by tubular secretion and glomerular filtration, tubular transport capacity can be determined by comparing PAH excretion with values for GFR obtained by inulin clearance. Although this test may be the best quantitative measure of functioning nephron mass, its complexity prevents its widespread use. PAH clearance tests are more accurate but also more complex than phenolsulfonphthalein excretion tests for evaluation of renal blood flow. In most clinical situations, simpler (although less precise) methods of renal function evaluation are used.

McEvoy G.K. (ed.). American Hospital Formulary Service-Drug Information 96. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 1996 (Plus Supplements)., p. 1769


MEDICATION: DIAGNOSTIC AID (RENAL FUNCTION DETERMINATION) /SRP: NOT COMMONLY USED IN RENAL FUNCTION TEST/

Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996., p. 77


4.2 Drug Warning

AT PLASMA LEVELS USED TO MEASURE MAX TUBULAR SECRETION, PAH SIGNIFICANTLY INCR SODIUM, POTASSIUM, & PHOSPHORUS CLEARANCE IN HUMAN VOLUNTEERS. AT LEVELS USED TO MEASURE RENAL PLASMA FLOW, IT INCREASED ONLY SODIUM CLEARANCE.

BENNETT ET AL; NEPHRON 16 (3): 197 (1975)


MANY WORKERS ROUTINELY USE CLEARANCE OF PAH AS AN ESTIMATE OF RENAL PLASMA FLOW. ...PRACTICE /WAS NOT RECOMMENDED/ FOR 3 REASONS: 1) RENAL EXTRACTION OF PAH IS...VARIABLE EVEN WHEN PLASMA CONCN IS LOW, 2) PAH IS REABSORBED, 3) PAH MAY SUPPRESS RENAL TRANSPORT OF TEST DRUG IF IT IS A WEAK ORGANIC ACID.

LaDu, B.N., H.G. Mandel, and E.L. Way. Fundamentals of Drug Metabolism and Disposition. Baltimore: Williams and Wilkins, 1971., p. 127


WHEN PLASMA CONCN OF PAH ARE RAISED RAPIDLY, PATIENTS MAY EXPERIENCE NAUSEA OR VOMITING & A SENSATION OF SUDDEN WARMTH, SYMPTOMS THAT CAN BE AVOIDED BY INFUSING DRUG MORE SLOWLY.

American Medical Association, Council on Drugs. AMA Drug Evaluations. 2nd ed. Acton, Mass.: Publishing Sciences Group, Inc., 1973., p. 762


Adverse reactions which have been reported in association with the administration of aminohippurate sodium (PAH) include nausea, vomiting, cramps, vasomotor disturbances, flushing, tingling, a sensation of warmth, and the desire to defecate or urinate during or shortly after administration of the drug.

McEvoy G.K. (ed.). American Hospital Formulary Service-Drug Information 96. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 1996 (Plus Supplements)., p. 1770


PAH must be administered with caution in patients with low cardiac reserve, since a rapid increase in plasma volume may precipitate congestive heart failure. The large dose required to achieve the plasma concentrations necessary for the determination of the maximum tubular secretion should be administered slowly and with caution, and the patient should be continuously observed for any adverse reactions. PAH is contraindicated in patients with known hypersensitivity to the drug or any ingredient in the formulation.

McEvoy G.K. (ed.). American Hospital Formulary Service-Drug Information 96. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 1996 (Plus Supplements)., p. 1770


4.3 Drug Indication

Used to measure effective renal plasma flow (ERPF) and to determine the functional capacity of the tubular excretory mechanism.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Aminohippurate (p-aminohippuric acid, PAH, PAHA) is the glycine amide of p-aminobenzoic acid. It is filtered by the glomeruli and is actively secreted by the proximal tubules. At low plasma concentrations (1.0 to 2.0 mg/100 mL), an average of 90 percent of aminohippurate is cleared by the kidneys from the renal blood stream in a single circulation. It is ideally suited for measurement of ERPF since it has a high clearance, is essentially nontoxic at the plasma concentrations reached with recommended doses, and its analytical determination is relatively simple and accurate. Aminohippurate is also used to measure the functional capacity of the renal tubular secretory mechanism or transport maximum (TmPAH). This is accomplished by elevating the plasma concentration to levels (40-60 mg/100 mL) sufficient to saturate the maximal capacity of the tubular cells to secrete aminohippurate. Inulin clearance is generally measured during TmPAH determinations since glomerular filtration rate (GFR) must be known before calculations of secretory Tm measurements can be done.


5.2 MeSH Pharmacological Classification

Indicators and Reagents

Substances used for the detection, identification, analysis, etc. of chemical, biological, or pathologic processes or conditions. Indicators are substances that change in physical appearance, e.g., color, at or approaching the endpoint of a chemical titration, e.g., on the passage between acidity and alkalinity. Reagents are substances used for the detection or determination of another substance by chemical or microscopical means, especially analysis. Types of reagents are precipitants, solvents, oxidizers, reducers, fluxes, and colorimetric reagents. (From Grant and Hackh's Chemical Dictionary, 5th ed, p301, p499) (See all compounds classified as Indicators and Reagents.)


5.3 ATC Code

V - Various

V04 - Diagnostic agents

V04C - Other diagnostic agents

V04CH - Tests for renal function and ureteral injuries

V04CH30 - Aminohippuric acid


5.4 Absorption, Distribution and Excretion

EXCRETION OF P-AMINOHIPPURIC ACID DURING SWEATING IN MAN: SWEAT/PLASMA RATIO: 0.02; PKA= 3.8. /FROM TABLE/

LaDu, B.N., H.G. Mandel, and E.L. Way. Fundamentals of Drug Metabolism and Disposition. Baltimore: Williams and Wilkins, 1971., p. 143


1.4% OF DOSE OF P-AMINOHIPPURIC ACID IS EXCRETED IN BILE OF RAT AFTER 3 HR. /FROM TABLE/

LaDu, B.N., H.G. Mandel, and E.L. Way. Fundamentals of Drug Metabolism and Disposition. Baltimore: Williams and Wilkins, 1971., p. 202


BILIARY EXCRETION OF 4-AMINOHIPPURIC ACID IN DIFFERENT SPECIES: % OF DOSE EXCRETED IN 3 HR: RAT 3.3; GUINEA PIG 6.7; RABBIT 3.0; DOG 3.4; CAT 0.7; HEN 0.5. /FROM TABLE/

LaDu, B.N., H.G. Mandel, and E.L. Way. Fundamentals of Drug Metabolism and Disposition. Baltimore: Williams and Wilkins, 1971., p. 139


SERUM EXTRACTION RATIO...FROM DOG RENAL CORTEX.../IS/ 0.74 FOR P-AMINOHIPPURIC ACID...

The Chemical Society. Foreign Compound Metabolism in Mammals. Volume 5: A Review of the Literature Published during 1976 and 1977. London: The Chemical Society, 1979., p. 65


For more Absorption, Distribution and Excretion (Complete) data for P-AMINOHIPPURIC ACID (8 total), please visit the HSDB record page.


5.5 Metabolism/Metabolites

YIELDS P-ACETAMIDOHIPPURIC ACID IN PIGS: GYRD-HANSEN, N & F RASMUSSEN, ACTA PHYSIOL SCAND, 80, 249 (1970). /FROM TABLE/

Goodwin, B.L. Handbook of Intermediary Metabolism of Aromatic Compounds. New York: Wiley, 1976., p. A-41


ORALLY ADMIN PAH GAVE RISE TO P-AMINOBENZOIC ACID, P-AMINOHIPPURIC ACID, P-ACETYLAMINOBENZOIC ACID, P-ACETYLAMINOHIPPURIC ACID, & P-ACETYLAMINOBENZOYLGLUCURONIC ACID IN URINE. WHEN ADMIN IV, ONLY P-ACETYLAMINOHIPPURIC ACID & UNCHANGED P-AMINOHIPPURIC ACID WERE EXCRETED.

HULSMANN ET AL; CLIN CHIM ACTA 15(2) 233 (1967)


5.6 Biological Half-Life

The biologic half-life of PAH in patients with normal renal function is 24 minutes.

McEvoy G.K. (ed.). American Hospital Formulary Service-Drug Information 96. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 1996 (Plus Supplements)., p. 1769


5.7 Mechanism of Action

Aminohippurate is filtered by the renal glomeruli and secreted into the urine by the proximal tubules. By measuring the amount of drug in the urine it is possible to determine functional capacity and effective renal plasma flow.


P-AMINOHIPPURATE (PAH) IS PROTOTYPE FOR AN AGENT EXCRETED BY ORGANIC ACID TRANSPORT SYSTEM...LOCATED IN PROXIMAL CONVOLUTED TUBULES...PROTEIN-BOUND TOXICANTS ARE FULLY AVAIL FOR ACTIVE TRANSPORT. /PROCESS HAS/...ALL CHARACTERISTICS OF ACTIVE TRANSPORT SYSTEM; THEREFORE VARIOUS COMPD COMPETE WITH ONE ANOTHER FOR SECRETION.

Klaassen, C.D., M.O. Amdur, Doull J. (eds.). Casarett and Doull's Toxicology. The Basic Science of Poisons. 5th ed. New York, NY: McGraw-Hill, 1995., p. 106


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