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Urea-14C
Also known as: Urea-14c, 14c-urea, Urea c-14, Urea c 14, Carbon 14 urea, Carbon-14 urea
Molecular Formula
CH4N2O
Molecular Weight
62.048  g/mol
InChI Key
XSQUKJJJFZCRTK-NJFSPNSNSA-N
FDA UNII
WBZ6M63TEE

Urea C-14 is a radiolabelled urea molecule used to diagnose stomach ulcers caused by Heliobacter pylori. In the presence of H. pylori, urea C-14 is metabolized by urease to produce ammonia and radioactive carbon dioxide at the interface between the gastric epithelium and lumen. The radioactive carbon dioxide is absorbed in the blood and is detected when exhaled in the breath.
1 2D Structure

Urea-14C

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
diamino(114C)methanone
2.1.2 InChI
InChI=1S/CH4N2O/c2-1(3)4/h(H4,2,3,4)/i1+2
2.1.3 InChI Key
XSQUKJJJFZCRTK-NJFSPNSNSA-N
2.1.4 Canonical SMILES
C(=O)(N)N
2.1.5 Isomeric SMILES
[14C](=O)(N)N
2.2 Other Identifiers
2.2.1 UNII
WBZ6M63TEE
2.3 Synonyms
2.3.1 Depositor-Supplied Synonyms

1. Urea-14c

2. 14c-urea

3. Urea C-14

4. Urea C 14

5. Carbon 14 Urea

6. Carbon-14 Urea

7. Urea ((sup 14)c)

8. Urea (14c)

9. 594-05-8

10. Urea 14 C

11. Diamino(114c)methanone

12. Wbz6m63tee

13. Pytest

14. Unii-wbz6m63tee

15. Urea C 14 [usp]

16. Pytest (tn)

17. Urea C14 (usp)

18. Chembl2096635

19. Urea 14 C [who-dd]

20. Urea, [14c]

21. Chebi:134711

22. Dtxsid701026303

23. Urea C 14 [usp Impurity]

24. Urea, C-14 [orange Book]

25. Db09513

26. D10496

27. Q27098010

2.4 Create Date
2006-10-26
3 Chemical and Physical Properties
Molecular Weight 62.048 g/mol
Molecular Formula CH4N2O
XLogP3-1.4
Hydrogen Bond Donor Count2
Hydrogen Bond Acceptor Count1
Rotatable Bond Count0
Exact Mass62.03560474 g/mol
Monoisotopic Mass62.03560474 g/mol
Topological Polar Surface Area69.1 Ų
Heavy Atom Count4
Formal Charge0
Complexity29
Isotope Atom Count1
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 Drug Information
1 of 2  
Drug NamePytest
PubMed Health14C-Urea (By mouth)
Drug ClassesDiagnostic Agent, Helicobactor Pylori, Breath Test
Active IngredientUrea, c-14
Dosage FormCapsule
RouteOral
Strength1uci
Market StatusPrescription
CompanyAvent

2 of 2  
Drug NamePytest
PubMed Health14C-Urea (By mouth)
Drug ClassesDiagnostic Agent, Helicobactor Pylori, Breath Test
Active IngredientUrea, c-14
Dosage FormCapsule
RouteOral
Strength1uci
Market StatusPrescription
CompanyAvent

4.2 Drug Indication

14C-urea is intended for use in the detection of gastric urease as an aid in the diagnosis of Helicobacter pylori (H. pylori) infection in the human stomach. The test utilizes a liquid scintillation counter for the measurement of 14CO2 in breath samples.


FDA Label


5 Pharmacology and Biochemistry
5.1 Biological Half-Life

14C-urea that is not hydrolyzed by H. pylori is excreted in the urine with a half-life of approximately 12 hours. About 10% of the 14C remains in the body at 72 hours and is gradually excreted with a biological half-life of 40 days.


5.2 Mechanism of Action

The urease enzyme is not present in mammalian cells, so the presence of urease in the stomach is evidence that bacteria are present. The presence of urease is not specific for H. pylori, but other bacteria are not usually found in the stomach. To detect H. pylori, urea labeled with 14C is swallowed by the patient. If gastric urease from H. pylori is present, urea is split to form CO2 and NH3 at the interface between the gastric epithelium and lumen and 14CO2 is absorbed into the blood and exhaled in the breath. Following ingestion of the capsule by a patient with H. pylori, 14CO2 excretion in the breath peaks between 10 and 15 minutes and declines thereafter with a biological half-life of about 15 minutes. Therefore, the detection of isotope-labelled carbon dioxide in exhaled breath indicates that urease is present in the stomach, and hence that H. pylori bacteria are present.


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