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Technical details about Isoflurophate, learn more about the structure, uses, toxicity, action, side effects and more

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2D Structure
1. Also known as: Isoflurophate, Fluostigmine, Diisopropyl phosphorofluoridate, 55-91-4, Diisopropylfluorophosphate, Isofluorphate
Molecular Formula
C6H14FO3P
Molecular Weight
184.15  g/mol
InChI Key
MUCZHBLJLSDCSD-UHFFFAOYSA-N
FDA UNII
12UHW9R67N

A di-isopropyl-fluorophosphate which is an irreversible cholinesterase inhibitor used to investigate the NERVOUS SYSTEM.
1 2D Structure

2D Structure

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
2-[fluoro(propan-2-yloxy)phosphoryl]oxypropane
2.1.2 InChI
InChI=1S/C6H14FO3P/c1-5(2)9-11(7,8)10-6(3)4/h5-6H,1-4H3
2.1.3 InChI Key
MUCZHBLJLSDCSD-UHFFFAOYSA-N
2.1.4 Canonical SMILES
CC(C)OP(=O)(OC(C)C)F
2.2 Other Identifiers
2.2.1 UNII
12UHW9R67N
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Bis(1-methylethyl) Phosphorofluoridate

2. Dfp

3. Di Isopropylphosphorofluoridate

4. Di-isopropylphosphorofluoridate

5. Diisopropylfluorophosphate

6. Diisopropylphosphofluoridate

7. Dyflos

8. Floropryl

9. Fluorostigmine

10. Fluostigmine

11. Isoflurophate

2.3.2 Depositor-Supplied Synonyms

1. Isoflurophate

2. Fluostigmine

3. Diisopropyl Phosphorofluoridate

4. 55-91-4

5. Diisopropylfluorophosphate

6. Isofluorphate

7. Dyflos

8. Floropryl

9. Neoglaucit

10. Diflupyl

11. Isoflurophosphate

12. Diflurophate

13. Isopropyl Fluophosphate

14. Isofluorophate

15. Fluorodiisopropyl Phosphate

16. Diisopropoxyphosphoryl Fluoride

17. Diisopropyl Fluorophosphonate

18. Diisopropyl Phosphofluoridate

19. Isopropyl Phosphorofluoridate

20. Diisopropylphosphorofluoridate

21. Diisopropylfluorfosfat

22. Diisopropylfluorophosphoric Acid Ester

23. O,o-diisopropyl Fluorophosphate

24. Pf-3

25. O,o'-diisopropyl Phosphoryl Fluoride

26. Phosphorofluoridic Acid, Bis(1-methylethyl) Ester

27. Rcra Waste Number P043

28. Tl 466

29. Fluophosphoric Acid, Diisopropyl Ester

30. Ea 1152

31. Diisopropylfluorphosphorsaeureester

32. Phosphorofluoridic Acid, Diisopropyl Ester

33. T-1703

34. Bis(propan-2-yl) Fluorophosphate

35. Chembl1025

36. 12uhw9r67n

37. Fluorostigmine

38. Chebi:17941

39. Nsc-727370

40. Ncgc00168783-01

41. Fluoropryl

42. Fluropryl

43. Isoflurophate [usp]

44. Diisopropylphosphofluoridate

45. Difp

46. Diisopropylfluorfosfat [czech]

47. Dfp (pesticide)

48. Diisopropyl Fluoridophosphate

49. Disiopropyl Fluorophosphonate

50. Floropryl (tn)

51. Fluorophosphoric Acid, Diisopropyl Ester

52. Hsdb 2133

53. Diisopropylfluorphosphorsaeureester [german]

54. Einecs 200-247-6

55. Rcra Waste No. P043

56. Brn 1723307

57. Unii-12uhw9r67n

58. 2-[fluoro(propan-2-yloxy)phosphoryl]oxypropane

59. Dipropan-2-yl Phosphorofluoridoate

60. Mfcd00008873

61. Phosphorofluoridic Acid Diisopropyl Ester

62. Dyflos [mart.]

63. Isoflurophate [mi]

64. Di-isopropyl Fluorophosphate

65. Dsstox_cid_20667

66. Dsstox_rid_79530

67. Isoflurophate [hsdb]

68. Dsstox_gsid_40667

69. Schembl63841

70. Isoflurophate [vandf]

71. Diisopropyl Fluoridophosphate #

72. Isoflurophate [who-dd]

73. Dtxsid1040667

74. Bis(propan-2-yl) Fluorophosphonate

75. Isoflurophate [orange Book]

76. Zinc8214587

77. Isoflurophate [usp Impurity]

78. Tox21_112643

79. Bdbm50022772

80. Geo-01118

81. Hsci1_000366

82. Pdsp1_000466

83. Pdsp2_000464

84. Akos005258363

85. O,o''-diisopropyl Phosphoryl Fluoride

86. Db00677

87. Nsc 727370

88. Cas-55-91-4

89. Db-052820

90. Diisopropylfluorophosphate, >=97.0% (gc)

91. C00202

92. D00043

93. Q384993

2.4 Create Date
2004-09-16
3 Chemical and Physical Properties
Molecular Weight 184.15 g/mol
Molecular Formula C6H14FO3P
XLogP31.2
Hydrogen Bond Donor Count0
Hydrogen Bond Acceptor Count4
Rotatable Bond Count4
Exact Mass184.06645946 g/mol
Monoisotopic Mass184.06645946 g/mol
Topological Polar Surface Area35.5 Ų
Heavy Atom Count11
Formal Charge0
Complexity144
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

Cholinesterase Inhibitors; Miotics; Parasympathomimetics; Protease Inhibitors

National Library of Medicine's Medical Subject Headings online file (MeSH, 1999)


OCCASIONALLY BY PHYSICIANS (OPHTHALMOLOGISTS) FOR TREATMENT OF GLAUCOMA.

Gosselin, R.E., R.P. Smith, H.C. Hodge. Clinical Toxicology of Commercial Products. 5th ed. Baltimore: Williams and Wilkins, 1984., p. II-299


IT IS USED TOPICALLY IN TREATMENT OF PRIMARY OPEN-ANGLE GLAUCOMA, BUT ONLY WHEN SHORT-ACTING MIOTICS HAVE FAILED. ... ALSO USED IN TREATMENT OF APHAKIC GLAUCOMA & ACCOMMODATIVE ESOTROPIA. WITHIN A DAY INTRAOCULAR TENSION DROPS, & ... MAY REMAIN DEPRESSED FOR A ... WK. MIOSIS LASTS 2 TO 4 WK.

Osol, A. (ed.). Remington's Pharmaceutical Sciences. 16th ed. Easton, Pennsylvania: Mack Publishing Co., 1980., p. 840


IRREVERSIBLE ANTICHOLINESTERASE ... ISOFLUROPHATE ... /IS/ ONLY OF HISTORICAL INTEREST IN TREATMENT OF MYASTHENIA GRAVIS ... UNSATISFACTORY BECAUSE OF ... TOXICITY.

American Medical Association, AMA Department of Drugs, AMA Drug Evaluations. 3rd ed. Littleton, Massachusetts: PSG Publishing Co., Inc., 1977., p. 1018


For more Therapeutic Uses (Complete) data for DIISOPROPYL FLUOROPHOSPHATE (10 total), please visit the HSDB record page.


4.2 Drug Warning

... Should be used cautiously in patients with bronchial asthma, bradycardia, or hypotension. An increase in blood pressure may occur occasionally due to a nicotinic effect on sympathetic ganglia.

American Medical Association, AMA Department of Drugs. AMA Drug Evaluations. 5th ed. Chicago: American Medical Association, 1983., p. 449


Because of their cataractogenic properties & other toxicity, /diisopropyl fluorophosphate/ should be reserved for patients refractory to short-acting miotics, epinephrine, beta-blocking drugs, & possibly, carbonic anhydrase inhibitors. /Long-acting miotics, including floropryl/

American Medical Association, AMA Department of Drugs. AMA Drug Evaluations. 5th ed. Chicago: American Medical Association, 1983., p. 447


4.3 Drug Indication

For use in the eye to treat certain types of glaucoma and other eye conditions, such as accommodative esotropia.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Isoflurophate is used as ocular drops in the treatment of chronic glaucoma. Isoflurophate is an organophosphorus compound that acts as an irreversible cholinesterase inhibitor. As such, it displays parasympathomimetic effects. Isoflurophate is used in the eye to treat certain types of glaucoma and other eye conditions, such as accommodative esotropia. They may also be used in the diagnosis of certain eye conditions, such as accommodative esotropia. Isoflurophate damages the acetylcholinesterase enzyme and is therefore irreversible, however, pralidoxime can displace organophosphates such as isoflurophate from acetylcholinesterase, but only if administered before isoflurophate damages (alkylates) the enzyme.


5.2 MeSH Pharmacological Classification

Cholinesterase Inhibitors

Drugs that inhibit cholinesterases. The neurotransmitter ACETYLCHOLINE is rapidly hydrolyzed, and thereby inactivated, by cholinesterases. When cholinesterases are inhibited, the action of endogenously released acetylcholine at cholinergic synapses is potentiated. Cholinesterase inhibitors are widely used clinically for their potentiation of cholinergic inputs to the gastrointestinal tract and urinary bladder, the eye, and skeletal muscles; they are also used for their effects on the heart and the central nervous system. (See all compounds classified as Cholinesterase Inhibitors.)


Protease Inhibitors

Compounds which inhibit or antagonize biosynthesis or actions of proteases (ENDOPEPTIDASES). (See all compounds classified as Protease Inhibitors.)


5.3 ATC Code

S - Sensory organs

S01 - Ophthalmologicals

S01E - Antiglaucoma preparations and miotics

S01EB - Parasympathomimetics

S01EB07 - Fluostigmine


5.4 Absorption, Distribution and Excretion

WHEN SMALL AMOUNTS (0.1 MG/KG) OF DFP WERE ADMIN TO GUINEA PIGS, DFP WAS PREFERENTIALLY BOUND BY SERUM & BY THE LUNGS. ADMIN OF LARGE AMOUNTS (3-6 MG/KG) PRODUCED UNIFORM BODY DISTRIBUTION & ACCUMULATION IN KIDNEYS & LIVER. DFP WAS CONVERTED IN PART TO DIISOPROPYL PHOSPHATE (DP). BOTH DFP & DP WERE EXCRETED MAINLY IN THE URINE. SOME APPEARED IN BILE.

Menzie, C.M. Metabolism of Pesticides. U.S. Department of the Interior, Bureau of Sport Fisheries and Wildlife, Publication 127. Washington, DC: U.S. Government Printing Office, 1969., p. 142


TRANSPLACENTAL PASSAGE OF MORE POLAR INSECTICIDES, DFP ... HAS BEEN INFERRED FROM FETAL CHOLINESTERASE INHIBITION.

The Chemical Society. Foreign Compound Metabolism in Mammals Volume 3. London: The Chemical Society, 1975., p. 633


... Its high lipid solubility, low molecular weight, and volatility facilitate inhalation and transdermal absorption. DFP also readily penetrates the central nervous system.

Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996., p. 167


The effects of skin metabolism on percutaneous penetration of drugs with high lipophilicity were studied in vitro using rat skin pretreated with and without an esterase inhibitor, isoflurophate (diisopropylphosphofluoridate; DFP). Without diisopropylphosphofluoridate, about 96% of the total penetrated amount appeared as metabolized p-hydroxybenzoic acid in the receptor fluid after application of butylparaben, whereas about 30% penetrated as intact form after application of propylparaben. On the other hand, metabolized p-hydroxybenzoic acid was not detected in the receptor fluid under pretreatment with DFP. DFP significantly decreased the total amount that penetrated after application of butylparaben, but it did not significantly affect that of propylparaben. It was concluded that skin metabolism directly affected the total amount that penetrated in the case of highly lipophilic drugs, and that the higher the metabolic rate to hydrophilic drugs, the greater the amount that penetrated the skin.

PMID:9188062 Bando H et al; J Pharm Sci 86 (Jun): 759-761 (1997)


5.5 Metabolism/Metabolites

HEN EGG-WHITE LYSOZYME WAS ALLOWED TO REACT WITH AN EXCESS OF DFP @ 25 C & AT PH VALUES RANGING FROM 9.5 TO 11.0. ANALYSIS INDICATED THAT ALKYLPHOSPHORYLATION OF TYROSYL HYDROXYL GROUPS HAD OCCURRED & ... SOME OTHER AMINO ACID RESIDUES HAD ALSO BEEN PHOSPHORYLATED. SIMILAR RESULTS ... OBTAINED WITH STEM BROMELAIN, TAKA-AMYLASE A, & PAPAIN.

Menzie, C. M. Metabolism of Pesticides, An Update. U.S. Department of the Interior, Fish, Wild-life Service, Special Scientific Report - Wildlife No. 184, Washington, DC: U.S. Government Printing Office, l974., p. 152


... DIISOPROPYL FLUOROPHOSPHONATE, UNDERGOES DEFLUORINATION IN BOTH MAMMALS & BACTERIA.

Parke, D. V. The Biochemistry of Foreign Compounds. Oxford: Pergamon Press, 1968., p. 126


DFP is rapidly metabolized to diisopropylphosphate & is excreted, mainly in the urine. Less than 1% is eliminated by bile & lung within the first 2 hr.

Hayes, Wayland J., Jr. Pesticides Studied in Man. Baltimore/London: Williams and Wilkins, 1982., p. 332


WHEN SMALL AMOUNTS (0.1 MG/KG) OF DFP WERE ADMIN TO GUINEA PIGS, DFP WAS ... CONVERTED IN PART TO DIISOPROPYL PHOSPHATE (DP) ... DFP WAS DEGRADED BY PSEUDOMONAS MELOPHTHORA BUT NO METABOLITES WERE IDENTIFIED. BLUEGILL (LEPOMIS MACROCHIRUS RAFINESQUE) & CHANNEL CATFISH (ICTALURUS PUNCTALUS WALBAUM) CONVERTED DFP TO DIISOPROPYL PHOSPHATE.

Menzie, C.M. Metabolism of Pesticides. U.S. Department of the Interior, Bureau of Sport Fisheries and Wildlife, Publication 127. Washington, DC: U.S. Government Printing Office, 1969., p. 142


An enzyme in Escherichia coli hydrolyzes isofluorophate. A superficially similar but distinctly different enzyme is found in squid nerve. The results of this study suggest that while several tissues of the squid contain only this second kind of DFP hydrolyzing enzyme, termed squid type DFPase, many other sources incl E coli contain a mixt of squid type DFPase (the name not strictly indicative of source) and the other DFP hydrolyzing enzyme, now termed Mazur type DFPase.

Hoskin FC et al; Two Enzymes for the Detoxication of Organophosphorus Compounds--Sources, Similarities, and Significance: Fundam Appl Toxicol 4 (2, Pt 2): S165-72 (1984)


5.6 Biological Half-Life

Following iv injection of tritium-labeled DFP, the concn in arterial serum declined in two exponential phases with t1/2 of about 7 & 200 minutes, respectively, reflecting, first, fast accumulation of the compound & its metabolites in the tissue &, second, elimination.

Hayes, Wayland J., Jr. Pesticides Studied in Man. Baltimore/London: Williams and Wilkins, 1982., p. 332


5.7 Mechanism of Action

The mechanism of isoflurophate's action involves the irreversible inhibition of cholinesterase.


Passive avoidance retention and cortical (3)H-quinuclidinyl benzilate (QNB) binding were exam in rats that were chronically treated with isofluorophate. Retention of a passive avoidance response was significantly lower when compared to vehicle-treated controls. Passive avoidance retention decr from 93% in control animals to 68% in DFP-treated rats. QNB binding studies revealed the density of muscarinic receptors in cortical homogenates was significantly reduced from 0.95 +/- 0.04 pmol/mg protein in controls to 0.72 +/- 0.04 pmol/mg protein in DFP-treated rats. Based on data that DFP causes a redn in cholinergic receptors, this study supports the hypothesis that central cholinergic receptors are assoc with mechanisms involved in memory storage.

Gardner R et al; A Possible Mechanism for Diisopropylfluorophosphate-Induced Memory Loss in Rats. Pharmacol Biochem Behav 21 (1): 43-6 (1984)


The organophosphorus inhibitors, such as DFP, serve as true hemisubstrates, since the resultant conjugate with the active center serine phosphorylated or phosphonylated is extremely stable. ... If the alkyl groups in the phosphorylated enzyme are ethyl or methyl, a significant degree of spontaneous regeneration of active enzyme requires several hours. Secondary (as in DFP) or tertiary alkyl groups enhance the stability of the phosphorylated enzyme, & significant regeneration of active enzyme is not observed. Hence, the return of acetylcholinesterase activity depends on synthesis of new enzyme.

Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996., p. 163


The characteristic pharmacological effects of the anticholinesterase agents are due primarily to the prevention of hydrolysis of acetylcholine by acetylcholinesterase at sites of cholinergic transmission. The transmitter thus accumulates, & the action of acetylcholine that is liberated by cholinergic impulses that leak from the nerve ending is enhanced. With most of the organophosphorus agents, such as DFP, virtually all the acute effects of moderate doses are attributable to this action. For example, the characteristic miosis that follows local application of DFP to the eye is not observed after chronic postganglionic denervation of the eye because there is no effective source of endogenous acetylcholine.

Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996., p. 165


Rats were treated with DFP using 1 or 2 mg/kg acutely, or with 1 mg/kg daily for 4, 14 or 28 days. Tremors, chewing movements and hind-limb abduction induced by DFP incr in a steeply dose-dependent manner. Tremor occurred in a complex spectrum of slow to intense fast types. Except for chewing, tolerance developed for these parameters, but at different rates. After acute treatment striatal dopamine (DA) and dihydroxyphenylacetic acid (DOPAC) levels were altered and the DOPAC/DA ratios were consistently incr within about the first 2 hr, suggesting an incr turnover of DA. It is suggested that the changes in DA metab arose secondarily to an elevation of brain acetylcholine following cholinesterase inhibition. A prolonged change in the levels or turnover of DA could be responsible for incr of postsynaptic DA receptor density previously found, which might then partly mediate the behavioral tolerance to DFP.

Fernando JC et al; Effect on Striatal Dopamine Metabolism and Differential Motor Behavioral Tolerance Following Chronic Cholinesterase Inhibition with diisopropylfluorophosphate; Pharmacol Biochem Behav 20 (6): 951-7 (1984)


For more Mechanism of Action (Complete) data for DIISOPROPYL FLUOROPHOSPHATE (10 total), please visit the HSDB record page.


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