97-77-8 Usage
Uses
Used in Chemical Industry:
Disulfiram is used as a rubber accelerator and vulcanizer, improving the manufacturing process of rubber.
Used in Agriculture:
Disulfiram is used as a seed disinfectant and fungicide, protecting plants from diseases and promoting healthy growth.
Used in Medicine:
1. Alcohol Deterrent:
Disulfiram is used as an alcohol deterrent, causing adverse effects when ethanol is ingested, which helps in the treatment and management of chronic alcoholism.
2. Dopamine Beta-Hydroxylase Inhibitor:
Disulfiram inhibits the copper-dependent enzyme dopamine β-hydroxylase, preventing the breakdown of dopamine and has been considered as a treatment for cocaine dependence.
3. Anticancer Agent:
Disulfiram targets the ubiquitin-proteasome pathway and has been investigated as an anti-cancer agent. It has been shown to inhibit purified 20S proteasome and 26S proteasome from MDA-MB-0231 breast cancer cells.
4. Cancer Stem Cell Inhibitor:
At 250 nM, disulfiram has been shown to induce reactive oxygen species, activate JNK and p38 pathways, and inhibit NF-κB activity, which suppresses self-renewal in cancer stem cells.
General Introduction
Alcohol dependence is a chronic disorder that may have multiple relapses and remissions, increased mortality and low long-term abstinence rates that lead to increased psychosocial losses. Many drugs have been used in the treatment of this disorder such as the anti-craving agents, acamprosate, naltrexone and the aversive agent, disulfiram[1, 2]. Disulfiram (trade name: Antabuse) has been in use since the early 1940s for the treatment of alcohol dependence and is the first FDA-approved medication for the treatment of this disorder[3,4,5]. Disulfiram has thus completed almost 60 years of use in alcohol use disorders and has stood the test of time[6]. A large number of studies have been done on this molecule, ever since some proving its superiority over other drugs while others negating it.
Indications
Disulfiram is used as a second line treatment of alcohol dependence, behind acamprosate and naltrexone[8]. It is an aid for the management of selected chronic alcohol patients who want to remain in a state of enforced sobriety so that supportive and psychotherapeutic treatment may be applied to best advantage. However, it should be noted that disulfiram is not a cure for alcoholism. When used alone, without proper motivation and supportive therapy, it is unlikely that it will have any substantive effect on the drinking pattern of the chronic alcoholic dependence[5]. Disulfiram should not be taken if alcohol has been consumed in the last 12 hours[9].
Recently, more and more studies have shown that disulfiram has the potential for the treatment of cancer[12, 13] and HIV infections[10, 11]. Disulfiram (DSF) can reactivate latent HIV-1 expression in a primary cell model of virus latency and has the potential to deplete the latent HIV-1 reservoir in patients on combination antiretroviral therapy. DSF can reactivate latent HIV-1 expression via the Akt signaling pathway through depletion of PTEN[10]. Recent studies have disclosed a surprising, but mechanistically consistent, anticancer activity of disulfiram. Disulfiram has been successfully used to suppress hepatic metastases originating from ocular melanoma[12]. The anticancer mechanism of disulfiram is through inhibiting the 26S proteasome (The orderly degradation of cellular proteins is critical for normal cell cycling and function, and inhibition of the proteasome pathway results in cell-cycle arrest and apoptosis)[12-14]. Moreover, disulfiram was also found to have specific activity against zinc fingers and RING-finger ubiquitin E3 ligases that play an important role in cancer development[12, 13].
Mode of action
Ethanol undergoes metabolism in the liver initially by alcohol dehydrogenase (ADH) forming acetaldehyde; this is removed from the body primarily by oxidation into acetate by acetaldehyde dehydrogenase (ALDH)[15], which finally enters the citric acid cycle. Disulfiram acts by inhibiting the enzyme ALDH via its metabolite S-methyl N, N-diethyl-dithio-carbamate-sulphoxide[16], leading to accumulation of acetaldehyde in blood. This gives rise to various manifestations of disulfiram-alcohol reaction (DER)[17]. Since the inhibition of ALDH by disulfiram is irreversible, the DER will get terminated only after production of new ALDH oncedisulfiram is stopped. The new ALDH takes about a week’s time to be produced. Hence patients should be advised to take alcohol only after 2 weeks of stopping disulfiram[18]. In addition to this, disulfiram also acts on the dopaminergic system, both disulfiram and its metabolite carbon disulfide leading to inhibition of dopamine beta-hydroxylase (DBH) that leads to increase in the levels of dopamine. This may give rise to several neuropsychiatric manifestations such as delirium, paranoia, impairment of memory, ataxia, dysarthria and frontal lobe release signs[19]. Besides this action, disulfiram is also known to inhibit dopamine beta-hydroxylase leading to an increase in dopamine concentrations but decreased norepinephrine in the brain[20]. This may suggest an anti-craving role of disulfiram in alcohol dependence[21].
Adverse reactions
In severe cases, hepatitis such as both cholestatic and fulminant hepatitis, as well as hepatic failure resulting in transplantation or death, could occur upon treatment of disulfiram[5]. In a small number of patients, side effects include a transient mild drowsiness, fatigability, impotence, headache, acneform eruptions, allergic dermatitis, or a metallic or garlic-like aftertaste during the first two weeks of therapy. These reactions often disappear spontaneously with the continuation of therapy, or with reduced dosage. High dosage, combined toxicity (with metronidazole or isoniazid), or to the unmasking of underlying psychoses can cause psychotic reactions[5].
Warning and precaution
The following tips should be pay attention during administration of disulfiram[9].
Disulfiram is not allowed if the patients have consumed alcohol within the past 12 hours. Do not drink alcohol while taking disulfiram and for up to 14 days after stop taking disulfiram.
It is not known whether disulfiram will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medicine. It is not known whether disulfiram passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using this medicine. People less than 18 years old should also disabled.
Disulfiram should not be used in the following cases:
Allergic people; those who have recently taken metronidazole (Flagyl) or paraldehyde; or have consumed any foods or products that contain alcohol;
People of the following cases should consult the doctors:
Liver or kidney disease; heart disease, high blood pressure, history of heart attack or stroke;
Underactive thyroid; diabetes; seizures or epilepsy; head injury or brain damage; a history of mental illness or psychosis; an allergy to rubber; or taking phenytoin (Dilantin), tuberculosis medicine, or a blood thinner (warfarin, Coumadin, Jantoven).
Mechanism of action
Disulfiram is an oral drug used for treating alcoholism. Alcohol is converted in the body into acetaldehyde by an enzyme called alcohol dehydrogenase. Another enzyme called acetaldehyde dehydrogenase then converts acetaldehyde into acetic acid. Disulfiram prevents acetaldehyde dehydrogenase from converting acetaldehyde into acetic acid, leading to a buildup of acetaldehyde levels in the blood.
Pharmacodynamics
Disulfiram irreversibly inhibits aldehyde dehydrogenase, which prevents the oxidation of alcohol after the acetaldehyde stage. It interacts with ingested alcohol to produce acetaldehyde levels five to ten times higher than are produced by normal alcohol metabolism. Excess acetaldehyde produces a highly unpleasant reaction (nausea and vomiting) to even a small quantity of alcohol. Tolerance to disulfiram doesn’t occur; rather, sensitivity to alcohol increases with longer duration of therapy.
Interactions
Some individuals should never take disulfiram, and others should use extra caution when taking the drug. Do not take disulfiram if you have a nickel allergy, a sulfur allergy or a hypersensitivity to disulfiram or other derivatives of thiuram, which are commonly found in rubber.
References
Bouza, C., Angeles, M., Mu?oz, A., & Amate, J. M. (2015). Efficacy and safety of naltrexone and acamprosate in the treatment of alcohol dependence: a systematic review. Addiction, 99(7), 811-828.
Laaksonen, E., Koskij?nnes, A., Salaspuro, M., Ahtinen, H., & Alho, H. (2008). A randomized, multicentre, open-label, comparative trial of disulfiram, naltrexone and acamprosate in the treatment of alcohol dependence. Alcohol & Alcoholism, 43(1), 53.
Petrakis, I.L., Nich, C. and Ralevski, E. (2006) Psychotic spectrum disorders and alcohol abuse: A review of pharmacotherapeutic strategies and a report on the effective-ness of naltrexone and disulfiram. Schizophrenia Bulletin, 32, 644-654.
De Sousa, A. (2010) The pharmacotherapy of alcohol dependence: A state of the art review. Mens Sana Monographs, 8, 69-82.
https://www.rxlist.com/antabuse-drug.htm
Krampe, H., & Ehrenreich, H. (2010). Supervised disulfiram as adjunct to psychotherapy in alcoholism treatment. Current Pharmaceutical Design, 16(19), (60 years)
Johansson, B. (1992) A review of the pharmacokinetics and pharmacodynamics of disulfiram and its metabolites. Acta Psychiatrica Scandanavica, 362, 15-26.
https://www.ncbi.nlm.nih.gov/books/NBK459340/
https://www.drugs.com/pro/disulfiram.html
Doyon, G., Zerbato, J., Mellors, J. W., & Sluiscremer, N. (2013). Disulfiram reactivates latent hiv-1 expression through depletion of the phosphatase and tensin homolog. Aids, 27(2), F7-F11.
Rasmussen, TA; Lewin, SR (July 2016). "Shocking HIV out of hiding: where are we with clinical trials of latency reversing agents?". Current Opinion in HIV and AIDS.
Cvek, B., & Dvorak, Z. (2008). The value of proteasome inhibition in cancer: can the old drug, disulfiram, have a bright new future as a novel proteasome inhibitor?. Drug Discovery Today, 13(15), 716-722.
Kona, F. R., Buac, D., & A, M. B. (2011). Disulfiram, and disulfiram derivatives as novel potential anticancer drugs targeting the ubiquitin-proteasome system in both preclinical and clinical studies. Current Cancer Drug Targets, 11(3).
Rajkumar, S. V., Richardson, P. G., Hideshima, T., & Anderson, K. C. (2005). Proteasome inhibition as a novel therapeutic target in human cancer. Journal of Clinical Oncology, 23(3), 630-639.
Deitrich, R.A., Petersen, D. and Vasiliou, V. (2007) Removal of acetaldehyde from the body. Novartis Foundation Symposia, 285, 23-40.
Pike, M.G., Mays, D.C., Macomber, D.W. and Lipsky, J.J. (2001) Metabolism of a disulfiram metabolite S-methyl N,N-diethyldithiocarbamate by flavinmonooxygenase in human renal microsomes. Drug Metabolism & Disposition, 29, 127-132.
Larsen, V. (1948) The effects on experimental animals of antabuse (tetraethylthiuram disulfide) in combination with alcohol. Acta Pharmacologica Toxicology, 4, 321-332.?
Krampe, H. and Ehrenreich, H. (2010) Supervised disulfiram as adjunct to psychotherapy in alcoholism treatment. Current Pharmaceutical Design, 16, 2076-2090.?
Fuller, R.K. and Gordis, E. (2004) Does disulfiram have a role in alcoholism treatment today? Addiction, 99, 21-24.?
Vaccari, A., Saba, P.L., Ruiu, S., Collu, M. and Devoto, P. (1996) Disulfiram and diethyldithiocarbamate intoxica-tion affects the storage and release of striatal dopamine. Toxicology & Applied Pharmacology, 139, 102-108.?
Muller, C.A. and Banas, R. (2011) Disulfiram: An anti-craving substance? American Journal of Psychiatry, 168, 98.
Originator
Esperal,Millot Solac,France,1950
Manufacturing Process
Disulfiram may be made by the reaction of diethyl amine with carbon disulfide
in the presence of sodium hydroxide. The (C2H5)2NCSSNa intermediate is
oxidatively coupled using hydrogen peroxide to give disulfiram.
Therapeutic Function
Alcohol deterrent
Air & Water Reactions
Insoluble in water.
Reactivity Profile
Disulfiram is sensitive to light. Disulfiram is incompatible with strong acids, strong oxidizers and nitrosating agents (e.g. N-Nitrosodiphenylamine). .
Hazard
Toxic symptoms when ingested with alcohol;
animal teratogen. Vasodilation and nausea.
Questionable carcinogen.
Health Hazard
Disulfiram affects the central
nervous system, thyroid, and skin; in combination
with alcohol it causes an “Antabusealcohol”
syndrome.
Small doses of disulfiram reportedly can
cause effects on thyroid iodine uptake and
thyroid gland hypertrophy. It may also
produce dermatitis and acneform rashes.
Fire Hazard
Flash point data for Disulfiram are not available; however, Disulfiram is probably combustible.
Flammability and Explosibility
Notclassified
Biological Activity
Inhibitor of aldehyde dehydrogenase that displays antialcoholism activity. Shown to reversibly stimulated Ca 2+ -ATPase activity and inhibit V-ATPase (EC 50 = 26 μ M). Also inhibits expression of MMP-2 and MMP-9 and displays anti-invasive activity.
Contact allergens
TETD is a rubber accelerator of the thiuram group, contained in “thiuram mix.” It can cross-react with other thiurams, especially TMTD. TETD is used to aid those trying to break their dependence on alcohol. The disulfiram-alcohol reaction is not allergic but due to the accumulation of toxic levels of acetaldehyde. The implanted drug can, however, lead to local or generalized dermatitis, for example ingested disulfiram, mainly in previously rubber-sensitized patients. As an adjunctive treatment of alcoholism, it caused occupational contact dermatitis in a nurse.
Clinical Use
Adjunct in the treatment of chronic alcohol dependence
Safety Profile
A human poison by
ingestion. An experimental poison by
intraperitoneal route. Toxic symptoms when
accompanied by ingestion of alcohol.
Human systemic effects by ingestion:
jaundtce, joint changes. An experimental
teratogen. Other experimental reproductive
effects. Questionable carcinogen with
experimental neoplastigenic data. See also
THIRAM.
Drug interactions
Potentially hazardous interactions with other drugsAlcohol: risk of severe disulfiram reaction.Anticoagulants: enhanced anticoagulant effect with
coumarins.Antiepileptics: inhibition of metabolism of
fosphenytoin and phenytoin (increased risk of
toxicity).Paraldehyde: increased risk of toxicity with
paraldehyde.
Carcinogenicity
In a lifetime carcinogenicity bioassay,
disulfiram was not carcinogenic in either rats
or mice when fed in the diet. The highest
doses were 600 ppm in rats and 2000ppm in
mice.
Increased fetal resorptions, but no teratogenic
effects, were seen in rats exposed at
100mg/kg/day from day 3 of gestation. A weak
genotoxic response was observed in mice
treated in vivo as evidenced by an increase in
sister chromatid exchanges in bone marrow
and spermatogonial cells.9
The 2003 ACGIH threshold limit valuetime-
weighted average (TLV-TWA) is
2mg/m3.
Metabolism
Disulfiram is rapidly reduced to diethyldithiocarbamate,
mainly by the glutathione reductase system in
erythrocytes; reduction may also occur in the liver.Diethyldithiocarbamate is metabolised in the liver to its
glucuronide and methyl ester and to diethylamine, carbon
disulfide, and sulfate ions. Metabolites are excreted mainly
in the urine; carbon disulfide is exhaled in the breath.
Toxicity evaluation
Disulfiram has multiple mechanisms of toxicity. Its most welldefined
action is inhibition of aldehyde dehydrogenase, which
thereby diminishes the breakdown of acetaldehyde. Accumulation
of carbon disulfide, a disulfiram metabolite, as well as
inhibition of dopamine-b-hydroxylase has also been associated
with its toxicity in particular related to use for cocaine
dependence.
Check Digit Verification of cas no
The CAS Registry Mumber 97-77-8 includes 5 digits separated into 3 groups by hyphens. The first part of the number,starting from the left, has 2 digits, 9 and 7 respectively; the second part has 2 digits, 7 and 7 respectively.
Calculate Digit Verification of CAS Registry Number 97-77:
(4*9)+(3*7)+(2*7)+(1*7)=78
78 % 10 = 8
So 97-77-8 is a valid CAS Registry Number.
InChI:InChI=1/C10H20N2O3S/c1-5-11(6-2)9(13)14-10(16)15-12(7-3)8-4/h5-8H2,1-4H3
97-77-8Relevant articles and documents
Self-Healing Molecular Crystals
Commins, Patrick,Hara, Hideyuki,Naumov, Pan?e
, p. 13028 - 13032 (2016)
One of the most inevitable limitations of any material that is exposed to mechanical impact is that they are inexorably prone to mechanical damage, such as cracking, denting, gouging, or wearing. To confront this challenge, the field of polymers has developed materials that are capable of autonomous self-healing and recover their macroscopic integrity similar to biological organisms. However, the study of this phenomenon has mostly remained within the soft materials community and has not been explored by solid-state organic chemists. The first evidence of self-healing in a molecular crystal is now presented using crystals of dipyrazolethiuram disulfide. The crystals were mildly compressed and the degree of healing was found to be 6.7 %. These findings show that the self-healing properties can be extended beyond mesophasic materials and applied towards the realm of ordered solid-state compounds.
Synthesis and Properties of Tetra-4-{[(1,1'-biphenyl)-4-yl]oxy}phthalocyanines and Their Sulfonic Acid Derivatives
Tikhomirova,Peledina,Maizlish,Vashurin,Shaposhnikov
, p. 742 - 750 (2018)
The template condensation of 4-{[(1,1'-biphenyl)-4-yl]oxy}phthalonitrile with cobalt, copper, and magnesium acetate resulted in the synthesis of metal phthalocyanines. Sulfochlorination of the latter followed by hydrolysis gave the corresponding sulfonic acid derivatives. The spectral characteristics and chemical properties of the synthesized compounds were studied.
A new water-soluble sulfonated cobalt(II) phthalocyanines: Synthesis, spectral, coordination and catalytic properties
Vashurin, Artur,Filippova, Anna,Znoyko, Serafima,Voronina, Alena,Lefedova, Olga,Kuzmin, Ilya,Maizlish, Vladimir,Koifman, Oscar
, p. 983 - 996 (2015)
Novel complexes of cobalt(II) with sulfonated derivatives of phthalocyanines are synthesized. The influence of the sulfonated group's number in peripheral substituent on solubility of macrocycle and ability to form ordered structures in solution is showed. Transition from H-aggregates to monomeric phthalocyanine structures and sandwich-type dimers was found during formation of metallophthalocyanine complexes with 1,4-diazabicyclo[2.2.2]octane. The catalytic activity of metallophthalocyanines was studied on the model of Merox process
Catalytic properties of cobalt complexes with tetrapyrazino porphyrazine and phthalocyanine derivatives
Vashurin,Kuzmin,Litova,Petrov,Pukhovskaya,Golubchikov
, p. 2064 - 2067 (2014)
The catalytic activity of cobalt complexes with octaphenyltetrapyrazinoporphyrazine and phthalocyanine derivatives containing branched peripheral substituents is studied in heterogeneous catalysis of the oxidation of sodium diethyldithiocarbamate (SDC) with atmospheric oxygen. Cobalt phthalocyanines are shown to display higher catalytic activity than cobalt complexes with octaphenyltetrapyrazinoporphyrazine. The highest efficiency of heterogeneous catalysts is attained at temperatures of 298-303 K.
ESR spectra and electronic structure of the MoO3+ complex with the dithiocarbamate ligand
Rakitin,Ivanov
, p. 2073 - 2076 (1999)
ESR spectra of liquid and frozen benzene solutions of isotope-enriched 95,97,98MoVO(dtc)3 complexes ([xMo] > 95%, dtc is the N,N-diethyl dithiocarbamate ligand) and their solid solutions in a matrix of tetraethylthiuram disulfide were studied in the X-range. Comparison of the experimental and calculated parameters of the ESR spectra shows that the axial symmetry of the magnetic tensors does not contradict the low symmetry of the complex, in which the "ylic" oxygen and five of six S atoms in three dithiocarbamate ligands form the coordination sphere of the metal.
Non-covalent associates of metal phthalocyanines: the role of axial ligand and catalytic activity
Vashurin
, p. 2220 - 2228 (2016)
The problem about the role of the coordinated exobidentate ligand in the formation of dimeric structures of sulfonated cobalt phthalocyanine derivatives is considered. The size of the peripheral substituent of the macrocycle and remoteness of the ionogenic group from the macrocycle play the key role in the formation of dimers of a specified type. As the extension of the peripheral substituent of the macrocycle increases, the stability of dimeric associates of the Н-type decreases and that of the associates formed due to the donor—acceptor interaction (J- and Т-aggregates) increases. The latter can be stabilized by hydrogen bonds at the periphery of the macromolecule. A series of catalytic activity of the macrocycles under study is inverted compared to the series of stability of the H-dimers.
Electrochemically Controlled Cationic Polymerization of Vinyl Ethers
Peterson, Brian M.,Lin, Song,Fors, Brett P.
, p. 2076 - 2079 (2018)
Control of polymer initiation, propagation and termination is important in the development of complex polymer structures and advanced materials. Typically, this has been achieved chemically, electrochemically, photochemically or mechanochemically. Electrochemical control has been demonstrated in radical polymerizations; however, regulation of a cationic polymerization has yet to be achieved. Through the reversible oxidation of a polymer chain end with an electrochemical mediator, temporal control over polymer chain growth in cationic polymerizations was realized. By subjecting a stable organic nitroxyl radical mediator and chain transfer agent to an oxidizing current, control over polymer molecular weight and dispersity is demonstrated and excellent chain end fidelity allows for the synthesis of block copolymers.
Catalytic properties of polymer matrix-immobilized cobalt complexes with sulfonated phthalocyanines
Vashurin,Badaukaite,Futerman,Pukhovskaya,Shaposhnikov,Golubchikov
, p. 197 - 200 (2013)
Enhancement of the catalytic activity of phthalocyanine catalysts by their immobilizing on polymer matrices has been studied. It has been found that the immobilization of sulfonated cobalt phthalocyanines on polymers enhances their catalytic activity in the oxidation of sodium diethyldithiocarbamate with air oxygen under mild conditions.
Interaction of Diethyldithiocarbamate with n-Type Cadmium Sulfide and Cadmium Selenide: Efficient Photoelectrochemical Oxidation to the Disulfide and Flat-Band Potential of the Semiconductor as a Function of Adsorbate Concentration
Thackeray, James W.,Natan, Michael J.,Ng, Pohleng,Wrighton, Mark S.
, p. 3570 - 3577 (1986)
The behavior of sodium diethyldithiocarbamate, Na, at n-type semiconducting CdX (X = S, Se) in CH3CN/0.2 M NaClO4 has been studied.The Et2NCS2- interacts strongly with the CdX surface and shifts the flat-band potential, EFB, up to 1.0 V more negative with increasing Et2NCS2- concentration.The concentration dependence of the shift in EFB has been studied in the range 0-0.2 M, with 0.01 M Et2NCS2- being sufficient to shift EFB the maximum amount.The shift in EFB is due to excess negative charge on the CdX surface due to the presence of adsorbed dithio carbamate.The shift in EFB is assumed to be proportional to Et2NCS2- coverage.A plot of EFB with change in bulk concentration of Et2NCS2- can be modeled by using Langmuir adsorption isotherms.Adsorption data for two bis(dithiocarbamates), Na+2->2 and Na+2->2, show that maximum shifts of EFB are obtained at lower solution concentrations than for Et2NCS2-.The data show that the equilibrium constant for dithiocarbamate binding is somewhat greater (by a factor of 2) for CdS than CdSe.The value of EFB in the presence of 0.2 M Et2NCS2- measured by interfacial capacitance accords well with the electrode potential corresponding to onset of photoelectrochemical oxidation upon illumination with light of energy greater than the band gap, Eg, of the semiconductor.High current efficiency (at least 98percent) can be maintained to large extent conversion (70percent) in the photoelectrochemical oxidation of Et2NCS2- to 2 at either illuminated CdS or CdSe.Oxidation of Et2NCS2- can be effected at an electrode potential significantly more negative than of Et2NCS2-/2, showing that visible light can be used to drive the oxidation in an uphill sence.Compared to a Pt anode, the CdX (X = S, Se) photoanodes allow a voltage savings of the order of 1.0 V.The photoanodes are durable and show constant output of at least 10 mA/cm2 for greater than 48 h.
One Pot Synthesis of Dinuclear Tungsten(V) Compounds Containing 2+ (X = O, S; Y = O, S) Cores by Thermally Induced Internal Electron-Transfer Processes
Ansari, Mohammad A.,Chandrasekaran, Jayanthi,Sarkar, Sabyasachi
, p. 2265 - 2267 (1988)
New synthetic methods for the preparation of dimeric tungsten(V) complexes are described containing the core 2+ (X = O, S; Y = O, S).The synthesized complexes have been characterized by a variety of spectroscopic techniques. has been found to react with cyanide to give