<?xml version="1.0" encoding="UTF-8"?>
<compound>
  <id type="integer">4819</id>
  <title>T3D4764</title>
  <common-name>Erythromycin</common-name>
  <description>Erythromycin is a macrolide antibiotic produced by Streptomyces erythreus. It inhibits bacterial protein synthesis by binding to bacterial 50S ribosomal subunits; binding inhibits peptidyl transferase activity and interferes with translocation of amino acids during translation and assembly of proteins.  Erythromycin may be bacteriostatic or bactericidal depending on the organism and drug concentration. </description>
  <cas>114-07-8</cas>
  <pubchem-id>12560</pubchem-id>
  <chemical-formula>C37H67NO13</chemical-formula>
  <weight nil="true"/>
  <appearance>White powder.</appearance>
  <melting-point>191°C</melting-point>
  <boiling-point nil="true"/>
  <density nil="true"/>
  <solubility>2000mg/L at 28°C</solubility>
  <specific-gravity nil="true"/>
  <flash-point nil="true"/>
  <vapour-pressure nil="true"/>
  <route-of-exposure>Orally administered erythromycin base and its salts are readily absorbed in the microbiologically active form. Topical application of the ophthalmic ointment to the eye may result in absorption into the cornea and aqueous humor.</route-of-exposure>
  <target nil="true"/>
  <mechanism-of-toxicity>Erythromycin acts by penetrating the bacterial cell membrane and reversibly binding to the 50 S subunit of bacterial ribosomes or near the &amp;ldquo;P&amp;rdquo; or donor site so that binding of tRNA (transfer RNA) to the donor site is blocked. Translocation of peptides from the &amp;ldquo;A&amp;rdquo; or acceptor site to the &amp;ldquo;P&amp;rdquo; or donor site is prevented, and subsequent protein synthesis is inhibited. Erythromycin is effective only against actively dividing organisms. The exact mechanism by which erythmromycin reduces lesions of acne vulgaris is not fully known: however, the effect appears to be due in part to the antibacterial activity of the drug.</mechanism-of-toxicity>
  <metabolism>Hepatic. Extensively metabolized - after oral administration, less than 5% of the administered dose can be recovered in the active form in the urine. Erythromycin is partially metabolized by CYP3A4 resulting in numerous drug interactions.Half Life: 0.8 - 3 hours</metabolism>
  <toxicity nil="true"/>
  <lethaldose nil="true"/>
  <carcinogenicity>No indication of carcinogenicity to humans (not listed by IARC).</carcinogenicity>
  <use-source>For use in the treatment of infections caused by susceptible strains of microorganisms in the following diseases: respiratory tract infections (upper and lower) of mild to moderate degree, pertussis (whooping cough), as adjunct to antitoxin in infections due to &lt;i&gt;Corynebacterium diphtheriae&lt;/i&gt;, in the treatment of infections due to &lt;i&gt;Corynebacterium minutissimum&lt;/i&gt;, intestinal amebiasis caused by &lt;i&gt;Entamoeba histolytica&lt;/i&gt;, acute pelvic inflammatory disease caused by &lt;i&gt;Neisseria gonorrhoeae&lt;/i&gt;, skin and soft tissue infections of mild to moderate severity caused by &lt;i&gt;Streptococcus pyogenes&lt;/i&gt; and &lt;i&gt;Staphylococcus aureus&lt;/i&gt;, primary syphilis caused by &lt;i&gt;Treponema pallidum&lt;/i&gt;, infections caused by &lt;i&gt;Chlamydia trachomatis&lt;/i&gt;, nongonococcal urethritis caused by &lt;i&gt;Ureaplasma urealyticum&lt;/i&gt;, and Legionnaires' disease caused by &lt;i&gt;Legionella pneumophila&lt;/i&gt;.</use-source>
  <min-risk-level nil="true"/>
  <health-effects nil="true"/>
  <symptoms>Symptoms of overdose include diarrhea, nausea, stomach cramps, and vomiting.</symptoms>
  <treatment nil="true"/>
  <created-at type="dateTime">2014-09-11T05:15:34Z</created-at>
  <updated-at type="dateTime">2014-12-24T20:26:56Z</updated-at>
  <interacting-proteins nil="true"/>
  <wikipedia>Erythromycin</wikipedia>
  <uniprot-id nil="true"/>
  <kegg-compound-id>C01912</kegg-compound-id>
  <omim-id nil="true"/>
  <chebi-id>48923</chebi-id>
  <biocyc-id nil="true"/>
  <ctd-id nil="true"/>
  <stitch-id nil="true"/>
  <drugbank-id>DB00199</drugbank-id>
  <pdb-id>ERY</pdb-id>
  <actor-id nil="true"/>
  <organism nil="true"/>
  <export type="boolean">true</export>
  <metabolizing-proteins nil="true"/>
  <transporting-proteins nil="true"/>
  <moldb-smiles>[H][C@@]1(C)C[C@]([H])(N(C)C)[C@@]([H])(O)[C@]([H])(O[C@]2([H])[C@@]([H])(C)[C@]([H])(O[C@@]3([H])C[C@@](C)(OC)[C@@]([H])(O)[C@]([H])(C)O3)[C@@]([H])(C)C(=O)O[C@]([H])(CC)[C@@](C)(O)[C@]([H])(O)[C@@]([H])(C)C(=O)[C@]([H])(C)C[C@@]2(C)O)O1</moldb-smiles>
  <moldb-formula>C37H67NO13</moldb-formula>
  <moldb-inchi>InChI=1S/C37H67NO13/c1-14-25-37(10,45)30(41)20(4)27(39)18(2)16-35(8,44)32(51-34-28(40)24(38(11)12)15-19(3)47-34)21(5)29(22(6)33(43)49-25)50-26-17-36(9,46-13)31(42)23(7)48-26/h18-26,28-32,34,40-42,44-45H,14-17H2,1-13H3/t18-,19-,20+,21+,22-,23+,24+,25-,26+,28-,29+,30-,31+,32-,34+,35-,36-,37-/m1/s1</moldb-inchi>
  <moldb-inchikey>InChIKey=ULGZDMOVFRHVEP-RWJQBGPGSA-N</moldb-inchikey>
  <moldb-average-mass type="decimal">733.9268</moldb-average-mass>
  <moldb-mono-mass type="decimal">733.461241235</moldb-mono-mass>
  <origin>Exogenous</origin>
  <state>Solid</state>
  <logp>3.06</logp>
  <hmdb-id>HMDB14344</hmdb-id>
  <chembl-id>CHEMBL532</chembl-id>
  <chemspider-id>12041</chemspider-id>
  <structure-image-file-name nil="true"/>
  <structure-image-content-type nil="true"/>
  <structure-image-file-size type="integer" nil="true"/>
  <structure-image-updated-at type="dateTime" nil="true"/>
  <biodb-id nil="true"/>
  <synthesis-reference>&lt;p&gt;Takehiro Amano, Masami Goi, Kazuto Sekiuchi, Tomomichi Yoshida, Masahiro Hasegawa, &amp;#8220;Process for preparing erythromycin A oxime or a salt thereof.&amp;#8221; U.S. Patent US5274085, issued October, 1966.&lt;/p&gt;</synthesis-reference>
  <structure-image-caption nil="true"/>
</compound>
