General
Preferred name
DIFLUNISAL
Synonyms
MK-647 ()
Dolobid ()
Dolobis ()
Flovacil ()
Fluniget ()
Diflusinal ()
Dolobid, Dolobis, Flovacil, Fluniget,MK-647 ()
NSC-756728 ()
Dolobid 500 ()
P&D ID
PD002374
CAS
22494-42-4
Tags
available
drug
obsolete probe
Approved by
FDA
First approval
1982
Drug indication
Pain
Anti-Inflammatory
Analgesic
Drug Status
approved
investigational
Max Phase
4.0
Structure
DIFLUNISAL
obsolete probe approved
RO5
MW
250.04
HBA
2
HBD
2
RB
2
LOGP
3.04
364
26
1
20
Structure formats
SMILES
O=C(O)c1cc(-c2ccc(F)cc2F)ccc1O
InChI
InChI=1S/C13H8F2O3/c14-8-2-3-9(11(15)6-8)7-1-4-12(16)10(5-7)13(17)18/h1-6,16H,(H,17,18)
InChIkey
HUPFGZXOMWLGNK-UHFFFAOYSA-N
MOL
DIFLUNISAL RDKit 2D 18 19 0 0 0 0 0 0 0 0999 V2000 3.7500 -1.2990 0.0000 O 0 0 0 0 0 0 0 0 0 0 0 0 3.0000 0.0000 0.0000 C 0 0 0 0 0 0 0 0 0 0 0 0 3.7500 1.2990 0.0000 O 0 0 0 0 0 0 0 0 0 0 0 0 1.5000 0.0000 0.0000 C 0 0 0 0 0 0 0 0 0 0 0 0 0.7500 -1.2990 0.0000 C 0 0 0 0 0 0 0 0 0 0 0 0 -0.7500 -1.2990 0.0000 C 0 0 0 0 0 0 0 0 0 0 0 0 -1.5000 -2.5981 0.0000 C 0 0 0 0 0 0 0 0 0 0 0 0 -3.0000 -2.5981 0.0000 C 0 0 0 0 0 0 0 0 0 0 0 0 -3.7500 -3.8971 0.0000 C 0 0 0 0 0 0 0 0 0 0 0 0 -3.0000 -5.1962 0.0000 C 0 0 0 0 0 0 0 0 0 0 0 0 -3.7500 -6.4952 0.0000 F 0 0 0 0 0 0 0 0 0 0 0 0 -1.5000 -5.1962 0.0000 C 0 0 0 0 0 0 0 0 0 0 0 0 -0.7500 -3.8971 0.0000 C 0 0 0 0 0 0 0 0 0 0 0 0 0.7500 -3.8971 0.0000 F 0 0 0 0 0 0 0 0 0 0 0 0 -1.5000 0.0000 0.0000 C 0 0 0 0 0 0 0 0 0 0 0 0 -0.7500 1.2990 0.0000 C 0 0 0 0 0 0 0 0 0 0 0 0 0.7500 1.2990 0.0000 C 0 0 0 0 0 0 0 0 0 0 0 0 1.5000 2.5981 0.0000 O 0 0 0 0 0 0 0 0 0 0 0 0 1 2 2 0 2 3 1 0 2 4 1 0 4 5 2 0 5 6 1 0 6 7 1 0 7 8 2 0 8 9 1 0 9 10 2 0 10 11 1 0 10 12 1 0 12 13 2 0 13 14 1 0 6 15 2 0 15 16 1 0 16 17 2 0 17 18 1 0 17 4 1 0 13 7 1 0 M END > <ID> PD002374 > <Name> DIFLUNISAL
Description
(extracted from source data)
TOXICITY Oral LD50 in rat, mouse, and rabbit is 392 mg/kg, 439 mg/kg, and 603 mg/kg, respectively. Symptoms of overdose include drowsiness, nausea, vomiting, diarrhea, hyperventilation, tachycardia, sweating, tinnitus, disorientation, stupor, and coma. As a monotherapy, the smallest dosage capable of causing death was reported as 15 grams.;

Selective COX-2 inhibitors have been associated with increased risk of serious cardiovascular events (e.g. myocardial infarction, stroke) in some patients. Current data is insufficient to assess the cardiovascular risk of diflunisal. Short-term use does not appear to be associated with increased cardiovascular risk (except when used immediately following coronary artery bypass graft (CABG) surgery). Risk of GI toxicity including bleeding, ulceration and perforation. Risk of direct renal injury, including renal papillary necrosis. Severe hepatic reactions, including cholestasis and/or jaundice, have been reported. May cause rash or hypersensitivity syndrome.

DESCRIPTION Diflunisal is a nonsteroidal anti-inflammatory drug (NSAID) (GtoPdb)
Protein targets
20
7.2
RORC Nuclear receptor ROR-gamma
3
1
6.07
SLC22A6 Solute carrier family 22 member 6 CELL-BASED 117.5x
1
1
5.72
ALB Albumin BIOCHEM 1.6x
12
2
5.52
TTR Transthyretin
6
10
5.38
LMNA Prelamin-A/C
8
1
5.3
HIF1A Hypoxia-inducible factor 1-alpha
11
1
5.3
CA2 Carbonic anhydrase 2
3
1
5.27
CA1 Carbonic anhydrase 1
4
1
5.23
ACMSD 2-amino-3-carboxymuconate-6-semialdehyde decarboxylase
1
1
4.97
SLC12A5 Solute carrier family 12 member 5
1
1
4.75
ALDH1A1 Aldehyde dehydrogenase 1A1
3
1
4.7
HSD17B10 3-hydroxyacyl-CoA dehydrogenase type-2
5
1
4.68
FBA Fructose-bisphosphate aldolase
0
1
4.6
HPGD 15-hydroxyprostaglandin dehydrogenase [NAD(+)]
4
1
4.55
KDM4E Lysine-specific demethylase 4E
1
1
4.47
DHFR Dihydrofolate reductase inhibitor
3
2
4.47
KMT2A,MEN1 Menin/Histone-lysine N-methyltransferase MLL
0
1
PTGS1 Prostaglandin G/H synthase 1 inhibitor
2
0
PTGS2 Prostaglandin G/H synthase 2 inhibitor
9
0
PTGS1,PTGS2 Cyclooxygenase inhibitor
0
0
Target pathways
70
Amyloid fiber formation
TTR
Aspirin ADME
ALB
Biosynthesis of D-series resolvins
HPGD
Biosynthesis of DHA-derived SPMs
PTGS2
Biosynthesis of DPAn-3 SPMs
PTGS2
Biosynthesis of E-series 18(S)-resolvins
HPGD
Biosynthesis of electrophilic ω-3 PUFA oxo-derivatives
PTGS2
Biosynthesis of EPA-derived SPMs
PTGS2
Biosynthesis of Lipoxins (LX)
HPGD
Branched-chain amino acid catabolism
HSD17B10
Breakdown of the nuclear lamina
LMNA
Cation-coupled Chloride cotransporters
SLC12A5
Cellular response to hypoxia
HIF1A
Ciprofloxacin ADME
ALB
Circadian Clock
HIF1A
COX reactions
PTGS1
Cytoprotection by HMOX1
ALB
Defective visual phototransduction due to STRA6 loss of function
TTR
Depolymerization of the Nuclear Lamina
LMNA
Deregulated CDK5 triggers multiple neurodegenerative pathways in Alzheimer's disease models
LMNA
Erythrocytes take up carbon dioxide and release oxygen
CA1
CA2
Erythrocytes take up oxygen and release carbon dioxide
CA1
CA2
Ethanol oxidation
ALDH1A1
Fructose catabolism
ALDH1A1
G1/S-Specific Transcription
DHFR
Gene and protein expression by JAK-STAT signaling after Interleukin-12 stimulation
CA1
HDL remodeling
ALB
Heme biosynthesis
ALB
Heme degradation
ALB
Initiation of Nuclear Envelope (NE) Reformation
LMNA
Interleukin-10 signaling
PTGS2
Interleukin-4 and Interleukin-13 signaling
RORC
PTGS2
HIF1A
Meiotic synapsis
LMNA
Metabolism of folate and pterines
DHFR
Mitochondrial protein degradation
HSD17B10
Neddylation
HIF1A
Neutrophil degranulation
TTR
Nicotinamide salvaging
PTGS2
Non-integrin membrane-ECM interactions
TTR
NOTCH1 Intracellular Domain Regulates Transcription
HIF1A
Nuclear Envelope Breakdown
LMNA
Nuclear Receptor transcription pathway
RORC
Organic anion transport
SLC22A6
Oxygen-dependent proline hydroxylation of Hypoxia-inducible Factor Alpha
HIF1A
Platelet degranulation
ALB
Post-translational protein phosphorylation
ALB
Prednisone ADME
ALB
PTK6 Expression
HIF1A
PTK6 promotes HIF1A stabilization
HIF1A
RA biosynthesis pathway
ALDH1A1
Recycling of bile acids and salts
ALB
Regulation of gene expression by Hypoxia-inducible Factor
HIF1A
Regulation of Insulin-like Growth Factor (IGF) transport and uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs)
ALB
Retinoid metabolism and transport
TTR
Reversible hydration of carbon dioxide
CA1
CA2
rRNA processing in the mitochondrion
HSD17B10
RUNX3 Regulates Immune Response and Cell Migration
RORC
Scavenging of heme from plasma
ALB
Signaling by BRAF and RAF1 fusions
LMNA
STAT3 nuclear events downstream of ALK signaling
HIF1A
Synthesis of 15-eicosatetraenoic acid derivatives
PTGS2
Synthesis of Prostaglandins (PG) and Thromboxanes (TX)
PTGS2
PTGS1
HPGD
Tetrahydrobiopterin (BH4) synthesis, recycling, salvage and regulation
DHFR
The canonical retinoid cycle in rods (twilight vision)
TTR
tRNA modification in the mitochondrion
HSD17B10
tRNA processing in the mitochondrion
HSD17B10
Tryptophan catabolism
ACMSD
Ub-specific processing proteases
HIF1A
XBP1(S) activates chaperone genes
LMNA
Zygotic genome activation (ZGA)
KDM4E
References
24
2023 Resveratrol Derivatives Inhibit Transthyretin Fibrillization: Structural Insights into the Interactions between Resveratrol Derivatives and Transthyretin.
Yokoyama T, Kusaka K et al. J Med Chem
2023 A preclinical secondary pharmacology resource illuminates target-adverse drug reaction associations of marketed drugs.
Sutherland JJ, Yonchev D et al. Nat Commun
2021 Inhibitory activities of anthraquinone and xanthone derivatives against transthyretin amyloidogenesis.
Kitakami R, Inui K et al. Bioorg Med Chem
2021 Repositioning of the Anthelmintic Drugs Bithionol and Triclabendazole as Transthyretin Amyloidogenesis Inhibitors.
Yokoyama T, Kashihara M et al. J Med Chem
2021 Diflunisal Derivatives as Modulators of ACMS Decarboxylase Targeting the Tryptophan-Kynurenine Pathway.
Yang Y,Borel T et al. J Med Chem
2021 Systematic Development of Peptide Inhibitors Targeting the CXCL12/HMGB1 Interaction.
Sgrignani J, Cecchinato V et al. J Med Chem
2020 The Structural Basis for Nonsteroidal Anti-Inflammatory Drug Inhibition of Human Dihydrofolate Reductase
Duff MR Jr, Gabel SA et al. Journal of Medicinal Chemistry
2020 Calorimetric Studies of Binary and Ternary Molecular Interactions between Transthyretin, Aβ Peptides, and Small-Molecule Chaperones toward an Alternative Strategy for Alzheimer's Disease Drug Discovery.
Cotrina EY, Gimeno A et al. J Med Chem
2020 Transthyretin Amyloidogenesis Inhibitors: From Discovery to Current Developments.
Yokoyama T,Mizuguchi M J Med Chem
2020 The Structural Basis for Nonsteroidal Anti-Inflammatory Drug Inhibition of Human Dihydrofolate Reductase.
Duff MR; Gabel SA et al.
2019 Crown Ethers as Transthyretin Amyloidogenesis Inhibitors.
Yokoyama T, Mizuguchi M. J Med Chem
2018 Enthalpy-Driven Stabilization of Transthyretin by AG10 Mimics a Naturally Occurring Genetic Variant That Protects from Transthyretin Amyloidosis.
Miller M, Pal A et al. J Med Chem
2018 Synthesis and preliminary anti-inflammatory and anti-bacterial evaluation of some diflunisal aza-analogs.
Carta D, Brun P et al. MedChemComm
2017 Peptide Half-Life Extension: Divalent, Small-Molecule Albumin Interactions Direct the Systemic Properties of Glucagon-Like Peptide 1 (GLP-1) Analogues.
Bech EM, Martos-Maldonado MC et al. J Med Chem
2015 Enthalpic Forces Correlate with the Selectivity of Transthyretin-Stabilizing Ligands in Human Plasma.
Iakovleva I, Brannstrom K et al. J. Med. Chem.
2014 Crystal structures of human transthyretin complexed with glabridin.
Yokoyama T, Kosaka Y et al. J. Med. Chem.
2014 Inhibitory activities of propolis and its promising component, caffeic acid phenethyl ester, against amyloidogenesis of human transthyretin.
Yokoyama T, Kosaka Y et al. J. Med. Chem.
2008 New approach to measure protein binding based on a parallel artificial membrane assay and human serum albumin.
Lázaro E; Lowe PJ et al.
2008 In vitro inhibition of salicylic acid derivatives on human cytosolic carbonic anhydrase isozymes I and II.
Bayram E, Senturk M et al. Bioorg. Med. Chem.
2005 Predicting human serum albumin affinity of interleukin-8 (CXCL8) inhibitors by 3D-QSPR approach.
Aureli L, Cruciani G et al. J. Med. Chem.
2000 Nonsteroidal anti-inflammatory drugs efficiently reduce the transport and cytotoxicity of adefovir mediated by the human renal organic anion transporter 1.
Mulato AS; Ho ES et al.
PUBCHEM_BIOASSAY: qHTS Assay for Inhibitors and Activators of N370S glucocerebrosidase as a Potential Chaperone Treatment of Gaucher Disease: Purified N370S Glucocerebrosidase. (Class of assay: confirmatory) [Related pubchem assays: 2101 ] AID 2597
Cell lines
1
4.28
Macrophage cell line
Organisms
0
Compound Sets
26
Axon Medchem Screening Library
Cayman Chemical Bioactives
ChEMBL Approved Drugs
ChEMBL Drugs
Drug Repurposing Hub
DrugBank
DrugBank Approved Drugs
DrugCentral
DrugCentral Approved Drugs
DrugMAP
DrugMAP Approved Drugs
DrugMatrix
Guide to Pharmacology
IPPI - DB
Ki Database
LSP-MoA library (Laboratory of Systems Pharmacology)
MedChem Express Bioactive Compound Library
NCATS Inxight Approved Drugs
NIH Clinical Collections (NCC)
NPC Screening Collection
Obsolete Compounds
Prestwick Chemical Library
ReFrame library
Selleckchem Bioactive Compound Library
TargetMol Bioactive Compound Library
The Spectrum Collection
Available from
9
Axon Medchem Screening Library
Cayman Chemical Bioactives
MedChem Express Bioactive Compound Library
Prestwick Chemical Library
Selleckchem Bioactive Compound Library
TargetMol Bioactive Compound Library
The Spectrum Collection
External IDs
37
ChEMBL CHEMBL898
GtoPdb 7162
PubChem 3059
BindingDB 50240510
Brenda 5759
CCDC FAFWIS
ChEBI 39669
ChemicalBook CB9674965
ChemSpider 2951
ClinicalTrials.gov DIFLUNISAL DOLOBID
DailyMed DIFLUNISAL
DrugBank DB00861
DrugCentral 880
eMolecules 537237
FDA SRS 7C546U4DEN
KEGG C01691
LINCS LSM-2490
Nikkaji J3.155K
PDB 1FL
PharmGKB PA449313
PubChem DOTF 12013398
PubChem TPS 15221177
Reactome 2951
SureChEMBL SCHEMBL4337
Properties
(calculated by RDKit )
Molecular Weight
250.04
Hydrogen Bond Acceptors
2
Hydrogen Bond Donors
2
Rotatable Bonds
2
Ring Count
2
Aromatic Ring Count
2
cLogP
3.04
TPSA
57.53
Fraction CSP3
0.0
Chiral centers
0.0
Largest ring
6.0
QED
0.86
Structural alerts
1
historic compounds (Chemical Probes.org)
Obsolete
Custom attributes
(extracted from source data)
Pathway
Chromatin/Epigenetic
Immunology/Inflammation
Target
p300
PTGS1, PTGS2
COX inhibitor
COX
Indication
rheumatoid arthritis, osteoarthritis
MOA
prostanoid receptor antagonist
Therapeutic Class
Analgesics
Source data