Title:  Tacrolimus
CAS Registry Number:  104987-11-3
CAS Name:  (3
S,4
R,5
S,8
R,9
E,12
S,14
S,15
R,16
S,18
R,19
R,26a
S)-5,6,8,11,12,13,14,15,16,17,18,19,24,25,26,26a-Hexadecahydro-5,19-dihydroxy-3-[(1
E)-2-[(1
R,3
R,4
R)-4-hydroxy-3-methoxycyclohexyl]-1-methylethenyl]-14,16-dimethoxy-4,10,12,18-tetramethyl-8-(2-propenyl)-15,19-epoxy-3
H-pyrido[2,1-
c][1,4]oxaazacyclotricosine-1,7,20,21(4
H,23
H)-tetrone
Synonyms:  17-allyl-1,14-dihydroxy-12-[2-(4-hydroxy-3-methoxycyclohexyl)-1-methylvinyl]-23,25-dimethoxy-13,19,21,27-tetramethyl-11,28-dioxa-4-azatricyclo[22.3.1.04,9]octacos-18-ene-2,3,10,16-tetraone
Molecular Formula:  C44H69NO12
Molecular Weight:  804.02
Percent Composition:  C 65.73%, H 8.65%, N 1.74%, O 23.88%
Literature References:  Macrolide isolated from 
Streptomyces tsukubaensis no. 9993:  M. Okuhara 
et al., EP 184162 (1986 to Fujisawa); and characterization:  T. Kino 
et al., J. Antibiot. 40, 1249 (1987).  Structure determn:  H. Tanaka 
et al., J. Am. Chem. Soc. 109, 5031 (1987).  Total synthesis of (-)-form:  T. K. Jones 
et al., J. Am. Chem. Soc. 111, 1157 (1989).  
In vitro immunosuppressant activity in comparison with cyclosporin, 
q.v.:  T. Kino 
et al., J. Antibiot. 40, 1256 (1987).  Toxicology:  K. Ohara 
et al., Transplant. Proc. 22, 83 (1990).  Symposium on pharmacology and clinical trials:  
ibid. 23, 2709-3376 (1991).  Review of mechanism of action:  G. Wiederrecht 
et al., Ann. N.Y. Acad. Sci. 696, 9-19 (1993); of clinical trials in comparison with cyclosporin in renal transplantation:  G. A. Knoll, R. C. Bell, 
Br. Med. J. 318, 1104-1107 (1999).  Review of use in dermatoses:  A. K. Gupta 
et al., J. Eur. Acad. Dermatol. Venereol. 16, 100-114 (2002).
 
Derivative Type:  Monohydrate 
CAS Registry Number:  109581-93-3
Manufacturers' Codes:  FK-506;  FR-900506
Trademarks:  Prograf (Fujisawa);  Protopic (Fujisawa)
Molecular Formula:  C44H69NO12.H2O
Molecular Weight:  822.03
Percent Composition:  C 64.29%, H 8.71%, N 1.70%, O 25.30%
Properties:  Colorless prisms from acetonitrile, mp 127-129°.  [a]D23 -84.4° (c = 1.02 in chloroform).  Sol in methanol, ethanol, acetone, ethyl acetate, chloroform, diethyl ether; sparingly sol in hexane, petroleum ether.  Insol in water.  LD50 i.p. in mice:  >200 mg/kg (Kino).  LD50 in male, female rats (mg/kg):  57.0, 23.6 i.v.; 134, 194 orally (Ohara).
Melting point:  mp 127-129°
Optical Rotation:  [a]D23 -84.4° (c = 1.02 in chloroform)
Toxicity data:  LD50 i.p. in mice:  >200 mg/kg (Kino); LD50 in male, female rats (mg/kg):  57.0, 23.6 i.v.; 134, 194 orally (Ohara)
 
Therap-Cat:  Immunosuppressant.
Keywords:  Immunosuppressant.