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Revision as of 20:03, 10 November 2011 editBeetstra (talk | contribs)Edit filter managers, Administrators172,074 edits Script assisted update of identifiers for the Chem/Drugbox validation project (updated: 'DrugBank', 'CAS_number').← Previous edit Latest revision as of 00:22, 1 March 2023 edit undoGraeme Bartlett (talk | contribs)Administrators250,201 edits removed Category:Carboxylic acids; added Category:Dicarboxylic acids using HotCat 
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{{Short description|Chemical compound}}
{{Drugbox {{Drugbox
| Verifiedfields = changed | Verifiedfields = changed
| verifiedrevid = 399705134 | verifiedrevid = 460017787
| IUPAC_name = (3β)-3--11-oxoolean-12-en-30-oic acid<br>OR<br>(2''S'',4a''S'',6a''S'',6b''R'',8a''R'',10''S'',12a''S'',12b''R'',14b''R'')-10-(3-carboxypropanoyloxy)-2,4a,6a,6b,9,9,12a-heptamethyl-13-oxo-1,2,3,4,4a,5,6,6a,6b,7,8,8a,9,10,11,12,12a,12b,13,14b-icosahydropicene-2-carboxylic acid | IUPAC_name = (3β)-3--11-oxoolean-12-en-30-oic acid<br>OR<br>(2''S'',4a''S'',6a''S'',6b''R'',8a''R'',10''S'',12a''S'',12b''R'',14b''R'')-10-(3-carboxypropanoyloxy)-2,4a,6a,6b,9,9,12a-heptamethyl-13-oxo-1,2,3,4,4a,5,6,6a,6b,7,8,8a,9,10,11,12,12a,12b,13,14b-icosahydropicene-2-carboxylic acid
| image = Carbenoxolone.png | image = Carbenoxolone.png
| alt = Skeletal formula of carbenoxolone

| width = 270
| image2 = Carbenoxolone 3D ball.png
| alt2 = Ball-and-stick model of the carbenoxolone molecule
<!--Clinical data--> <!--Clinical data-->
| tradename = | tradename =
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| pregnancy_category = | pregnancy_category =
| legal_status = | legal_status =
| routes_of_administration = | routes_of_administration =


<!--Pharmacokinetic data--> <!--Pharmacokinetic data-->
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| protein_bound = | protein_bound =
| metabolism = | metabolism =
| elimination_half-life = | elimination_half-life =


<!--Identifiers--> <!--Identifiers-->
| CAS_number_Ref = {{cascite|correct|??}} | IUPHAR_ligand = 4151
| CAS_number_Ref = {{cascite|correct|CAS}}
| CAS_number = <!-- blanked - oldvalue: 5697-56-3 --> | CAS_number = 5697-56-3
| ATC_prefix = A02 | ATC_prefix = A02
| ATC_suffix = BX01 | ATC_suffix = BX01
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| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}} | ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| ChemSpiderID = 552190 | ChemSpiderID = 552190
| UNII_Ref = {{fdacite|changed|FDA}} | UNII_Ref = {{fdacite|correct|FDA}}
| UNII = MM6384NG73 | UNII = MM6384NG73
| ChEMBL_Ref = {{ebicite|changed|EBI}} | ChEMBL_Ref = {{ebicite|correct|EBI}}
| ChEMBL = 499915 | ChEMBL = 499915


<!--Chemical data--> <!--Chemical data-->
| C=34 | H=50 | O=7 | C=34 | H=50 | O=7
| molecular_weight = 570.765 g/mol
| smiles = O=C(O)CCC(=O)O4CC3(5C(=O)/C=C2/1C(C(=O)O)(C)CC1(C)CC2(5(CC3C4(C)C)C)C)C | smiles = O=C(O)CCC(=O)O4CC3(5C(=O)/C=C2/1C(C(=O)O)(C)CC1(C)CC2(5(CC3C4(C)C)C)C)C
| InChI = 1/C34H50O7/c1-29(2)23-10-13-34(7)27(32(23,5)12-11-24(29)41-26(38)9-8-25(36)37)22(35)18-20-21-19-31(4,28(39)40)15-14-30(21,3)16-17-33(20,34)6/h18,21,23-24,27H,8-17,19H2,1-7H3,(H,36,37)(H,39,40)/t21-,23-,24-,27+,30+,31-,32-,33+,34+/m0/s1
| InChIKey = OBZHEBDUNPOCJG-WBXJDKIVBR
| StdInChI_Ref = {{stdinchicite|correct|chemspider}} | StdInChI_Ref = {{stdinchicite|correct|chemspider}}
| StdInChI = 1S/C34H50O7/c1-29(2)23-10-13-34(7)27(32(23,5)12-11-24(29)41-26(38)9-8-25(36)37)22(35)18-20-21-19-31(4,28(39)40)15-14-30(21,3)16-17-33(20,34)6/h18,21,23-24,27H,8-17,19H2,1-7H3,(H,36,37)(H,39,40)/t21-,23-,24-,27+,30+,31-,32-,33+,34+/m0/s1 | StdInChI = 1S/C34H50O7/c1-29(2)23-10-13-34(7)27(32(23,5)12-11-24(29)41-26(38)9-8-25(36)37)22(35)18-20-21-19-31(4,28(39)40)15-14-30(21,3)16-17-33(20,34)6/h18,21,23-24,27H,8-17,19H2,1-7H3,(H,36,37)(H,39,40)/t21-,23-,24-,27+,30+,31-,32-,33+,34+/m0/s1
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}} }}


'''Carbenoxolone '''('''CBX''') is a ] derivative with a steroid-like structure, similar to substances found in the root of the ]. Carbenoxolone is used for the treatment of peptic, esophageal and oral ]ation and inflammation. Electrolyte imbalance is a serious side effect of carbenoxolone when used systemically.<ref>{{Cite journal|title = Tales of a Dirty Drug: Carbenoxolone, Gap Junctions, and Seizures | pmc=3316363 | pmid=22473546 | doi=10.5698/1535-7511-12.2.66 | volume=12 | issue=2 | year=2012 | journal=Epilepsy Curr | pages=66–8 | vauthors=Connors BW}}</ref>
'''Carbenoxolone''', a synthetic derivative of ], is a licensed drug (in the ]) for ] ulceration and inflammation. Other uses include treatment of oral and perioral lesions.


Carbenoxolone reversibly inhibits the conversion of inactive ] to ] by blocking ] (11β-HSD). 11β-HSD also reversibly catalyzes the conversion of 7-ketocholesterol to 7-beta-hydroxycholesterol.<ref>{{Cite web|url = https://pubchem.ncbi.nlm.nih.gov/compound/46936354?from=summary#section=DrugBank-Interactions|title = PubChem Compound}}</ref><ref>{{Cite web|url = https://www.sigmaaldrich.com/content/dam/sigma-aldrich/docs/Aldrich/Product_Information_Sheet/c4790pis.pdf|title = Sigma-Aldrich}}</ref>
Carbenoxolone (aka Carbenoxolone, CBX) is also used as a blocker of the enzyme ] (11β-HSD), of pannexon membrane channels (comprising 6 subunits of ]) and the related innexon channels (consisting of invertebrate ]), and at higher concentrations, as a blocker of ] channels ("hemichannels" made up of 6 ] subunits each) and of ] (2 connexons joined together).

Carbenoxolone is a modestly potent, reasonably effective, water-soluble blocker of ].<ref>{{Cite journal|title = Tales of a Dirty Drug: Carbenoxolone, Gap Junctions, and Seizures | pmc=3316363 | pmid=22473546 | doi=10.5698/1535-7511-12.2.66 | volume=12 | issue=2 | year=2012 | journal=Epilepsy Curr | pages=66–8 | vauthors=Connors BW}}</ref>

Carbenoxolone has also been used in topical creams such as Carbosan gel, marketed for treatment of lip sores and mouth ulcers.


==Nootropic effects== ==Nootropic effects==
Carbenoxolone has also been investigated for ] effects.<ref name="pmid15071189">{{cite journal |author=Sandeep TC, Yau JL, MacLullich AM, ''et al.'' |title=11Beta-hydroxysteroid dehydrogenase inhibition improves cognitive function in healthy elderly men and type 2 diabetics |journal=Proc. Natl. Acad. Sci. U.S.A. |volume=101 |issue=17 |pages=6734–9 |year=2004 |pmid=15071189 |doi=10.1073/pnas.0306996101 |url=http://www.pnas.org/cgi/pmidlookup?view=long&pmid=15071189 |pmc=404114}}</ref> Carbenoxolone has also been investigated for ] effects.<ref name="pmid15071189">{{cite journal |vauthors=Sandeep TC, Yau JL, MacLullich AM |title=11Beta-hydroxysteroid dehydrogenase inhibition improves cognitive function in healthy elderly men and type 2 diabetics |journal=Proc. Natl. Acad. Sci. U.S.A. |volume=101 |issue=17 |pages=6734–9 |year=2004 |pmid=15071189 |doi=10.1073/pnas.0306996101 |pmc=404114|display-authors=etal|doi-access=free }}</ref> This research started from an observation that long-term exposure to ]s may have negative effects on cognition. Carbenoxolone may decrease the amount of active glucocorticoid in the brain, because the drug inhibits 11β-HSD, an enzyme which regenerates ], an active glucocorticoid, from inactive ].


This research started from an observation that long-term exposure to ]s may have negative effects on cognition. Carbenoxolone may decrease the amount of active glucocortocoid in the brain, because the drug inhibits ], an enzyme which activates ] from ], a glucocorticoid. In the research trial investigating this use of carbenoloxone, it was shown that the drug improved verbal fluency in elderly healthy men (aged 55–75). In type 2 diabetics aged 52–70, the drug improved verbal memory. However, ] ] was co-administered with carbenoxolone, since carbenoxolone used by itself may cause ] by increasing cortisol in the kidneys. In the research trial investigating this use of carbenoloxone, it was shown that the drug improved verbal fluency in elderly healthy men (aged 55–75). In type 2 diabetics aged 52–70, the drug improved verbal memory. However, ] ] was co-administered with carbenoxolone, since carbenoxolone used by itself may cause ] by increasing cortisol in the kidneys.

==See also==
* ]


==References== ==References==
{{reflist}} {{Reflist}}


{{Drugs for peptic ulcer and GORD}} {{Drugs for peptic ulcer and GORD}}
{{Corticosteroids}}
{{Psychostimulants, agents used for ADHD and nootropics}}


{{Glucocorticoidics}}

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