bumetanide   Click here for help

GtoPdb Ligand ID: 4837

Synonyms: Bumex® | Burinex® | PF 1593 | Ro 10-6338
Approved drug PDB Ligand
bumetanide is an approved drug (FDA (1983))
Compound class: Synthetic organic
Comment: Bumetanide is a loop diuretic drug. It inhibits NKCC1 (SLC12A2) tranporters in the brain and kidney-specific NKCC2 (SLC12A1) transporters in the thick ascending limb of Henle's loop. The latter action modulates water and electrolyte homeostasis and is reponsible for the drug's diuretic effects.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 6
Hydrogen bond donors 3
Rotatable bonds 8
Topological polar surface area 127.1
Molecular weight 364.11
XLogP 2.57
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES CCCCNc1cc(cc(c1Oc1ccccc1)S(=O)(=O)N)C(=O)O
Isomeric SMILES CCCCNc1cc(cc(c1Oc1ccccc1)S(=O)(=O)N)C(=O)O
InChI InChI=1S/C17H20N2O5S/c1-2-3-9-19-14-10-12(17(20)21)11-15(25(18,22)23)16(14)24-13-7-5-4-6-8-13/h4-8,10-11,19H,2-3,9H2,1H3,(H,20,21)(H2,18,22,23)
InChI Key MAEIEVLCKWDQJH-UHFFFAOYSA-N
No information available.
Summary of Clinical Use Click here for help
A loop diuretic use to treat edema associated with heart failure, hepatic and renal disease.

Diuretics and autism spectrum disorder (ASD)
Treatment of autistic children and adolescents with bumetanide (Phase 3 trial NCT01078714) improves core ASD symptoms [2-3]. The mechanism is proposed (at least in part) to reflect the effect that bumetanide exerts on intracellular neuronal chloride levels and the consequences of this on GABAergic networks. In preclinical models bumetanide decreases interacellular chloride levels and promotes GABAergic mediated hyperpolarisation (inhibition).
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Bumetanide appears to cause altered electrolyte transfer in the proximal tubule of the kidney. This results in renal excretion of sodium, chloride, and water and, hence, diuresis.