<?xml version="1.0" encoding="UTF-8"?>
<compound>
  <id type="integer">2759</id>
  <title>T3D2717</title>
  <common-name>Enflurane</common-name>
  <description>Enflurane is only found in individuals that have used or taken this drug. It is an extremely stable inhalation anesthetic that allows rapid adjustments of anesthesia depth with little change in pulse or respiratory rate. [PubChem]Enflurane induces a reduction in junctional conductance by decreasing gap junction channel opening times and increasing gap junction channel closing times. Enflurane also activates calcium dependent ATPase in the sarcoplasmic reticulum by increasing the fluidity of the lipid membrane. It also appears to bind the D subunit of ATP synthase and NADH dehydogenase. Enflurane also binds to and angonizes the GABA receptor, the large conductance Ca&lt;sup&gt;2+&lt;/sup&gt; activated potassium channel, the glycine receptor, and antagonizes the glutamate receptor receptor. These yield a decreased depolarization and therefore, tissue excitability which results in anesthesia.</description>
  <cas>13838-16-9</cas>
  <pubchem-id>3226</pubchem-id>
  <chemical-formula>C3H2ClF5O</chemical-formula>
  <weight>183.971430</weight>
  <appearance nil="true"/>
  <melting-point></melting-point>
  <boiling-point>56.5</boiling-point>
  <density nil="true"/>
  <solubility>5620 mg/L (at 37°C)</solubility>
  <specific-gravity nil="true"/>
  <flash-point nil="true"/>
  <vapour-pressure nil="true"/>
  <route-of-exposure>Rapidly absorbed into the circulation via the lungs.</route-of-exposure>
  <target nil="true"/>
  <mechanism-of-toxicity>Enflurane induces a reduction in junctional conductance by decreasing gap junction channel opening times and increasing gap junction channel closing times. Enflurane also activates calcium dependent ATPase in the sarcoplasmic reticulum by increasing the fluidity of the lipid membrane. It also appears to bind the D subunit of ATP synthase and NADH dehydogenase. Enflurane also binds to and angonizes the GABA receptor, the large conductance Ca&lt;sup&gt;2+&lt;/sup&gt; activated potassium channel, the glycine receptor, and antagonizes the glutamate receptor receptor. These yield a decreased depolarization and therefore, tissue excitability which results in anesthesia.</mechanism-of-toxicity>
  <metabolism>2.4% of the dose is slowly metabolized hepatically via oxidation and dehalogenation (primarily through the actions of cytochrome P450 2E1). Leads to low levels of serum fluoride (15 &amp;micro;mol/L).</metabolism>
  <toxicity>LD50: 5.4 ml/kg (oral, rat).</toxicity>
  <lethaldose></lethaldose>
  <carcinogenicity>No indication of carcinogenicity to humans (not listed by IARC).</carcinogenicity>
  <use-source>Used for the induction and maintenance of general anaesthesia during surgery and cesarean section and also used for analgesia during vaginal delivery.</use-source>
  <min-risk-level nil="true"/>
  <health-effects></health-effects>
  <symptoms>Symptoms of acute overdose include nausea, vomiting, irritation to the eyes, skin and nose/throat, headache, dizziness, and drowsiness. Symptoms of chronic overdose include hypotension, cardiac arrhythmias, respiratory depression, and liver/kidney dysfunction.</symptoms>
  <treatment nil="true"/>
  <created-at type="dateTime">2009-07-21T20:26:19Z</created-at>
  <updated-at type="dateTime">2014-12-24T20:25:50Z</updated-at>
  <interacting-proteins nil="true"/>
  <wikipedia>Enflurane</wikipedia>
  <uniprot-id></uniprot-id>
  <kegg-compound-id>C07516</kegg-compound-id>
  <omim-id></omim-id>
  <chebi-id>4792</chebi-id>
  <biocyc-id></biocyc-id>
  <ctd-id nil="true"/>
  <stitch-id>Enflurane</stitch-id>
  <drugbank-id>DB00228</drugbank-id>
  <pdb-id></pdb-id>
  <actor-id nil="true"/>
  <organism nil="true"/>
  <export type="boolean">true</export>
  <metabolizing-proteins nil="true"/>
  <transporting-proteins nil="true"/>
  <moldb-smiles>FC(F)OC(F)(F)C(F)Cl</moldb-smiles>
  <moldb-formula>C3H2ClF5O</moldb-formula>
  <moldb-inchi>InChI=1/C3H2ClF5O/c4-1(5)3(8,9)10-2(6)7/h1-2H</moldb-inchi>
  <moldb-inchikey>InChIKey=JPGQOUSTVILISH-UHFFFAOYNA-N</moldb-inchikey>
  <moldb-average-mass type="decimal">184.492</moldb-average-mass>
  <moldb-mono-mass type="decimal">183.971433418</moldb-mono-mass>
  <origin>Exogenous</origin>
  <state>Liquid</state>
  <logp>2.1</logp>
  <hmdb-id>HMDB14373</hmdb-id>
  <chembl-id>CHEMBL1257</chembl-id>
  <chemspider-id>3113</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;Terrell, R.C.; U.S. Patents 3,469,011; September 23,1969 and 3,527,813; September 8,&lt;br /&gt;
1970; both assigned to Air Reduction Company, Incorporated.&lt;/p&gt;</synthesis-reference>
  <structure-image-caption nil="true"/>
</compound>
