MIL

MILRINONE

Created:1999-07-08
Last modified:  2011-06-04
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Chemical Details
Formal Charge0
Atom Count25
Chiral Atom Count0
Bond Count26
Aromatic Bond Count13
2D diagram of MIL
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Chemical Component Summary
NameMILRINONE
Systematic Name (OpenEye OEToolkits)6-methyl-2-oxo-5-pyridin-4-yl-1H-pyridine-3-carbonitrile
FormulaC12 H9 N3 O
Molecular Weight211.219
TypeNON-POLYMER
Chemical Descriptors
TypeProgramVersionDescriptor
SMILESACDLabs10.04N#CC1=CC(=C(NC1=O)C)c2ccncc2
SMILESCACTVS3.341CC1=C(C=C(C#N)C(=O)N1)c2ccncc2
SMILESOpenEye OEToolkits1.5.0CC1=C(C=C(C(=O)N1)C#N)c2ccncc2
Canonical SMILESCACTVS3.341 CC1=C(C=C(C#N)C(=O)N1)c2ccncc2
Canonical SMILESOpenEye OEToolkits1.5.0 CC1=C(C=C(C(=O)N1)C#N)c2ccncc2
InChIInChI1.03 InChI=1S/C12H9N3O/c1-8-11(9-2-4-14-5-3-9)6-10(7-13)12(16)15-8/h2-6H,1H3,(H,15,16)
InChIKeyInChI1.03 PZRHRDRVRGEVNW-UHFFFAOYSA-N
Drug Info: DrugBank

DrugBank data are sourced from datasets licensed under a Creative Common's Attribution-NonCommercial 4.0 International License

DrugBank IDDB00235 
NameMilrinone
DescriptionHeart failure is a multifactorial condition that affects roughly 1-2% of the adult population. Often the result of long-term myocardial ischemia, cardiomyopathy, or other cardiac insults, heart failure results from an inability of the heart to perfuse peripheral tissues with sufficient oxygen and metabolites, resulting in complex systemic pathologies. Heart failure is underpinned by numerous physiological changes, including alteration in β-adrenergic signalling and cyclic adenosine monophosphate (cAMP) production, which affects the heart's contractile function and cardiac output.[A228323] Milrinone is a second-generation bipyridine phosphodiesterase (PDE) inhibitor created through chemical modification of [amrinone].[A228333] As a PDE-III inhibitor, milrinone results in increased cAMP levels and improves cardiac function and peripheral vasodilation in acute decongested heart failure.[A228338, A11759, A228323, A228333, A228348, L31483] Milrinone was originally synthesized at the Sterling Winthrop Research Institute in the 1980s.[A228333] It was approved by the FDA on December 31, 1987, and was marketed under the trademark PRIMACOR® by Sanofi-Aventis US before being discontinued.[L31483]
Synonyms
  • Milrinona
  • Milrinone
  • Milrinonum
  • Milrinone lactate
  • 1,6-Dihydro-2-methyl-6-oxo(3,4'-bipyridine)-5-carbonitrile
IndicationMilrinone is indicated for the short-term (48 hours or less) treatment of patients with acute decompensated heart failure. Milrinone administration should occur together with close monitoring using appropriate electrocardiographic equipment and should occur in a facility equipped for the immediate treatment of potential cardiac events, including ventricular arrhythmias.[L31483]
Categories
  • Amines
  • Aminopyridines
  • Cardiac Stimulants Excl. Cardiac Glycosides
  • Cardiac Therapy
  • Cardiotonic Agents
ATC-CodeC01CE02
CAS number78415-72-2

Drug Targets

DrugBank data are sourced from datasets licensed under a Creative Common's Attribution-NonCommercial 4.0 International License
NameTarget SequencePharmacological ActionActions
cGMP-inhibited 3',5'-cyclic phosphodiesterase AMAVPGDAARVRDKPVHSGVSQAPTAGRDCHHRADPASPRDSGCRGCWGDL...unknowninhibitor
Drug Info/Drug Targets: DrugBank 3.0: a comprehensive resource for 'omics' research on drugs. Knox C, Law V, Jewison T, Liu P, Ly S, Frolkis A, Pon A, Banco K, Mak C, Neveu V, Djoumbou Y, Eisner R, Guo AC, Wishart DS. Nucleic Acids Res. 2011 Jan; 39 (Database issue):D1035-41. | PMID:21059682

Related Resource References

Resource NameReference
Pharos CHEMBL189
PubChem 5281020, 4197
ChEMBL CHEMBL189
ChEBI CHEBI:50693
CCDC/CSD FILGEM, FILGEM03, LOCNEX, FILGEM02, WEBBEO, JEJHEP, JEJHIT, HARJET, HARJIX, JEJHAL, JEJHOZ