| Title:  Mesna CAS Registry Number:  19767-45-4 CAS Name:  2-Mercaptoethanesulfonic acid sodium salt Additional Names:  sodium mercaptoethanesulfonate Manufacturers' Codes:  D-7093;  UCB-3983 Trademarks:  Mesnex (Baxter);  Mistabron (UCB);  Mistabronco (UCB);  Mucofluid (UCB);  Uromitexan (Baxter) Molecular Formula:  C2H5NaO3S2 Molecular Weight:  164.18 Percent Composition:  C 14.63%, H 3.07%, Na 14.00%, O 29.24%, S 39.06% Line Formula:  [HSCH2CH2SO3]-Na+ Literature References:  Sulfhydryl donor used to reduce the urotoxic effects of antineoplastic alkylating agents; also has mucolytic activity.  Prepn:  I. M. Lipovich, J. Appl. Chem. USSR 18, 718 (1945); C. H. Schramm et al., J. Am. Chem. Soc. 77, 6231 (1955).  Synthesis and properties:  V. E. Petrun'kin, C.A. 51, 5693a (1957); ibid. 54, 24379c (1960).  Use as mucolytic:  NL 6605816; H. Morren, US 3567835 (1966, 1971 both to U.C.B.); as uroprotective agent:  N. Brock, DE 2756018; idem, US 4220660 (1979, 1980 both to Asta-Werke AG).  Pharmacology, toxicity, and uroprotective effects in animals:  N. Brock et al., Eur. J. Cancer Clin. Oncol. 18, 1377 (1982).  HPLC determn in plasma and urine:  C. A. James, H. J. Rogers, J. Chromatogr. 382, 394 (1986).  Clinical pharmacokinetics:  C. A. James et al., Br. J. Clin. Pharmacol. 23, 561 (1987).  Clinical study of mucolytic effects:  M. Tekeres et al., Clin. Ther. 4, 56 (1981).  Symposium on pharmacology, toxicity and clinical uroprotective efficacy:  Cancer Treat. Rev. 10, Suppl. A, 1-192 (1983).  Reviews:  I. C. Shaw, M. I. Graham, ibid. 14 67-86 (1987); S. E. Schoenike, W. J. Dana, Clin. Pharm. 9, 179-191 (1990). Properties:  Freely sol in water, sparingly sol in organic solvents.  LD50 in male, female mice, male, female rats (mg/kg):  1887, 2048, 2098, 1683 i.v.; 2005, 2098, 1529, 1251 i.p.; 6102, >7200, 4440, 4679 orally (Brock). Toxicity data:  LD50 in male, female mice, male, female rats (mg/kg):  1887, 2048, 2098, 1683 i.v.; 2005, 2098, 1529, 1251 i.p.; 6102, >7200, 4440, 4679 orally (Brock) Therap-Cat:  Mucolytic; antineoplastic adjunct (uroprotective). Keywords:  Antineoplastic Adjunct; Uroprotective; Mucolytic.  |