Acenocoumarol (CED0004979)

Record Information
Version1.0
Creation Date2009-07-23 18:26:19 UTC
Update Date2026-05-14 17:00:16 UTC
Accession NumberCHEM002440
Identification
Common NameAcenocoumarol
ClassSmall Molecule
Description
Acenocoumarol is an exogenous solid with the formula C19H15NO6 and an average molecular weight of 353.33 g/mol. Acenocoumarol belongs to the hydroxycoumarins, a subclass of coumarins and derivatives within the organic compounds. It is used as an anticoagulant and acts as an inhibitor of EC 1.6.5.2 [NAD(P)H dehydrogenase (quinone)]. This compound is found in amplifiers and in antithrombotic agents within healthcare, pharmaceuticals, and veterinary products, with oral exposure recorded. The protein targets of acenocoumarol include albumin (ALB), alpha-1-acid glycoprotein 1 (ORM1), and vitamin K epoxide reductase complex subunit 1 (VKORC1). Acenocoumarol inhibits vitamin K reductase, which leads to the depletion of the reduced form of vitamin K (vitamin KH2). Because vitamin K serves as a cofactor for the carboxylation of glutamate residues on the N-terminal regions of vitamin K-dependent proteins, this inhibition limits gamma-carboxylation and the subsequent activation of vitamin K-dependent coagulant proteins. Consequently, the synthesis of anticoagulant proteins C and S, as well as vitamin K-dependent coagulation factors II, VII, IX, and X, is inhibited.
Contaminant Type
  • Anticoagulant
  • Aromatic Hydrocarbon
  • Drug
  • Ester
  • Human Neurotoxin
  • Metabolite
  • Organic Compound
  • Synthetic Compound
Chemical Structure
Synonyms
ValueSource
3-(alpha-(4'-Nitrophenyl)-beta-acetylethyl)-4-hydroxycoumarinChEBI
3-(alpha-(p-Nitrophenol)-beta-acetylethyl)-4-hydroxycoumarinChEBI
3-(alpha-Acetonyl-4-nitrobenzyl)-4-hydroxycoumarinChEBI
3-(alpha-Acetonyl-p-nitrobenzyl)-4-hydroxycoumarinChEBI
3-(alpha-p-Nitrophenyl-beta-acetylethyl)-4-hydroxycoumarinChEBI
4-Hydroxy-3-(1-(4-nitrophenyl)-3-oxobutyl)-2H-1-benzopyran-2-oneChEBI
4-Hydroxy-3-[1-(4-nitrophenyl)-3-oxobutyl]-2H-chromen-2-oneChEBI
AcenocoumarinChEBI
AcenocoumarolumChEBI
AcenocumarolChEBI
AcenocumaroloChEBI
AcenokumarinChEBI
NicoumaloneChEBI
NicumalonChEBI
Nitrophenylacetylethyl-4-hydroxycoumarineChEBI
NitrovarfarianChEBI
NitrowarfarinChEBI
Mini-sintromKegg
3-(a-(4'-Nitrophenyl)-b-acetylethyl)-4-hydroxycoumarinGenerator
3-(Α-(4'-nitrophenyl)-β-acetylethyl)-4-hydroxycoumarinGenerator
3-(a-(p-Nitrophenol)-b-acetylethyl)-4-hydroxycoumarinGenerator
3-(Α-(p-nitrophenol)-β-acetylethyl)-4-hydroxycoumarinGenerator
3-(a-Acetonyl-4-nitrobenzyl)-4-hydroxycoumarinGenerator
3-(Α-acetonyl-4-nitrobenzyl)-4-hydroxycoumarinGenerator
3-(a-Acetonyl-p-nitrobenzyl)-4-hydroxycoumarinGenerator
3-(Α-acetonyl-p-nitrobenzyl)-4-hydroxycoumarinGenerator
3-(a-p-Nitrophenyl-b-acetylethyl)-4-hydroxycoumarinGenerator
3-(Α-p-nitrophenyl-β-acetylethyl)-4-hydroxycoumarinGenerator
Ciba-geigy brand OF acenocoumarolHMDB
Mini sintromHMDB
Novartis brand OF acenocoumarolHMDB
SinkumarHMDB
SyncoumarHMDB
SynthromHMDB
Acenocoumarol alliance brandHMDB
Acenocoumarol novartis brandHMDB
Alliance brand OF acenocoumarolHMDB
Ciba geigy brand OF acenocoumarolHMDB
MiniSintromHMDB
SyncumarHMDB
Acenocoumarol ciba-geigy brandHMDB
SinthromeHMDB
SintromHMDB
Chemical FormulaC19H15NO6
Average Molecular Mass353.326 g/mol
Monoisotopic Mass353.090 g/mol
CAS Registry Number152-72-7
IUPAC Name4-hydroxy-3-[1-(4-nitrophenyl)-3-oxobutyl]-2H-chromen-2-one
Traditional Nameacenocumarolo
SMILESCC(=O)CC(C1=CC=C(C=C1)[N+]([O-])=O)C1=C(O)C2=CC=CC=C2OC1=O
InChI IdentifierInChI=1S/C19H15NO6/c1-11(21)10-15(12-6-8-13(9-7-12)20(24)25)17-18(22)14-4-2-3-5-16(14)26-19(17)23/h2-9,15,22H,10H2,1H3
InChI KeyVABCILAOYCMVPS-UHFFFAOYSA-N
Chemical Taxonomy
Description Belongs to the class of organic compounds known as 4-hydroxycoumarins. These are coumarins that contain one or more hydroxyl groups attached to C4-position the coumarin skeleton.
KingdomOrganic compounds
Super ClassPhenylpropanoids and polyketides
ClassCoumarins and derivatives
Sub ClassHydroxycoumarins
Direct Parent4-hydroxycoumarins
Alternative Parents
Substituents
  • 4-hydroxycoumarin
  • Benzopyran
  • 1-benzopyran
  • Nitrobenzene
  • Nitroaromatic compound
  • Pyranone
  • Monocyclic benzene moiety
  • Pyran
  • Benzenoid
  • Heteroaromatic compound
  • Vinylogous acid
  • Ketone
  • Lactone
  • C-nitro compound
  • Organic nitro compound
  • Oxacycle
  • Organic oxoazanium
  • Organoheterocyclic compound
  • Allyl-type 1,3-dipolar organic compound
  • Propargyl-type 1,3-dipolar organic compound
  • Organic 1,3-dipolar compound
  • Organopnictogen compound
  • Hydrocarbon derivative
  • Organooxygen compound
  • Organonitrogen compound
  • Organic oxide
  • Organic oxygen compound
  • Organic nitrogen compound
  • Carbonyl group
  • Aromatic heteropolycyclic compound
Molecular FrameworkAromatic heteropolycyclic compounds
External Descriptors
Biological Properties
StatusDetected and Not Quantified
OriginExogenous
Cellular Locations
  • Extracellular
  • Membrane
Biofluid LocationsNot Available
Tissue LocationsNot Available
Applications
Biological Roles
Chemical Roles
Organoleptic EffectsNot Available
Physical Properties
StateSolid
AppearanceWhite powder.
Experimental Properties
PropertyValue
Melting Point196-199°C
Boiling PointNot Available
Solubilitypractically insoluble
Predicted Properties
PropertyValueSource
Water Solubility0.011 g/LALOGPS
logP2.53ALOGPS
logP2.68ChemAxon
logS-4.5ALOGPS
pKa (Strongest Acidic)5.79ChemAxon
pKa (Strongest Basic)-6.8ChemAxon
Physiological Charge-1ChemAxon
Hydrogen Acceptor Count5ChemAxon
Hydrogen Donor Count1ChemAxon
Polar Surface Area109.42 ŲChemAxon
Rotatable Bond Count5ChemAxon
Refractivity94.18 m³·mol⁻¹ChemAxon
Polarizability34.35 ųChemAxon
Number of Rings3ChemAxon
BioavailabilityYesChemAxon
Rule of FiveYesChemAxon
Ghose FilterYesChemAxon
Veber's RuleNoChemAxon
MDDR-like RuleNoChemAxon
Spectra
Spectra
Spectrum TypeDescriptionSplash KeyDeposition DateView
Predicted GC-MSPredicted GC-MS Spectrumsplash10-0005-4394000000-cee5104d5911648240f0Not AvailableView Spectrum
Predicted GC-MSPredicted GC-MS Spectrumsplash10-0h90-9486300000-ff32bbb6638456fac0abNot AvailableView Spectrum
Predicted GC-MSPredicted GC-MS SpectrumNot AvailableNot AvailableView Spectrum
Predicted GC-MSPredicted GC-MS SpectrumNot AvailableNot AvailableView Spectrum
Predicted GC-MSPredicted GC-MS SpectrumNot AvailableNot AvailableView Spectrum
Predicted GC-MSPredicted GC-MS SpectrumNot AvailableNot AvailableView Spectrum
Predicted GC-MSPredicted GC-MS SpectrumNot AvailableNot AvailableView Spectrum
Predicted GC-MSPredicted GC-MS SpectrumNot AvailableNot AvailableView Spectrum
Predicted GC-MSPredicted GC-MS SpectrumNot AvailableNot AvailableView Spectrum
Predicted GC-MSPredicted GC-MS SpectrumNot AvailableNot AvailableView Spectrum
Predicted LC-MS/MSPredicted LC-MS/MS Spectrumsplash10-0udi-0009000000-a9c658b6227fbe717786Not AvailableView Spectrum
Predicted LC-MS/MSPredicted LC-MS/MS Spectrumsplash10-0a4r-0009000000-b7023b451fda1f0da396Not AvailableView Spectrum
Predicted LC-MS/MSPredicted LC-MS/MS Spectrumsplash10-000i-3509000000-10dd28ff6a33134ff631Not AvailableView Spectrum
Predicted LC-MS/MSPredicted LC-MS/MS Spectrumsplash10-0udi-1009000000-bb35e9834abd3581b7c9Not AvailableView Spectrum
Predicted LC-MS/MSPredicted LC-MS/MS Spectrumsplash10-0udi-2009000000-0b9b626833d64db8299cNot AvailableView Spectrum
Predicted LC-MS/MSPredicted LC-MS/MS Spectrumsplash10-0a4i-9104000000-feadec6c8ab265c3c1b3Not AvailableView Spectrum
Toxicity Profile
Mechanism of ToxicityAcenocoumarol inhibits vitamin K reductase, resulting in depletion of the reduced form of vitamin K (vitamin KH2). As vitamin K is a cofactor for the carboxylation of glutamate residues on the N-terminal regions of vitamin K-dependent proteins, this limits the gamma-carboxylation and subsequent activation of the vitamin K-dependent coagulant proteins. The synthesis of vitamin K-dependent coagulation factors II, VII, IX, and X and anticoagulant proteins C and S is inhibited. Depression of three of the four vitamin K-dependent coagulation factors (factors II, VII, and X) results in decresed prothrombin levels and a decrease in the amount of thrombin generated and bound to fibrin. This reduces the thrombogenicity of clots. (1)
Carcinogenicity (IARC Classification)No indication of carcinogenicity to humans (not listed by IARC).
Minimum Risk LevelNot Available
SymptomsThe onset and severity of the symptoms are dependent on the individual's sensitivity to oral anticoagulants, the severity of the overdosage, and the duration of treatment. Bleeding is the major sign of toxicity with oral anticoagulant drugs. The most frequent symptoms observed are: cutaneous bleeding (80%), haematuria (with renal colic) (52%), haematomas, gastrointestinal bleeding, haematemesis, uterine bleeding, epistaxis, gingival bleeding and bleeding into the joints. Further symptoms include tachycardia, hypotension, peripheral circulatory disorders due to loss of blood, nausea, vomiting, diarrhoea and abdominal pains.
TreatmentThe primary antidote to acenocoumarol poisoning is immediate administration of vitamin K1 (initially slow intravenous injections of 10-25 mg repeated all 3-6 hours until normalisation of the prothrombin time; then 10 mg orally four times daily as a "maintenance dose"). It is an extremely effective antidote, provided the poisoning is caught before too much damage has been done to the victim's circulatory system. At high doses acenocoumarol can affect the body for many months, and the antidote must be administered regularly for a long period of time. (7)
Toxicity Values
Toxicity ValueUnitValue RangeOrganismDose DescriptorRoute of ExposurePredicted or ExperimentalReference
1470.0mg/kgNot AvailableMouseLD50OralexperimentalT14
115.0mg/kgNot AvailableMouseLD50IntraperitonealexperimentalT14
8653.0Log mg/kg[4900:15000]RatLD50oralpredictedNot Available
Health Effects
Health EffectRelationshipDirectionReference
Exposure Sources
Source IDSourceSectorReference
273Antithrombotic agentsHealthcare, pharmaceuticals & veterinary productsNot Available
505AmplifiersElectrical & Electronic EquipmentNot Available
Pathways
3 pathways
Targets
StructureProteinUniProt IDOrganismRelationshipDetails
Vitamin K epoxide reductase complex subunit 1 structureClick to view 3D structureVitamin K epoxide reductase complex subunit 1Q9BQB6HumansPredicted (SEA)0.155698
Click to view 3D structureVitamin K epoxide reductase complex subunit 1Q6TEK4Rattus norvegicusPredicted (SEA)0.311397
Click to view 3D structureNAD(P)H dehydrogenase [quinone] 1P05982Rattus norvegicusPredicted (SEA)0.856341
NAD(P)H dehydrogenase [quinone] 1 structureClick to view 3D structureNAD(P)H dehydrogenase [quinone] 1P15559HumansPredicted (SEA)0.778492
Albumin structureClick to view 3D structureAlbuminP02768HumansPredicted (SEA)47.1766
Endolysin structureClick to view 3D structureEndolysinP00720Enterobacteria phage T4Predicted (SEA)7.23998
Click to view 3D structurePol polyproteinQ72874Human immunodeficiency virus 1Predicted (SEA)59.5547
Click to view 3D structureVitamin K epoxide reductase complex subunit 1Q6B4J2Bos taurusPredicted (SEA)0.934191
Poly [ADP-ribose] polymerase tankyrase-1 structureClick to view 3D structurePoly [ADP-ribose] polymerase tankyrase-1O95271HumansPredicted (SEA)66.9503
Click to view 3D structureProtein phosphatase EYA3Q99504HumansPredicted (SEA)1.86838
Carbonic anhydrase 9 structureClick to view 3D structureCarbonic anhydrase 9Q16790HumansPredicted (SEA)359.741
Poly [ADP-ribose] polymerase tankyrase-2 structureClick to view 3D structurePoly [ADP-ribose] polymerase tankyrase-2Q9H2K2HumansPredicted (SEA)64.4592
Carbonic anhydrase 12 structureClick to view 3D structureCarbonic anhydrase 12O43570HumansPredicted (SEA)369.083
Click to view 3D structureStreptokinase AP10520Streptococcus pyogenes serotype M1Predicted (SEA)302.289
Carbonic anhydrase 1 structureClick to view 3D structureCarbonic anhydrase 1P00915HumansPredicted (SEA)457.753
Carbonic anhydrase 2 structureClick to view 3D structureCarbonic anhydrase 2P00918HumansPredicted (SEA)561.215
Click to view 3D structureLong-chain-fatty-acid--CoA ligase 6Q9UKU0HumansPredicted (SEA)19.7737
Click to view 3D structurePatatin-like phospholipase domain-containing protein 6Q3TRM4Mus musculusPredicted (SEA)41.1044
Mitogen-activated protein kinase 1 structureClick to view 3D structureMitogen-activated protein kinase 1P28482HumansPredicted (SEA)1148.67
G-protein coupled receptor 35 structureClick to view 3D structureG-protein coupled receptor 35Q9HC97HumansPredicted (SEA)61.2673
Bifunctional polynucleotide phosphatase/kinase structureClick to view 3D structureBifunctional polynucleotide phosphatase/kinaseQ96T60HumansPredicted (SEA)1.47914
Cytochrome P450 2C9 structureClick to view 3D structureCytochrome P450 2C9P11712HumansPredicted (SEA)1971.84
Toll-like receptor 9 structureClick to view 3D structureToll-like receptor 9Q9NR96HumansPredicted (SEA)69.4415
Poly [ADP-ribose] polymerase 1 structureClick to view 3D structurePoly [ADP-ribose] polymerase 1P09874HumansPredicted (SEA)169.322
Induced myeloid leukemia cell differentiation protein Mcl-1 structureClick to view 3D structureInduced myeloid leukemia cell differentiation protein Mcl-1Q07820HumansPredicted (SEA)370.251
Vitamin K epoxide reductase complex subunit 1 structureClick to view 3D structureVitamin K epoxide reductase complex subunit 1Q9BQB6HumansKnownAcenocoumarol inhibits vitamin K reductase, resulting in depletion of the reduced form of vitamin K (vitamin KH2). As vitamin K is a cofactor for the carboxylation of glutamate residues on the N-terminal regions of vitamin K-dependent proteins, this limits the gamma-carboxylation and subsequent activation of the vitamin K-dependent coagulant proteins. The synthesis of vitamin K-dependent coagulation factors II, VII, IX, and X and anticoagulant proteins C and S is inhibited. Depression of three of the four vitamin K-dependent coagulation factors (factors II, VII, and X) results in decresed prothrombin levels and a decrease in the amount of thrombin generated and bound to fibrin. This reduces the thrombogenicity of clots.
Alpha-1-acid glycoprotein 1 structureClick to view 3D structureAlpha-1-acid glycoprotein 1P02763HumansKnownAcenocoumarol inhibits vitamin K reductase, resulting in depletion of the reduced form of vitamin K (vitamin KH2). As vitamin K is a cofactor for the carboxylation of glutamate residues on the N-terminal regions of vitamin K-dependent proteins, this limits the gamma-carboxylation and subsequent activation of the vitamin K-dependent coagulant proteins. The synthesis of vitamin K-dependent coagulation factors II, VII, IX, and X and anticoagulant proteins C and S is inhibited. Depression of three of the four vitamin K-dependent coagulation factors (factors II, VII, and X) results in decresed prothrombin levels and a decrease in the amount of thrombin generated and bound to fibrin. This reduces the thrombogenicity of clots.
Albumin structureClick to view 3D structureAlbuminP02768HumansKnownAcenocoumarol inhibits vitamin K reductase, resulting in depletion of the reduced form of vitamin K (vitamin KH2). As vitamin K is a cofactor for the carboxylation of glutamate residues on the N-terminal regions of vitamin K-dependent proteins, this limits the gamma-carboxylation and subsequent activation of the vitamin K-dependent coagulant proteins. The synthesis of vitamin K-dependent coagulation factors II, VII, IX, and X and anticoagulant proteins C and S is inhibited. Depression of three of the four vitamin K-dependent coagulation factors (factors II, VII, and X) results in decresed prothrombin levels and a decrease in the amount of thrombin generated and bound to fibrin. This reduces the thrombogenicity of clots.
Concentrations
Not Available
External Links
DrugBank IDDB01418
HMDB IDHMDB0015487
FooDB IDNot Available
Phenol Explorer IDNot Available
KNApSAcK IDNot Available
BiGG IDNot Available
BioCyc IDNot Available
METLIN IDNot Available
PDB IDNot Available
Wikipedia LinkAcenocoumarol
Chemspider ID10443441
ChEBI ID53766
PubChem Compound ID54676537
Kegg Compound IDNot Available
YMDB IDNot Available
ECMDB IDNot Available
References
Synthesis Reference

Stoll, W. and Litvan, F.; U.S. Patent 2,648,682; August 11,1953; assigned to J.R. Geigy A.G.,
Switzerland.

MSDSLink
General References
1. Girard P, Nony P, Erhardtsen E, Delair S, Ffrench P, Dechavanne M, Boissel JP: Population pharmacokinetics of recombinant factor VIIa in volunteers anticoagulated with acenocoumarol. Thromb Haemost. 1998 Jul;80(1):109-13.
2. Cesar JM, Garcia-Avello A, Navarro JL, Herraez MV: Aging and oral anticoagulant therapy using acenocoumarol. Blood Coagul Fibrinolysis. 2004 Oct;15(8):673-6.
3. Lengyel M: [Warfarin or acenocoumarol is better in the anticoagulant treatment of chronic atrial fibrillation?]. Orv Hetil. 2004 Dec 26;145(52):2619-21.
4. Ufer M: Comparative pharmacokinetics of vitamin K antagonists: warfarin, phenprocoumon and acenocoumarol. Clin Pharmacokinet. 2005;44(12):1227-46.
5. Montes R, Ruiz de Gaona E, Martinez-Gonzalez MA, Alberca I, Hermida J: The c.-1639G > A polymorphism of the VKORC1 gene is a major determinant of the response to acenocoumarol in anticoagulated patients. Br J Haematol. 2006 Apr;133(2):183-7.
6. https://www.ncbi.nlm.nih.gov/pubmed/?term=17275317