<?xml version="1.0" encoding="UTF-8"?>
<compound>
  <version>1.0</version>
  <creation_date>2014-09-11 05:15:56 UTC</creation_date>
  <update_date>2026-08-17 23:36:28 UTC</update_date>
  <accession>T3D4772</accession>
  <common_name>Stavudine</common_name>
  <class>SmallMolecule</class>
  <description>Stavudine is an exogenous organic compound with the formula C10H12N2O4 and an average molecular weight of 224.21 g/mol. It exists as a solid at room temperature. Stavudine belongs to the nucleoside and nucleotide analogues, a class of nucleosides, nucleotides, and analogues within the organic compounds.

This compound acts as an inhibitor of the Gag-Pol polyprotein (gag-pol), Estrogen receptor (ESR1), and Reverse transcriptase/RNaseH (pol). It is a dideoxynucleoside analog that inhibits reverse transcriptase and exhibits in vitro activity against HIV.

Stavudine is identified in 17 recorded sources. Within healthcare, pharmaceuticals, and veterinary products, it is found in antivirals. It is also recorded in building and construction materials such as fencing. Further sources include household cleaning and consumer products, specifically tobacco pipes, soap dispensers, cigar cigarettes, non electric simulated smoking devices, and tobacco smoke filters. Additionally, it is found in electrical and electronic equipment, including antennas, loudspeakers, electrically stimulated smoking devices, electric switches, and gas filled discharge tubes with solid cathode, among five other items. The recorded exposure route for this compound is oral.</description>
  <categories>
    <category>Drug</category>
    <category>Synthetic Toxin</category>
  </categories>
  <types>
    <type>Organic Compound</type>
    <type>Ether</type>
    <type>Amide</type>
    <type>Drug</type>
    <type>Antimetabolite</type>
    <type>Metabolite</type>
    <type>Anti-HIV Agent</type>
    <type>Synthetic Compound</type>
    <type>Reverse Transcriptase Inhibitor</type>
    <type>Human Neurotoxin</type>
  </types>
  <synonyms>
    <synonym>1-(2,3-Dideoxy-beta-D-glycero-pent-2-enofuranosyl)thymine</synonym>
    <synonym>1-[(2R,5S)-5-(hydroxymethyl)-2,5-dihydrofuran-2-yl]-5-methyl-1,2,3,4-tetrahydropyrimidine-2,4-dione</synonym>
    <synonym>2',3'-Didehydro-3'-deoxythimidine</synonym>
    <synonym>3'-Deoxy-2'-thymidinene</synonym>
    <synonym>Actastav</synonym>
    <synonym>Ai Fu Ding</synonym>
    <synonym>Avostav</synonym>
    <synonym>d4T</synonym>
    <synonym>Estavudina</synonym>
    <synonym>Estavudox</synonym>
    <synonym>Exvihr</synonym>
    <synonym>Flamistav</synonym>
    <synonym>Landstav</synonym>
    <synonym>Lion</synonym>
    <synonym>Mai Si Ting</synonym>
    <synonym>S.T.V.</synonym>
    <synonym>Sanilvudine</synonym>
    <synonym>Sazi</synonym>
    <synonym>Stadine</synonym>
    <synonym>Stag</synonym>
    <synonym>Stamar</synonym>
    <synonym>Stavex</synonym>
    <synonym>Stavir</synonym>
    <synonym>Stavubergen</synonym>
    <synonym>Stavudin</synonym>
    <synonym>Stavudinum</synonym>
    <synonym>STV</synonym>
    <synonym>Zerit</synonym>
    <synonym>Zerit XR</synonym>
  </synonyms>
  <chemical_formula>C10H12N2O4</chemical_formula>
  <average_molecular_weight>224.2133</average_molecular_weight>
  <monisotopic_moleculate_weight>224.079706882</monisotopic_moleculate_weight>
  <iupac_name>1-[(2R,5S)-5-(hydroxymethyl)-2,5-dihydrofuran-2-yl]-5-methyl-1,2,3,4-tetrahydropyrimidine-2,4-dione</iupac_name>
  <traditional_iupac>stavudine</traditional_iupac>
  <cas_registry_number>3056-17-5</cas_registry_number>
  <smiles>CC1=CN([C@@H]2O[C@H](CO)C=C2)C(=O)NC1=O</smiles>
  <inchi>InChI=1S/C10H12N2O4/c1-6-4-12(10(15)11-9(6)14)8-3-2-7(5-13)16-8/h2-4,7-8,13H,5H2,1H3,(H,11,14,15)/t7-,8+/m0/s1</inchi>
  <inchikey>XNKLLVCARDGLGL-JGVFFNPUSA-N</inchikey>
  <taxonomy>
    <kingdom>Organic compounds</kingdom>
    <super_class>Nucleosides, nucleotides, and analogues</super_class>
    <class>Nucleoside and nucleotide analogues</class>
    <sub_class/>
    <direct_parent>Nucleoside and nucleotide analogues</direct_parent>
    <alternate_parents>
      <alternative_parent>Azacyclic compounds</alternative_parent>
      <alternative_parent>Dihydrofurans</alternative_parent>
      <alternative_parent>Heteroaromatic compounds</alternative_parent>
      <alternative_parent>Hydrocarbon derivatives</alternative_parent>
      <alternative_parent>Hydropyrimidines</alternative_parent>
      <alternative_parent>Lactams</alternative_parent>
      <alternative_parent>Organic oxides</alternative_parent>
      <alternative_parent>Organonitrogen compounds</alternative_parent>
      <alternative_parent>Organopnictogen compounds</alternative_parent>
      <alternative_parent>Oxacyclic compounds</alternative_parent>
      <alternative_parent>Primary alcohols</alternative_parent>
      <alternative_parent>Pyrimidones</alternative_parent>
      <alternative_parent>Ureas</alternative_parent>
      <alternative_parent>Vinylogous amides</alternative_parent>
    </alternate_parents>
    <substituents>
      <substituent>Alcohol</substituent>
      <substituent>Aromatic heteromonocyclic compound</substituent>
      <substituent>Azacycle</substituent>
      <substituent>Dihydrofuran</substituent>
      <substituent>Heteroaromatic compound</substituent>
      <substituent>Hydrocarbon derivative</substituent>
      <substituent>Hydropyrimidine</substituent>
      <substituent>Lactam</substituent>
      <substituent>Organic nitrogen compound</substituent>
      <substituent>Organic oxide</substituent>
      <substituent>Organic oxygen compound</substituent>
      <substituent>Organoheterocyclic compound</substituent>
      <substituent>Organonitrogen compound</substituent>
      <substituent>Organooxygen compound</substituent>
      <substituent>Organopnictogen compound</substituent>
      <substituent>Oxacycle</substituent>
      <substituent>Primary alcohol</substituent>
      <substituent>Pyrimidine</substituent>
      <substituent>Pyrimidone</substituent>
      <substituent>Urea</substituent>
      <substituent>Vinylogous amide</substituent>
    </substituents>
    <molecular_framework>Aromatic heteromonocyclic compounds</molecular_framework>
    <descriptors>
      <descriptor>dihydrofuran</descriptor>
      <descriptor>nucleoside analogue</descriptor>
      <descriptor>organic molecular entity</descriptor>
    </descriptors>
  </taxonomy>
  <status>Detected and Not Quantified</status>
  <origin>Exogenous</origin>
  <cellular_locations>
    <cellular_location>Cytoplasm</cellular_location>
    <cellular_location>Extracellular</cellular_location>
  </cellular_locations>
  <biofluid_locations/>
  <tissue_locations/>
  <pathways>
    <pathway>
      <name>Stavudine Action Pathway</name>
      <smpdb_id>SMP0000745</smpdb_id>
      <kegg_map_id/>
    </pathway>
    <pathway>
      <name>Stavudine Drug Metabolism</name>
      <smpdb_id>SMP0130744</smpdb_id>
      <kegg_map_id/>
    </pathway>
    <pathway>
      <name>Stavudine Drug Metabolism Action Pathway</name>
      <smpdb_id>SMP0143094</smpdb_id>
      <kegg_map_id/>
    </pathway>
  </pathways>
  <state>Solid</state>
  <appearance>White powder.</appearance>
  <experimental_properties>
    <property>
      <kind>melting_point</kind>
      <value>159-160°C</value>
    </property>
    <property>
      <kind>solubility</kind>
      <value>5-10 g/100 mL at 21°C</value>
    </property>
    <property>
      <kind>logp</kind>
      <value>-0.72</value>
    </property>
  </experimental_properties>
  <predicted_properties>
    <property>
      <kind>logp</kind>
      <value>-0.73</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>logs</kind>
      <value>-0.74</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>solubility</kind>
      <value>4.05e+01 g/l</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>logp</kind>
      <value>-0.23</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>pka_strongest_acidic</kind>
      <value>9.95</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>pka_strongest_basic</kind>
      <value>-3</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>iupac</kind>
      <value>1-[(2R,5S)-5-(hydroxymethyl)-2,5-dihydrofuran-2-yl]-5-methyl-1,2,3,4-tetrahydropyrimidine-2,4-dione</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>average_mass</kind>
      <value>224.2133</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>mono_mass</kind>
      <value>224.079706882</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>smiles</kind>
      <value>CC1=CN([C@@H]2O[C@H](CO)C=C2)C(=O)NC1=O</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>formula</kind>
      <value>C10H12N2O4</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>inchi</kind>
      <value>InChI=1S/C10H12N2O4/c1-6-4-12(10(15)11-9(6)14)8-3-2-7(5-13)16-8/h2-4,7-8,13H,5H2,1H3,(H,11,14,15)/t7-,8+/m0/s1</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>inchikey</kind>
      <value>XNKLLVCARDGLGL-JGVFFNPUSA-N</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>polar_surface_area</kind>
      <value>78.87</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>refractivity</kind>
      <value>55.32</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>polarizability</kind>
      <value>21.33</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>rotatable_bond_count</kind>
      <value>2</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>acceptor_count</kind>
      <value>4</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>donor_count</kind>
      <value>2</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>physiological_charge</kind>
      <value>0</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>formal_charge</kind>
      <value>0</value>
      <source>ChemAxon</source>
    </property>
  </predicted_properties>
  <route_of_exposure>Following oral administration, stavudine is rapidly absorbed (bioavailability is 68-104%).</route_of_exposure>
  <mechanism_of_toxicity>Stavudine inhibits the activity of HIV-1 reverse transcriptase (RT) both by competing with the natural substrate dGTP and by its incorporation into viral DNA.</mechanism_of_toxicity>
  <metabolism>Phosphorylated intracellularly to stavudine triphosphate, the active substrate for HIV-reverse transcriptase.&#13;Half Life: 0.8-1.5 hours (in adults)</metabolism>
  <toxicity/>
  <lethaldose/>
  <carcinogenicity>No indication of carcinogenicity to humans (not listed by IARC).</carcinogenicity>
  <use_source>For the treatment of human immunovirus (HIV) infections.</use_source>
  <min_risk_level/>
  <health_effects>#&lt;HealthEffect::ActiveRecord_Associations_CollectionProxy:0x00007f721f2f7a90&gt;</health_effects>
  <symptoms>Side effects include peripheral neuropathy tingling, burning, numbness, or pain in the hands or feet), fatal lactic acidosis has been reported in patients treated with stavudine (ZERIT) in combination with other antiretroviral agents, severe liver enlargement, inflammation (pain and swelling) of the liver, and liver failure.</symptoms>
  <treatment/>
  <drugbank_id>DB00649</drugbank_id>
  <hmdb_id>HMDB14787</hmdb_id>
  <pubchem_compound_id>18283</pubchem_compound_id>
  <chembl_id>CHEMBL991</chembl_id>
  <chemspider_id>17270</chemspider_id>
  <kegg_id>C07312</kegg_id>
  <uniprot_id/>
  <omim_id/>
  <chebi_id>63581</chebi_id>
  <biocyc_id/>
  <ctd_id/>
  <stitch_id/>
  <actor_id/>
  <pdb_id/>
  <wikipidia>Stavudine</wikipidia>
  <general_references/>
  <targets>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id>BE0000123</target_id>
      <mechanism_of_action/>
      <constants>
        <constant>
          <constant_type>AC50</constant_type>
          <value>0.0302</value>
          <units>uM</units>
          <assay_type>Tox21_ERa_BLA_Agonist_ratio</assay_type>
          <assay_source>Tox21/NCGC</assay_source>
        </constant>
      </constants>
      <references/>
    </target>
    <target>
      <target_id>BE0004136</target_id>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id>BE0002050</target_id>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
  </targets>
</compound>
