[(7s,9e,11s,12r,13s,14r,15r,16r,17s,18s,19e,21z)-2,15,17,27,29-pentahydroxy-11-methoxy-3,7,12,14,16,18,22-heptamethyl-26-[(e)-(4-methylpiperazin-1-yl)iminomethyl]-6,23-dioxo-8,30-dioxa-24-azatetracyclo[23.3.1.14,7.05,28]triaconta-1(29),2,4,9,19,21,25,27-octaen-13-yl] acetate (CED0168018)

[(7s,9e,11s,12r,13s,14r,15r,16r,17s,18s,19e,21z)-2,15,17,27,29-pentahydroxy-11-methoxy-3,7,12,14,16,18,22-heptamethyl-26-[(e)-(4-methylpiperazin-1-yl)iminomethyl]-6,23-dioxo-8,30-dioxa-24-azatetracyclo[23.3.1.14,7.05,28]triaconta-1(29),2,4,9,19,21,25,27-octaen-13-yl] acetate belongs to the macrolactams, a class of phenylpropanoids and polyketides within the organic compounds. With an average molecular weight of 822.90 g/mol, [(7s,9e,11s,12r,13s,14r,15r,16r,17s,18s,19e,21z)-2,15,17,27,29-pentahydroxy-11-methoxy-3,7,12,14,16,18,22-heptamethyl-26-[(e)-(4-methylpiperazin-1-yl)iminomethyl]-6,23-dioxo-8,30-dioxa-24-azatetracyclo[23.3.1.14,7.05,28]triaconta-1(29),2,4,9,19,21,25,27-octaen-13-yl] acetate is a heavy molecule. Its chemical formula is C43H58N4O12. This compound acts as a biological drug (PMC10421305, PMC11469058), a biological agonist (PMC3264657, PMC8050233), a biological antimicrobial agent (PMC2646121), and a biological antibacterial agent (PMC7500364). It is used as a treatment for tuberculosis (PMC11025081, PMC13074742, PMC4536949, PMC9668588) and has a therapeutic effect on prostate cancer (PMC9469194). However, it is associated with osteomalacia (PMC2253556, PMC2646121, PMC3264657). The substance is released from five recorded sources, including tobacco pipes (household cleaning & consumer products), the preparation of malt (food, food processing & cookware), and electrical & electronic equipment such as antennas, amplifiers, and electric hearing aids. Literature supports inhalation as a route of exposure (PMC10296137).