Diisopropylamine dichloroacetate

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Diisopropylamine dichloroacetate
Diisopropylammonium-dichloroacetate-2D-structure.svg
Names
IUPAC name
2,2-dichloroacetic acid;N-propan-2-ylpropan-2-amine
Systematic IUPAC name
Diisopropylamine dichloroacetate
Other names
  • DADA
  • DIPA
  • Liverall
  • Oxypangam
Identifiers
3D model (JSmol)
ChEBI
ChemSpider
ECHA InfoCard 100.010.491 OOjs UI icon edit-ltr-progressive.svg
EC Number
  • 211-538-2
KEGG
PubChem CID
UNII
  • InChI=1S/C6H15N.C2H2Cl2O2/c1-5(2)7-6(3)4;3-1(4)2(5)6/h5-7H,1-4H3;1H,(H,5,6)
    Key: ILKBHIBYKSHTKQ-UHFFFAOYSA-N
  • CC(C)NC(C)C.OC(=O)C(Cl)Cl
Properties
C8H17Cl2NO2
Molar mass 230.13 g/mol
AppearanceWhite crystalline powder
Soluble in water, ethanol, chloroform; slightly soluble in ether
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).
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Diisopropylamine dichloroacetate (commonly abbreviated DADA) is the diisopropylamine salt of dichloroacetic acid. It has been marketed in Japan under the trade name Liverall for the treatment of chronic liver conditions, [1] including fatty liver [2] and hepatitis. In laboratory studies, DADA has demonstrated activity as a pyruvate dehydrogenase kinase 4 (PDK4) inhibitor. In a 2014 animal model of severe influenza, oral administration of DADA restored pyruvate dehydrogenase activity, improved ATP production, and significantly increased survival. [1] The compound has also been cited in equine sports medicine due to its metabolism to diisopropylamine, a known vasodilator prohibited in race horses. [3]

Chemistry and background

DADA is formed by combining diisopropylamine with dichloroacetic acid. It is chemically related to pangamic acid (formerly known as "vitamin B₁₅"), which may convert to DADA and diisopropylamine in the body. [4]

Pharmacology

DADA functions primarily as an inhibitor of pyruvate dehydrogenase kinase 4 (PDK4), which regulates the pyruvate dehydrogenase complex (PDC) that links glycolysis and mitochondrial oxidative phosphorylation. In preclinical mouse models of H1N1 influenza infection, DADA restored down‑regulated pyruvate dehydrogenase activity, increased ATP production in key organs (e.g., liver, lung, muscle), suppressed cytokine storm, and improved survival rates. [1]

In vitro studies on cancer cell lines—including non‑small cell lung carcinoma (A549)—demonstrated that DADA induces apoptosis, reduces lactate production, and alters tumor metabolic profiles, with synergistic effects when used alongside chemotherapy or radiotherapy. [5]

Pharmacokinetic data from equine and human studies indicate that DADA is rapidly absorbed and metabolized to diisopropylamine (DIPA) and dichloroacetate (DCA), with delayed elimination following chronic dosing. It is well-tolerated in both species at therapeutic doses, although detailed human safety profiles remain limited. [6] [7]

History

DADA was first identified in 1951 as a component of pangamic acid isolated from apricot seeds, and became available for clinical investigation in the 1960s for hepatoprotective properties. It was marketed in Japan under brand names such as Liverall [and Oxypangam?] for chronic liver disorders, including fatty liver and hepatitis. [2] [1]

In the 1980s, researchers explored DADA's vasodilatory effects and metabolism to DIPA in equine and human subjects. A study published in 1988 monitored pharmacokinetics and behavioral outcomes in horses and noted agricultural and performance interests. [6]

More recently, the compound has gained scientific interest due to its metabolic regulatory mechanisms. A 2014 PLoS ONE study by Yamane et al. demonstrated its efficacy in treating severe influenza in mice via PDK4 inhibition. [1] Since then, DADA has attracted attention in oncology research for its tumor‑metabolism targeting capabilities and is currently under exploration for its synergistic potential in cancer therapy. [5]

Medical research and therapeutic use

Liver disease

DADA has been prescribed in Japan for over 50 years for the treatment of chronic liver ailments such as fatty liver and hepatitis. [2]

Influenza and metabolic disorders

In a 2014 study, DADA showed efficacy in reversing mitochondrial dysfunction in influenza-infected mice by inhibiting PDK4, leading to restored mitochondrial enzyme activity, ATP generation, and improved survival. [1]

Cancer research

In vitro research indicates that DADA may induce apoptosis in non-small cell lung cancer cells (e.g., A549), though such findings are preliminary and have not been validated in human trials. [8]

Veterinary and sports context

Equine usage

In the 1980s, DADA and its metabolite diisopropylamine (DIPA) were investigated in racehorses for possible performance-enhancing effects. Although no definitive athletic benefit was proven, the compound raised concerns due to its vasodilatory and oxygen-enhancing potential. [6]

Doping and bans

Diisopropylamine is listed by the International Federation of Horseracing Authorities as a banned vasodilator. [9] Tribunal documents from the Fédération Equestre Internationale (FEI) have reported its covert use under the label of "vitamin B₁₅" with the intent of enhancing equine performance. [10]

Performance-enhancing potential

Although DADA may metabolize into diisopropylamine, which could theoretically improve oxygen delivery via vasodilation, there is no clinical evidence of performance enhancement in humans. Studies on its parent compound, dichloroacetate (DCA), suggest mild improvements in lactate clearance and oxygen uptake. [11] Trials in the 1980s using pangamic acid in humans and rodents did not show consistent or significant gains in endurance or performance. [12]

Safety concerns

The United States Food and Drug Administration (FDA) considers pangamic acid and its derivatives—including DADA—as unapproved and potentially unsafe dietary components. Several formulations have been banned or removed from the market as adulterants. [13]

Regulatory actions

Veterinary sporting bodies have issued suspensions and fines for the use of diisopropylamine derivatives. These substances remain listed on international banned-substance registers. [10]

References

  1. 1 2 3 4 5 6 Yamane, Kazuhiko; Indalao, Irene L.; Chida, Junji; Yamamoto, Yoshikazu; Hanawa, Masaaki; Kido, Hiroshi (2014). "Diisopropylamine dichloroacetate, a novel pyruvate dehydrogenase kinase 4 inhibitor, as a potential therapeutic agent for metabolic disorders and multiorgan failure in severe influenza". PLOS ONE. 9 (5): e98032. Bibcode:2014PLoSO...998032Y. doi: 10.1371/journal.pone.0098032 . ISSN   1932-6203. PMC   4035290 . PMID   24865588.
  2. 1 2 3 Lu, Lun Geng; Zeng, Min De; Mao, Yi Min; Chen, Cheng Wen; Fu, Qing Chun; Wang, Ji Yao; Xie, Wei Fen; Fan, Jian Gao (February 2005). "[Diisopropylamine dichloroacetate in the treatment of nonalcoholic fatty liver disease: a multicenter random double-blind controlled trial]". Zhonghua Gan Zang Bing Za Zhi = Zhonghua Ganzangbing Zazhi = Chinese Journal of Hepatology. 13 (2): 92–95. ISSN   1007-3418. PMID   15727691.
  3. "New prohibited substances cases under FEI anti-doping rules". FEI. 14 February 2017. Retrieved 18 June 2025.
  4. Gelernt, M. D.; Herbert, V. (1982). "Mutagenicity of diisopropylamine dichloroacetate, the "active constituent" of vitamin B15 (pangamic acid)". Nutrition and Cancer. 3 (3): 129–133. doi:10.1080/01635588109513714. ISSN   0163-5581. PMID   6752894.
  5. 1 2 Wei, Min; Shen, Xiaoyan; Liu, Ye; Chen, Xiaotong; Su, Shu; Lv, Xin; Qian, Xiaoping; Yu, Lixia; Wang, Lifeng (29 August 2024). "The antitumor effect of diisopropylamine dichloroacetate on non-small cell lung cancer and its influence on the tumor immune microenvironment". Frontiers in Oncology. 14. doi: 10.3389/fonc.2024.1447828 . ISSN   2234-943X. PMC   11390397 . PMID   39267851.
  6. 1 2 3 Yang, J. M.; Woods, W. E.; Weckman, T. J.; Wood, T. W.; Chang, S. L.; Blake, J. W.; Tobin, T. (1988). "The detection, pharmacokinetics and behavioral effects of diisopropylamine dichloroacetate (DADA) in the horse: a preliminary report". General Pharmacology. 19 (5): 683–688. doi:10.1016/0306-3623(88)90129-2. ISSN   0306-3623. PMID   3215480.
  7. Stacpoole, Peter W. (1969). "Review of the Pharmacologic and Therapeutic Effects of Diisopropylammonium Dichloroacetate (DIPA)" . The Journal of Clinical Pharmacology and the Journal of New Drugs. 9 (5): 282–291. doi:10.1177/009127006900900502. ISSN   1552-4604.
  8. Wei, Min; Shen, Xiaoyan; Liu, Ye; Chen, Xiaotong; Su, Shu; Lv, Xin; Qian, Xiaoping; Yu, Lixia; Wang, Lifeng (2024). "The antitumor effect of diisopropylamine dichloroacetate on non-small cell lung cancer and its influence on the tumor immune microenvironment". Frontiers in Oncology. 14: 1447828. doi: 10.3389/fonc.2024.1447828 . ISSN   2234-943X. PMC   11390397 . PMID   39267851.
  9. Kwak, Young Beom; Choi, Min Sun (20 September 2023). "Identification of a metabolite for the detection of the hydrophilic drug diisopropylamine for doping control" . Journal of Pharmaceutical and Biomedical Analysis. 234 115576. doi:10.1016/j.jpba.2023.115576. ISSN   0731-7085. PMID   37459832.
  10. 1 2 "Rider's Suspension Halved After Team Vet Admits Illicit Injections". Horse Sport. 22 August 2020. Retrieved 18 June 2025.
  11. Ludvik, B.; Mayer, G.; Stifter, S.; Putz, D.; Barnas, U.; Graf, H. (May 1993). "Effects of dichloroacetate on exercise performance in healthy volunteers". Pflugers Archiv: European Journal of Physiology. 423 (3–4): 251–254. doi:10.1007/BF00374403. ISSN   0031-6768. PMID   8321628.
  12. "PANGAMIC ACID: Overview, Uses, Side Effects, Precautions, Interactions, Dosing and Reviews". www.webmd.com. Retrieved 18 June 2025.
  13. Program, Human Foods (26 September 2024). "FDA Sends Warning Letters to Multiple Companies for Illegally Selling Adulterated Dietary Supplements". FDA.