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Indirubin
Natural API

Indirubin

Indirubin (CAS: 479-41-4) is a bisindole alkaloid derived from the traditional Chinese medicine Indigo naturalis (Qing Dai). As an active component for treating chronic myeloid leukemia (CML), its unique structure targets multiple kinases. Approved by China's NMPA in 2008 as an antileukemic drug (brand name: "Indirubin Tablets"), it was listed by WHO in 2020 as a "Traditional Anticancer Medicine" and included in the European Pharmacopoeia (EP 10.0).

Product Name: Indirubin

IUPAC Name: (2E)-2,2'-Bi(1H-indole)-3,3'-dione

CAS No.​: 479-41-4

Molecular Formula: C₁₆H₁₀N₂O₂

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    Indirubin

    Basic information

    Product Name: Indirubin

    IUPAC Name: (2E)-2,2'-Bi(1H-indole)-3,3'-dione

    CAS No.​: 479-41-4

    Molecular Formula: C₁₆H₁₀N₂O₂

    Physicochemical Properties:

    Parameter

    Value/Description

    ​Appearance​

    Purple-red powder

    ​Melting Point​

    356-358°C (decomposition)

    ​Solubility​

    Poor in water (0.01 mg/mL), soluble in DMSO (50 mg/mL)

    ​logP​

    3.1 (high lipophilicity)

    ​UV Characteristics​

    λmax=540 nm (ε=12,000); purple-red in methanol

    Quality Standard: CP2020,JP,Customer Made

    Specification

    Test Items

    Standard

    Indirubin (CAS: 479-41-4)

    98% by HPLC

    Loss on drying

    ≤0.5%

    Residue on ignition

    ≤0.5%

    Key Features

    index_10-7

    Natural Source

    0.1-0.3% in Indigo naturalis; also obtainable via chemical synthesis.
    index_10-7

    Multi-Target Action

    Inhibits CDKs, GSK-3β, and JAK/STAT pathways.
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    Low Toxicity

    Therapeutic index (TI) of 25, far exceeding conventional chemotherapeutics.

    Pharmacological Mechanisms

    1. Molecular Target Network

    Molecular Target Network

    2. Pharmacokinetics

    Absorption

    15% oral bioavailability (↑to 50% with liposomes).

    Distribution

    High in liver/spleen; low BBB penetration (<1%).

    Metabolism

    Hepatic CYP1A2 hydroxylation (forms 5-hydroxyindirubin).

    Excretion

    Primarily biliary (80% clearance in 72h).

    Clinical Applications​

    Indications & Protocols​

    Condition​

    ​Regimen​

    ​Evidence

    ​Chronic Myeloid Leukemia​

    50-100 mg tid ×6mo

    75% hematologic response*

    ​Psoriasis​

    0.5% topical ointment bid

    ↓50% PASI score

    ​Alzheimer’s Disease​

    10 mg/kg (Phase II)

    MMSE improvement

    *Multicenter Phase III trial (n=300)

    Special Populations​

    Hepatic Impairment: Reduce dose 30% (Child-Pugh B).

    Pediatrics: ≥12 years (monitor CBC).

    Dosage and Administration

    Formulations​

    Tablets: 25 mg (film-coated).

    Ointment: 0.5% w/w (petrolatum base).

    Injection: 10 mg lyophilized powder (research use).

    Dosing Guidelines

    Use​

    ​Dose​

    ​Duration

    Leukemia

    75-150 mg/day

    6-12 months

    Dermatology

    Topical bid

    Until lesion clearance

    Cancer Prevention

    25 mg qd

    Long-term

    Safety Evaluation

    Adverse Reactions​

    System​

    ​Incidence​

    ​Manifestations​

    Gastrointestinal

    20%

    Nausea, diarrhea

    Hematologic

    5%

    Mild thrombocytopenia

    Dermatologic

    3%

    Hyperpigmentation

    Contraindications & Interactions​

    Absolute CI:
    Pregnancy (teratogenic in animals).
    Severe myelosuppression (ANC <1.5×10⁹/L).

    Cautions:CYP1A2 inhibitors (e.g., fluvoxamine): ↑2× AUC.

    Research Progress Green max

    Novel Formulations​

    Nanocrystal Suspension: Oral bioavailability ↑to 40%.

    Transdermal Patch: For psoriasis (Patent CN1148765).

    New Indications

    Triple-Negative Breast Cancer: Inhibits BRCA1-deficient cells (preclinical).

    COVID-19: Blocks SARS-CoV-2 3CL protease (IC₅₀=8 μM).

    Indigo Naturalis

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