Rotamers of N-acetyl-L-cysteine (NAC, the most popular mucolytic drug) are
characterized in terms of populations, site- and conformer-specific acid-ba
se properties, reducing strength, and molecular pharmacology. A new, genera
l relationship between the bulk- and rotamer-specific basicities is introdu
ced. NAC at high pH predominantly exists in a trans thiolate-carboxylate ro
tameric form, whereas protonation promotes the occurrence of intramolecular
hydrogen bond-forming isomers. Distribution curves of the rotamers are dep
icted as a function of pH. Rotamer-dependent thiolate basicities differ by
up to 0.5 log k units. Carboxylate basicities show slight conformation-depe
ndence only. The membrane-penetrating capabilities from various compartment
s of the body are assessed on the basis of the pH-dependent charge of the m
olecule. The thiol-disulfide half-cell potential is calculated, using the c
orrelation between the thiolate basicity and oxidizability. The oxidation-r
eduction properties of NAC are compared to those of other biological thiols
in their definite microscopic forms. The pharmacokinetic behavior is inter
preted in terms of the physicochemical parameters, providing molecular/subm
olecular explanation for several therapeutic properties of NAC.