Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C62H111N11O12 |
Molecular Weight | 1202.6112 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 12 / 12 |
E/Z Centers | 1 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
[H][C@@]1([C@H](O)[C@H](C)C\C=C\C)N(C)C(=O)[C@H](C(C)C)N(C)C(=O)[C@H](CC(C)C)N(C)C(=O)[C@H](CC(C)C)N(C)C(=O)[C@@H](C)NC(=O)[C@H](C)NC(=O)[C@H](CC(C)C)N(C)C(=O)[C@@H](NC(=O)[C@H](CC(C)C)N(C)C(=O)CN(C)C(=O)[C@H](CC)NC1=O)C(C)C
InChI
InChIKey=PMATZTZNYRCHOR-CGLBZJNRSA-N
InChI=1S/C62H111N11O12/c1-25-27-28-40(15)52(75)51-56(79)65-43(26-2)58(81)67(18)33-48(74)68(19)44(29-34(3)4)55(78)66-49(38(11)12)61(84)69(20)45(30-35(5)6)54(77)63-41(16)53(76)64-42(17)57(80)70(21)46(31-36(7)8)59(82)71(22)47(32-37(9)10)60(83)72(23)50(39(13)14)62(85)73(51)24/h25,27,34-47,49-52,75H,26,28-33H2,1-24H3,(H,63,77)(H,64,76)(H,65,79)(H,66,78)/b27-25+/t40-,41+,42-,43+,44+,45+,46+,47+,49+,50+,51+,52-/m1/s1
Molecular Formula | C62H111N11O12 |
Molecular Weight | 1202.6112 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 12 / 12 |
E/Z Centers | 1 |
Optical Activity | UNSPECIFIED |
Cyclosporins are cyclic polypeptide macrolides that were originally derived from the soil fungus Tolypocladium inflatum. Cyclosporine (also known as cyclosporine A) was discovered by Sandoz and developed for the tretment of immune disorders. The drug was approved by FDA for such diseases as Rheumatoid Arthritis, Psoriasis (Neoral), Keratoconjunctivitis sicca (Restasis) and prevention of transplant rejections (Neoral and Sandimmune). Cyclosporine’s primary immunosuppressive mechanism of action is inhibition of T-lymphocyte function. Upon administration cyclosporine binds to cyclophilin A and thus inhibits calcineurin, leading to immune system suppression.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/3242657 | https://www.ncbi.nlm.nih.gov/pubmed/10399863
Curator's Comment: Cyclosporine was shown to cause neurotoxicty.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL1949 Sources: https://www.ncbi.nlm.nih.gov/pubmed/24341787 |
36.8 nM [Kd] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Palliative | RESTASIS Approved UseRestasis is a calcineurin inhibitor immunosuppressant indicated to increase tear production in patients whose tear production is presumed to be suppressed due to ocular inflammation associated with keratoconjunctivitis sicca. Increased tear production was not seen in patients currently taking topical anti-inflammatory drugs or using punctal plugs. Launch Date2003 |
|||
Preventing | SANDIMMUNE Approved UseSandimmune (cyclosporine) is indicated for the prophylaxis of organ rejection in kidney, liver, and heart allogeneic transplants. It is always to be used with adrenal corticosteroids. The drug may also be used in the treatment of chronic rejection in patients previously treated with other immunosuppressive agents. Launch Date1983 |
|||
Primary | NEORAL Approved UseNeoral is indicated for the treatment of patients with severe active, rheumatoid arthritis where the disease has not adequately responded to methotrexate. Neoral can be used in combination with methotrexate in rheumatoid arthritis patients who do not respond adequately to methotrexate alone. Launch Date1995 |
|||
Primary | NEORAL Approved UseNeoral is indicated for the treatment of adult, nonimmunocompromised patients with severe (i.e., extensive and/or disabling), recalcitrant, plaque psoriasis who have failed to respond to at least one systemic therapy (e.g., PUVA, retinoids, or methotrexate) or in patients for whom other systemic therapies are contraindicated, or cannot be tolerated. Launch Date1995 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1220 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/12118899 |
5.26 mg/kg single, oral dose: 5.26 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
CYCLOSPORINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
3301 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/12118899 |
5.26 mg/kg single, oral dose: 5.26 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
CYCLOSPORINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
6 h |
300 mg single, oral dose: 300 mg route of administration: Oral experiment type: SINGLE co-administered: |
CYCLOSPORINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
4 mg/kg 1 times / day multiple, intravenous Dose: 4 mg/kg, 1 times / day Route: intravenous Route: multiple Dose: 4 mg/kg, 1 times / day Sources: |
unhealthy, 36.7 years (range: 20–67 years) n = 15 Health Status: unhealthy Condition: Ulcerative Colitis Age Group: 36.7 years (range: 20–67 years) Sex: M+F Population Size: 15 Sources: |
Other AEs: Hypertension, Superficial thrombophlebitis... Other AEs: Hypertension (1 patient) Sources: Superficial thrombophlebitis (1 patient) Headache (2 patients) Vomiting (1 patient) Hypokalemia (4 patients) Hypomagnesemia (2 patients) Myalgia (2 patients) |
0.09 % 2 times / day multiple, ophthalmic Recommended Dose: 0.09 %, 2 times / day Route: ophthalmic Route: multiple Dose: 0.09 %, 2 times / day Sources: Page: p. 34 |
unhealthy, 61.9 years (range: 23-91 years) n = 151 Health Status: unhealthy Age Group: 61.9 years (range: 23-91 years) Sex: M+F Population Size: 151 Sources: Page: p. 34 |
Disc. AE: Musculoskeletal disorder, Connective tissue disorders... Other AEs: Throat irritation... AEs leading to discontinuation/dose reduction: Musculoskeletal disorder (moderate, 1 patient) Other AEs:Connective tissue disorders (moderate, 1 patient) General system disorders NEC (grade 1-2, 11 patient) Instillation site pain (mild, 11 patient) Instillation site pruritus (mild, 1 patient) Candida infection (moderate, 1 patient) Macular fibrosis (mild, 1 patient) Sinusitis (mild, 1 patient) Vision blurred (mild, 1 patient) Eye irritation (mild, 1 patient) Conjunctival hyperemia (moderate, 1 patient) Foreign body sensation in eyes (severe, 1 patient) Headache (grade 1-2, 2 patients) Eye pain (mild, 2 patients) Throat irritation (mild, 1 patient) Sources: Page: p. 34 |
10 g single, oral Highest studied dose Dose: 10 g Route: oral Route: single Dose: 10 g Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
Other AEs: Vomiting, Drowsiness... Other AEs: Vomiting Sources: Drowsiness Headache Tachycardia Impaired renal function (grade 2) |
3 mg/kg 1 times / day steady, oral (total daily dose) Dose: 3 mg/kg, 1 times / day Route: oral Route: steady Dose: 3 mg/kg, 1 times / day Sources: |
unhealthy n = 8 Health Status: unhealthy Condition: Chronic Obstructive Pulmonary Disease Population Size: 8 Sources: |
Other AEs: Renal insufficiency, Gastrointestinal upset... Other AEs: Renal insufficiency (below serious, 4 patients) Sources: Gastrointestinal upset (below serious, 4 patients) Hyperkalemia (below serious, 2 patients) Hypertension (below serious, 1 patient) Tremor (below serious, 1 patient) Cramp muscle (below serious, 1 patient) |
5 mg/kg 2 times / week steady, oral (total daily dose) Dose: 5 mg/kg, 2 times / week Route: oral Route: steady Dose: 5 mg/kg, 2 times / week Sources: |
unhealthy n = 160 Health Status: unhealthy Condition: Chronic Plaque Psoriasis Population Size: 160 Sources: |
Other AEs: Breast mass, Abdominal pain upper... Other AEs: Breast mass (serious, 1 patient) Sources: Abdominal pain upper (below serious, 12 patients) Hypertriglyceridaemia (below serious, 8 patients) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Hypertension | 1 patient | 4 mg/kg 1 times / day multiple, intravenous Dose: 4 mg/kg, 1 times / day Route: intravenous Route: multiple Dose: 4 mg/kg, 1 times / day Sources: |
unhealthy, 36.7 years (range: 20–67 years) n = 15 Health Status: unhealthy Condition: Ulcerative Colitis Age Group: 36.7 years (range: 20–67 years) Sex: M+F Population Size: 15 Sources: |
Superficial thrombophlebitis | 1 patient | 4 mg/kg 1 times / day multiple, intravenous Dose: 4 mg/kg, 1 times / day Route: intravenous Route: multiple Dose: 4 mg/kg, 1 times / day Sources: |
unhealthy, 36.7 years (range: 20–67 years) n = 15 Health Status: unhealthy Condition: Ulcerative Colitis Age Group: 36.7 years (range: 20–67 years) Sex: M+F Population Size: 15 Sources: |
Vomiting | 1 patient | 4 mg/kg 1 times / day multiple, intravenous Dose: 4 mg/kg, 1 times / day Route: intravenous Route: multiple Dose: 4 mg/kg, 1 times / day Sources: |
unhealthy, 36.7 years (range: 20–67 years) n = 15 Health Status: unhealthy Condition: Ulcerative Colitis Age Group: 36.7 years (range: 20–67 years) Sex: M+F Population Size: 15 Sources: |
Headache | 2 patients | 4 mg/kg 1 times / day multiple, intravenous Dose: 4 mg/kg, 1 times / day Route: intravenous Route: multiple Dose: 4 mg/kg, 1 times / day Sources: |
unhealthy, 36.7 years (range: 20–67 years) n = 15 Health Status: unhealthy Condition: Ulcerative Colitis Age Group: 36.7 years (range: 20–67 years) Sex: M+F Population Size: 15 Sources: |
Hypomagnesemia | 2 patients | 4 mg/kg 1 times / day multiple, intravenous Dose: 4 mg/kg, 1 times / day Route: intravenous Route: multiple Dose: 4 mg/kg, 1 times / day Sources: |
unhealthy, 36.7 years (range: 20–67 years) n = 15 Health Status: unhealthy Condition: Ulcerative Colitis Age Group: 36.7 years (range: 20–67 years) Sex: M+F Population Size: 15 Sources: |
Myalgia | 2 patients | 4 mg/kg 1 times / day multiple, intravenous Dose: 4 mg/kg, 1 times / day Route: intravenous Route: multiple Dose: 4 mg/kg, 1 times / day Sources: |
unhealthy, 36.7 years (range: 20–67 years) n = 15 Health Status: unhealthy Condition: Ulcerative Colitis Age Group: 36.7 years (range: 20–67 years) Sex: M+F Population Size: 15 Sources: |
Hypokalemia | 4 patients | 4 mg/kg 1 times / day multiple, intravenous Dose: 4 mg/kg, 1 times / day Route: intravenous Route: multiple Dose: 4 mg/kg, 1 times / day Sources: |
unhealthy, 36.7 years (range: 20–67 years) n = 15 Health Status: unhealthy Condition: Ulcerative Colitis Age Group: 36.7 years (range: 20–67 years) Sex: M+F Population Size: 15 Sources: |
General system disorders NEC | grade 1-2, 11 patient Disc. AE |
0.09 % 2 times / day multiple, ophthalmic Recommended Dose: 0.09 %, 2 times / day Route: ophthalmic Route: multiple Dose: 0.09 %, 2 times / day Sources: Page: p. 34 |
unhealthy, 61.9 years (range: 23-91 years) n = 151 Health Status: unhealthy Age Group: 61.9 years (range: 23-91 years) Sex: M+F Population Size: 151 Sources: Page: p. 34 |
Headache | grade 1-2, 2 patients Disc. AE |
0.09 % 2 times / day multiple, ophthalmic Recommended Dose: 0.09 %, 2 times / day Route: ophthalmic Route: multiple Dose: 0.09 %, 2 times / day Sources: Page: p. 34 |
unhealthy, 61.9 years (range: 23-91 years) n = 151 Health Status: unhealthy Age Group: 61.9 years (range: 23-91 years) Sex: M+F Population Size: 151 Sources: Page: p. 34 |
Throat irritation | mild, 1 patient | 0.09 % 2 times / day multiple, ophthalmic Recommended Dose: 0.09 %, 2 times / day Route: ophthalmic Route: multiple Dose: 0.09 %, 2 times / day Sources: Page: p. 34 |
unhealthy, 61.9 years (range: 23-91 years) n = 151 Health Status: unhealthy Age Group: 61.9 years (range: 23-91 years) Sex: M+F Population Size: 151 Sources: Page: p. 34 |
Eye irritation | mild, 1 patient Disc. AE |
0.09 % 2 times / day multiple, ophthalmic Recommended Dose: 0.09 %, 2 times / day Route: ophthalmic Route: multiple Dose: 0.09 %, 2 times / day Sources: Page: p. 34 |
unhealthy, 61.9 years (range: 23-91 years) n = 151 Health Status: unhealthy Age Group: 61.9 years (range: 23-91 years) Sex: M+F Population Size: 151 Sources: Page: p. 34 |
Instillation site pruritus | mild, 1 patient Disc. AE |
0.09 % 2 times / day multiple, ophthalmic Recommended Dose: 0.09 %, 2 times / day Route: ophthalmic Route: multiple Dose: 0.09 %, 2 times / day Sources: Page: p. 34 |
unhealthy, 61.9 years (range: 23-91 years) n = 151 Health Status: unhealthy Age Group: 61.9 years (range: 23-91 years) Sex: M+F Population Size: 151 Sources: Page: p. 34 |
Macular fibrosis | mild, 1 patient Disc. AE |
0.09 % 2 times / day multiple, ophthalmic Recommended Dose: 0.09 %, 2 times / day Route: ophthalmic Route: multiple Dose: 0.09 %, 2 times / day Sources: Page: p. 34 |
unhealthy, 61.9 years (range: 23-91 years) n = 151 Health Status: unhealthy Age Group: 61.9 years (range: 23-91 years) Sex: M+F Population Size: 151 Sources: Page: p. 34 |
Sinusitis | mild, 1 patient Disc. AE |
0.09 % 2 times / day multiple, ophthalmic Recommended Dose: 0.09 %, 2 times / day Route: ophthalmic Route: multiple Dose: 0.09 %, 2 times / day Sources: Page: p. 34 |
unhealthy, 61.9 years (range: 23-91 years) n = 151 Health Status: unhealthy Age Group: 61.9 years (range: 23-91 years) Sex: M+F Population Size: 151 Sources: Page: p. 34 |
Vision blurred | mild, 1 patient Disc. AE |
0.09 % 2 times / day multiple, ophthalmic Recommended Dose: 0.09 %, 2 times / day Route: ophthalmic Route: multiple Dose: 0.09 %, 2 times / day Sources: Page: p. 34 |
unhealthy, 61.9 years (range: 23-91 years) n = 151 Health Status: unhealthy Age Group: 61.9 years (range: 23-91 years) Sex: M+F Population Size: 151 Sources: Page: p. 34 |
Instillation site pain | mild, 11 patient Disc. AE |
0.09 % 2 times / day multiple, ophthalmic Recommended Dose: 0.09 %, 2 times / day Route: ophthalmic Route: multiple Dose: 0.09 %, 2 times / day Sources: Page: p. 34 |
unhealthy, 61.9 years (range: 23-91 years) n = 151 Health Status: unhealthy Age Group: 61.9 years (range: 23-91 years) Sex: M+F Population Size: 151 Sources: Page: p. 34 |
Eye pain | mild, 2 patients Disc. AE |
0.09 % 2 times / day multiple, ophthalmic Recommended Dose: 0.09 %, 2 times / day Route: ophthalmic Route: multiple Dose: 0.09 %, 2 times / day Sources: Page: p. 34 |
unhealthy, 61.9 years (range: 23-91 years) n = 151 Health Status: unhealthy Age Group: 61.9 years (range: 23-91 years) Sex: M+F Population Size: 151 Sources: Page: p. 34 |
Candida infection | moderate, 1 patient Disc. AE |
0.09 % 2 times / day multiple, ophthalmic Recommended Dose: 0.09 %, 2 times / day Route: ophthalmic Route: multiple Dose: 0.09 %, 2 times / day Sources: Page: p. 34 |
unhealthy, 61.9 years (range: 23-91 years) n = 151 Health Status: unhealthy Age Group: 61.9 years (range: 23-91 years) Sex: M+F Population Size: 151 Sources: Page: p. 34 |
Conjunctival hyperemia | moderate, 1 patient Disc. AE |
0.09 % 2 times / day multiple, ophthalmic Recommended Dose: 0.09 %, 2 times / day Route: ophthalmic Route: multiple Dose: 0.09 %, 2 times / day Sources: Page: p. 34 |
unhealthy, 61.9 years (range: 23-91 years) n = 151 Health Status: unhealthy Age Group: 61.9 years (range: 23-91 years) Sex: M+F Population Size: 151 Sources: Page: p. 34 |
Connective tissue disorders | moderate, 1 patient Disc. AE |
0.09 % 2 times / day multiple, ophthalmic Recommended Dose: 0.09 %, 2 times / day Route: ophthalmic Route: multiple Dose: 0.09 %, 2 times / day Sources: Page: p. 34 |
unhealthy, 61.9 years (range: 23-91 years) n = 151 Health Status: unhealthy Age Group: 61.9 years (range: 23-91 years) Sex: M+F Population Size: 151 Sources: Page: p. 34 |
Musculoskeletal disorder | moderate, 1 patient Disc. AE |
0.09 % 2 times / day multiple, ophthalmic Recommended Dose: 0.09 %, 2 times / day Route: ophthalmic Route: multiple Dose: 0.09 %, 2 times / day Sources: Page: p. 34 |
unhealthy, 61.9 years (range: 23-91 years) n = 151 Health Status: unhealthy Age Group: 61.9 years (range: 23-91 years) Sex: M+F Population Size: 151 Sources: Page: p. 34 |
Foreign body sensation in eyes | severe, 1 patient Disc. AE |
0.09 % 2 times / day multiple, ophthalmic Recommended Dose: 0.09 %, 2 times / day Route: ophthalmic Route: multiple Dose: 0.09 %, 2 times / day Sources: Page: p. 34 |
unhealthy, 61.9 years (range: 23-91 years) n = 151 Health Status: unhealthy Age Group: 61.9 years (range: 23-91 years) Sex: M+F Population Size: 151 Sources: Page: p. 34 |
Drowsiness | 10 g single, oral Highest studied dose Dose: 10 g Route: oral Route: single Dose: 10 g Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
|
Headache | 10 g single, oral Highest studied dose Dose: 10 g Route: oral Route: single Dose: 10 g Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
|
Tachycardia | 10 g single, oral Highest studied dose Dose: 10 g Route: oral Route: single Dose: 10 g Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
|
Vomiting | 10 g single, oral Highest studied dose Dose: 10 g Route: oral Route: single Dose: 10 g Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
|
Impaired renal function | grade 2 | 10 g single, oral Highest studied dose Dose: 10 g Route: oral Route: single Dose: 10 g Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
Cramp muscle | below serious, 1 patient | 3 mg/kg 1 times / day steady, oral (total daily dose) Dose: 3 mg/kg, 1 times / day Route: oral Route: steady Dose: 3 mg/kg, 1 times / day Sources: |
unhealthy n = 8 Health Status: unhealthy Condition: Chronic Obstructive Pulmonary Disease Population Size: 8 Sources: |
Hypertension | below serious, 1 patient | 3 mg/kg 1 times / day steady, oral (total daily dose) Dose: 3 mg/kg, 1 times / day Route: oral Route: steady Dose: 3 mg/kg, 1 times / day Sources: |
unhealthy n = 8 Health Status: unhealthy Condition: Chronic Obstructive Pulmonary Disease Population Size: 8 Sources: |
Tremor | below serious, 1 patient | 3 mg/kg 1 times / day steady, oral (total daily dose) Dose: 3 mg/kg, 1 times / day Route: oral Route: steady Dose: 3 mg/kg, 1 times / day Sources: |
unhealthy n = 8 Health Status: unhealthy Condition: Chronic Obstructive Pulmonary Disease Population Size: 8 Sources: |
Hyperkalemia | below serious, 2 patients | 3 mg/kg 1 times / day steady, oral (total daily dose) Dose: 3 mg/kg, 1 times / day Route: oral Route: steady Dose: 3 mg/kg, 1 times / day Sources: |
unhealthy n = 8 Health Status: unhealthy Condition: Chronic Obstructive Pulmonary Disease Population Size: 8 Sources: |
Gastrointestinal upset | below serious, 4 patients | 3 mg/kg 1 times / day steady, oral (total daily dose) Dose: 3 mg/kg, 1 times / day Route: oral Route: steady Dose: 3 mg/kg, 1 times / day Sources: |
unhealthy n = 8 Health Status: unhealthy Condition: Chronic Obstructive Pulmonary Disease Population Size: 8 Sources: |
Renal insufficiency | below serious, 4 patients | 3 mg/kg 1 times / day steady, oral (total daily dose) Dose: 3 mg/kg, 1 times / day Route: oral Route: steady Dose: 3 mg/kg, 1 times / day Sources: |
unhealthy n = 8 Health Status: unhealthy Condition: Chronic Obstructive Pulmonary Disease Population Size: 8 Sources: |
Abdominal pain upper | below serious, 12 patients | 5 mg/kg 2 times / week steady, oral (total daily dose) Dose: 5 mg/kg, 2 times / week Route: oral Route: steady Dose: 5 mg/kg, 2 times / week Sources: |
unhealthy n = 160 Health Status: unhealthy Condition: Chronic Plaque Psoriasis Population Size: 160 Sources: |
Hypertriglyceridaemia | below serious, 8 patients | 5 mg/kg 2 times / week steady, oral (total daily dose) Dose: 5 mg/kg, 2 times / week Route: oral Route: steady Dose: 5 mg/kg, 2 times / week Sources: |
unhealthy n = 160 Health Status: unhealthy Condition: Chronic Plaque Psoriasis Population Size: 160 Sources: |
Breast mass | serious, 1 patient | 5 mg/kg 2 times / week steady, oral (total daily dose) Dose: 5 mg/kg, 2 times / week Route: oral Route: steady Dose: 5 mg/kg, 2 times / week Sources: |
unhealthy n = 160 Health Status: unhealthy Condition: Chronic Plaque Psoriasis Population Size: 160 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: - |
no | |||
Page: - |
no | |||
Page: - |
no | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/23881596/ Page: - |
yes [IC50 0.05 uM] | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/23881596/ Page: - |
yes [IC50 0.1 uM] | |||
Page: - |
yes [IC50 0.2 uM] | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/23881596/ Page: - |
yes [IC50 2 uM] | |||
Page: - |
yes [IC50 23 uM] | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/23881596/ Page: - |
yes [IC50 4.5 uM] | |||
Page: - |
yes [IC50 48 uM] | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/8361996/ Page: - |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/8361996/ Page: - |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/8361996/ Page: - |
yes | |||
Page: - |
yes |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: - |
major | |||
Page: - |
minor | |||
Page: - |
minor | |||
Page: - |
minor | |||
Page: - |
no | |||
Page: - |
no | |||
Page: - |
no | |||
Page: - |
no | |||
Page: - |
no | |||
Page: - |
no | |||
Page: - |
no | |||
Page: - |
yes | |||
Page: - |
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/22128262/ Page: - |
PubMed
Title | Date | PubMed |
---|---|---|
[Arterial hypertension and oxidative stress induced by cyclosporin. Effect of carvedilol]. | 2001 Apr-Jun |
|
Renal cholesterol accumulation: a durable response after acute and subacute renal insults. | 2001 Aug |
|
Calcineurin-inhibitor related nephrotoxicity- reversibility in paediatric liver transplant recipients. | 2001 Aug 27 |
|
Bone marrow aplasia after pipobroman: an immune-mediated mechanism? | 2001 Dec |
|
Cyclosporin-induced hypertension. | 2001 Dec |
|
End-stage renal disease (ESRD) after orthotopic liver transplantation (OLTX) using calcineurin-based immunotherapy: risk of development and treatment. | 2001 Dec 27 |
|
Mycophenolate mofetil monotherapy in liver transplantation. | 2001 Feb 24 |
|
Replacement of calcineurin inhibitors with mycophenolate mofetil in liver-transplant patients with renal dysfunction: a randomised controlled study. | 2001 Feb 24 |
|
Cyclosporin A for the treatment of patients with chronic idiopathic thrombocytopenic purpura refractory to corticosteroids or splenectomy. | 2001 Jul |
|
What is proper treatment for Wegener granulomatosis? | 2001 Jul 23 |
|
Functional characterization of the human multidrug transporter, ABCG2, expressed in insect cells. | 2001 Jul 6 |
|
Fatal acute hepatic failure induced by danazol in a patient with endometriosis and aplastic anemia. | 2001 Nov |
|
Targeting keratinocyte apoptosis in the treatment of atopic dermatitis and allergic contact dermatitis. | 2001 Nov |
|
Buerger's disease in a patient with minimal-change nephrotic syndrome. | 2001 Nov |
|
Severe neurotoxicity of tacrolimus (FK506) after renal transplantation: two case reports. | 2001 Nov-Dec |
|
Cyclosporine A-induced mammary hyperplasia and hyperprolactinemia in New Zealand White rabbits. | 2001 Oct |
|
Doxorubicin ototoxicity is induced in mice by combination treatment with cyclosporin A. | 2001 Oct |
|
Cyclosporin A-induced encephalopathy after allogeneic bone marrow transplantation with prevention of graft-versus-host disease by tacrolimus. | 2001 Oct |
|
Use of rapamycin in a transplant patient who developed cyclosporin neurotoxicity. | 2001 Oct |
|
Sirolimus and mycophenolate mofetil for calcineurin-free immunosuppression in renal transplant recipients. | 2001 Oct |
|
Changes in lipid metabolism and effect of simvastatin in renal transplant recipients induced by cyclosporine or tacrolimus. | 2001 Oct |
|
Correlates of acute renal failure in patients receiving parenteral amphotericin B. | 2001 Oct |
|
Vascular endothelial function in cyclosporine and tacrolimus treated renal transplant recipients. | 2001 Oct 27 |
|
Drug-associated thrombotic thrombocytopenic purpura-hemolytic uremic syndrome. | 2001 Sep |
|
Cholestasis and regulation of genes related to drug metabolism and biliary transport in rat liver following treatment with cyclosporine A and sirolimus (Rapamycin). | 2001 Sep |
|
Role of calcineurin in insulin-like growth factor-1-induced hypertrophy of cultured adult rat ventricular myocytes. | 2001 Sep |
|
Silencer activity of NFATc2 in the interleukin-12 receptor beta 2 proximal promoter in human T helper cells. | 2001 Sep 14 |
|
Calcineurin-GATA4 pathway is involved in beta-adrenergic agonist-responsive endothelin-1 transcription in cardiac myocytes. | 2001 Sep 14 |
|
Alterations induced by cyclosporine A in myocardial fibers and extracellular matrix in rat. | 2002 |
|
Oxidative stress and TGFbeta in kidney-transplanted patients with cyclosporin-induced hypertension. Effect of carvedilol and nifedipine. | 2002 Aug |
|
Angiotensin II regulation of vascular endothelial growth factor and receptors Flt-1 and KDR/Flk-1 in cyclosporine nephrotoxicity. | 2002 Aug |
|
Myelodysplastic syndrome complicated by autoimmune hemolytic anemia: remission of refractory anemia following mycophenolate mofetil. | 2002 Dec |
|
Sirolimus: new preparation. No tangible advance in renal transplantation. | 2002 Dec |
|
Expression of TGF-beta and fibrogenic genes in transplant recipients with tacrolimus and cyclosporine nephrotoxicity. | 2002 Dec |
|
Cyclosporine-associated facial paralysis in a child with renal transplant. | 2002 Jul |
|
Colchicine myoneuropathy in a renal transplant patient. | 2002 Jul |
|
Studies of renal injury IV: The GLUT1 gene protects renal cells from cyclosporine A toxicity. | 2002 Jul |
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Calcineurin inhibitors, cyclosporin A and tacrolimus inhibit expression of inducible nitric oxide synthase in colon epithelial and macrophage cell lines. | 2002 Jul 19 |
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Dermatomyositis associated with membranous nephropathy in a 43-year-old female. | 2002 Jul-Aug |
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Nephrotoxicity of cyclosporine A and amphotericin B-deoxycholate as continuous infusion in allogenic stem cell transplantation. | 2002 Jun 15 |
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Itraconazole-induced rhabdomyolysis and acute renal failure in a heart transplant recipient treated with simvastatin and cyclosporine. | 2002 Jun 27 |
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Enhancement by cyclosporin A of taxol-induced apoptosis of human urinary bladder cancer cells. | 2002 May |
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Sirolimus (Rapamune) in renal transplantation. | 2002 Nov |
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Dissociated ROS production and ceramide generation in sulfasalazine-induced cell death in Raw 264.7 cells. | 2002 Oct |
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Oxidative stress in kidney transplant patients with calcineurin inhibitor-induced hypertension: effect of ramipril. | 2002 Oct |
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Pimecrolimus inhibits up-regulation of OX40 and synthesis of inflammatory cytokines upon secondary T cell activation by allogeneic dendritic cells. | 2002 Oct |
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Interaction of cytochrome P450 3A inhibitors with P-glycoprotein. | 2002 Oct |
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Long-term comparison of tacrolimus- and cyclosporine-induced nephrotoxicity in pediatric heart-transplant recipients. | 2002 Sep |
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Influence of different chemicals on MDR-1 P-glycoprotein expression and activity in the HK-2 proximal tubular cell line. | 2002 Sep 1 |
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Evaluation of carcinogenic responses in the Eker rat following short-term exposure to selected nephrotoxins and carcinogens. | 2002 Sep-Oct |
Patents
Sample Use Guides
Organs transplantation: the initial oral dose of cyclosporine (Sandimmune) should be given 4 to 12 hours prior to transplantation as a single dose of 15 mg/kg. Rheumatoid Arthritis, Psoriasis: the initial dose of cyclosporine (Neoral) is 2.5 mg/kg/day, taken twice daily as a divided (BID) oral dose. Keratoconjunctivitis sicca: instill one drom twice a day in each eye, approximately 12 hours apart.
Route of Administration:
Other
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/19857752
Human CD4+CD25+ cells isolated from healthy donors were cultured in the presence of 40 or 400 ng/mL of cyclosporine. The suppressive activity of Treg was assessed in mixed leukocyte reactions (MLR) using CD25+ and autologous activated peripheral blood mononuclear cells (PBMC). The drug inhibited the proliferative capacity of PBMC and CD4+CD25+ Treg in a dose-dependent manner.
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Dec 15 15:51:52 GMT 2023
by
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on
Fri Dec 15 15:51:52 GMT 2023
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Record UNII |
83HN0GTJ6D
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Record Status |
Validated (UNII)
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Record Version |
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Classification Tree | Code System | Code | ||
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WHO-VATC |
QS01XA18
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FDA ORPHAN DRUG |
252207
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FDA ORPHAN DRUG |
252107
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FDA ORPHAN DRUG |
224106
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NCI_THESAURUS |
C574
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FDA ORPHAN DRUG |
319710
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FDA ORPHAN DRUG |
138500
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FDA ORPHAN DRUG |
58991
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FDA ORPHAN DRUG |
176303
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FDA ORPHAN DRUG |
29988
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FDA ORPHAN DRUG |
275108
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NDF-RT |
N0000175458
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FDA ORPHAN DRUG |
254807
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EMA ASSESSMENT REPORTS |
IKERVIS (AUTHORIZED: CORNEAL DISEASES)
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FDA ORPHAN DRUG |
273308
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LIVERTOX |
NBK548753
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WHO-ESSENTIAL MEDICINES LIST |
8.1
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WHO-ATC |
S01XA18
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CFR |
21 CFR 862.1235
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FDA ORPHAN DRUG |
194704
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NCI_THESAURUS |
C1744
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FDA ORPHAN DRUG |
112798
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NDF-RT |
N0000175457
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FDA ORPHAN DRUG |
239907
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CFR |
21 CFR 520.522
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WHO-VATC |
QL04AD01
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FDA ORPHAN DRUG |
254907
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FDA ORPHAN DRUG |
180103
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FDA ORPHAN DRUG |
51790
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NCI_THESAURUS |
C146638
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WHO-ATC |
L04AD01
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CFR |
21 CFR 524.575
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EU-Orphan Drug |
EU/3/06/415
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Code System | Code | Type | Description | ||
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CICLOSPORIN
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1158504
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PRIMARY | |||
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5086
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PRIMARY | |||
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59865-13-3
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PRIMARY | |||
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D016572
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1024
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PRIMARY | |||
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Cyclosporine
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290193
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PRIMARY | |||
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760
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PRIMARY | |||
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SUB06250MIG
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PRIMARY | |||
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83HN0GTJ6D
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PRIMARY | |||
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5284373
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PRIMARY | |||
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3008
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PRIMARY | |||
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83HN0GTJ6D
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PRIMARY | |||
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SUB129839
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PRIMARY | |||
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CYCLOSPORINE
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PRIMARY | Description: A white or almost white powder.Solubility: Practically insoluble in water; freely soluble in ethanol (~750 g/l) TS and dichloromethane R.Category: Immunosuppressant drug.Storage: Ciclosporin should be kept in a well-closed container, protected from light. | ||
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6881
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PRIMARY | |||
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236077
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ALTERNATIVE | |||
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N0000185503
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PRIMARY | P-Glycoprotein Inhibitors [MoA] | ||
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100000092121
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PRIMARY | |||
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4031
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PRIMARY | |||
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DB00091
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PRIMARY | |||
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N0000182141
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PRIMARY | Cytochrome P450 3A4 Inhibitors [MoA] | ||
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484788
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ALTERNATIVE | |||
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C406
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PRIMARY | |||
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m4020
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PRIMARY | Merck Index | ||
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CHEMBL160
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PRIMARY | |||
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DTXSID0020365
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PRIMARY |
Related Record | Type | Details | ||
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TRANSPORTER -> INHIBITOR | |||
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TARGET -> INHIBITOR |
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TRANSPORTER -> SUBSTRATE | |||
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TARGET -> INHIBITOR |
BINDING
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DERIVATIVE -> PARENT |
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TRANSPORTER -> INHIBITOR |
can potentially be used for in vivo (clinical) studies
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TRANSPORTER -> SUBSTRATE | |||
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DERIVATIVE -> PARENT |
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METABOLIC ENZYME -> INHIBITOR | |||
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TRANSPORTER -> INHIBITOR | |||
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TRANSPORTER -> INHIBITOR |
SUBSTRATE USED: Bromsulphthalein
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METABOLIC ENZYME -> SUBSTRATE | |||
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TRANSPORTER -> INHIBITOR | |||
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TRANSPORTER -> INHIBITOR | |||
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TRANSPORTER -> INHIBITOR | |||
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TRANSPORTER -> INHIBITOR |
substrate used: Amantinin, Bosentan, Bromsulphthalein (BSP), Rosuvastatin
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TRANSPORTER -> INHIBITOR |
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METABOLIC ENZYME -> SUBSTRATE |
Related Record | Type | Details | ||
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ACTIVE MOIETY |
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