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PathWhiz ID Pathway Meta Data

PW123791

Pw123791 View Pathway
disease

nihao

Acinetobacter baylyi (strain ATCC 33305 / BD413 / ADP1)

PW145603

Pw145603 View Pathway
drug action

Nilotinib Drug Metabolism Action Pathway

Homo sapiens

PW032595

Pw032595 View Pathway
drug action

Nilotinib Inhibition of BCR-ABL Action Pathway

Homo sapiens
Nilotinib is a tyrosine kinase inhibitor used to treat chronic myelogenous leukemia (CML), a cancer characterized by increased and unregulated growth of white blood cells in the bone marrow and the accumulation of these cells in the blood. The cause of CML pathophysiology is the BCR-ABL fusion protein - the result of a genetic abnormality known as the Philadelphia chromosome in which Abelson Murine Leukemia viral oncogene homolog 1 (ABL1) translocates within the Breakpoint Cluster Region (BCR) gene on chromosome 22. BCR-ABL is a cytoplasm-targeted constitutively active tyrosine kinase that activates several oncogenic pathways which promote increased cell proliferation and survival including the MAPK/ERK Pathway, the JAK-STAT Pathway, and the PI3K/Akt pathway. Nilotinib is considered a second generation BCR-ABL inhibitor (Imatinib being the progenitor) that inhibits BCR-ABL activity by binding a highly conserved ATP binding site to effectively lock the tyrosine kinase in an inactive conformation. As a result, phosphate is unable to be transferred from ATP to activate oncogenic signalling cascades. For greater detail, refer to the pathway titled BCR-ABL Action in CML Pathogenesis. Nilotinib is able to bind ABL with greater affinity than Imatinib (20-fold to 30-fold increase). It is therefore administered to patients with Imatinib resistance. Notably, Nilotinib is ineffective against the T315I mutation in BCR-ABL, and further research is necessary.

PW176275

Pw176275 View Pathway
metabolic

Nilotinib Predicted Metabolism Pathway

Homo sapiens
Metabolites of Nilotinib are predicted with biotransformer.

PW132413

Pw132413 View Pathway
metabolic

Nilutamide Drug Metabolism

Homo sapiens
Nilutamide is a drug that is not metabolized by the human body as determined by current research and biotransformer analysis. Nilutamide passes through the liver and is then excreted from the body mainly through the kidney.

PW144778

Pw144778 View Pathway
drug action

Nilutamide Drug Metabolism Action Pathway

Homo sapiens

PW127927

Pw127927 View Pathway
drug action

Nilvadipine Action Pathway

Homo sapiens
Nilvadipine is a calcium channel blocker used to manage arterial hypertension. For the management of vasospastic angina, chronic stable angina and hypertension. Nilvadipine is similar to other dihydropyridines including amlodipine, felodipine, isradipine, and nicardipine. Nilvadipine is used to treat Prinzmetal's angina, hypertension, and other vascular disorders such as Raynaud's phenomenon. By blocking the calcium channels, Nifedipine inhibits the spasm of the coronary artery and dilates the systemic arteries, results in an increase of myocardial oxygen supply and a decrease in systemic blood pressure. Nilvadipine inhibits the influx of extracellular calcium through myocardial and vascular membrane pores by physically plugging the channel. The decrease in intracellular calcium inhibits the contractile processes of smooth muscle cells, causing dilation of the coronary and systemic arteries, increased oxygen delivery to the myocardial tissue, decreased total peripheral resistance, decreased systemic blood pressure, and decreased afterload. Nilvadipine targets the alpha-1C, alpha-2/delta-1, and beta-2 subunits of the channel, and it is administered as on oral tablet. Possible side effects of using nilvadipine may include headache, dizziness, fatigue, and flushing.

PW145753

Pw145753 View Pathway
drug action

Nilvadipine Drug Metabolism Action Pathway

Homo sapiens

PW145570

Pw145570 View Pathway
drug action

Nimesulide Drug Metabolism Action Pathway

Homo sapiens

PW124420

Pw124420 View Pathway
drug action

Nimodipine

Homo sapiens
Nimodipine is a 1,4-dihydropyridine calcium channel blocker. It acts primarily on vascular smooth muscle cells by stabilizing voltage-gated L-type calcium channels in their inactive conformation. By inhibiting the influx of calcium in smooth muscle cells, nimodipine prevents calcium-dependent smooth muscle contraction and subsequent vasoconstriction. Compared to other calcium channel blocking agents, nimodipine exhibits greater effects on cerebral circulation than on peripheral circulation. Nimodipine is used to as an adjunct to improve the neurologic outcome following subarachnoid hemorrhage from ruptured intracranial aneurysm. (DrugBank) Although the precise mechanism of action is not known, nimodipine blocks intracellular influx of calcium through voltage-dependent and receptor-operated slow calcium channels across the membranes of myocardial, vascular smooth muscle, and neuronal cells. By specifically binding to L-type voltage-gated calcium channels, nimodipine inhibits the calcium ion transfer, resulting in the inhibition of vascular smooth muscle contraction. Evidence suggests that the dilation of small cerebral resistance vessels, with a resultant increase in collateral circulation, and/or a direct effect involving the prevention of calcium overload in neurons may be responsible for nimodipine's clinical effect in patients with subarachnoid hemorrhage. (DrugBank)