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Pathways

PathWhiz ID Pathway Meta Data

PW145855

Pw145855 View Pathway
drug action

Rilpivirine Drug Metabolism Action Pathway

Homo sapiens

PW124609

Pw124609 View Pathway
drug action

Rilpivirine Mechanism of Action

Homo sapiens
Rilpivirine is an oral non- nucleoside reverse transcriptase inhibitor used to treat HIV-1. When HIV infects a cell, the virus first binds and fuses with the cell, releasing its nucleocapsid containing its RNA and reverse transcriptase into the cytosol of the cell. The reverse transcriptase converts the viral RNA into viral DNA. The viral DNA goes through the process of transcription and translation to produce viral proteins. These viral proteins are assembled and new HIV viruses buds from the cell. Nevirapine enters the cell through the solute carrier family 22 member 1 transporter and binds to and inhibits reverse transcriptase, preventing the formation of viral DNA from viral RNA. Since less viral DNA is formed, less of this DNA is available in the nucleus to undergo transcription and translation, consequently, less viral proteins are formed. This reduces the formation of new viruses since there are fewer viral proteins. Rilpivirine is only effective against HIV-1, and not against HIV-2. Signs and symptoms of HIV such as Chronic fatigue, rapid weight loss, nausea, vomiting, coughing and shortness of breath, recurring fever/chills, rashes/ sores may be relieved from taking rilpivirine. The internal conformational flexibility of rilpivirine and the plasticity of the binding site causes this drug to have high potency and reduces the chance of resistance compared to other NNRTI's. Side effects of nevirapine include rash, nausea, fever, fatigue, headache, stevens-johnson syndrome, liver injury, jaundice, joint ache, edema and blisters.

PW126925

Pw126925 View Pathway
metabolic

Rilpivirine Metabolism Pathway

Homo sapiens

PW144851

Pw144851 View Pathway
drug action

Riluzole Drug Metabolism Action Pathway

Homo sapiens

PW176289

Pw176289 View Pathway
metabolic

Riluzole Predicted Metabolism Pathway

Homo sapiens
Metabolites of Riluzole are predicted with biotransformer.

PW127553

Pw127553 View Pathway
drug action

Rimantadine Action Pathway

Homo sapiens
Rimantadine is an RNA synthesis inhibitor used to prevent influenza A infection.The mechanism of action of rimantadine is not fully understood. Rimantadine appears to exert its inhibitory effect early in the viral replicative cycle, possibly inhibiting the uncoating of the virus. It may play a role in the inhibition of the matrix protein 2 protein which is required for the uncoating of the protein. The inhibition of matrix protein 2 prevents the virus from replicating and further infecting cells.

PW132468

Pw132468 View Pathway
metabolic

Rimantadine Drug Metabolism

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

PW144600

Pw144600 View Pathway
drug action

Rimantadine Drug Metabolism Action Pathway

Homo sapiens

PW146528

Pw146528 View Pathway
drug action

Rimegepant Drug Metabolism Action Pathway

Homo sapiens

PW127841

Pw127841 View Pathway
drug action

Rimexolone Action Pathway

Homo sapiens
Rimexolone, also known as Vexol, is a glucocorticoid used to treat inflammation of the eye. It is available as a 1% eye drop solution. Rimexolone is a glucocorticoid receptor agonist. As this drug is a glucocorticoid, its mechanism of action is that of the glucocorticoid response element (GRE) of influencing COX-2/prostaglandin G/H synthase 2 suppression and lipocortin/annexin induction. By binding to the glucocorticoid receptor, it influences transcription factors AP-1 and NF-kB to block the transcription of COX-2/prostaglandin G/H synthase 2 which reduces the amount of prostanoids being produced from arachidonic acid. Prostanoids such as PGI2 and thromboxane A2 influence the effects of inflammation through vasoconstriction/dilation, pain sensitivity, and platelet aggregation. Rimexolone also affects the promoter of annexin-1, an important inflammatory protein as it affects leukocytes and blocks phospholipase A2 which reduces the amount of arachidonic acid being cleaved from the phospholipid bilayer. Reducing the amount of arachidonic acid formed further decreases the concentrations of prostanoids mentioned calming inflammation.