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Drug Details

General Information of the Drug (ID: DR9857)
Name
Bivalirudin
Synonyms
Bivalirudin; 128270-60-0; Angiomax; BG-8967; Bivalirudin Trifluoroacetate; BG8967; Hirulog; UNII-TN9BEX005G; CHEBI:59173; TN9BEX005G; D-Phenylalanyl-L-prolyl-L-arginyl-L-prolylglycylglycylglycylglycyl-L-asparaginylglycyl-L-alpha-aspartyl-L-phenylalanyl-L-alpha-glutamyl-L-alpha-glutamyl-L-isoleucyl-L-prolyl-L-alpha-glutamyl-L-alpha-glutamyl-L-tyrosyl-L-leucine; L-Leucine, D-phenylalanyl-L-prolyl-L-arginyl-L-prolylglycylglycylglycylglycyl-L-asparaginylglycyl-L-alpha-aspartyl-L-phenylalanyl-L-alpha-glutamyl-L-alpha-glutamyl-L-isoleucyl-L-prolyl-L-alpha-glutamyl-L-alpha-glutamyl-L-tyrosyl-; Angiox; bivalirudina; bivalirudine; bivalirudinum; BG 8967; Bivalirudin [USAN:INN:BAN]; C98H138N24O33; HS-2004; SCHEMBL25739; GTPL6470; Bivalirudin trifluoroacetate salt; CHEMBL2103749; DTXSID00155847; Bivalirudin;0.9% Sodium Chloride; 1191386-55-6; EBD32115; BDBM50248103; MFCD08692016; AKOS015994644; DB00006; 70B600; 270B600; J-005587; Q4919218; (R,R)-2,6-Bis(4,5-dihydro-4-phenyl-2-oxazolyl)pyridine; (R,R)-2,6-Bis(4-phenyl-2-oxazolinyl)pyridine; (+)-2,6-Bis[(4R)-4-phenyl-2-oxazolin-2-yl]pyridine
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Molecular Type
Small molecule
Disease Thrombocytopenia [ICD-11: 3B64] Approved [1]
Structure
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2D MOL

3D MOL

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Formula
C98H138N24O33
PubChem CID
16129704
Canonical SMILES
CCC(C)C(C(=O)N1CCCC1C(=O)NC(CCC(=O)O)C(=O)NC(CCC(=O)O)C(=O)NC(CC2=CC=C(C=C2)O)C(=O)NC(CC(C)C)C(=O)O)NC(=O)C(CCC(=O)O)NC(=O)C(CCC(=O)O)NC(=O)C(CC3=CC=CC=C3)NC(=O)C(CC(=O)O)NC(=O)CNC(=O)C(CC(=O)N)NC(=O)CNC(=O)CNC(=O)CNC(=O)CNC(=O)C4CCCN4C(=O)C(CCCNC(=N)N)NC(=O)C5CCCN5C(=O)C(CC6=CC=CC=C6)N
InChI
1S/C98H138N24O33/c1-5-52(4)82(96(153)122-39-15-23-70(122)92(149)114-60(30-34-79(134)135)85(142)111-59(29-33-78(132)133)86(143)116-64(43-55-24-26-56(123)27-25-55)89(146)118-67(97(154)155)40-51(2)3)119-87(144)61(31-35-80(136)137)112-84(141)58(28-32-77(130)131)113-88(145)63(42-54-18-10-7-11-19-54)117-90(147)66(45-81(138)139)110-76(129)50-107-83(140)65(44-71(100)124)109-75(128)49-106-73(126)47-104-72(125)46-105-74(127)48-108-91(148)68-21-13-38-121(68)95(152)62(20-12-36-103-98(101)102)115-93(150)69-22-14-37-120(69)94(151)57(99)41-53-16-8-6-9-17-53/h6-11,16-19,24-27,51-52,57-70,82,123H,5,12-15,20-23,28-50,99H2,1-4H3,(H2,100,124)(H,104,125)(H,105,127)(H,106,126)(H,107,140)(H,108,148)(H,109,128)(H,110,129)(H,111,142)(H,112,141)(H,113,145)(H,114,149)(H,115,150)(H,116,143)(H,117,147)(H,118,146)(H,119,144)(H,130,131)(H,132,133)(H,134,135)(H,136,137)(H,138,139)(H,154,155)(H4,101,102,103)/t52-,57+,58-,59-,60-,61-,62-,63-,64-,65-,66-,67-,68-,69-,70-,82-/m0/s1
InChIKey
OIRCOABEOLEUMC-GEJPAHFPSA-N
CAS Number
CAS 128270-60-0
ChEBI ID
CHEBI:59173
TTD Drug ID
D09HVL
DrugBank ID
DB00006
Combinatorial Therapeutic Effect(s) Validated Clinically or Experimentally
    α. A List of Natural Product(s) Able to Enhance the Efficacy of This Drug
          Heparin      Filipendula ulmaria     Click to Show/Hide the Molecular Data of This NP
                 Achieving Therapeutic Synergy     Click to Show/Hide
                    Representative Experiment Reporting the Effect of This Combination [2]
                    Detail(s)  Combination Info  click to show the detail info of this combination
                    Biological
                    Regulation
Decrease clotting time
                    In-vitro Model Human fibroblasts collected from a skin biopsy Healthy Homo sapiens
Human liver non-parenchymal cells obtained after liver isolation Healthy Homo sapiens
hALPCs obtained from healthy liver donors Healthy Homo sapiens
                    Experimental
                    Result(s)
Concomitant administration of an antithrombin activator or direct factor Xa inhibitor and direct thrombin inhibitor proved to be a particularly effective combination for controlling the procoagulant effects of hALPCs both in vitro and in vivo.
Target and Pathway
Target(s) Coagulation factor IIa (F2)  Molecule Info  [3]
KEGG Pathway Neuroactive ligand-receptor interaction Click to Show/Hide
2 Complement and coagulation cascades
3 Regulation of actin cytoskeleton
NetPath Pathway TCR Signaling Pathway Click to Show/Hide
Panther Pathway Blood coagulation Click to Show/Hide
Pathwhiz Pathway Vitamin K Metabolism Click to Show/Hide
2 Coagulation
Pathway Interaction Database Thrombin/protease-activated receptor (PAR) pathway Click to Show/Hide
2 Angiopoietin receptor Tie2-mediated signaling
3 FOXA2 and FOXA3 transcription factor networks
4 PAR4-mediated thrombin signaling events
5 Syndecan-4-mediated signaling events
6 PAR1-mediated thrombin signaling events
Reactome Intrinsic Pathway of Fibrin Clot Formation Click to Show/Hide
2 Common Pathway of Fibrin Clot Formation
3 Gamma-carboxylation of protein precursors
4 Transport of gamma-carboxylated protein precursors from the endoplasmic reticulum to the Golgi apparatus
5 Removal of aminoterminal propeptides from gamma-carboxylated proteins
6 Cell surface interactions at the vascular wall
7 Peptide ligand-binding receptors
8 Regulation of Insulin-like Growth Factor (IGF) transport and uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs)
9 G alpha (q) signalling events
10 Thrombin signalling through proteinase activated receptors (PARs)
WikiPathways Complement and Coagulation Cascades Click to Show/Hide
2 Regulation of Actin Cytoskeleton
3 IL1 and megakaryotyces in obesity
4 Regulation of Insulin-like Growth Factor (IGF) Transport and Uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs)
5 PTM: gamma carboxylation, hypusine formation and arylsulfatase activation
6 Blood Clotting Cascade
7 Gastrin-CREB signalling pathway via PKC and MAPK
8 Thrombin signalling through proteinase activated receptors (PARs)
9 Platelet Aggregation (Plug Formation)
10 GPCR ligand binding
11 GPCR downstream signaling
12 Formation of Fibrin Clot (Clotting Cascade)
13 Cell surface interactions at the vascular wall
14 Folate Metabolism
15 Vitamin B12 Metabolism
16 Selenium Micronutrient Network
References
Reference 1 URL: http://www.guidetopharmacology.org Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Ligand id: 6470).
Reference 2 Bivalirudin in combination with heparin to control mesenchymal cell procoagulant activity. PLoS One. 2012;7(8):e42819.
Reference 3 New anticoagulants. Am Heart J. 2001 Aug;142(2 Suppl):S3-8.
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Correspondence

X. N. Sun, Y. T. Zhang, Y. Zhou, X. C. Lian, L. L. Yan, T. Pan, T. Jin, H. Xie, Z. M. Liang, W. Q. Qiu, J. X. Wang, Z. R. Li, F. Zhu*, X. B. Sui*. NPCDR: natural product-based drug combination and its disease-specific molecular regulation. Nucleic Acids Research. 50(D1): 1324-1333 (2020). PMID: 34664659

Prof. Feng ZHU  (zhufeng@zju.edu.cn)

College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, China


Prof. Xinbing SUI  (hzzju@hznu.edu.cn)

School of Pharmacy and Department of Medical Oncology, the Affiliated Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, China