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Biofiles Pharmaceutical Drugs and Drug Candidates Antihypertensive Agents Antilipemic Agents Anticoagulants Volume 7, Number 5 Biofilesonline Your gateway to Biochemicals and Reagents for Life Science Research Biofiles Online allows you to: •Easily navigate the content of • the current Biofiles issue Access any issue of Biofiles Subscribe for email notifications of future eBiofiles issues • Register today for upcoming issues and eBiofiles announcements at sigma.com/biofiles Biofilescontents Introduction 3 Antihypertensive Agents 5 Angiotensin-Converting Enzyme (ACE) Inhibitors 5 Angiotensin II Receptor Blockers (ARBs) 8 α1-Adrenoreceptor Blockers 11 β-Adrenergic Blockers 14 Calcium Channel Blockers (CCBs) 16 Highlights in this issue: Scientists look to Sigma® Life Science as a trusted source for small molecules to use as research tools in their effort to unravel the mystery of disease. In the following pages, we will not only present the approved therapeutics and drug candidates to advance hypertension research, but also some complementary products such as antibodies, zinc finger nucleases, and more. By providing you with best-in-class products across multiple stages of your research, you can focus more on what matters most: the new idea that will lead to the next breakthrough. Upcoming issue: The next issue of Biofiles will feature dietary bioactives, specifically phytochemicals and functional foods studied for their added health and physiological benefits that extend beyond normal nutritional value. Their antioxidant, anti-proliferative and anti-inflammatory activities contribute to health maintenance and disease prevention, making them optimal targets for pharmaceutical alternatives and novel nutraceuticals. Diuretics 19 Antilipemic Agents 21 3-Hydroxy-3-Methylglutaryl Coenzyme A (HMG-CoA) Reductase Inhibitors 21 Peroxisome Proliferator-Activated Receptor (PPAR) Agonists 23 Acyl–Coenzyme A:Cholesterol Acyltransferase (ACAT) Inhibitors 24 Anticoagulants25 Cover: Advances in pharmacology offer new approved therapeutics and drug candidates for the treatment of hypertension. Technical content: Sami Barghshoon Product Manager – Bioactive Small Molecules [email protected] Order sigma.com/order Technical service sigma.com/techinfo sigma.com/lifescience 3 Introduction Sami Barghshoon Product Manager – Bioactive Small Molecules [email protected] The development of effective medications has led to progress in controlling both blood pressure and cholesterol level.1-2 Antihypertensive and antilipemic agents have vastly improved the treatments available for hypertension and the quality of life of individuals with this condition. In 2011, there were 299 drug candidates under development and 5,701 clinical trials (Open Studies only) worldwide.3-4 From this group, 27 drug candidates are under evaluation for hypertension in 664 clinical trials and 43 candidates in 103 clinical trials for lipid disorders. The majority of hypertension clinical trials focus on combination therapies while lipid disorders examine the combination of lifestyle and medication intervention on managing the disease. Much of the groundwork for approved therapeutics and drug candidates under development came from extensive basic research in hypertension.5 Researchers are continually working to discover new ways to approach the R&D process; researchers must creatively tackle unforeseen challenges and thoroughly collect data on all aspects of the drug’s safety and efficacy. Sigma® Life Science is currently collaborating with Pfizer to provide you access to several of their approved therapeutics and drug candidates for your research efforts. Our bioactive small molecules portfolio also extends to include compounds from GSK, Merck, AstraZeneca, and more. We work closely with academic and government institutions. Along with your peers from the Broad Institute and Northeastern University, we select compounds to provide you with the latest and most relevant research tools for evaluating drug targets for the study of hypertension. By ensuring a comprehensive portfolio, we make it easier for you to find the needed approved therapeutics and drug candidates for cardiovascular research. That means your flashes of inspiration and persistent dedication might lead to new treatments for hypertension sooner than you expected. This Biofiles issue concentrates on our selection of approved therapeutics and drug candidates for hypertension. Our portfolio includes antihypertensive agents such as: •Angiotensin converting enzyme inhibitors •Angiotensin receptor blockers •β-adrenoreceptor blockers •Calcium channel blockers •Thiazide diuretics We also explore antilipemic—HMG-CoA reductase and ACAT inhibitors—and anticoagulant agents. Complementary products such as antibodies, peptides, biomolecules (naturally-derived compounds), and zinc finger nucleases are included. 4 And we don’t offer a “one size fits all.” Sigma® Life Science offers a host of products and services to support your research, including our Library of Pharmacologically Active Compounds LOPAC®, knockout rat models from SAGE® laboratories, and MISSION® ID Library for gene target identification. We aim to provide elegant solutions that are tailored to your specific research needs. Basic and clinical research continue to make remarkable progress in understanding cardiovascular biology. At the heart of this progress is our commitment to provide you with the best tools to do your best work in advancing the promise of science. References 1.Roger et al. 2011. Heart disease and stroke statistics-2011 update: A report from the American Heart Association. Circulation 123:e18-e209. 2. Arima, H. and Chalmers, J. 2011. PROGRESS: Prevention of recurrent stroke. J Clin Hypertens 13:693-702. 3. PhRMA. 2011. Medicines in development for heart disease and stroke. http://www.phrma.org/sites/default/ files/422/heart2011.pdf 4. NIH. 2011. Clinical Trials: Open studies in cardiovascular disease. http://www.clinicaltrials.gov 5. PhRMA. 2011. Pharmaceutical industry profile. http://www.phrma.org/sites/default/files/159/phrma_ profile_2011_final.pdf Improve Solubilization Without Interference Bioreagents. Sigma Life Science now distributes excipients from BASF, including Kolliphor® and Kollisolv®. These solubilizers and emulsifiers: • Protect bioactive small molecules • Provide increased stability • Help solubilize, gel or suspend • Do not impact drug metabolism For product-specific information, visit sigma.com/excipients Order sigma.com/order Technical service sigma.com/techinfo sigma.com/lifescience 5 Antihypertensive Agents Antihypertensive Agents ACE Inhibitors Agents that inhibit angiontensin-converting enzymes (ACE) and angiotensin II formation are essential to cardiovascular medicine.1 These inhibitors are used not only to treat essential hypertension and complications associated with it, but also to prevent cardiovascular, cerebrovascular, and renal complications.2,3 The first oral ACE inhibitor therapeutic was developed in the 1970s,4 and was soon followed by other ACE inhibitors with more attractive pharmacodynamic effects. Millions of people use ACE inhibitors on a daily basis to manage hypertension. In the U.S., roughly 163 million prescriptions were filled in 2009, making this class of therapeutics the country’s fourth most widely prescribed medicine.5 The U.S. Food and Drug Administration (FDA) has approved 10 ACE inhibitors for the treatment of hypertension and there are 15 ACE inhibitors approved worldwide. Sigma® Life Science offers you all 15 approved ACE inhibitors at competitive prices. We strive to provide you with the highest quality of approved therapeutics available. Look no further than Sigma® Life Science for precision and control over your research experiments. For more information and a complete list of small molecules and related products, visit sigma.com/therapeutics. References 1.Gradman et al. 2010. American society of hypertension writing group. Combination therapy in hypertension. J Am Soc Hyperten 4:42–50. 2.Ferguson et al. 1977. A specific orally active inhibitor of angiotensin-converting enzyme in man. Lancet 1:775–8. 3. Re, RN. 2001. The clinical implication of tissue renin angiotensin systems. Curr Opin Cardiol 16:317–327. 4.Ondetti et al. 1977. Design of specific inhibitors of angiotensin-converting enzyme: new class of orally active antihypertensive agents. Science 196:441–4. 5. Consumer Reports. 2011. Using ACE Inhibitors to treat high blood pressure and heart disease. http://consumerreportshealth.org ACE Inhibitors – Approved Therapeutics Name Structure Captopril OH N HS O CAS No. Cat. No. 62571-86-2 C4042-5G C4042-25G 116-38-1 E3256-250MG E3256-1G 76095-16-4 E6888-250MG E6888-1G E6888-5G 84680-54-6 E9658-5MG E9658-25MG 88889-14-9 F1308-5MG F1308-25MG O CH3 Edrophonium chloride H3C CH3 H3C N OH Cl Enalapril maleate salt CO2CH2CH3 N N H HO OH O Enalaprilat dihydrate COOH O O O OH N H • 2H2O CH3 O O N OH Fosinopril sodium O P O ONa N O O i-Pr O O CH3 6 ACE Inhibitors – Approved Therapeutics (continued) Name Structure Imidapril hydrochloride O O O H N N O CH3 N CH3 HO Itopride hydrochloride O 122892-31-3 SML0033-10MG SML0033-50MG 83915-83-7 L6292-100MG L6292-250MG 82586-52-5 M0821-50MG M0821-100MG 107133-36-8 P0094-50MG P0094-250MG 101-26-8 P9797-1G P9797-5G 82586-55-8 Q0632-250MG Q0632-500MG 87333-19-5 R0404-100MG R0404-250MG 87679-37-6 T4827-10MG T4827-50MG 81938-43-4 Z1252-5MG Z1252-25MG CH3 • HCl N H H3CO CH3 N CH3 O Lisinopril NH2 O Cat. No. SML0148-10MG SML0148-50MG • HCl O H3CO CAS No. 89396-94-1 OH N N H O Moexipril hydrochloride OH O • 2H2O O H3CO OH O (S) N H3CO • HCl (S) H3C H3C O NH (S) O Perindopril erbumine O H • H3C OH H O N O H N O CH3 CH3 CH3 Pyridostigmine bromide CH3 N CH3 O O N CH3 Quinapril hydrochloride Br O • HCl OH N H N O H3C Ramipril O O C2H5OOC H CH3 HOOC CH3 N H Trandolapril CH3 NH2 CH3 H N O H O OH H O N O H N O Ph CH3 Zofenopril calcium Ph S O N O CH3 O S Ca2+ O CH3 2 Order sigma.com/order Technical service sigma.com/techinfo sigma.com/lifescience 7 Angiontensin converting enzyme (ACE) inhibitors are not the only products available at Sigma® Life Science for this target class. You can also find antibodies, biomolecules, peptides, and zinc finger nucleases. We offer you more resources so you can spend less time looking for products and more time on your research. Antibodies to ACE Product Name Host Gene Symbol Species Reactivity Application Anti-ACE rabbit Clone No. Form - affinity isolated antibody ACE, human human IHC (p) PA Prestige Antibody ✔ Cat. No. HPA029298-100UL Monoclonal Anti-ACE mouse 6A4 purified immunoglobulin ACE, human human ELISA (i) WB - WH0001636M1-100UG Monoclonal Anti-ACE mouse 4B10 purified immunoglobulin ACE, human human ELISA (c) ELISA (i) WB - SAB1403725-100UG Biochemicals for ACE Research Name Structure (Z)-Guggulsterone CH3 H3C H3C H H CAS No. Cat. No. 39025-23-5 G5168-5MG G5168-25MG 102518-79-6 H5902-1MG 207671-44-1 Q1250-5G Q1250-10G Q1250-50G 94-07-5 S0752-5G 83-67-0 T4500-25G T4500-100G O H O (−)-Huperzine A H3C NH2 H3C H HN O Quinine hemisulfate salt monohydrate H2C • H2SO4 N HO H3CO • 2H2O N 2 (±)-Synephrine - Theobromine O O CH3 N HN N N CH3 Proteins and Peptides for ACE Research Product Name Gene Symbol Purity CAS No. Cat. No. Abz-LFK(Dnp)-OH trifluoroacetate salt - ≥98%, HPLC - A5855-1MG Angiotensin Converting Enzyme from rabbit lung ACE - 9015-82-1 A6778-.1UN A6778-.25UN A6778-1UN A6778-2UN A6778-5UN Angiotensin Converting Enzyme Inhibitor - ≥95%, TLC 35115-60-7 A0773-1MG A0773-5MG Angiotensin I human acetate salt hydrate AGT ≥90%, HPLC 70937-97-2 A9650-1MG A9650-5MG A9650-10MG A9650-50MG Angiotensin II human AGT ≥93%, HPLC 4474-91-3 A9525-1MG A9525-5X1MG A9525-5MG A9525-10MG A9525-50MG 8 Proteins and Peptides for ACE Research (continued) Product Name Gene Symbol Purity CAS No. Cat. No. N-[3-(2-Furyl)acryloyl]-Phe-Gly-Gly ACE ACE2 ACE3 - 64967-39-1 F7131-25MG F7131-100MG F7131-500MG Hippuryl-His-Leu acetate salt ACE ACE2 ACE3 - 103404-54-2 H4884-25MG H4884-100MG H4884-500MG H4884-1G N-Hippuryl-His-Leu hydrate ACE ACE2 ACE3 ≥98%, HPLC 207386-83-2 H1635-25MG H1635-100MG H1635-500MG H1635-1G Zinc Finger Nucleases for ACE Research Name Gene Symbol Cat. No. CompoZr® Knockout ZFN Kit ACE CKOZFN1813-1KT CompoZr® Knockout ZFN Kit, ZFN plasmid only Ace CKOZFND26143-1KT CompoZr® Knockout ZFN Kit, ZFN plasmid only ACE CKOZFND1813-1KT ARBs Hypertension can result from excessive activity of the renin-angiotensin-aldosterone system (RAAS) and this overactivity can injure critical organs such as the heart and blood vessels.1 In the 1990s, angiotensin II receptor blockers (ARBs) became commercially available to block the activity of RAAS.2 Unlike ACE inhibitors which prevent angiotensin I conversion to II, ARBs bind to the angiotensin II AT1 receptor, blocking the cellular actions triggered by angiotension II.3 Over the past two decades, studies in the laboratory and clinic have documented that ARBs, either alone or in combination with thiazide-type diuretics, reduce blood pressure in animals and humans.4 The pharmacological differences among ARBs are how they exert their effects. Some ARBs compete with angiotensin II in a concentration-dependent manner for AT1 receptor binding while others irreversibly bind to the receptor.5 At Sigma® Life Science, you will find six approved therapeutics in this target class. We strive to provide you with a comprehensive selection of approved therapeutics so you don’t have to spend a lot of time and effort to find them. Visit sigma.com/therapeutics for a listing of all approved drugs and drug candidates. References 1. Savoia C, Schiffrin EL. 2007. Vascular inflammation in hypertension and diabetes: molecular mechanisms and therapeutic interventions. Clin Sci 112:375–384. 2. Ferrario, CM. 2006. Role of angiotensin II in cardiovascular disease therapeutic implications of more than a century of research. J Renin Angiotensin Aldosterone Syst 7:3–14. 3. Oparil, S. 2000. Newly emerging pharmacologic differences in angiotensin II receptor blockers. Am J Hypertens 13:18S–24S. 4.Addison et al. 2011. Angiotensin receptor blockers: Pharmacology, efficacy, and safety. J Clin Hypertens 13:677–86. 5. Munger, MA. 2011. Use of angiotensin receptor blockers in cardiovascular protection: current evidence and future directions. Pharmacy & Therapeutics 36:22-40. Order sigma.com/order Technical service sigma.com/techinfo sigma.com/lifescience ARBs - Approved Therapeutics Name Structure Candesartan cilexetil H3C N O O CH3 O N N N N H O N O Cat. No. SML0245-10MG SML0245-50MG 144143-96-4 E2535-10MG E2535-50MG 138402-11-6 I2286-10MG I2286-50MG 124750-99-8 61188-100MG 144701-48-4 T8949-10MG T8949-50MG 137862-53-4 SML0142-10MG SML0142-50MG O Eprosartan mesylate N H3C CAS No. 145040-37-5 O • H3C S OH O S OH N O OH O Irbesartan N O CH3 N N N NH N Losartan potassium Cl N HO CH3 N N KN N Telmisartan N CH3 N N N CH3 Valsartan CH3 N O OH HN N N N O O H3C N H 3C OH CH3 In addition to angiotensin II receptor blockers (ARBs), Sigma® Life Science also offers antibodies, peptides, and zinc finger nucleases for this target class. At sigma.com, you can search our collection and obtain more information about any of our products. Antibodies to Angiotensin II Receptor Type 1 (AGTR1) Product Name Host Form Gene Symbol Species Reactivity Application Anti-AGTR1 rabbit affinity isolated antibody AGTR1, human human IHC (p) PA Prestige Antibody ✔ HPA003596-100UL Cat. No. Anti-AGTR1 rabbit affinity isolated antibody AGTR1, human human mouse rat ELISA (i) IHC WB - SAB3500209-100UG Anti-AGTR1 rabbit affinity isolated antibody AGTR1, human bovine canine human, mouse, rat pig rabbit WB - SAB2100073-50UG Anti-AGTR1/AT1 goat affinity isolated antibody AGTR1, human human mouse rat ELISA (i) WB - SAB2500038-100UG 9 10 Simplify your custom cell line engineering. Let the Cell Design Studio™ experts at Sigma® Life Science create your custom cell line tools while you focus on research. Bioelevate. No matter how obscure or exact your specifications, our custom-engineered cell lines are tailored using CompoZr® ZFN and MISSION® shRNA technologies to fit your application perfectly. Leverage our expertise to create cell lines that more accurately predict disease biology or optimize bioproduction. Custom engineered cell lines from CDS sigma.com/cds Order sigma.com/order Alpha (α) Blockers α1-Antagonists (α-blockers) selectively block post-synaptic α1-adrenoreceptors and prevent catecholamine-induced constriction of arteries and venous vascular beds, thereby lowering blood pressure.1 However, α-blockers administered over time increase an individual's extracellular fluid and plasma volumes.2 This expansion typically manifests as weight gain and an attenuation of blood pressure. Therefore, these therapeutics are contraindicated in persons with heart failure because of their ability to expand extracellular and plasma volumes.3 Technical service sigma.com/techinfo sigma.com/lifescience phentolamine and phenoxybenzamine, as well as the quinazoline-selective α1-adrenoreceptor blockers. One therapeutic strategy to counter the induced expansion is the administration of α1-adrenoreceptor antagonists with diuretics such as chlorthalidone or hydrochlorothiazide.4 The diurectics mitigate the expansion of the extracellular and plasma volumes, providing significant incremental reductions in blood pressure. Diuretics available from Sigma® Life Science are discussed in a subsequent section. Visit sigma.com/therapeutics for a listing of approved drugs and drug candidates. References 1.Neaton et al. 1993. Treatment of mild hypertension study. JAMA 270:713–24. 2.Wright et al. 2008. Clinical outcomes by race in hypertensive patients with and without metabolic syndrome. Arch Intern Med 168:207–17. 3.David et al. 2008. Heart failure with preserved and reduced left ventricular ejection fraction in antihypertensive and lipid-lowering treatment to prevent heart attack trial. Circulation 118:225E–67E. 4.Barzillay et al. 2004. Cardiovascular outcomes using doxazosin vs chlorthalidone for the treatment of hypertension in older adults with and without glucose disorders. J Clin Hypertens 6:116–25. Sigma Life Science is your definitive source for all approved α-blockers that are available at competitive prices. This includes the first generation of nonselective α-receptor antagonists, α-Blockers – Approved Therapeutics Name Structure CAS No. Cat. No. Alfuzosin hydrochloride NH2 81403-68-1 A0232-5MG A0232-25MG 77883-43-3 D9815-50MG D9815-250MG - F4303-5MG F4303-25MG - N158-25MG N158-100MG 63-92-3 B019-250MG H3CO • HCl N H3CO N Doxazosin mesylate O N CH3 NH2 H3CO N H3CO N N O N H O • H3C S OH O O N O O Fiduxosin hydrochloride O H O H N O N O S HN N • HCl N Naftopidil hydrochloride hydrate OCH3 N N • HCl • xH2O O OH Phenoxybenzamine hydrochloride CH3 O N Cl • HCl 11 12 α-Blockers – Approved Therapeutics (continued) Name Structure CAS No. Cat. No. CH3 73-05-2 P7547-100MG P7547-500MG 19237-84-4 P7791-50MG P7791-250MG P7791-1G 63590-64-7 T4680-50MG T4680-250MG 64887-14-5 U100-100MG U100-500MG Phentolamine hydrochloride N N H N OH HCl Prazosin hydrochloride NH2 H3CO • HCl N H3CO N N N O O Terazosin hydrochloride NH2 H3CO N H3CO • HCl N N N O O Urapidil hydrochloride N CH3 N O N CH2CH2CH2 NH OCH3 N • HCl O CH3 α-Blocker Drug Candidates Name Structure A-315456 N CAS No. Cat. No. - A6351-5MG A6351-25MG - L3040-5MG L3040-25MG N H O N S H O L-765,314 hydrate NH2 H3CO H3CO • xH2O O N N CH3 N H O N N O t-Bu Order sigma.com/order Technical service sigma.com/techinfo sigma.com/lifescience 13 Sigma® Life Science also offers antibodies, biomolecules, and zinc finger nucleases for the study of α1-adrenoreceptors. With more resources, you can spend less time looking for products and more time on your research. Visit sigma.com to search through our extensive product portfolio of antihypertensive agents. Antibodies to α-Adrenergic Receptor Proteins (ADRA1A) Species Reactivity Application Prestige Antibody Product Name Host Clone No. Form Gene Symbol Anti-ADRA1A rabbit - affinity isolated antibody ADRA1A, human human mouse rat ELISA (i) IF (i) - Cat. No. SAB4500530-100UG Anti-ADRA1A rabbit - affinity isolated antibody ADRA1A, human human IHC (p) PA ✔ HPA029678-100UL Monoclonal Anti-ADRA1A mouse 4C7 purified immunoglobulin ADRA1A, human human ELISA (i) WB - WH0000148M1-100UG Anti-ADRA1A, C-Terminal rabbit - affinity isolated antibody ADRA1A, human human ELISA (i) WB - SAB4500529-100UG Monoclonal Anti-ADRA1A, (N-terminal) mouse 5G8 purified immunoglobulin ADRA1A, human human ELISA (i) WB - SAB1403528-100UG Anti-α1 Adrenergic Receptor rabbit - affinity isolated antibody Adra1d, mouse ADRA1B, human ADRA1D, human Adra1d, rat ADRA1A, human human mouse rat IF (i) WB - A270-100UL Anti-α1C Adrenergic Receptor rabbit - affinity isolated antibody ADRA1A, human human IHC (p) - A4604-50UL Biochemicals for α1-Adrenoreceptor Research Name Benoxathian hydrochloride Structure S H3CO H N O Cat. No. B016-10MG B016-25MG 770-05-8 O0250-1G O0250-5G O0250-10G O OCH3 • HCl (±)-Octopamine hydrochloride CAS No. 92642-97-2 NH2 HO HCl OH Zinc Finger Nucleases for α1-Adrenoreceptor Research Name Gene Symbol Cat. No. CompoZr® Knockout ZFN Kit ADRA1A CKOZFN2898-1KT CompoZr® Knockout ZFN Kit, ZFN plasmid only Adra1a CKOZFND26353-1KT CompoZr® Knockout ZFN Kit, ZFN plasmid only Adra1a CKOZFND50299-1KT CompoZr® Knockout ZFN Kit, ZFN plasmid only ADRA1A CKOZFND2898-1KT 14 Beta (β) Blockers The first β-adrenergic blockers (β-blockers) were identified as antihypertensive agents in the early 1960s.1,2 The first approved drug, propranolol, was used as an adjunct therapy to phentolamine in the treatment of pheochromocytoma.3,4 In the U.S. and Europe, β-blockers are recommended as a first-line treatment for hypertension. This recommendation is based on reduced mortality and morbidity in large clinical trials. Most of the benefit from β-blockers stems from secondary vascular protection in established disease instead of primary prevention.5 There is no consensus regarding how β-blockers lower blood pressure and it is probable that several mechanisms are at work. Mechanisms to account for the antihypertensive actions of β-blockers include reduction in peripheral vascular resistance and inhibition of renin release.3 β-blockers are not uniform in their various pharmacologic effects. Some of the differences between β-blockers include sympathomimetic and membrane-stabilizing activities, β1 selectivity, α1-adrenergicblocking, solubility in tissue, routes of systemic elimination, potencies, and duration of action.6 This variation contrasts with other classes of antihypertensive drugs and may be important in the selection of a drug for clinical or research use. β-blockers are taken by tens of millions of Americans everyday. In 2009, these therapeutics were the fifth most widely prescribed class of medicines in the United States with 128 million prescriptions filled.7 To date, the Food and Drug Administration (FDA) has approved 15 β-blockers for oral use in patients with systemic hypertension. Sigma® Life Science is your only source for all 15 approved β-blockers. You’re more likely to find the β-blockers for your research needs at Sigma Life Science than anywhere else. For a complete listing of all approved drugs and drug candidates, visit sigma.com/therapeutics. References 1. Prichard BNC.1964. Hypotensive action of pronethalol. Br Med J 1:1227–8. 2. Prichard BNC, and Gillam PMS. 1964. Use of propranolol (Inderal) in the treatment of hypertension. Br Med J 2:725–7. 3. Frishman WH. 2011. α- and β-adrenergic blocking drugs. In: Frishman WH, Sica DA (eds.). Cardiovascular Pharmacotherapeutics, 3rd ed. Minneapolis, MN: Cardiotext Inc. Pg 57–86. 4. Frishman WH, Sica DA. 2008. β-Adrenergic blockers. In: Izzo JL Jr, Sica D, Black HR (eds.). Hypertension Primer, 4th ed. The Essentials of High Blood Pressure. Philadelphia, PA: Wolters Kluwer Lippincott Williams & Wilkins Pg 446–50. 5.Chobanian et al. 2003. The Seventh report of the joint national committee on prevention, detection, evaluation and treatment of high blood pressure: the JNC-7 report. JAMA 289:2560–72. 6. Frishman WH. 2008. β-Adrenergic blockers: a 50-year historical perspective. Am J Ther 15:565–76. 7. Consumer Reports. 2011. Using β-blockers to treat high blood pressure and heart disease. http://consumerreportshealth.org β-Blockers – Approved Therapeutics Name Structure Acebutolol hydrochloride OH O O H3C H N O OH O H N Betaxolol hydrochloride OH H N O CH3 N H 63659-19-8 B5683-10MG B5683-50MG O O 104344-23-2 B2185-10MG B2185-50MG CH3 CH3 O 72956-09-3 C3993-50MG C3993-250MG 81161-17-3 E8031-10MG E8031-50MG CH3 CH3 • HCl O H3C A7655-1G A7655-5G A7655-25G CH3 CH3 H2N Bisoprolol hemifumarate salt 29122-68-7 CH3 • HCl Atenolol O Cat. No. A3669-1G CH3 CH3 N H CAS No. 34381-68-5 O • ½ HO OH O OH Carvedilol O OH N H O H3CO N H Esmolol hydrochloride O CH3 H3C N H OCH3 O OH • HCl Order sigma.com/order Technical service sigma.com/techinfo sigma.com/lifescience β-Blockers – Approved Therapeutics (continued) Name Structure Labetalol hydrochloride OH H N CAS No. Cat. No. 32780-64-6 L1011-5G L1011-10G 56392-17-7 M5391-1G M5391-5G M5391-10G 42200-33-9 N1892-1G N1892-5G 152520-56-4 N1915-10MG N1915-50MG 28163-36-2 32838-10MG 13523-86-9 P0778-250MG P0778-1G 318-98-9 P0884-1G P0884-5G P0884-25G P0884-100G 959-24-0 S0278-25MG S0278-100MG 26921-17-5 T6394-100MG T6394-250MG T6394-1G CH3 HO • HCl NH2 O (±)-Metoprolol (+)-tartrate salt OH OH O H N O CH3 • ½ HO CH3 H3CO Nadolol OH O OH OH OH O HO Nebivolol hydrochloride CH3 CH3 CH3 H N F F H O H N H OH • HCl O OH Penbutolol hydrochloride • HCl OH Pindolol OH O t-Bu N H O H N CH3 CH3 N H (±)-Propranolol hydrochloride CH3 O N H OH CH3 • HCl (±)-Sotalol hydrochloride OH O S H3C N O H Timolol maleate salt CH3 OH N O S N O • CH3 • HCl O N H N H N CH3 CH3 CH3 O HO OH H H 15 16 In addition to β-blockers, Sigma® Life Science also offers antibodies that target the β-adrenergic receptors. Visit sigma.com to search our entire portfolio and obtain more information about any of our products. Antibodies to Adrenergic β-1-Receptor Proteins (ADRB1) Product Name Host Form Gene Symbol Species Reactivity Application Anti-ADRB1 goat affinity isolated antibody ADRB1, human canine human mouse rat ELISA (i) WB - SAB2500034-100UG Anti-ADRB1 rabbit affinity isolated antibody ADRB1, human human mouse rat ELISA (i) WB - SAB4500573-100UG Anti-ADRB1 rabbit affinity isolated antibody ADRB1, human canine human, mouse, rat pig WB - SAB2100064-50UG CCBs Calcium channel blockers (CCBs) inhibit the movement of extracellular calcium across the cell membrane through ion-specific channels. Although several types of channels exist, CCBs target the L-type channels in humans. Inhibition of the inward calcium flux causes smooth vascular muscle cell relaxation, resulting in vasodilation and lowering of blood pressure.1 There are two groups of approved therapeutics that target L-type calcium channels, dihydropyridine and nondihydropyridine compounds. The two types bind to different sites on the channel.2 However, nondihydropyridine calcium channel blockers differ from the dihydropyridine subclass in that they are more negatively chronotropic and inotropic. This difference is important for patients who also require β-blockers to manage their hypertension. One aspect of CCBs that differentiate them from other antihypertensive agents is their ability to reduce blood pressure across all patient groups, regardless of sex, race/ ethnicity, age, and dietary sodium intake.3 Currently, there are eight dihydropyridine and two nondihydropyridine approved therapeutics. These therapeutics are for individual use or in combination with other antihypertensive drugs, including statins.3 In 2009, CCBs were the ninth most widely prescribed class of medicines in the United States with 92 million prescriptions. CCBs not only help people manage their high blood pressure, angina, and certain heart rhythm abnormalities, they can also be used to treat migraines, poor circulation to the hands and feet, and certain psychiatric disorders.4 Sigma Life Science currently offers all the dihydropyridine approved therapeutics except for clevidipine, which is not available for research purposes. The two nondihydropyridine approved therapeutics, diltiazem (Cat. No. D2521) and verapamil (Cat. No. V4629), can also be obtained from Sigma Life Science. Prestige Antibody Cat. No. There are other approved CCBs that are useful tools in hypertension research. These research therapeutics are listed below and include the two drug candidates azelnidipine (Cat. No. A7106) and cilnidipine (Cat. No. C1493). At Sigma, we strive to provide you with the largest selection of approved therapeutics available. You’re more likely to find the CCBs for your research needs at sigma.com/therapeutics than anywhere else. References 1. Abernethy DR and Schwartz JB. 1999. Calcium-antagonist drugs. N Engl J Med 341:1447-57. 2. Materson BJ. 1995. Calcium channel blockers: is it time to split the lump? Am J Hypertens 8:325-9. 3.Elliott et al. 2011. Calcium channel blockers. J Clin Hypertens 13:687-9. 4. Consumer Reports. 2011. Using calcium channel blockers to treat high blood pressure and heart disease. http://consumerreportshealth.org Order sigma.com/order Technical service sigma.com/techinfo sigma.com/lifescience CCBs – Approved Therapeutics Name Structure Amlodipine besylate CAS No. Cat. No. 111470-99-6 A5605-10MG A5605-50MG 33286-22-5 D2521-1G D2521-5G D2521-10G 141625-93-6 D9696-10MG D9696-50MG 72509-76-3 F9677-5MG F9677-25MG 3717-88-2 F8304-10MG F8304-50MG 122647-32-9 I9910-10MG I9910-50MG 75695-93-1 I6658-5MG I6658-25MG - M5441-5MG M5441-25MG 54527-84-3 N7510-1G N7510-5G N7510-10G 21829-25-4 N7634-1G N7634-5G N7634-10G N7634-25G Cl O O H3CO H3C O O N H OCH3 H S H N N CH2CH2 CH3 NH2 • C6H5SO3H (+)-cis-Diltiazem hydrochloride CH3 CH3 O C CH3 O O HCl Dronedarone hydrochloride CH3 N O CH3 O O H H3C S N O CH3 O Felodipine • HCl Cl Cl O O H3C O O N H H3C Flavoxate hydrochloride O N CH3 CH3 O O • HCl CH3 O Ibutilide hemifumarate salt CH3(CH2)5CH2 O H N S CH3 O N • ½ HO O N N O O CH3 H3CO O H3C Mibefradil dihydrochloride hydrate CH3 CH3 N H O H3CO F O N N CH3 H C 3 N H Nicardipine hydrochloride CH3 • xH2O • 2HCl NO2 O O H3CO O H3C OH O OH CH3 Isradipine O N H • HCl CH3 N CH3 Nifedipine O CH3O C CH3 N H NO2 C OCH3 O CH3 17 18 CCBs – Approved Therapeutics (continued) Name Structure Nimodipine NO2 CH3 O H3C O V4629-1G V4629-5G V4629-10G OCH3 H3C CH3 N H CH3 CN H3CO 152-11-4 NO2 O O (±)-Verapamil hydrochloride N0165-10MG N0165-50MG CH3 N H Nisoldipine CH3 63675-72-9 OCH3 O H3C H3C Cat. No. N149-100MG N149-500MG O O H3C CAS No. 66085-59-4 CH3 N OCH3 OCH3 • HCl OCH3 CCB Drug Candidates Name Structure Azelnidipine CAS No. Cat. No. 123524-52-7 A7106-10MG A7106-50MG 132203-70-4 C1493-10MG C1493-50MG NO2 CH3 O H3C O O N O H3C N H NH2 Cilnidipine NO2 O H3CO O O H3C H O N H CH3 H Calcium channel blockers (CCBs) are not the only products available at Sigma® Life Science for this target class. We also provide antibodies, biomolecules, and zinc finger nucleases to complement your research. More product information can be obtained for the products listed and others at sigma.com. Antibodies to Calcium Channel Proteins Product Name Host Clone No. Form Gene Symbol Anti-CACNA1C goat - affinity isolated antibody CACNA1C, human human ELISA (i) WB - SAB2500182-100UG Anti-CACNA1C rabbit - affinity isolated antibody CACNA1C, human human IHC (p) PA ✔ HPA039796-100UL Monoclonal Anti-CACNA1C, (C-terminal) mouse 4D10 purified CACNA1C, human human immunoglobulin ELISA (c) ELISA (i) WB - SAB1402709-100UG Anti-Calcium Channel (α1 Subunit), Pan rabbit - affinity isolated antibody Cacna1c, rat Cacna1c, mouse mouse rat IHC WB - C1103-.05ML C1103-.2ML Anti-Calcium Channel (Cardiac α1C Subunit) (L-type of Voltage-gated Ca2+ Channel) rabbit - affinity isolated antibody Cacna1c, rat rabbit rat IP WB CL - C4980-.05ML C4980-.2ML Anti-Calcium Channel rabbit (α1C Subunit) (L-type of Voltagegated Ca2+ Channel) - affinity isolated antibody Cacna1c, mouse human mouse rabbit rat IHC WB - C1603-.2ML Anti-Calcium Channel CaV1.2 (human) - affinity isolated antibody CACNA1C, human mouse Cacna1c, rat rat Cacna1c, mouse WB - C1241-200UL rabbit Species Reactivity Application Prestige Antibody Cat. No. Order sigma.com/order Technical service sigma.com/techinfo sigma.com/lifescience 19 Biochemicals for Calcium Channel Research Name Structure S-Petasin O O S OH HO HO P7912-25MG P7912-100MG P7912-250MG 6164-47-2 P8489-5MG OH O O O O 60-82-2 CH3 O Protopine hydrochloride Cat. No. P4243-1MG P4243-5MG CH2 O CH3 CH3 CH3 Phloretin CAS No. 70238-51-6 O N CH3 • HCl Zinc Finger Nucleases for Calcium Channel Research Name Gene Symbol Cat. No. CompoZr® Knockout ZFN Kit CACNA1C CKOZFN2581-1KT CompoZr® Knockout ZFN Kit, ZFN plasmid only Cacna1c CKOZFND27870-1KT CompoZr® Knockout ZFN Kit, ZFN plasmid only CACNA1C CKOZFND2581-1KT Diuretics First-line agents in the treatment of hypertension are the thiazide-type diuretics. These therapeutics are proven to reduce cardiovascular mortality and morbidity. This reduction occurs in both systolic and diastolic forms of hypertension.1 Hydrochlorothiazide (HCTZ) is the thiazidetype diuretic used most often. Another proven thiazide-type therapeutic is chlorthalidone, which resembles HCTZ structurally but differs in its pharmacology.2 These compounds are well tolerated antihypertensive agents with respect to symptomatic and adverse side effects.3 Loop diurectics such as fuorsemide, bumetanide, and torsemide are less effective than the thiazide-type drugs in reducing blood pressure. However, loop diuretics are important in hypertensive patients with significant fluid overload or advanced renal failure.4 Diuretics can be successfully combined with β-blockers, ACE inhibitors, ARBs, and CCBs. The combination of a diuretic with any one of these antihypertensive agents provides the best effect in lowering blood pressure when compared to combinations without a diuretic.5 You can obtain HCTZ and many of the loop diurectics from Sigma® Life Science at competitive prices. There are biomolecules and peptides also available at Sigma. We strive to provide you with the largest selection of products so you can focus more on your research. You’re more likely to find the agents for your research needs at Sigma Life Scienve than anywhere else. References 1.Ernst et al. 2010. Meta-analysis of dose-response characteristics of hydrochlorothiazide and chlorthalidone: effects on systolic blood pressure and potassium. Am J Hypertens 23:440-6. 2.Carter et al. 2004. Hydrochlorothiazide versus chlorthalidone: evidence supporting their interchangeability. Hypertension 43:4-9. 3.Psaty et al. 1997. Health outcomes associated with antihypertensive therapies used as first-line agents. A systematic review and meta-analysis. JAMA 277:739-45. 4.Vargo et al. 1995. Bioavailability, pharmacokinetics, and pharmacodynamics of torsemide and furosemide in patients with congestive heart failure. Clin Pharmacol Ther 57:601-9. 5.Materson et al. 1993. Single-drug therapy for hypertension in men: A comparison of six antihypertensive agents with placebo. N Engl J Med 328:914-21. 20 Diuretics – Approved Therapeutics and Biochemicals Name Structure Hydrochlorothiazide H N Cl O H2N S O Bumetanide CAS No. Cat. No. 58-93-5 H4759-5G H4759-25G H4759-100G 28395-03-1 B3023-250MG B3023-1G 107724-20-9 E6657-10MG E6657-50MG 54-31-9 F4381-1G F4381-5G F4381-10G F4381-25G 52-01-7 S3378-1G S3378-5G 396-01-0 T4143-10G T4143-25G 17560-51-9 M1195-5MG M1195-25MG 487-36-5 SML0073-1MG SML0073-5MG NH S O O NHCH2CH2CH2CH3 O HO C O O S O NH2 Eplerenone O H3C O O H3C H H O OCH3 O Furosemide O OH H N O H2N S O O Cl Spironolactone O H3C H3C O H H H S O CH3 O Triamterene NH2 N H2N Metolazone N O N H N Cl H2N N CH3 N S O NH2 CH3 O Pinoresinol OCH3 OH O H H O HO OCH3 Atrial Natriuretic Peptides Product Name Gene Symbol Purity CAS No. Cat. No. Atrial Natriuretic Peptide fragment 4-24 frog anf-A ≥97%, HPLC 118691-44-4 A0804-.1MG A0804-.5MG Atrial Natriuretic Peptide human NPPA ≥97%, HPLC 91917-63-4 A1663-.1MG A1663-.5MG A1663-1MG Order sigma.com/order Technical service sigma.com/techinfo sigma.com/lifescience 21 Antilipemic Agents Antilipemic Agents HMG-CoA Inhibitors Randomized controlled clinical studies have suggested 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors (statins) are effective in both primary and secondary prevention of cardiovascular disease (CVD) events.1 Primary prevention refers to interventions that obviate the first occurrence of a disease or condition, secondary interventions deter reoccurrence. The use of statins for primary intervention is extensive for individuals with no previous CVD but who have both elevated cholesterol levels and high blood pressure, or individuals who have coronary heart disease plus multiple risk factors such as diabetes and high blood pressure.2 While cholesterol has been singled out as the primary factor in the development of atherosclerosis, some research studies References suggest that C-reactive protein (CRP) may also be a marker for the development and progression of atherosclerosis.3-5 Elevated basal levels of CRP can lead to inflammation of arterial vessels, increasing the risk of hypertension and cardiovascular disease.4 1.Pichandi et al. 2011. The role of statin drugs in combating cardiovascular diseases. Int J Cur Sci Res 1:47-56. 2. Goldenberg, N. and Glueck, C. 2009. Efficacy, effectiveness and real life goal attainment of statins in managing cardiovascular risk. Vasc Hlth & Risk Mgmt 5:369-76. 3. Kleemann, R. and Kooistra, T. 2005. HMG-CoA reductase inhibitors: Effects on chronic subacute inflammation and onset of atherosclerosis induced by dietary cholesterol. Cardiovasc & Haem Disorders 5:441-53. 4.Danesh et al. 2004. C-reactive P-protein and other circulating markers of inflammation in the prediction of coronary heart disease. N Engl J Med 350:1387-97. 5. Levinson, S. 2006. Inflammatory and long-term risk markers. Clin Lab Med 26:553-70. 6. MacDonald, GP. 2010. Cost-effectiveness of rosuvastatin for primary prevention of cardiovascular events according to Framingham risk score in patients with elevated C-reactive protein. J Am Osteopath Assoc 110:427-36. In 2010, rosuvastatin was approved in the U.S. to prevent CVD in individuals over 50 with normal low density lipid (LDL)cholesterol levels and no history of heart disease, but elevated CRP levels coupled with one other risk factor such as high blood pressure.6 You can obtain seven statins from Sigma® Life Science, including the two drug candidates, mevastatin (Cat. No. M2537) and SR 12813 (Cat. No. S4194). We also offer complementary products such as antibodies, biomolecules, and zinc finger nucleases. Visit sigma.com to discover all the products relevant to your research. HMG-CoA Inhibitors – Approved Therapeutics Name Structure Atorvastatin calcium salt trihydrate O N H i-Pr N F CAS No. Cat. No. 134523-03-8 (anhydrous) PZ0001-5MG PZ0001-25MG 143201-11-0 (anhydrous) SML0005-5MG SML0005-25MG - SML0038-10MG SML0038-50MG Ca2+ OH O HO • 3H2O O 2 Cerivastatin sodium salt hydrate F OH OH O H3CO H3C ONa CH3 N CH3 Fluvastatin sodium hydrate • xH2O CH3 F OH OH O ONa N H3C CH3 • xH2O 22 HMG-CoA Inhibitors – Approved Therapeutics (continued) Name Structure Mevinolin from Aspergillus sp. HO O CAS No. Cat. No. 75330-75-5 M2147-25MG - P4498-25MG 79902-63-9 S6196-5MG S6196-25MG O H CH2 O CH2 CH C O H H CH3 CH3 CH3CH2 CH3 Pravastatin sodium salt hydrate OH NaO O HO O H H3C O H3C H CH3 HO Simvastatin OH H3C H3C O O H3C O H O CH3 H3C HMG-CoA Inhibitor Drug Candidates Name Structure Mevastatin HO O CAS No. Cat. No. 73573-88-3 M2537-5MG 126411-39-0 S4194-1MG S4194-5MG O CH3CH2 SR 12813 HO H3C H3C H3C H CH2 O CH2 CH C O H H CH3 CH3 H3C CH3 CH3 P(O)(OC2H5)2 P(O)(OC2H5)2 Antibodies To HMG-CoA Enzymes Product Name Host Form Gene Symbol Species Reactivity Application Prestige Antibody Cat. No. Anti-HMGCL rabbit affinity isolated antibody HMGCL, human human IHC (p) PA WB ✔ HPA004727-100UL Anti-HMGCR rabbit affinity isolated antibody HMGCR, human human IHC (p) PA ✔ HPA008338-100UL Order sigma.com/order Technical service sigma.com/techinfo sigma.com/lifescience 23 Biochemicals for HMG-CoA Research Name Structure 3-Hydroxy-3-methylglutaryl-CoA reductase human - DL-3-Hydroxy-3-methylglutaryl coenzyme A sodium salt hydrate NH2 O H3C CH3 HN O OH N H O O P O P O OH OH O CAS No. Cat. No. - H7039-250UG - H6132-5MG H6132-10MG H6132-25MG 580-72-3 40043-5MG-F 67604-48-2 N5893-1G N5893-5G N5893-25G 607-80-7 S9314-5MG N N N O N O OH NaO P O ONa OH • xH2O S O HO CH3 O Matairesinol H3CO HO OH O O (±)-Naringenin OCH3 OH O HO O OH Sesamin O H O O O O H O Zinc Finger Nucleases for HMG-CoA Research Name Gene Symbol Cat. No. CompoZr® Knockout ZFN Kit HMGCR CKOZFN10166-1KT CompoZr® Knockout ZFN Kit, ZFN plasmid only Hmgcr CKOZFND33342-1KT CompoZr® Knockout ZFN Kit, ZFN plasmid only Hmgcr CKOZFND55090-1KT CompoZr® Knockout ZFN Kit, ZFN plasmid only HMGCR CKOZFND10166-1KT PPAR Activators Peroxisome proliferator-activated receptors (PPAR) are nuclear receptors that function as transcription factors on targeted genes when heterodimerized with the retinoid X receptor.1 PPAR-α is mainly involved in fatty acid oxidation and is expressed in the liver, kidney, and skeletal muscle, while PPAR-γ is primarily involved in fat cell differentiation and insulin sensitivity.2 Both are expressed in smooth muscle cells and myocardium. PPAR agonists have been shown to reduce blood pressure in several models of hypertension, correct endothelial dysfunction, and exert anti-inflammatory actions.3-5 Therefore, these therapeutic agents are used to prevent vascular and cardiac complications associated with hypertension. References 1.Francis et al. 2003. PPAR agonists in the treatment of atherosclerosis. Curr Opin Pharmacol 3:186-91. 2. Calkin, AC and Thomas, MC. 2007. PPAR agonists and cardiovasuclar disease in diabetes. PPAR Research 2008:1-12. 3. Buchan, KW and Hassall, DG. 2000. PPAR agonists as direct modulators of the vessel wall in cardiovascular disease. Med Res Rev 20:350-66. 4.Inoue et al. 1998. Expression of peroxisome proliferatoractivated receptor α in primary cultures of human vascular endothelial cells. Biochem Biophys Res Commun 246: 370-4. 5.Vu-Dac et al. 1998. The nuclear receptors peroxisome proliferator-activated receptor α and Rev-erbα mediate the species-specific regulation of apolipoprotein A-I expression by fibrates. J Biol Chem 273:25713-20. 24 PPAR Activators – Approved Therapeutics Name Structure Clofibrate O O O H3C CH3 Cl Fenofibrate O Cl CH3 H3C ACAT Inhibitors The enzyme acyl-coenzyme A:cholesterol acyltransferase (ACAT) esterifies cholesterol in a variety of tissues. In some animal models, ACAT inhibitors act alone or in combination with HMG-CoA inhibitors to exert their antiatherosclerotic effects.1 This effect is CH3 49562-28-9 F6020-5G F6020-25G F6020-100G 25812-30-0 G9518-5G G9518-25G CH3 CH3 CH3 O Gemfibrozil Cat. No. C6643-250MG C6643-1G C6643-5G C6643-10G CH3 O O CAS No. 637-07-0 O O OH H3C CH3 presumed to occur through the regulation of cholesterol trafficking pathways in the liver and vascular cells.2 Visit sigma.com/therapeutics for a listing of the many approved therapeutics and drug candidates available for your cardiovascular research. References 1.Nissen et al. 2006. Effect of ACAT inhibition on the progression of coronary atherosclerosis. N Engl J Med 354:1253-63. 2.Bocan et al. 1998. HMG-CoA reductase and ACAT inhibitors act synergistically to lower plasma cholesterol and limit atherosclerotic lesion development in the cholesterol-fed rabbit. Atherosclerosis 139:21-30. ACAT Inhibitor Drug Candidates Name Structure Avasimibe i-Pr O i-Pr i-Pr Sandoz 58-035 H N H3C O i-Pr O N S O H O CAS No. Cat. No. 166518-60-1 PZ0190-5MG PZ0190-25MG 78934-83-5 S9318-5MG S9318-25MG i-Pr CH3 Si CH2(CH2)8CH3 CH3 Order sigma.com/order Technical service sigma.com/techinfo sigma.com/lifescience 25 Anticoagulants Anticoagulants Pulmonary arterial hypertension (PAH) is characterized as a progressive, incurable disease and its treatment remains elusive.1 The mean survival rate is often less than 4 years and the median survival period is 2.8 years.2 In the 1980s, one treatment of PAH focused on anticoagulant therapy. Fuster et al. reported a statistically significant improvement in the survival of patients who had been treated with warfarin compared to patients who had received no anticoagulants.3 Rich et al. found the use of anticoagulants may benefit patients with PAH who do not respond to therapy with calcium-channel blockers.4 Novel approaches to treat PAH include Rho-kinase inhibitors and soluble guanylate cyclase stimulators.5 Animal models have shown these new classes of agents mitigate the abnormal pulmonary vasoconstriction associated with the disease. Sigma® Life Science is the source for all five approved anticoagulants listed below. Sigma Life Science also offers the drug candidate GSK-429286 (Cat. No. SML0231), a ROCK1 inhibitor from GSK, the approved drug Sildenafil (Cat. No. PZ0003), a guanylate cyclase activator from Pfizer, and the powerful anticoagulant heparin (Cat. No. H3393). Basic scientific research plays an important role in finding new discoveries to improve the quality of life for individuals affected with this disease. We are working diligently to provide you with the needed tools for your research endeavors. Visit sigma.com/therapeutics for a listing of approved compounds and drug candidates available for your cardiovascular research. References 1.Johnson et al. 2006. Thrombotic arteriopathy and anticoagulation in pulmonary hypertension. Chest 130:545-52. 2.Roger et al. 2011. Heart disease and stroke statistics–2011 update : A report from the American Heart Association. Circulation 123:e18-e209. 3.Fuster et al. 1984. Primary pulmonary hypertension: Natural history and the importance of thrombosis. Circulation 70:580-7. 4.Rich et al. 1992. The effect of high doses of calciumchannel blockers on survival in primary pulmonary hypertension. N Engl J Med 327:76- 81. 5.Murthy et al. 2010. New approaches to the treatment of pulmonary hypertension: from bench to bedside. Cardiol Rev. 8: 76-84. Anticoagulants – Approved Therapeutics and Drug Candidates Name Structure Acenocoumarol O OH O Argatroban monohydrate Cl O Cat. No. SML0074-10MG SML0074-50MG 141396-28-3 A0487-5MG A0487-25MG 120202-66-6 SML0004-10MG SML0004-50MG 864082-47-3 SML0231-5MG SML0231-25MG 61849-14-7 P6188-1MG P6188-5MG P6188-10MG 322-79-2 T6580-5MG T6580-25MG CH3 O NO2 - (S)-(+)-Clopidogrel hydrogensulfate CAS No. 152-72-7 OCH3 • H2SO2 N S GSK-429286 - Prostaglandin I2 sodium salt O O- H H OH Na+ O OH (CH2)4CH3 Triflusal - 26 Other products that complement our approved anticoagulants include antibodies, biomolecules, and peptides. Visit sigma.com to search our entire catalog and obtain more information for any of our products. Antibody to Prothrombin IIA Product Name Host Form Gene Symbol Species Reactivity Application Monoclonal Anti-PROC mouse purified immunoglobulin PROC, human human ELISA (i) WB Prestige Antibody Cat. No. - WH0005624M1-50UG Anti-PROC rabbit IgG fraction of antiserum PROC, human bovine human WB - AV41701-100UG Anti-PROC rabbit affinity isolated antibody PROC, human human IHC (p) PA ✔ HPA005550-100UL Biochemicals for Coagulation Research Name Structure CAS No. Cat. No. - 9041-08-1 H3393-10KU H3393-25KU H3393-50KU H3393-100KU H3393-250KU H3393-500KU H3393-1MU 1949-20-8 O2256-25G 23180-57-6 P0038-25MG 171599-83-0 PZ0003-5MG PZ0003-25MG Heparin sodium salt from porcine intestinal mucosa Oxolamine citrate salt O N N O OH O HO N OH O Paeoniflorin OH OH O HO O Sildenafil citrate salt O H3C N HN O S N O HO O H O O H OH O CH3 CH3 N N N O OH CH3 CH3 HO O • HO O O OH OH Proteins and Peptides for Coagulation Research Product Name Gene Symbol Purity CAS No. Cat. No. [Tyr(SO3H)63]-Hirudin Fragment 54-65 - ≥95%, HPLC 109528-49-6 H6894-.1MG H6894-1MG Protein C, Activated, Fragment 390-404 human PROC ~90%, HPLC - P5818-.5MG Protein C from human plasma PROC ≥90%, SDS-PAGE 42617-41-4 P2200-.1MG Application Abbreviation Table Application Agglutination assay ANA-indirect immunofluorescence Array (antibody microarray) Capture ELISA Direct ELISA Direct immunofluorescence Dot blot Dot immunobinding Electron microscopy Enzyme immunoassay Flow cytometry Immunoblotting Immunoblotting (chemiluminescent) Immunocytochemistry Abbreviation Agglut. IF (ANA) ARR ELISA (c) ELISA (d) IF (d) DB DIBA EM EIA FACS WB WB CL ICC Application Immunoelectrophoresis Immunohistochemistry Immunohistochemistry (formalin-fixed, paraffinembedded sections) Immunohistochemistry (frozen sections) Immunoprecipitation Indirect ELISA Indirect immunofluorescence Neutralization Ouchterlony double diffusion Particle immunofluorescence Protein Array Quantitative precipitin assay Radioimmunoassay Abbreviation IEP IHC IHC (p) IHC (f ) IP ELISA (i) IF (i) Neutral ODD PIFA PA QPA RIA Order sigma.com/order Technical service sigma.com/techinfo sigma.com/lifescience More predictive and physiologically relevant research models. Advance your cardio research with knockout rat models from SAGE® Labs. Biovital. Featuring the ApoE, Leptin, and Ldlr knockout rat models, the Cardio Suite from SAGE Labs is designed to support the study of cardiovascular disease, obesity, diabetes, atherosclerosis, and more. 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