Record Information |
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Version | 2.0 |
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Creation Date | 2009-07-05 03:18:12 UTC |
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Update Date | 2014-12-24 20:25:42 UTC |
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Accession Number | T3D2567 |
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Identification |
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Common Name | Warfarin |
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Class | Small Molecule |
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Description | Warfarin is an anticoagulant drug normally used to prevent blood clot formation as well as migration. Although originally marketed as a pesticide (d-Con, Rodex, among others), Warfarin has since become the most frequently prescribed oral anticoagulant in North America. Warfarin has several properties that should be noted when used medicinally, including its ability to cross the placental barrier during pregnancy which can result in fetal bleeding, spontaneous abortion, preterm birth, stillbirth, and neonatal death. Additional adverse effects such as necrosis, purple toe syndrome, osteoporosis, valve and artery calcification, and drug interactions have also been documented with warfarin use. Warfarin does not actually affect blood viscosity, rather, it inhibits vitamin-k dependent synthesis of biologically active forms of various clotting factors in addition to several regulatory factors. |
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Compound Type | - Anticoagulant
- Coumarin and Indandione Rodenticide
- Drug
- Ester
- Food Toxin
- Metabolite
- Organic Compound
- Pesticide
- Rodenticide
- Synthetic Compound
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Chemical Structure | |
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Synonyms | Synonym | (phenyl-1 acetyl-2 ethyl) 3-hydroxy-4 coumarin | (phenyl-1 acetyl-2 ethyl) 3-hydroxy-4 coumarine | (S)-4-hydroxy-3-(3-oxo-1-phenylbutyl)-2-benzopyrone | 1-(4'-Hydroxy-3'-coumarinyl)-1-phenyl-3-butanone | 200 Coumarin | 3-(1'-Phenyl-2'-acetylethyl)-4-hydroxycoumarin | 3-(Acetonylbenzyl)-4-hydroxycoumarin | 3-(alpha-Acetonylbenzyl)-4-hydroxycoumarin | 3-(alpha-Phenyl-beta-acetylaethyl)-4-hydroxycumarin | 3-(alpha-Phenyl-beta-acetylethyl)-4-hydroxycoumarin | 4-Hydroxy-3- (3-oxo-1-fenyl-butyl) cumarine | 4-Hydroxy-3- (3-oxo-1-phenyl-butyl)-cumarin | 4-Hydroxy-3-(3-oxo-1-fenyl-butyl) cumarine | 4-Hydroxy-3-(3-oxo-1-phenyl-butyl)-cumarin | 4-Hydroxy-3-(3-oxo-1-phenylbutyl)-2H-1-benzopyran-2-one | 4-Hydroxy-3-(3-oxo-1-phenylbutyl)-2H-chromen-2-one | 4-Hydroxy-3-(3-oxo-1-phenylbutyl)coumarin | 4-Idrossi-3- (3-oxo-)-fenil-butil)-cumarine | 4-Idrossi-3-(3-oxo-)-fenil-butil)-cumarine | 4-Idrossi-3-(3-oxo-1-fenil-butil)-cumarine | 4oh-coumarin deriv. | Arab rat death | Arab rat deth | Athrombin-k | Athrombine-k | Brumolin | Co-rax | Compound 42 | Coumadin | Coumafen | Coumafene | Coumaphen | Coumaphene | Coumarins | Coumefene | Cov-R-tox | D-Con | delta-Con | Dethmor | Dethnel | Dicusat e | DL-3-(alpha-acetonylbenzyl)-4-hydroxycoumarin | Eastern states duocide | Fasco fascrat powder | Frass-ratron | Jantoven | Killgerm sewarin p | Kumader | Kumadu | Kumatox | Kypfarin | Latka 42 | Lawarin | Liqua-tox | Maag rattentod cum | Mar-frin | Marevan | Martin'S mar-frin | Maveran | Mouse pak | Place-pax | Prothromadin | Rat & mice bait | Rat and mice bait | Rat-a-way | Rat-alpha-way | Rat-b-gon | Rat-beta-gon | Rat-gard | Rat-kill | Rat-mix | Rat-O-cide #2 | Rat-O-cide no. 2 | Rat-ola | Rat-trol | Ratorex | Ratox | Ratoxin | Ratron | Ratron g | Rats-no-more | Ratten-koederrohr | Rattenstreupulver neu schacht | Rattenstreupulver new schacht | Rattentraenke | Rattunal | RAX | RCR grey squirrel killer concentrate | Ro-deth | Rodafarin | Rodafarin c | Rodex | Rodex blox | Rosex | Rough & ready mouse mix | Rough and ready mouse mix | Sakarat | Sewarin | Solfarin | Sorexa plus | Spray-trol brand roden-trol | Temus w | Tox-hid | Twin light rat away | Vampirinip II | Vampirinip III | Waran | Warfant | Warfarin sodium | Zoocoumarin |
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Chemical Formula | C19H16O4 |
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Average Molecular Mass | 308.328 g/mol |
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Monoisotopic Mass | 308.105 g/mol |
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CAS Registry Number | 81-81-2 |
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IUPAC Name | 4-hydroxy-3-(3-oxo-1-phenylbutyl)-2H-chromen-2-one |
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Traditional Name | warfarin |
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SMILES | CC(=O)CC(C1=CC=CC=C1)C1=C(O)C2=CC=CC=C2OC1=O |
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InChI Identifier | InChI=1/C19H16O4/c1-12(20)11-15(13-7-3-2-4-8-13)17-18(21)14-9-5-6-10-16(14)23-19(17)22/h2-10,15,21H,11H2,1H3 |
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InChI Key | InChIKey=PJVWKTKQMONHTI-UHFFFAOYNA-N |
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Chemical Taxonomy |
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Description | belongs to the class of organic compounds known as 4-hydroxycoumarins. These are coumarins that contain one or more hydroxyl groups attached to C4-position the coumarin skeleton. |
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Kingdom | Organic compounds |
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Super Class | Phenylpropanoids and polyketides |
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Class | Coumarins and derivatives |
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Sub Class | Hydroxycoumarins |
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Direct Parent | 4-hydroxycoumarins |
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Alternative Parents | |
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Substituents | - 4-hydroxycoumarin
- Benzopyran
- 1-benzopyran
- Pyranone
- Monocyclic benzene moiety
- Benzenoid
- Pyran
- Heteroaromatic compound
- Vinylogous acid
- Ketone
- Lactone
- Oxacycle
- Organoheterocyclic compound
- Organic oxygen compound
- Carbonyl group
- Hydrocarbon derivative
- Organic oxide
- Organooxygen compound
- Aromatic heteropolycyclic compound
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Molecular Framework | Aromatic heteropolycyclic compounds |
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External Descriptors | |
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Biological Properties |
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Status | Detected and Not Quantified |
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Origin | Exogenous |
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Cellular Locations | |
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Biofluid Locations | Not Available |
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Tissue Locations | Not Available |
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Pathways | Not Available |
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Applications | Not Available |
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Biological Roles | Not Available |
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Chemical Roles | Not Available |
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Physical Properties |
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State | Solid |
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Appearance | Solid (MSDS, A308). |
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Experimental Properties | Property | Value |
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Melting Point | 161°C | Boiling Point | Not Available | Solubility | 17 mg/L (at 20°C) | LogP | 2.7 |
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Predicted Properties | |
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Spectra |
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Spectra | Spectrum Type | Description | Splash Key | Deposition Date | View |
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GC-MS | GC-MS Spectrum - EI-B (Non-derivatized) | splash10-014i-0293000000-848341bcbd6a3f0a2c6b | 2017-09-12 | View Spectrum | GC-MS | GC-MS Spectrum - EI-B (Non-derivatized) | splash10-014i-0293000000-848341bcbd6a3f0a2c6b | 2018-05-18 | View Spectrum | Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (Non-derivatized) - 70eV, Positive | splash10-0udl-3190000000-b963cb54bb6abedefbe3 | 2017-09-01 | View Spectrum | Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (1 TMS) - 70eV, Positive | splash10-00xr-7195000000-ca3a892fd51e0eac1242 | 2017-10-06 | View Spectrum | Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (Non-derivatized) - 70eV, Positive | Not Available | 2021-10-12 | View Spectrum | Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (TMS_1_2) - 70eV, Positive | Not Available | 2021-11-03 | View Spectrum | Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (TMS_1_3) - 70eV, Positive | Not Available | 2021-11-03 | View Spectrum | Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (TBDMS_1_3) - 70eV, Positive | Not Available | 2021-11-03 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , negative | splash10-0a4i-0429000000-1e818b579dc7a0fade2d | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , negative | splash10-03di-0900000000-f568338c06cd9b4762ac | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , negative | splash10-03di-0900000000-acdd0ed19e403aa73c77 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , negative | splash10-0bt9-0539000000-5b1c7c6c812ba72325e3 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , negative | splash10-0a4i-0009000000-e461e1aca7977a2838ad | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-0w29-0960000000-9fa099190280529cd891 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-00di-0910000000-d7dbaf6e7b34ee85e1f7 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-03di-0920000000-4fb886a5c160afa86df9 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-03di-0920000000-ad608fe7680a2adf9d90 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , positive | splash10-0ik9-0942000000-5864f2d15892753d6a8b | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 55V, Negative | splash10-03di-0900000000-acdd0ed19e403aa73c77 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 55V, Positive | splash10-0w29-0960000000-b5bc3614bc1379df068c | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 35V, Negative | splash10-0bt9-0539000000-3554db4e3651d4691cbb | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 75V, Positive | splash10-0229-2900000000-022920b191a958c73833 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 60V, Positive | splash10-07vi-5920000000-0506f7adccf44b63822a | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 55V, Negative | splash10-0a4i-0009000000-e461e1aca7977a2838ad | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 80V, Negative | splash10-0a4i-0429000000-1e818b579dc7a0fade2d | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 75V, Positive | splash10-0229-2900000000-6909a3446398afc7d421 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 60V, Positive | splash10-03kc-0910000000-b4521bf9a45fcfff36ac | 2021-09-20 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 10V, Positive | splash10-0a4l-0197000000-a98e039dbdc8da6c3b7c | 2016-06-03 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 20V, Positive | splash10-052f-0292000000-d9a969b41fe312282de6 | 2016-06-03 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 40V, Positive | splash10-00di-2690000000-f20b105406ab790d37f0 | 2016-06-03 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 10V, Negative | splash10-0a4i-1149000000-4072cf2742b0e6164f82 | 2016-08-03 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 20V, Negative | splash10-0bt9-5988000000-eb075587f79ddb4af966 | 2016-08-03 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 40V, Negative | splash10-052f-9350000000-47075e4967528dede6f3 | 2016-08-03 | View Spectrum | MS | Mass Spectrum (Electron Ionization) | splash10-014i-7692000000-6e3993fee62d7eb7438e | 2018-05-25 | View Spectrum | 1D NMR | 1H NMR Spectrum (1D, 600 MHz, CD3OD, experimental) | Not Available | 2018-05-25 | View Spectrum | 2D NMR | [1H, 13C]-HSQC NMR Spectrum (2D, 600 MHz, CD3OD, experimental) | Not Available | 2018-05-25 | View Spectrum |
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Toxicity Profile |
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Route of Exposure | Oral ; Inhalation ; Dermal
Rapidly absorbed following oral administration with considerable interindividual variations. Also absorbed percutaneously. |
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Mechanism of Toxicity | Warfarin inhibits vitamin K reductase, resulting in depletion of the reduced form of vitamin K (vitamin KH2). As vitamin K is a cofactor for the carboxylation of glutamate residues on the N-terminal regions of vitamin K-dependent proteins, this limits the gamma-carboxylation and subsequent activation of the vitamin K-dependent coagulant proteins. The synthesis of vitamin K-dependent coagulation factors II, VII, IX, and X and anticoagulant proteins C and S is inhibited. Depression of three of the four vitamin K-dependent coagulation factors (factors II, VII, and X) results in decreased prothrombin levels and a decrease in the amount of thrombin generated and bound to fibrin. This reduces the thrombogenicity of clots. |
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Metabolism | Metabolized stereo- and regio-selectively by hepatic microsomal enzymes. S-warfarin is predominantly metabolized by cytochrome P450 (CYP) 2C9 to yield the 6- and 7-hydroxylated metabolites. R-warfarin is metabolized by CYP1A1, 1A2, and 3A4 to yield 6-, 8-, and 10-hydroxylated metabolites. Hydroxylated metabolites may be further conjugated prior to excretion into bile and urine. UGT1A1 appears to be responsible for producing the 6-O-glucuronide of warfarin, with a possibly contribution from UGT1A10. Five UGT1As may be involved in the formation of 7-O-glucuronide warfarin. S-warfarin has higher potency than R-warfarin and genetic polymorphisms in CYP2C9 may dramatically decrease clearance of and increase toxicity of the medication. In man, the dextrowarfarin enantiomorph is metabolized by side chain reduction to a secondary alcohol, whereas levowarfarin is metabolized by oxidation of the ring, primarily to 7-hydroxywarfarin. These inactive metabolic products are to some extent conjugated with glucuronic acid, undergo an enterohepatic circulation, & are ultimately excreted in urine & stool. (7)
Route of Elimination: The elimination of warfarin is almost entirely by metabolism. Very little warfarin is excreted unchanged in urine. The metabolites are principally excreted into the urine; and to a lesser extent into the bile.
Half Life: R-warfarin t1/2=37-89 hours; S-warfarin t1/2=21-43 hours. |
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Toxicity Values | LD50: 374 mg/kg (Oral, Mouse) (1) |
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Lethal Dose | The lowest reported lethal dose in humans is 6667 ug/kg. (8) |
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Carcinogenicity (IARC Classification) | No indication of carcinogenicity (not listed by IARC). (19) |
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Uses/Sources | Warfarin is an anticoagulant drug and rodenticide derived from coumarin. As a drug it is used for the treatment of retinal vascular occlusion, pulmonary embolism, cardiomyopathy, atrial fibrillation and flutter, cerebral embolism, transient cerebral ischaemia, arterial embolism and thrombosis. (1) |
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Minimum Risk Level | Not Available |
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Health Effects | Hemorrhage is the most prevalent adverse effect of oral anticoagulant therapy. The incidence of bleeding complications is related to the duration and range of therapy. (20) |
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Symptoms | LD50=374 (orally in mice) |
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Treatment | The primary antidote to warfarin poisoning is immediate administration of vitamin K1 (initially slow intravenous injections of 10-25 mg repeated all 3-6 hours until normalisation of the prothrombin time; then 10 mg orally four times daily as a "maintenance dose"). It is an extremely effective antidote, provided the poisoning is caught before too much damage has been done to the victim's circulatory system. At high doses warfarin can affect the body for many months, and the antidote must be administered regularly for a long period of time. (23)
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Normal Concentrations |
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Abnormal Concentrations |
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| Not Available |
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External Links |
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DrugBank ID | DB00682 |
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HMDB ID | HMDB01935 |
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PubChem Compound ID | 54678486 |
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ChEMBL ID | CHEMBL1464 |
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ChemSpider ID | 10442445 |
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KEGG ID | C01541 |
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UniProt ID | Not Available |
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OMIM ID | |
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ChEBI ID | 10033 |
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BioCyc ID | Not Available |
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CTD ID | D014859 |
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Stitch ID | Warfarin |
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PDB ID | Not Available |
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ACToR ID | 3232 |
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Wikipedia Link | Warfarin |
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References |
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Synthesis Reference | Nasri W. Badran, “Microcrystalline 3-(alpha-acetonylbenzyl)-4-hydroxycoumarin (warfarin) and methods of making.” U.S. Patent US4113744, issued April, 1960. |
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MSDS | Link |
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General References | - Wishart DS, Knox C, Guo AC, Cheng D, Shrivastava S, Tzur D, Gautam B, Hassanali M: DrugBank: a knowledgebase for drugs, drug actions and drug targets. Nucleic Acids Res. 2008 Jan;36(Database issue):D901-6. Epub 2007 Nov 29. [18048412 ]
- Ansell J, Hirsh J, Poller L, Bussey H, Jacobson A, Hylek E: The pharmacology and management of the vitamin K antagonists: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest. 2004 Sep;126(3 Suppl):204S-233S. [15383473 ]
- Whitlon DS, Sadowski JA, Suttie JW: Mechanism of coumarin action: significance of vitamin K epoxide reductase inhibition. Biochemistry. 1978 Apr 18;17(8):1371-7. [646989 ]
- Li T, Chang CY, Jin DY, Lin PJ, Khvorova A, Stafford DW: Identification of the gene for vitamin K epoxide reductase. Nature. 2004 Feb 5;427(6974):541-4. [14765195 ]
- Rost S, Fregin A, Ivaskevicius V, Conzelmann E, Hortnagel K, Pelz HJ, Lappegard K, Seifried E, Scharrer I, Tuddenham EG, Muller CR, Strom TM, Oldenburg J: Mutations in VKORC1 cause warfarin resistance and multiple coagulation factor deficiency type 2. Nature. 2004 Feb 5;427(6974):537-41. [14765194 ]
- Hirsh J, Fuster V, Ansell J, Halperin JL: American Heart Association/American College of Cardiology Foundation guide to warfarin therapy. J Am Coll Cardiol. 2003 May 7;41(9):1633-52. [12742309 ]
- Yamamoto N, Naraparaju VR: Role of vitamin D3-binding protein in activation of mouse macrophages. J Immunol. 1996 Aug 15;157(4):1744-9. [8759764 ]
- Kilpatrick IC, Traut M, Heal DJ: Monoamine oxidase inhibition is unlikely to be relevant to the risks associated with phentermine and fenfluramine: a comparison with their abilities to evoke monoamine release. Int J Obes Relat Metab Disord. 2001 Oct;25(10):1454-8. [11673765 ]
- Holbrook AM, Pereira JA, Labiris R, McDonald H, Douketis JD, Crowther M, Wells PS: Systematic overview of warfarin and its drug and food interactions. Arch Intern Med. 2005 May 23;165(10):1095-106. [15911722 ]
- Ansell J, Hirsh J, Hylek E, Jacobson A, Crowther M, Palareti G: Pharmacology and management of the vitamin K antagonists: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008 Jun;133(6 Suppl):160S-198S. doi: 10.1378/chest.08-0670. [18574265 ]
- Freedman MD: Oral anticoagulants: pharmacodynamics, clinical indications and adverse effects. J Clin Pharmacol. 1992 Mar;32(3):196-209. [1564123 ]
- Lewis RJ (1996). Sax's Dangerous Properties of Industrial Materials. 9th ed. Volumes 1-3. New York, NY: Van Nostrand Reinhold.
- Gilman AG, Goodman LS, and Gilman A (eds) (1980). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 6th ed. New York, NY: Macmillan Publishing Co., Inc.
- Sax NI, Lewis RJ (1989). Dangerous properties of industrial materials. 7th edition. New York, NY: Van Nostrand Reinhold Company.
- Macina, Orest T.; Schardein, James L. (2007). “Warfarin”. Human Developmental Toxicants. Boca Raton: CRC Taylor & Francis. pp. 193–4
- Loftus, Christopher M. (1995). “Fetal toxicity of common neurosurgical drugs”. Neurosurgical Aspects of Pregnancy. Park Ridge, Ill: American Association of Neurological Surgeons. pp. 11–3.
- Loftus, Christopher M. (1995). Fetal toxicity of common neurosurgical drugs. Neurosurgical Aspects of Pregnancy. Park Ridge, Ill: American Association of Neurological Surgeons. pp. 11-3.
- Macina, Orest T.; Schardein, James L. (2007). Warfarin. Human Developmental Toxicants. Boca Raton: CRC Taylor & Francis. pp. 193-4
- International Agency for Research on Cancer (2014). IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. [Link]
- Wikipedia. Dinitrotoluene. Last Updated 10 June 2009. [Link]
- Hacco (2008). Material Safety Data Sheet for Warfarin Concentrate. [Link]
- Wikipedia. Coumarin. Last Updated 21 July 2009. [Link]
- Wikipedia. Brodifacoum. Last Updated 22 June 2009. [Link]
- Drugs.com [Link]
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Gene Regulation |
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Up-Regulated Genes | Gene | Gene Symbol | Gene ID | Interaction | Chromosome | Details |
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Down-Regulated Genes | Not Available |
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