Path ID: DB01081_MESH_D003967_1

db01081-mesh-d003967-1

Concepts

Identifier Name Type
MESH:D004157 diphenoxylate Drug
DB:DB01501 Difenoxin ChemicalSubstance
UniProt:P35372 Mu-type opioid receptor Protein
GO:0120054 intestinal motility BiologicalProcess
MESH:D003967 Diarrhea Disease

Relationships

NOTE: predicates are annotated in Biolink Model (v1.3.0)

Subject Predicate Object
Diphenoxylate HAS METABOLITE Difenoxin
Difenoxin INCREASES ACTIVITY OF Mu-Type Opioid Receptor
Mu-Type Opioid Receptor NEGATIVELY REGULATES Intestinal Motility
Intestinal Motility POSITIVELY CORRELATED WITH Diarrhea

Comment: Diphenoxylic acid (or difenoxin) is the pharmacologically active metabolite of diphenoxylate (https://pubmed.ncbi.nlm.nih.gov/3682841/), being 5 times more potent (https://pharmaceutical-journal.com/article/ld/understanding-the-chemical-basis-of-drug-stability-and-degradation). Diphenoxylate is rapidly metabolized to difenoxin (https://en.wikipedia.org/wiki/Diphenoxylate#Pharmacology). It’s been suggested that difenoxin may regulate non-opioid receptor pathways as well (https://go.drugbank.com/drugs/DB01501#mechanism-of-action).

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