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diltiazem (diltiazem, SMHS / Diltia XT)

✓ Approved

Actavis · CACNA1C · Small Molecule

What is diltiazem?

diltiazem is a small molecule developed by Actavis. It is approved for therapeutic indications via oral (po).

Drug Profile

Brand Namesdiltiazem, SMHS, Diltia XT
CompanyActavis
Drug ClassSmall Molecule
Molecular TargetCACNA1C
RouteOral (PO)
StatusApproved

Mechanism of Action

Molecular Targets

diltiazem acts on 1 molecular target:

CACNA1Ccalcium voltage-gated channel subunit alpha1 C (CACNL1A1, CACNA1C-IT2)
Want deeper analysis?Noah AI can explain complex mechanisms and compare to similar drugs.

Therapeutic Indications

diltiazem is developed for 2 unique indications across 2 therapeutic areas.

Therapeutic AreaConditionPhase
Cardiac disordersAngina pectoris✓ Approved
Vascular disordersHypertension✓ Approved

Related Research Articles

PubMedPhysical chemistry chemical physics : PCCP2026-11-11

Data-driven structure-spectrum mapping of a heterogeneous miRNA ensemble.

Michaelis Monika M, Thiessen Laura L, Santos-Carballal Beatriz B, Colombi Ciacchi Lucio L et al.

Short regulatory RNAs populate heterogeneous conformational ensembles in which recurrent local motifs can be difficult to resolve from ensemble-averaged observables. Here, we combine synchrotron circular dichroism (CD), enhanced-sampling molecular dynamics, CD back-calculation, and descriptor-based clustering to map hsa-miR-145 conformations onto their spectral signatures. The hsa-miR-145 duplex provides a reference in which compact A-form-like states produce helical CD profiles, whereas loss of hybridization attenuates and broadens the spectra. In contrast, hsa-miR-145-5p remains highly heterogeneous and lacks persistent self-pairing. Cross-validation across nucleobase-geometry, torsional, and spectral descriptors identifies recurrent compact-bend conformations stabilized by local non-Watson-Crick stacking. These conformers are associated with computed helical-like CD signatures, whereas other recurrent geometries are associated with comparatively flat, low-intensity spectra. The results show that local noncanonical stacking can generate CD-active conformational families in a flexible miRNA strand without canonical pairing.

PubMedFrontiers in bioengineering and biotechnology2026-11-11

CRISPR-enabled biosensing of cancer-associated DNA methylation in cell-free DNA: molecular architectures, molecular sampling constraints, and translational biosensor engineering.

Luo Hongzhi H, Huang Xiaoxue X, Yu Qiujie Q, Li Qianyi Q et al.

DNA methylation in circulating cell-free DNA (cfDNA) provides cancer-associated and tissue-of-origin information complementary to mutation-based liquid biopsy. Clustered regularly interspaced short palindromic repeats (CRISPR)-based sensing is challenging because 5-methylcytosine (5 mC) generally preserves Watson-Crick base pairing and is not inherently resolved by sequence-programmed CRISPR-associated (Cas) proteins. This targeted narrative review examines how methylated and unmethylated molecules are distinguished and converted into Cas-readable outputs under fragmented, low-input cfDNA conditions. We organize the literature into four discrimination routes comprising sequence conversion, enzymatic gating, affinity-assisted recognition, and native-state Cas modulation. Engineered molecular transduction is considered separately as a downstream enabling layer. We compare readouts in terms of quantitative fidelity and integration requirements. Sequence-conversion and enzymatic-gating systems have the broadest analytical evidence among the identified studies, largely from in vitro experiments. Direct affinity-assisted 5 mC-to-Cas sensing remains sparsely studied, and evidence for native-state sensing in patient-derived cfDNA is limited to exploratory observational comparisons. No native-state Cas methylation assay identified in this review has established clinically usable diagnostic performance. Reported analytical limits of detection and methylation-fraction discrimination cannot be extrapolated to clinical sensitivity without accounting for input, recovery, fragmentation, background, and decision thresholds. Translation requires validated biomarkers, fragment-matched calibration, orthogonal reference testing, reproducible device integration, and independent evaluation of locked assays in intended-use populations.

PubMedNature chemistry2026-11-06

Aptamers enable a distinct mode of conformational DNA recognition.

Stuber Annina A, Yang Kyungae K, Escobar Sandra Hernández SH, Cléry Antoine A et al.

Watson-Crick base-pairing defines the classical paradigm of nucleic-acid interactions, but growing research reveals noncanonical modes beyond this framework. Here we uncover a mode of interactions by which two DNA strands associate through a ligand-induced conformational rearrangement. Upon binding a small molecule, a structure-switching primary aptamer folds into a conformation that exposes a previously inaccessible docking interface. An independently evolved secondary aptamer recognizes this interface primarily through noncanonical interactions rather than sequence complementarity, reporting the ligand-bound state of the primary aptamer. This interaction is conformation-sensitive: single base-pair changes in the primary aptamer modulate secondary aptamer recognition. Across four chemically distinct small-molecule targets-serotonin, dopamine, testosterone and deoxycorticosterone 21-glucoside-secondary aptamers were identified for three, and the serotonin system was translated into surface-based sandwich assays. These results demonstrate that a ligand-induced conformational state, rather than sequence complementarity or the chemical identity of the ligand, can serve as the epitope for nucleic-acid recognition, expanding the molecular features that DNA can be evolved to detect.

PubMedJournal of the Chinese Chemical Society. Zhongguo hua xue hui (Taipei, Taiwan)2026-11-06

Detection of N 3-methylcytidine in RNA at single base resolution using Protoscript II to read through and generate high mutation rates.

Dai Qing Q, Pajdzik Kinga K, Sepich-Poore Caraline C, Dou Xiaoyang X et al.

N 3-methylcytidine (m3C), an RNA modification involving methylation of cytidine at the Watson-Crick-Franklin edge, has been identified in human tRNA, mitochondrial tRNA (mt-tRNA), and mRNA. In tRNA and mt-tRNA, it has been shown to play important roles in tRNA structure and translation. Here we describe a new approach which utilizes the high readthrough and mutation rates of Protoscript II (PSII) at m3C sites in combination with AlkB demethylation to detect m3C at single-base resolution. We first validate the method on synthetic probes. Then, using this method, we successfully identify known m3C sites on tRNA and mt-tRNA, as well as one new candidate tRNA m3C site. We further show that none of the m3C sites identified in cytosolic tRNA are likely METTL8 substrates. In contrast, the two m3C sites detected in mt-tRNA are sensitive to METTL8 knockdown (KD) and over expression (OE), in line with their previous characterization as METTL8 substrates. These results demonstrate that our method can be used to investigate changes in the m3C level in many sites using an unbiased approach. Overall, this study introduces a convenient high-resolution method for m3C mapping with high readthrough rates, paving the way for future mechanistic studies on the biological function of m3C and its effector proteins.

PubMedJournal of biological dynamics2026-11-05

Stray dog culling for rabies control: a stochastic modelling study.

Kambuwa Mervin M, Kadaleka Solomon S, Rwezaura Herieth H, Maliyoni Milliward M

A stochastic continuous-time Markov chain (CTMC) model, rooted in a deterministic approach, investigates rabies dynamics within human and stray dog populations. Stability analysis confirms the disease-free equilibrium is globally asymptotically stable for Re<1, while an endemic equilibrium persists for Re>1. Through a Galton-Watson branching process, the stochastic threshold is derived, providing extinction probabilities that align closely with 10,000 numerical sample paths. The CTMC model predicts two distinct outcomes, disease extinction or persistence, and demonstrates a positive probability of rabies extinction in finite time even when Re>1. This contrast is significant because the deterministic model predicts a certain outbreak under identical conditions, whereas the stochastic framework captures the possibility of early extinction due to demographic fluctuations. Sensitivity analysis identifies the natural death rate and culling intensity as the most influential parameters. Results show a direct correlation between culling intensity and the probability of rabies elimination.

PubMedThe Journal of nursing administration2026-11-02

Creating a Human Caring Culture: A Caring Science Framework for Organizational Transformation.

Hernandez Grissel G, Bradley Kathleen K, Oreo Gisso G, Haririfar Mojgan M et al.

Health systems face increasing complexity, workforce challenges, and risk of depersonalized care, highlighting the need for humanistic, theory-guided care delivery frameworks. To describe the development and implementation of the Caring Science-Human Caring Culture (CS-HCC) Framework© within a large academic health system. A 15-year (2010-2025), phased, evidence-informed organizational approach grounded in Watson Caring Science was used. The framework was operationalized across 4 domains: leadership/legacy, education, praxis, and research/inquiry. Implementation began within nursing education and professional development and subsequently expanded across clinical, interprofessional, and system-level roles and initiatives. Strategies included leadership development, caring literacy education, and more than 400 practice initiatives. Systematic evaluation incorporated patient experience, workforce well-being, and caring culture indicators, with evidence of sustained organizational adoption across more than 400 Caring Science-informed initiatives. The CS-HCC Framework© provides a scalable, theory-guided approach to embedding humanistic care in complex health systems.

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