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Mechanism of Action

The Prostacyclin Pathway Is 1 of 3 Foundational Pathways That Are Targets for Drug Therapy1,2

Focusing on targeting the 3 foundational pathways in PAH is an effective treatment strategy with clinical benefits2

Not all prostacyclin pathway agents are the same.1 UPTRAVI® selectively targets the IP receptor—the only established relaxant prostanoid receptor in the human pulmonary artery6,7

Three established prostanoid receptors in the human pulmonary artery7

Prostanoid receptors in other systems throughout the body

There are 2 categories of prostanoid receptors in vascular cells1:

Vasodilative
Vasoconstrictive

Selexipag and its active metabolite are selective for the IP receptor vs other prostanoid receptors (EP1-4, DP, FP, and TP)6†

The clinical significance of this mechanism is unknown

Peripheral systemic artery

Gastrointestinal tract

Nerve cells

DP1, EP2, EP4, EP1, and FP are not functionally expressed in the pulmonary artery and do not contribute to vessel tone in the pulmonary artery.

GRIPHON=Prostacyclin (PGI2) Receptor Agonist In Pulmonary Arterial HypertensiON; PDE5i=phosphodiesterase type-5 inhibitor.

References: 1. Lang MI, Gaine SP. Recent advances in targeting the prostacyclin pathway pulmonary arterial hypertension. Eur Respir Rev. 2015‍;‍24(‍138‍)‍:‍630‍-‍641. 2. Humbert M, Kovacs G, Hoeper MM, et al; ESC/ERS Scientific Document Group. 2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: the Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS). Eur Heart J. 2022‍;‍43‍(‍38‍)‍:‍3618‍-‍3731. 3. Gale S. The evolving treatment landscape of pulmonary arterial hypertension. Am J Manag Care. 2021‍;‍27‍(‍3 Suppl‍)‍:‍S42‍-‍S52. doi‍:‍10‍.‍37765‍/‍ajmc‍.‍2021‍.‍88610. 4. Khaybullina D, Patel A, Zerilli T. Riociguat (Adempas): a novel agent for the treatment of pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension. P & T. 2014‍;‍39‍(‍11‍)‍:‍749‍-‍758. 5. Yoo HHB, Marin FL. Treating inflammation associated with pulmonary hypertension: an overview of the literature. Int J Gen Med. 2022‍;‍15‍:‍1075‍-‍1083‍. doi‍:‍10‍.‍2147‍/‍IJGM‍.‍S295463. 6. UPTRAVI® (selexipag) full Prescribing Information. Actelion Pharmaceuticals US, Inc. 7. Norel X. Prostanoid receptors in the human vascular wall. ScientificWorldJournal. 2007;7:1359-1374. 8. Mubarak KK. A review of prostaglandin analogs in the management of patients with pulmonary arterial hypertension. Respir Med. 2010;104(1):9-21. 9. Capra V, Bäck M, Angiolillo DJ, et al. Impact of vascular thromboxane prostanoid receptor activation on hemostasis, thrombosis, oxidative stress, and inflammation. J Thromb . 2014;12(2):126-137.