Essential hypertension

disease
On this page

Also known as idiopathic hypertensionprimary hypertension

Summary

Essential hypertension (MONDO:0001134) is a disease with 41 cohort genes (633 GWAS associations across 34 studies) and 306 clinical trials. Top therapeutic interventions include olmesartan medoxomil, perindopril, and azilsartan medoxomil.

At a glance

  • Cohort genes: 41
  • GWAS associations: 633
  • ClinVar variants: 6
  • Clinical trials: 306

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical nameessential hypertension
Mondo IDMONDO:0001134
MeSHD000075222
Orphanet243761
DOIDDOID:10825
ICD-11761947693
SNOMED CT59621000
UMLSC0085580
MedGen88442
Is cancer (heuristic)no

Also known as: idiopathic hypertension · primary hypertension

Data availability: 6 ClinVar variants · 633 GWAS associations (34 studies).

Disease family

An umbrella term covering 3 Mondo subtypes.

Classification path: disease › human disease › disease by body system or component › cardiovascular disordervascular disorderarterial disorderhypertensive disorderessential hypertension

Related subtypes (11): secondary hypertension, pulmonary hypertension, early onset hypertension, chemotherapy-induced hypertension, intracranial hypertension, malignant hypertension, ocular hypertension, kallikrein hypertension, hypertension, pregnancy-induced, resistant hypertension, hypertensive urgency

Subtypes (3): malignant essential hypertension, benign essential hypertension, essential hypertension, genetic

Genetics & variants

GWAS landscape

633 GWAS associations across 34 studies. Top hits map to 9 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
chr4:802614007e-90C0.1
rs125095952e-83PRDM8 - FGF5T0.1
chr7:1509930883e-70T0.15
chr2:266914964e-61T0.08
rs15589022e-57FTOT0.08
chr12:1114468046e-55C0.07
chr10:617515483e-53A0.1
chr11:1007675243e-53A0.08
chr5:328318336e-50C0.07
chr1:107368092e-48C0.07
rs169980732e-47PRDM8 - FGF5?
chr6:1268409253e-47T0.07
chr15:908852917e-46C0.07
chr11:18659862e-43C0.06
chr19:72579798e-43G0.09
rs14210852e-41FTOT0.08
chr12:1151146322e-41G0.06
chr1:118357382e-41A0.08
chr1:118580362e-39A0.09
chr20:109865663e-39G0.06
chr11:18665764e-37?0.06
chr5:1583910105e-37G0.06
chr20:86359411e-35G0.06
chr19:114160892e-35G0.06
chr15:908850605e-35?0.06
rs129784726e-35INSRC0.09
chr20:591598577e-35A0.09
chr12:896318458e-35A0.06
chr5:328190733e-34T0.06
rs12759234e-34KCNK3C0.06

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST90475922Verma A2024320,429107,275Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90473522UK Biobank Whole-Genome Sequencing Consortium2025184,088274,352Whole-genome sequencing of 490,640 UK Biobank participants.
GCST90667950UK Biobank Whole-Genome Sequencing Consortium2025184,088274,352Whole-genome sequencing of 490,640 UK Biobank participants.
GCST90079962Backman JD2021105,117269,090Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90083948Backman JD2021105,117269,090Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90297593Auwerx C202497,860179,146Rare copy-number variants as modulators of common disease susceptibility.
GCST90297647Auwerx C202497,860179,146Rare copy-number variants as modulators of common disease susceptibility.
GCST90297697Auwerx C202497,860179,146Rare copy-number variants as modulators of common disease susceptibility.
GCST90297742Auwerx C202497,860179,146Rare copy-number variants as modulators of common disease susceptibility.
GCST90691960Karczewski KJ202594,062325,488Pan-UK Biobank genome-wide association analyses enhance discovery and resolution of ancestry-enriched effects.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding0
Tier 2: splice/UTR1
Tier 3: regulatory0
Tier 4: intronic/intergenic49

MAF distribution

BucketVariants
common (>=0.05)16
low_freq (0.01-0.05)1
rare (<0.01)0
unknown33

Functional consequences

ConsequenceCount
unknown38
intron_variant9
intergenic_variant2
3_prime_UTR_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
chr4:802614007e-90Tier 4: intronic/intergenic
rs12509595480261400T>C,G0.286intergenic_variantPRDM8 - FGF52e-83Tier 4: intronic/intergenic
chr7:1509930883e-70Tier 4: intronic/intergenic
chr2:266914964e-61Tier 4: intronic/intergenic
rs15589021653769662T>A0.404intron_variantFTO2e-57Tier 4: intronic/intergenic
chr12:1114468046e-55Tier 4: intronic/intergenic
chr10:617515483e-53Tier 4: intronic/intergenic
chr11:1007675243e-53Tier 4: intronic/intergenic
chr5:328318336e-50Tier 4: intronic/intergenic
chr1:107368092e-48Tier 4: intronic/intergenic
rs16998073480263187A>C,G,T0.05intergenic_variantPRDM8 - FGF52e-47Tier 4: intronic/intergenic
chr6:1268409253e-47Tier 4: intronic/intergenic
chr15:908852917e-46Tier 4: intronic/intergenic
chr11:18659862e-43Tier 4: intronic/intergenic
chr19:72579798e-43Tier 4: intronic/intergenic
rs14210851653767042T>C0.333intron_variantFTO2e-41Tier 4: intronic/intergenic
chr12:1151146322e-41Tier 4: intronic/intergenic
chr1:118357382e-41Tier 4: intronic/intergenic
chr1:118580360.1592e-39Tier 4: intronic/intergenic
chr20:109865663e-39Tier 4: intronic/intergenic
chr11:18665764e-37Tier 4: intronic/intergenic
chr5:1583910105e-37Tier 4: intronic/intergenic
chr20:86359411e-35Tier 4: intronic/intergenic
chr19:114160892e-35Tier 4: intronic/intergenic
chr15:908850605e-35Tier 4: intronic/intergenic
rs12978472197257979C>A,G,T0.121intron_variantINSR6e-35Tier 4: intronic/intergenic
chr20:591598577e-35Tier 4: intronic/intergenic
chr12:896318458e-35Tier 4: intronic/intergenic
chr5:328190730.4123e-34Tier 4: intronic/intergenic
rs1275923226709928C>T0.404intron_variantKCNK34e-34Tier 4: intronic/intergenic

ClinVar germline variants

6 retrieved; paginated sample, class counts are floors:

2 uncertain significance, 1 likely pathogenic, 1 association, 1 not provided, 1 pathogenic

ClinVarVariant (HGVS)GeneClassificationReview
7864NM_000961.4(PTGIS):c.1358+2T>CPTGISPathogenicno assertion criteria provided
1179033NM_000685.5(AGTR1):c.599dup (p.Asn200fs)AGTR1Likely pathogeniccriteria provided, multiple submitters, no conflicts
931540NM_000603.5(NOS3):c.284C>T (p.Thr95Ile)NOS3Uncertain significancecriteria provided, single submitter
1033155NM_000961.4(PTGIS):c.283G>A (p.Asp95Asn)PTGISUncertain significancecriteria provided, single submitter
219224NC_000016.10:g.20354332A>GUMODassociationno assertion criteria provided
585032NM_000777.5(CYP3A5):c.1165C>T (p.Pro389Ser)CYP3A5not providedno classification provided

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 0 · Orphanet: 19 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
SALL1Orphanet:857Townes-Brocks syndrome
UMODOrphanet:88950UMOD-related autosomal dominant tubulointerstitial kidney disease
PRDM8Orphanet:324290PRDM8-related progressive myoclonus epilepsy
CHEK2Orphanet:1331Familial prostate cancer
CHEK2Orphanet:145Hereditary breast and/or ovarian cancer syndrome
CHEK2Orphanet:440437Familial colorectal cancer Type X
CHEK2Orphanet:524Li-Fraumeni syndrome
CHEK2Orphanet:668Osteosarcoma
B3GLCTOrphanet:709Peters plus syndrome
ANTXR2Orphanet:2028Juvenile hyaline fibromatosis
ANTXR2Orphanet:2176Infantile systemic hyalinosis
AGTR1Orphanet:97369Renal tubular dysgenesis of genetic origin
FOXC1Orphanet:250923Isolated aniridia
FOXC1Orphanet:708Peters anomaly
FOXC1Orphanet:782Axenfeld-Rieger syndrome
FOXC1Orphanet:91483Rieger anomaly
FOXC1Orphanet:98978Axenfeld anomaly
GUCY1A1Orphanet:401945Moyamoya disease with early-onset achalasia
MRASOrphanet:648Noonan syndrome

Cohort genes → proteins

41 cohort genes, 35 distinct canonical proteins.

Evidence partition

SubsetGenes
gwas_only35
multi_evidence6

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
SALL1HGNC:10524ENSG00000103449Q9NSC2Sal-like protein 1gwas
SLC22A1HGNC:10963ENSG00000175003O15245Solute carrier family 22 member 1gwas
UMODHGNC:12559ENSG00000169344P07911Uromodulinclinvar
PRDM8HGNC:13993ENSG00000152784Q9NQV8PR domain zinc finger protein 8gwas
PCDH18HGNC:14268ENSG00000189184Q9HCL0Protocadherin-18gwas
CHORDC1HGNC:14525ENSG00000110172Q9UHD1Cysteine and histidine-rich domain-containing protein 1gwas
MTMR9HGNC:14596ENSG00000104643Q96QG7Myotubularin-related protein 9gwas
OR4C3HGNC:14697ENSG00000176547Q8NH37Olfactory receptor 4C3gwas
PPP1R3BHGNC:14942ENSG00000173281Q86XI6Protein phosphatase 1 regulatory subunit 3Bgwas
OR4X2HGNC:15184ENSG00000172208Q8NGF9Olfactory receptor 4X2gwas
CHEK2HGNC:16627ENSG00000183765O96017Serine/threonine-protein kinase Chk2gwas
RXFP2HGNC:17318ENSG00000133105Q8WXD0Relaxin receptor 2gwas
PURGHGNC:17930ENSG00000172733Q9UJV8Purine-rich element-binding protein gammagwas
HSD17B12HGNC:18646ENSG00000149084Q53GQ0Very-long-chain 3-oxoacyl-CoA reductasegwas
UNC79HGNC:19966ENSG00000133958Q9P2D8Protein unc-79 homologgwas
DNAJC1HGNC:20090ENSG00000136770Q96KC8DnaJ homolog subfamily C member 1gwas
B3GLCTHGNC:20207ENSG00000187676Q6Y288Beta-1,3-glucosyltransferasegwas
ILRUNHGNC:21215ENSG00000196821Q9H6K1Protein ILRUNgwas
NME9HGNC:21343ENSG00000181322Q86XW9Thioredoxin domain-containing protein 6gwas
ANTXR2HGNC:21732ENSG00000163297P58335Anthrax toxin receptor 2gwas
HERPUD2HGNC:21915ENSG00000122557Q9BSE4Homocysteine-responsive endoplasmic reticulum-resident ubiquitin-like domain member 2 proteingwas
NANOS3HGNC:22048ENSG00000187556P60323Nanos homolog 3clinvar
REXO1HGNC:24616ENSG00000079313Q8N1G1RNA exonuclease 1 homologgwas
MAP9HGNC:26118ENSG00000164114Q49MG5Microtubule-associated protein 9gwas
CYP3A5HGNC:2638ENSG00000106258P20815Cytochrome P450 3A5clinvar
GXYLT1HGNC:27482ENSG00000151233Q4G148Glucoside xylosyltransferase 1gwas
BAHCC1HGNC:29279ENSG00000266074Q9P281BAH and coiled-coil domain-containing protein 1gwas
OR4C45HGNC:31270ENSG00000260811A6NMZ5Olfactory receptor 4C45gwas
AGTR1HGNC:336ENSG00000144891P30556Type-1 angiotensin II receptorclinvar
FOXC1HGNC:3800ENSG00000054598Q12948Forkhead box protein C1gwas
MIR9-2HGHGNC:42810ENSG00000245526MIR9-2 host genegwas
GUCY1A1HGNC:4685ENSG00000164116Q02108Guanylate cyclase soluble subunit alpha-1gwas
PTPRD-DTHGNC:49754ENSG00000226717PTPRD divergent transcriptgwas
MIR4713HGHGNC:53124ENSG00000259240MIR4713 host genegwas
LINC02400HGNC:53327ENSG00000257784long intergenic non-protein coding RNA 2400gwas
LINC02468HGNC:53406ENSG00000256499long intergenic non-protein coding RNA 2468gwas
LINC02510HGNC:53499ENSG00000250341long intergenic non-protein coding RNA 2510gwas
MRASHGNC:7227ENSG00000158186O14807Ras-related protein M-Rasgwas
NOS3HGNC:7876ENSG00000164867P29474Nitric oxide synthase 3clinvar
OR4B1HGNC:8290ENSG00000175619Q8NGF8Olfactory receptor 4B1gwas
PTGISHGNC:9603ENSG00000124212Q16647Prostacyclin synthaseclinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
SALL1Sal-like protein 1Transcriptional repressor involved in organogenesis.
SLC22A1Solute carrier family 22 member 1Electrogenic voltage-dependent transporter that mediates the transport of a variety of organic cations such as endogenous bioactive amines, cationic drugs and xenobiotics.
UMODUromodulinFunctions in biogenesis and organization of the apical membrane of epithelial cells of the thick ascending limb of Henle’s loop (TALH), where it promotes formation of complex filamentous gel-like structure that may play a role in the water…
PRDM8PR domain zinc finger protein 8Probable histone methyltransferase, preferentially acting on ‘Lys-9’ of histone H3.
PCDH18Protocadherin-18Potential calcium-dependent cell-adhesion protein.
CHORDC1Cysteine and histidine-rich domain-containing protein 1Regulates centrosome duplication, probably by inhibiting the kinase activity of ROCK2.
MTMR9Myotubularin-related protein 9Acts as an adapter for myotubularin-related phosphatases.
OR4C3Olfactory receptor 4C3Odorant receptor.
PPP1R3BProtein phosphatase 1 regulatory subunit 3BActs as a glycogen-targeting subunit for phosphatase PP1.
OR4X2Olfactory receptor 4X2Odorant receptor.
CHEK2Serine/threonine-protein kinase Chk2Serine/threonine-protein kinase which is required for checkpoint-mediated cell cycle arrest, activation of DNA repair and apoptosis in response to the presence of DNA double-strand breaks.
RXFP2Relaxin receptor 2Receptor for relaxin.
HSD17B12Very-long-chain 3-oxoacyl-CoA reductaseCatalyzes the second of the four reactions of the long-chain fatty acids elongation cycle.
UNC79Protein unc-79 homologAuxiliary subunit of the NALCN sodium channel complex, a voltage-gated ion channel responsible for the resting Na(+) permeability that controls neuronal excitability.
DNAJC1DnaJ homolog subfamily C member 1May modulate protein synthesis.
B3GLCTBeta-1,3-glucosyltransferaseBeta-1,3-glucosyltransferase involved in one of the two pathways responsible for protein O-linked fucosylation, a unique post-translational modification of cysteine-knotted proteins that regulates various biological processes.
ILRUNProtein ILRUNNegative regulator of innate antiviral response.
NME9Thioredoxin domain-containing protein 6May be a regulator of microtubule physiology.
ANTXR2Anthrax toxin receptor 2Necessary for cellular interactions with laminin and the extracellular matrix.
HERPUD2Homocysteine-responsive endoplasmic reticulum-resident ubiquitin-like domain member 2 proteinCould be involved in the unfolded protein response (UPR) pathway.
NANOS3Nanos homolog 3Plays a role in the maintenance of the undifferentiated state of germ cells regulating the spermatogonia cell cycle and inducing a prolonged transit in G1 phase.
REXO1RNA exonuclease 1 homologSeems to have no detectable effect on transcription elongation in vitro.
MAP9Microtubule-associated protein 9Involved in organization of the bipolar mitotic spindle.
CYP3A5Cytochrome P450 3A5A cytochrome P450 monooxygenase involved in the metabolism of steroid hormones and vitamins.
GXYLT1Glucoside xylosyltransferase 1Glycosyltransferase which elongates the O-linked glucose attached to EGF-like repeats in the extracellular domain of Notch proteins by catalyzing the addition of xylose.
OR4C45Olfactory receptor 4C45Odorant receptor.
AGTR1Type-1 angiotensin II receptorReceptor for angiotensin II, a vasoconstricting peptide, which acts as a key regulator of blood pressure and sodium retention by the kidney.
FOXC1Forkhead box protein C1DNA-binding transcriptional factor that plays a role in a broad range of cellular and developmental processes such as eye, bones, cardiovascular, kidney and skin development.
MRASRas-related protein M-RasSignal transducer in the Ras-MAPK signaling pathway that regulates cell proliferation and survival.
NOS3Nitric oxide synthase 3Produces nitric oxide (NO) which is implicated in vascular smooth muscle relaxation through a cGMP-mediated signal transduction pathway.
OR4B1Olfactory receptor 4B1Odorant receptor.
PTGISProstacyclin synthaseCatalyzes the biosynthesis and metabolism of eicosanoids.

Protein-family classification

Druggable: 16 · Difficult: 6 · Unknown: 19 · Druggable fraction: 0.39

Family distribution

Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.

FamilyGenesFoldFDR
GPCR63.5×0.061
Phosphatase12.0×0.789
Transporter11.9×0.789
Enzyme (other)51.5×0.789
Kinase21.4×0.789
Transcription factor51.0×0.847
Other/Unknown190.8×0.916
Antibody/Immunoglobulin10.7×0.916
Scaffold/PPI10.4×0.916

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
SALL1Transcription factornoZnf_C2H2_type, Znf_C2H2_sf, Sal_C2H2-zinc-finger
SLC22A1TransporteryesOrgcat_transp/SVOP, MFS_sugar_transport-like, Sugar_transporter_CS
UMODOther/UnknownnoEGF-type_Asp/Asn_hydroxyl_site, EGF, ZP_dom
PRDM8Transcription factornoSET_dom, Znf_C2H2_type, Znf_C2H2_sf
PCDH18Other/UnknownnoCadherin-like_dom, Cadherin_N, Cadherin-like_sf
CHORDC1Other/UnknownnoCHORD_dom, CS_dom, HSP20-like_chaperone
MTMR9PhosphataseyesMyotubularin-like_Pase_dom, PH-like_dom_sf, Prot-tyrosine_phosphatase-like
OR4C3GPCRyesGPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM
PPP1R3BOther/UnknownnoCBM21_dom, Pase-1_reg-su_3B/C/D_met, PP1_3B
OR4X2GPCRyesGPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM
CHEK2Kinaseyes2.7.11.1FHA_dom, Prot_kinase_dom, Ser/Thr_kinase_AS
RXFP2GPCRyesGPCR_Rhodpsn, Leu-rich_rpt, LDrepeatLR_classA_rpt
PURGOther/UnknownnoPUR-bd_fam
HSD17B12Enzyme (other)yes1.1.1.62SDR_fam, Sc_DH/Rdtase_CS, NAD(P)-bd_dom_sf
UNC79Other/UnknownnoARM-type_fold, UNC79
DNAJC1Transcription factornoSANT/Myb, DnaJ_domain, Homeodomain-like_sf
B3GLCTOther/UnknownnoFringe-like_glycosylTrfase, Nucleotide-diphossugar_trans
ILRUNAntibody/ImmunoglobulinyesUBA-like_sf, Ig-like_fold, Nbr1_FW
NME9KinaseyesNucleoside_diP_kinase, Thioredoxin_domain, Thioredoxin_CS
ANTXR2Other/UnknownnoVWF_A, Anthrax_toxin_rcpt_C, Anthrax_toxin_rcpt_extracel
HERPUD2Other/UnknownnoUbiquitin-like_dom, Ubiquitin-like_domsf, HERPUD1/2
NANOS3Transcription factornoNanos/Xcar2, Znf_nanos-typ, Nanos_sf
REXO1Other/UnknownnoRNaseH-like_sf, Ribonucl_H, REXO1-like_dom
MAP9Other/UnknownnoMAP9
CYP3A5Enzyme (other)yes1.14.14.1Cyt_P450, Cyt_P450_E_grp-II, Cyt_P450_E_CYP3A
GXYLT1Other/UnknownnoGlyco_trans_8, Nucleotide-diphossugar_trans, Glycosyltransferase_8
BAHCC1Scaffold/PPInoBAH_dom, BAH_sf, Tudor_BAHCC1
OR4C45GPCRyesGPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM
AGTR1GPCRyesATII_AT1_rcpt, ATII_rcpt, GPCR_Rhodpsn
FOXC1Transcription factornoFork_head_dom, TF_fork_head_CS_1, TF_fork_head_CS_2
MIR9-2HGOther/Unknownno
GUCY1A1Enzyme (other)yes4.6.1.2A/G_cyclase, HNOB_dom_associated, A/G_cyclase_CS
PTPRD-DTOther/Unknownno
MIR4713HGOther/Unknownno
LINC02400Other/Unknownno
LINC02468Other/Unknownno
LINC02510Other/Unknownno
MRASOther/UnknownnoSmall_GTPase, Small_GTP-bd, Small_GTPase_Ras-type
NOS3Enzyme (other)yes1.14.13.39Flavdoxin-like, OxRdtase_FAD/NAD-bd, Flavoprot_Pyr_Nucl_cyt_Rdtase
OR4B1GPCRyesGPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM
PTGISEnzyme (other)yes5.3.99.4Cyt_P450, Cyt_P450_E_grp-IV, Cyt_P450_CYP7A1-type

Expression context

Cohort genes with no expression data: 0.

29 cohort genes are a single-cell marker in ≥1 SCXA experiment.

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)4
moderate (6-20)1
broad (>20)36
unknown0

Top tissues across cohort

TissueCohort genes
ventricular zone7
male germ line stem cell (sensu Vertebrata) in testis7
colonic epithelium4
liver3
cortical plate3
parietal pleura3
primordial germ cell in gonad3
renal medulla2
right lobe of liver2
ganglionic eminence2
mucosa of stomach2
calcaneal tendon2
endothelial cell2
hindlimb stylopod muscle2
granulocyte2
lower esophagus mucosa2
buccal mucosa cell2
Brodmann (1909) area 232
sperm2
pigmented layer of retina2

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
SALL1195broadmarkerventricular zone, inferior vagus X ganglion, renal medulla
SLC22A1163tissue_specificmarkerright lobe of liver, liver, cartilage tissue
UMOD104tissue_specificmarkerrenal medulla, adult organism, adult mammalian kidney
PRDM8159ubiquitousmarkercortical plate, ganglionic eminence, mucosa of stomach
PCDH18238ubiquitousmarkerstromal cell of endometrium, calcaneal tendon, parietal pleura
CHORDC1134ubiquitousmarkercorpus callosum, endometrium, ventricular zone
MTMR9289broadmarkerendothelial cell, Brodmann (1909) area 46, substantia nigra pars compacta
OR4C31yescolonic epithelium, sural nerve, ventricular zone
PPP1R3B141ubiquitousmarkerskeletal muscle tissue, liver, hindlimb stylopod muscle
OR4X21yesgranulocyte, colonic epithelium, ventricular zone
CHEK2183ubiquitousmarkerprimordial germ cell in gonad, lower esophagus mucosa, male germ line stem cell (sensu Vertebrata) in testis
RXFP261tissue_specificyesmale germ line stem cell (sensu Vertebrata) in testis, buccal mucosa cell, monocyte
PURG173broadyessperm, middle temporal gyrus, Brodmann (1909) area 23
HSD17B12295ubiquitousmarkerendothelial cell, pigmented layer of retina, retina
UNC79106broadmarkerright hemisphere of cerebellum, cerebellar cortex, cerebellar hemisphere
DNAJC1278ubiquitousmarkersecondary oocyte, pylorus, cardia of stomach
B3GLCT218ubiquitousmarkerleft ventricle myocardium, calcaneal tendon, cardiac muscle of right atrium
ILRUN290ubiquitousmarkergastrocnemius, tendon of biceps brachii, muscle of leg
NME9161broadmarkerright uterine tube, olfactory segment of nasal mucosa, male germ line stem cell (sensu Vertebrata) in testis
ANTXR2243ubiquitousmarkermucosa of stomach, decidua, smooth muscle tissue
HERPUD2260ubiquitousmarkercauda epididymis, caput epididymis, buccal mucosa cell
NANOS3129broadyesprimordial germ cell in gonad, prefrontal cortex, amygdala
REXO1173ubiquitousmarkerright testis, left testis, right adrenal gland cortex
MAP9265ubiquitousmarkerlateral nuclear group of thalamus, Brodmann (1909) area 23, pons
CYP3A5243tissue_specificmarkerjejunal mucosa, right lobe of liver, liver
GXYLT1236ubiquitousyespigmented layer of retina, parietal pleura, adrenal tissue
BAHCC1190ubiquitousmarkerright hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex
OR4C453yesmale germ line stem cell (sensu Vertebrata) in testis, colonic epithelium, ventricular zone
AGTR1224markerskin of hip, placenta, subcutaneous adipose tissue
FOXC1267ubiquitousmarkerparotid gland, vena cava, trigeminal ganglion

Protein interactions among cohort

Intra-cohort edges: 5.

Hub genes (top 10 by interactor count)

SymbolInteractor count
CHEK24,795
NOS33,606
HSD17B122,937
FOXC12,896
AGTR12,651
MRAS2,391
DNAJC12,375
SALL12,189
UMOD2,084
PTGIS2,053

Intra-cohort edges

ABSources
ANTXR2PRDM8string_interaction
B3GLCTRXFP2string_interaction
CYP3A5PTGISstring_interaction
FOXC1SALL1intact
NOS3PTGISstring_interaction

Structural data

PDB: 19 · AlphaFold-only: 16 · No structure: 6

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
NOS3P29474105
CHEK2O9601738
SLC22A1O1524516
ANTXR2P5833514
GUCY1A1Q0210812
AGTR1P3055611
MRASO1480711
UMODP0791110
CYP3A5P208156
UNC79Q9P2D83
PPP1R3BQ86XI62
DNAJC1Q96KC82
PTGISQ166472
PCDH18Q9HCL01
CHORDC1Q9UHD11
RXFP2Q8WXD01
ILRUNQ9H6K11
NME9Q86XW91
HERPUD2Q9BSE41

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
MTMR9Q96QG795.16
HSD17B12Q53GQ094.55
OR4C3Q8NH3789.61
OR4C45A6NMZ588.01
OR4B1Q8NGF887.12
B3GLCTQ6Y28886.94
OR4X2Q8NGF985.13
GXYLT1Q4G14885.06
PURGQ9UJV872.82
NANOS3P6032371.75
MAP9Q49MG562.53
REXO1Q8N1G159.13
FOXC1Q1294856.09
PRDM8Q9NQV855.64
SALL1Q9NSC249.54
BAHCC1Q9P28140.51

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 85. Enrichment computed across 41 evidence-associated genes (23 with Reactome annotation).

Pathways by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 23 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Nitric oxide stimulates guanylate cyclase270.9×0.030GUCY1A1, NOS3
Formation of the ureteric bud243.2×0.041SALL1, FOXC1
NOSIP mediated eNOS trafficking1248.3×0.090NOS3
NOSTRIN mediated eNOS trafficking199.3×0.090NOS3
Abacavir transmembrane transport199.3×0.090SLC22A1
Ciprofloxacin ADME199.3×0.090SLC22A1
Abacavir ADME162.1×0.090SLC22A1
SHOC2 M1731 mutant abolishes MRAS complex function162.1×0.090MRAS
Gain-of-function MRAS complexes activate RAF signaling162.1×0.090MRAS
Formation of intermediate mesoderm162.1×0.090FOXC1
Neurotransmitter clearance155.2×0.090SLC22A1
Relaxin receptors155.2×0.090RXFP2
Tetrahydrobiopterin (BH4) synthesis, recycling, salvage and regulation149.6×0.090NOS3
Androgen biosynthesis145.1×0.090HSD17B12
Regulation of CDH11 gene transcription145.1×0.090PRDM8
Synthesis of PIPs at the late endosome membrane141.4×0.090MTMR9
Eicosanoids141.4×0.090PTGIS
Uptake and function of anthrax toxins141.4×0.090ANTXR2
eNOS activation138.2×0.090NOS3
POU5F1 (OCT4), SOX2, NANOG activate genes related to proliferation138.2×0.090SALL1
Specification of primordial germ cells138.2×0.090NANOS3
Kidney development135.5×0.090SALL1
Synthesis of IP2, IP, and Ins in the cytosol133.1×0.090MTMR9
Synthesis of Prostaglandins (PG) and Thromboxanes (TX)133.1×0.090PTGIS
SLC-mediated transport of organic cations133.1×0.090SLC22A1
R-HSA-549132133.1×0.090SLC22A1
Stabilization of p53133.1×0.090CHEK2
Expression and translocation of olfactory receptors44.9×0.090OR4C3, OR4X2, OR4C45, OR4B1
Chk1/Chk2(Cds1) mediated inactivation of Cyclin B:Cdk1 complex129.2×0.098CHEK2
Norepinephrine Neurotransmitter Release Cycle127.6×0.098SLC22A1

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 29 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
blood vessel diameter maintenance364.6×0.004AGTR1, FOXC1, NOS3
obsolete nitric oxide mediated signal transduction289.4×0.025GUCY1A1, NOS3
apoptotic signaling pathway323.2×0.025UMOD, NANOS3, PTGIS
regulation of blood pressure322.9×0.025UMOD, GUCY1A1, NOS3
inductive cell-cell signaling1581.1×0.033SALL1
citric acid secretion1581.1×0.033UMOD
glomerular epithelium development1581.1×0.033FOXC1
retrograde trans-synaptic signaling by nitric oxide, modulating synaptic transmission1581.1×0.033GUCY1A1
positive regulation of hematopoietic stem cell differentiation1581.1×0.033FOXC1
O-acyl-L-carnitine transmembrane transport1581.1×0.033SLC22A1
organ or tissue specific immune response1290.6×0.033UMOD
regulation of the force of heart contraction by chemical signal1290.6×0.033NOS3
apoptotic process involved in outflow tract morphogenesis1290.6×0.033FOXC1
response to water deprivation1290.6×0.033UMOD
negative regulation of muscle hyperplasia1290.6×0.033NOS3
smooth muscle hyperplasia1290.6×0.033NOS3
acetylcholine transport1290.6×0.033SLC22A1
protein transport into plasma membrane raft1290.6×0.033UMOD
negative regulation of glycogen catabolic process1290.6×0.033PPP1R3B
tetrahydrobiopterin metabolic process1290.6×0.033NOS3
olfactory bulb mitral cell layer development1290.6×0.033SALL1
protein localization to extracellular region1290.6×0.033UMOD
kidney epithelium development1290.6×0.033SALL1
ureteric bud invasion1290.6×0.033SALL1
metanephric thick ascending limb development1290.6×0.033UMOD
protein localization to vacuole1290.6×0.033UMOD
negative regulation of apoptotic process involved in outflow tract morphogenesis1290.6×0.033FOXC1
positive regulation of core promoter binding1290.6×0.033FOXC1
ureteric bud development231.4×0.033SALL1, FOXC1
limb development228.4×0.033SALL1, B3GLCT

Therapeutics

Drugs indicated for this disease

1 approved, 26 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.

DrugDevelopment status
SpironolactoneApproved (phase 4)
AliskirenPhase 3 (in late-stage trials)
AmlodipinePhase 3 (in late-stage trials)
AtenololPhase 3 (in late-stage trials)
AzilsartanPhase 3 (in late-stage trials)
Azilsartan MedoxomilPhase 3 (in late-stage trials)
CandesartanPhase 3 (in late-stage trials)
Candesartan CilexetilPhase 3 (in late-stage trials)
CaptoprilPhase 3 (in late-stage trials)
CarvedilolPhase 3 (in late-stage trials)
ChlorthalidonePhase 3 (in late-stage trials)
EplerenonePhase 3 (in late-stage trials)
EprosartanPhase 3 (in late-stage trials)
FimasartanPhase 3 (in late-stage trials)
FurosemidePhase 3 (in late-stage trials)
HydrochlorothiazidePhase 3 (in late-stage trials)
ImidaprilPhase 3 (in late-stage trials)
IndapamidePhase 3 (in late-stage trials)
IrbesartanPhase 3 (in late-stage trials)
LosartanPhase 3 (in late-stage trials)
OlmesartanPhase 3 (in late-stage trials)
Olmesartan MedoxomilPhase 3 (in late-stage trials)
SimvastatinPhase 3 (in late-stage trials)
SitokirenPhase 3 (in late-stage trials)
TelmisartanPhase 3 (in late-stage trials)
ValsartanPhase 3 (in late-stage trials)
XL550Phase 3 (in late-stage trials)

Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Alcohol, Allopurinol, Aprocitentan, Arginine, Bexagliflozin, Enalapril, Firibastat, Lercanidipine, Lisinopril Anhydrous, Melatonin, Nebivolol, Osilodrostat, Sacubitril, Tadalafil.

Drug target analysis

Approved (phase 4): 6 · Phase ≥3: 6 · Phased (≥1): 8 · Undrugged: 33

Druggability breadth: 11 of 41 evidence-associated genes (27%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Genes with an approved drug

The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.

SymbolExample approved molecule
SLC22A1PROGESTERONE
CHEK2NERATINIB
CYP3A5KETOCONAZOLE
AGTR1IRBESARTAN
GUCY1A1BENZYDAMINE
NOS3CHLORZOXAZONE

Top cohort targets by molecule count

SymbolMoleculesMax phase
AGTR1884
SLC22A1864
CHEK2304
CYP3A5174
NOS364
GUCY1A124
HSD17B1212
PTGIS12
SALL100
UMOD00

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
PROGESTERONE4SLC22A1
CLOTRIMAZOLE4AGTR1, SLC22A1
IMIPRAMINE4SLC22A1
TAPENTADOL4SLC22A1
ETHOPROPAZINE4SLC22A1
TRAMADOL4SLC22A1
REPAGLINIDE4SLC22A1
QUINIDINE4SLC22A1
CLONIDINE4SLC22A1
ESTRADIOL4SLC22A1
KETOCONAZOLE4CYP3A5, SLC22A1
CLEMASTINE4SLC22A1
DOXEPIN4SLC22A1
RITONAVIR4AGTR1, CYP3A5, SLC22A1
QUININE4SLC22A1
PHENFORMIN4SLC22A1
MEPENZOLATE BROMIDE4SLC22A1
RANITIDINE4SLC22A1
PRAZOSIN4AGTR1, SLC22A1
TRIMETHOPRIM4SLC22A1
DILTIAZEM4SLC22A1
PROPRANOLOL4AGTR1, SLC22A1
BITHIONOL4SLC22A1
MEPTAZINOL4SLC22A1
PYRIMETHAMINE4SLC22A1
CLOMIPRAMINE4SLC22A1
GUANABENZ4SLC22A1
AMSACRINE4SLC22A1
ONDANSETRON4SLC22A1
IRINOTECAN4SLC22A1

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 6.

Cohort genes with ChEMBL bioactivity (full, sorted by assay count)

SymbolAssaysType breakdown
CHEK2690Binding:687, Functional:2, ADMET:1
CYP3A5604ADMET:585, Binding:19
AGTR1421Binding:315, Functional:105, ADMET:1
NOS3188Binding:178, ADMET:6, Functional:4
SLC22A197Functional:41, Binding:35, ADMET:21
GUCY1A145Binding:40, Functional:5
HSD17B1212Binding:12
PTGIS12Binding:12
RXFP25Functional:3, Binding:2
ANTXR23Binding:3
PRDM81Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
CHEK22.7.11.1non-specific serine/threonine protein kinase
HSD17B121.1.1.6217beta-estradiol 17-dehydrogenase
CYP3A51.14.14.1unspecific monooxygenase
GUCY1A14.6.1.2guanylate cyclase
NOS31.14.13.39nitric-oxide synthase (NADPH)
PTGIS5.3.99.4prostaglandin-I synthase

Cohort genes with high screening signal

≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.

SymbolChEMBL assays
CHEK2690
CYP3A5604
AGTR1421
NOS3188

Pharmacogenomics

Cohort genes with a PharmGKB record: 35; with CPIC/DPWG dosing guidelines: 1.

Cohort genes with a CPIC/DPWG dosing guideline

SymbolCPIC guidelines
CYP3A51

Chemical tractability of cohort targets

30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.

CompoundMax phaseCohort target (bioactivity)
PROGESTERONE4SLC22A1
CLOTRIMAZOLE4AGTR1, SLC22A1
IMIPRAMINE4SLC22A1
TAPENTADOL4SLC22A1
ETHOPROPAZINE4SLC22A1
TRAMADOL4SLC22A1
REPAGLINIDE4SLC22A1
QUINIDINE4SLC22A1
CLONIDINE4SLC22A1
ESTRADIOL4SLC22A1
KETOCONAZOLE4CYP3A5, SLC22A1
CLEMASTINE4SLC22A1
DOXEPIN4SLC22A1
RITONAVIR4AGTR1, CYP3A5, SLC22A1
QUININE4SLC22A1
PHENFORMIN4SLC22A1
MEPENZOLATE BROMIDE4SLC22A1
RANITIDINE4SLC22A1
PRAZOSIN4AGTR1, SLC22A1
TRIMETHOPRIM4SLC22A1
DILTIAZEM4SLC22A1
PROPRANOLOL4AGTR1, SLC22A1
BITHIONOL4SLC22A1
MEPTAZINOL4SLC22A1
PYRIMETHAMINE4SLC22A1
CLOMIPRAMINE4SLC22A1
GUANABENZ4SLC22A1
AMSACRINE4SLC22A1
ONDANSETRON4SLC22A1
IRINOTECAN4SLC22A1

Druggability pyramid

Cohort genes binned by druggability tier (high → low):

TierDefinitionGenesSymbols
AApproved (phase 4 drug)6SLC22A1, CHEK2, CYP3A5, AGTR1, GUCY1A1, NOS3
BPhased (≥1) drug, not yet approved2HSD17B12, PTGIS
CDruggable family + PDB, no drug3RXFP2, ILRUN, NME9
DDruggable family + AlphaFold only, no drug5MTMR9, OR4C3, OR4X2, OR4C45, OR4B1
EDifficult family or no structure, no drug25SALL1, UMOD, PRDM8, PCDH18, CHORDC1, PPP1R3B, PURG, UNC79, DNAJC1, B3GLCT (+15 more)

Undrugged target profiles

33 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).

SymbolChEMBL assaysDrugged partners (top 3)
SALL10
UMOD0
PRDM81
PCDH180
CHORDC10
MTMR90
OR4C30
PPP1R3B0
OR4X20
RXFP25
PURG0
UNC790
DNAJC10
B3GLCT0
ILRUN0
NME90
ANTXR23
HERPUD20
NANOS30
REXO10
MAP90
GXYLT10
BAHCC10
OR4C450
FOXC10
MIR9-2HG0
PTPRD-DT0
MIR4713HG0
LINC024000
LINC024680

Clinical trials & evidence

Clinical trials

Clinical trials: 306.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified100
PHASE383
PHASE445
PHASE137
PHASE231
PHASE2/PHASE35
EARLY_PHASE13
PHASE1/PHASE22

Top trials by phase / activity

NCTPhaseStatusTitle
NCT05880056PHASE4RECRUITINGStudy of Bisoprolol (Nerkardou - Nerhadou International) 5 and 10 mg Oral Dissolvable Film (ODF) Treatment in Egyptian Patients With Essential Hypertension
NCT05917275PHASE4RECRUITINGMulti-Omics to Predict the Blood Pressure Response to Antihypertensives
NCT06041529PHASE4ACTIVE_NOT_RECRUITINGStudy to Evaluate the Efficacy and Safety of TEL/AML/CTD in Elderly Patients With Essential Hypertension
NCT06501651PHASE4NOT_YET_RECRUITINGSacubitril/Valsartan Treats Patients With Essential Hypertension and Type 2 Diabetic Nephropathy
NCT07607275PHASE4NOT_YET_RECRUITINGEffect of the Traditional Chinese Medicine Yufeng Ningxin in Patients With Hypertension
NCT00157963PHASE4COMPLETEDHydrochlorothiazide (+) Losartan Potassium vs. Amlodipine Comparative Study (0954A-314)
NCT00295555PHASE4COMPLETEDDoxazosin Effects on ABPM in Hypertensive Patients With Diabetic Nephropathy
NCT00311155PHASE4COMPLETEDOlmesartan and an add-on Treatment in Patients With Mild to Moderate Hypertension
NCT00328965PHASE4COMPLETEDLacidipine In Mild To Moderate Essential Hypertension Patients With Type 2 Diabetes In Korea
NCT00366119PHASE4UNKNOWNSafety and Efficacy of Ramipril in the Treatment of Essential Hypertension
NCT00408512PHASE4COMPLETEDPharmacosurveillance and Pharmacogenetics of First-line Diuretics in Hypertension: The StayOnDiur Study
NCT00438945PHASE4COMPLETEDThe Effect of Eprosartan on Hormones and Kidney Function in Patients With Essential Hypertension
NCT00457483PHASE4COMPLETEDNijmegen Antihypertensive Management Improvement Study
NCT00509470PHASE4COMPLETEDEvaluation of Effect of Combination With Telmisartan and Hydrochlorothiazide in Hypertensives Uncontrolled on Amlodipine
NCT00654875PHASE4COMPLETEDEfficacy and Safety of Once Daily Dosing of Aliskiren (300 mg (qd) Once a Day) to Twice Daily Dosing of Aliskiren (150 mg (Bid) Twice a Day) in Treating Moderate Hypertension.
NCT00716950PHASE4UNKNOWNValsartan and Amlodipine Compared to Losartan and Amlodipine in Hypertensive Patients
NCT00741585PHASE4COMPLETEDPrognostic Value of the Circadian Pattern of Ambulatory Blood Pressure for Multiple Risk Assessment
NCT00765947PHASE4COMPLETEDEfficacy and Tolerability of an Aliskiren-based Treatment Algorithm in Patients With Mild to Moderate Hypertension
NCT00794885PHASE4COMPLETEDChina Stroke Primary Prevention Trial
NCT00819104PHASE4COMPLETEDA Study to Compare the Efficacy, Safety and Tolerability of Selomax With Its Individual Components
NCT00841308PHASE4UNKNOWNHome Blood Pressure in Hypertension Management
NCT00890591PHASE4COMPLETEDEfficacy and Safety of Olmesartan Medoxomil in Stage 1 and 2 Essential Hypertension
NCT00994617PHASE4UNKNOWNMonotherapy Versus Dual Therapy for Initial Treatment for Hypertension
NCT01011660PHASE4UNKNOWNEffects of Angiotensin II Receptor Blocker Compared With Diuretics in High-risk Hypertensive Patients
NCT01042392PHASE4COMPLETEDEfficacy of Aliskiren Compared to Ramipril in the Treatment of Moderate Systolic Hypertensive Patients
NCT01120990PHASE4COMPLETEDHybrid Blood Pressure Monitor Validation
NCT01131546PHASE4COMPLETEDEfficacy and Safety of Levamlodipine Besylate Compared to Amlodipine Maleate in Patients With Essential Hypertension
NCT01132768PHASE4TERMINATEDThe Confirmatory Olmesartan Plaque Regression Study
NCT01180413PHASE4COMPLETEDIntensive Vasodilator Therapy in Patients With Essential Hypertension
NCT01241487PHASE4COMPLETEDA National Multicentre Study to Assess the Efficacy of the Fixed Combination of Valsartan and Amlodipine in Hypertensive Patients Not Controlled by Monotherapy
NCT01629225PHASE4UNKNOWNGRK4 Polymorphisms Blood Pressure Response to Candesartan
NCT01825759PHASE4UNKNOWNDanshen Dropping Pill for Coronary Heart Disease Heart and Artery Structure and Function
NCT02031861PHASE4COMPLETEDEfficacy Study of Nifedipine Controlled-Release Tablets (Xin Ran) to Treat Mild to Moderate Essential Hypertension
NCT02058446PHASE4COMPLETEDPMS Study of Amlodipine/Valsartan for the Treatment of Hypertension
NCT02062645PHASE4COMPLETEDStudy of Efficacy and Safety of CVAA489 in Hypertensive Patients
NCT02184858PHASE4COMPLETEDDose Titration of Lisinopril in Children Aged 1 to 18 Years With Primary or Secondary Hypertension
NCT02214498PHASE4UNKNOWNTreatment of HYpertension: Morning Versus Evening
NCT02357615PHASE4UNKNOWNEfficacy Study of Nifedipine Controlled-Release Tablets (Xin Ran) to Treat Early Morning Blood Pressure and Central Arterial Pressure
NCT02517866PHASE4COMPLETEDAzilsartan Medoxomil in the Treatment of Essential Hypertension and Type 2 Diabetes in Asia
NCT02612298PHASE4COMPLETEDEfficacy and Safety of Arotinolol Hydrochloride on Morning Blood Pressure and Heart Rate

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
OLMESARTAN MEDOXOMIL426
PERINDOPRIL421
AZILSARTAN MEDOXOMIL418
LOSARTAN417
AMLODIPINE410
ENALAPRIL49
HYDROCHLOROTHIAZIDE49
CHLORTHALIDONE47
ALISKIREN46
LISINOPRIL ANHYDROUS46
EPLERENONE45
CANDESARTAN CILEXETIL44
IRBESARTAN44
TELMISARTAN44
VALSARTAN44
EPROSARTAN43
RAMIPRIL43
AMILORIDE42
ATENOLOL42
INDAPAMIDE42
LEVAMLODIPINE42
SACUBITRIL42
ALLOPURINOL41
APROCITENTAN41
BEXAGLIFLOZIN41
CANRENONE41
CARVEDILOL41
DIGOXIN41
FOLIC ACID41
FOSINOPRIL41