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Olinciguat is an orally bioavailable small molecule that acts as a stimulator of soluble guanylate cyclase (sGC), developed by Cyclerion Therapeutics, a spin-off from Ironwood Pharmaceuticals. It enhances the nitric oxide (NO)-dependent catalytic activity of sGC, increasing the formation of cyclic guanosine monophosphate (cGMP) from guanosine triphosphate (GTP). This leads to vasodilation, anti-inflammatory effects, and improved blood flow by promoting NO/cGMP-mediated muscle relaxation and suppressing leukocyte-endothelial interactions. Olinciguat has been investigated for cardiovascular disorders, fibrosis, sickle cell anemia, and gastrointestinal diseases. It received orphan drug designation for sickle cell anemia but development in this indication has been discontinued[3][7][5].
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