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AC-2010 is a lipid droplet binding thalidomide analog. As a thalidomide analog, it is expected to function as a cereblon E3 ligase modulator, a mechanism shared by other immunomodulatory drugs (IMiDs). The drug has been shown to activate endoplasmic reticulum (ER) stress and suppress hepatocellular carcinoma (HCC) in a chemically induced transgenic mouse model. Its interaction with lipid droplets leads to calcium release from the ER, inducing ER stress and ultimately apoptosis in cancer cells.
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