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BHPI is a first-generation small molecule anticancer agent that induces immunogenic necrosis in estrogen receptor (ER)-positive cancer cells, including breast, ovarian, and endometrial cancers. Developed by researchers at the University of Illinois at Urbana-Champaign, BHPI functions by hyperactivating the anticipatory unfolded protein response (a-UPR). This hyperactivation leads to a massive, sustained increase in intracellular calcium levels and rapid depletion of ATP, ultimately resulting in necrotic cell death rather than apoptosis. The necrotic process is mediated by the Transient Receptor Potential Melastatin Member 4 (TRPM4) channel. BHPI served as the lead compound for the development of the more potent second-generation analog, ErSO.
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