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BN-MePPR is a synthetic SN-38 derivative developed as an anticancer agent for the treatment of colorectal cancer. It is structurally related to SN-38, the active metabolite of Irinotecan, a topoisomerase I inhibitor, and has been evaluated in preclinical studies for its tumor-inhibitory efficacy and effects on gut microbiota, with antitumor activity in xenograft mouse models similar to Irinotecan[1][3]. The primary mechanism of action is presumed to be inhibition of topoisomerase I, similar to its parent compound, SN-38.
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