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C6F3-HCB (C6F3-hexyl-(cuban-1-yl-methyl)-biguanide) is a fluorinated hexyl cuban-1-yl biguanide derivative designed to overcome hormone therapy resistance (HTR) and CDK4/6 inhibitor resistance in ER+/HER2- breast cancer. It acts as an inhibitor of Cytochrome P450 3A4 (CYP3A4) arachidonic acid epoxygenase activity, thereby suppressing the biosynthesis of epoxyeicosatrienoic acids (EETs), including (±)8,9-EET, (±)11,12-EET, and (±)14,15-EET. By inhibiting EET biosynthesis, C6F3-HCB suppresses EET-driven mitochondrial oxidative phosphorylation (OXPHOS) and reverses tumor hypoxia. It was developed by researchers at the University of Minnesota and Mayo Clinic.
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