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HKB99 is a small molecule inhibitor originally identified as targeting phosphoglycerate mutase 1 (PGAM1). Recent research indicates that it also acts as a microtubule-disrupting agent by binding to tubulin alpha-1B (TUBA1B), thereby inhibiting tubulin polymerization and disrupting bipolar spindle formation. In the context of HER2-positive breast cancer, HKB99 has been shown to synergize with trastuzumab to overcome resistance by inducing mitotic catastrophe, characterized by M-phase arrest and chromosomal missegregation. It is being investigated for its potential to enhance the efficacy of anti-HER2 therapies.
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