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IACS-010759 is an orally bioavailable small molecule inhibitor of mitochondrial complex I (NADH ubiquinone oxidoreductase), a key component of the electron transport chain involved in oxidative phosphorylation (OxPhos)[1][3][6][8]. By binding to and inhibiting complex I at the ubiquinone-binding site, it disrupts energy production in tumor cells that rely on OxPhos for survival and proliferation[6][8]. This leads to energy depletion, impaired nucleotide biosynthesis, autophagy induction, inhibition of cell proliferation, and ultimately tumor cell death[6][8]. Developed by MD Anderson Cancer Center[6], IACS‑010759 is under clinical investigation for relapsed/refractory acute myeloid leukemia (AML), solid tumors, and lymphoma. It shows particular promise against cancers with reduced glycolytic capacity or resistance to other therapies such as Bruton’s tyrosine kinase inhibitors[6].
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