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Karenitecin is a novel, highly lipophilic, silicon-containing camptothecin derivative developed for superior oral bioavailability and increased lactone stability compared to earlier camptothecins. It acts as an antineoplastic agent by stabilizing the cleavable complex between topoisomerase I and DNA, leading to DNA breaks and apoptosis. Karenitecin has demonstrated broad anti-tumor activity, increased potency, insensitivity to common drug resistance mechanisms (such as Pgp/MRP/LRP), and enhanced tissue penetration due to its lipophilicity. It has been investigated primarily for the treatment of various cancers, including malignant glioma[1][2][4][5].
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