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Kuguacin J is a **triterpenoid compound** isolated from the leaves of *Momordica charantia* (bitter melon). It exhibits potent antineoplastic (anticancer) activity, most notably by **inhibiting growth of androgen-dependent prostate cancer cells via G1 cell cycle arrest and induction of apoptosis**. Mechanistically, it reduces cyclins D1 and E, CDKs, increases p21 and p27, modulates Bcl-2 family proteins, enhances cleavage of caspase-3 and PARP, downregulates the androgen receptor, and induces p53. Furthermore, kuguacin J is a **direct inhibitor of P-glycoprotein (P-gp/ABCB1) function at the drug-substrate binding site**, effectively reversing multidrug resistance in cancer cell lines by increasing intracellular accumulation of chemotherapeutic agents like vinblastine and paclitaxel. It does not affect P-gp expression. Kuguacin J is researched primarily in vitro and has not been approved as a pharmaceutical agent[4][7].
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