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Phosphosulindac is a novel phospho-derivative of the non-steroidal anti-inflammatory drug (NSAID) sulindac, designed to enhance anti-cancer potency while minimizing the gastrointestinal and renal toxicities typically associated with traditional NSAIDs. Developed by researchers at Stony Brook University, phosphosulindac acts as a prodrug that releases sulindac or its metabolites, but also exhibits unique COX-independent mechanisms. It has been shown to inhibit the activation and nuclear localization of the transcription factor NFATc1 (Nuclear Factor of Activated T-cells), which is frequently upregulated in pancreatic and colorectal cancers. Preclinical studies indicate that phosphosulindac can significantly reduce tumor growth and increase the sensitivity of cancer cells to conventional chemotherapeutic agents.
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