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**S-tenatoprazole** is the S-enantiomer of tenatoprazole, a proton pump inhibitor (PPI) of the imidazopyridine class, developed as a small molecule drug for the treatment of acid-related gastrointestinal disorders. It inhibits the gastric H+,K+-ATPase (proton pump) in the parietal cells of the stomach, thereby suppressing gastric acid secretion. S-tenatoprazole exhibits a prolonged plasma half-life compared to other PPIs, and compared to the R-enantiomer or racemic tenatoprazole, it is metabolized more slowly (notably by CYP3A4), resulting in more uniform and extended gastric acid suppression, especially beneficial for nocturnal acid control. It is being investigated primarily for gastroesophageal reflux disease (GERD), peptic ulcers, and related indications, but has also been considered for potential anti-cancer and anti-viral applications.
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