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STP-B is a small molecule inhibitor of cytidine triphosphate synthase 1 (CTPS1) currently under investigation for its potential in treating acute myeloid leukemia (AML). Its mechanism of action involves disrupting nucleotide metabolism by drastically decreasing intracellular CTP levels, which in turn promotes myeloid differentiation, specifically macrophage M1 polarization. Furthermore, STP-B stimulates IFN-α signaling by inhibiting CTPS1-mediated deamidation of IRF3 and histone H1, leading to enhanced expression of IFN-stimulatory genes and increased DNA damage. These multifaceted effects contribute to its potent anti-AML activity and immune-stimulatory properties, making it a promising leukemia-ablating agent.
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