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Tigilanol tiglate is a naturally occurring small molecule diterpenoid, specifically a phorbol ester, isolated from the seeds of the Australian blushwood tree (Fontainea picrosperma)[4][5]. It is approved as a veterinary pharmaceutical for the intratumoral treatment of non-metastatic and non-resectable canine mast cell tumors[1][2][3][4]. The drug acts primarily by activating protein kinase C (PKC) isoforms, which disrupts tumor vasculature and induces an acute inflammatory response at the injection site. This leads to rapid hemorrhagic necrosis and destruction of tumor cells through oncosis, followed by immune cell recruitment and wound healing[1][6][8]. Tigilanol tiglate has also received orphan drug designation from the FDA for soft tissue sarcoma in humans and is under clinical investigation for various solid tumors in both human and veterinary medicine[5][6][7].
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