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Troxacitabine is a synthetic beta-L-nucleoside analog and a novel L-deoxycytidine analogue with potent antineoplastic activity. It acts as an antimetabolite, being activated by cellular kinases and incorporated into DNA, where its unnatural L-configuration causes chain termination during DNA replication. This results in inhibition of tumor cell proliferation. Unlike other cytosine nucleoside analogs, troxacitabine is resistant to inactivation by cytidine deaminase. It has shown preclinical efficacy in human xenograft tumor models and demonstrated antileukemic responses in patients with relapsed myeloid leukemia and refractory lymphoproliferative conditions[1][2][4][5].
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