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Hypoxia-Selective Activation Releasing Bromo-Isophosphoramide Mustard describes the mechanism of action of a class of anticancer prodrugs, exemplified by Evofosfamide (TH-302). These prodrugs are designed to be selectively activated in the hypoxic environment of solid tumors, releasing the cytotoxic agent bromo-isophosphoramide mustard (Br-IPM), a DNA alkylator. The 2-nitroimidazole trigger group undergoes bioreduction in low oxygen conditions, leading to the release of the active drug and subsequent cell death primarily within the tumor microenvironment. After activation and release within hypoxic tumor regions, Br-IPM can diffuse into adjacent normoxic tumor cells.
Hypoxia-selective bioreductive activation releasing bromo-isophosphoramide mustard, a DNA cross-linking agent.
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