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Monomethyl auristatin E acts by binding tubulin at the vinca site and preventing microtubule assembly. This mechanism underlies its use as a highly potent cytotoxic agent when delivered specifically into tumor cells via antibody-drug conjugates. Its effectiveness relies on precise targeting because free systemic administration would result in unacceptable toxicity due to widespread inhibition of cell division across normal tissues.
Inhibition of tubulin polymerization, leading to mitotic arrest and apoptosis.
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