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treosulfan

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The prodrug of a bifunctional sulfonate alkylating agent with myeloablative, immunosuppressive, and antineoplastic activities. Under physiological conditions, treosulfan converts nonenzymatically to L-diepoxybutane via a monoepoxide intermediate. The monoepoxide intermediate and L-diepoxybutane alkylate DNA at guanine residues and produce DNA interstrand crosslinks, resulting in DNA fragmentation and apoptosis. In escalated doses, this agent also exhibits myeloablative and immunosuppressive activities.
Synonym:dihydroxybusulfan
treosulphan
tresulfon
US brand name:Grafapex
Foreign brand name:Ovastat
Trecondi
Chemical structure:(S-(R*,R*))-1,2,3,4-butanetetrol,1,4-dimethanesulfonate
L-threitol 1,4-dimethanesulfonate
NSC code:39069
39070
94160
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