CUDC-427 is an oral, synthetic, small molecule that triggers tumor cell apoptosis by selectively antagonizing inhibitor of apoptosis (IAP) proteins, which are frequently over-expressed in cancer cells. CUDC-427 was designed to mimic the endogenous IAP antagonist, second mitochondria-derived activator of caspases/direct IAP-binding protein (Smac/DIABLO) that is released into the cytoplasm in response to pro-apoptotic stimuli and binds to the IAPs.
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