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Fludarabine is an intermediate active metabolite of the prodrug fludarabine phosphate (Item No. 14251).1 It is produced by the dephosphorylation of fludarabine phosphate in vivo and re-phosphorylation intracellularly to 2-fluoro-ara-ATP, another active metabolite. Fludarabine inhibits the proliferation of RPMI-8226, MM.1S, and MM.1R multiple myeloma cells (IC50s = 1.54, 13.48, and 33.79 µM, respectively).2 It increases Bax levels and decreases BH3-interacting domain (Bid), X-linked inhibitor of apoptosis (XIAP), and survivin levels, indicating the induction of apoptosis, in RPMI-8226 cells when used at a concentration of 2 µg/ml. Fludarabine is also an inhibitor of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA-dependent RNA polymerase (RdRp; EC50 = 1.06 µM).3 It completely inhibits DNA synthesis in an SA-NH murine sarcoma model when administered at a dose of 200 mg/kg.4 Fludarabine reduces tumor growth in an RPMI-8226 mouse xenograft model when administered at a dose of 40 mg/kg.2 It also reduces tumor growth in an L1210 murine leukemia model.5
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1. Phase II trial of fludarabine phosphate (F-
2. Antitumor activity of fludarabine against human multiple myeloma in vitro and in vivo. Eur. J. Haematol. 79(6), 486-493 (2007).
3. 5-
4. The role of fludarabine-
5. Metabolism and chemotherapeutic activity of 9-