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55-98-1

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55-98-1 Usage

Description

Chemically, busulfan is classified as an alkyl sulfonate. One or both of the methylsulfonate ester moieties can be displaced by the nucleophilic N7 of guanine, leading to monoalkylated and cross-linked DNA. The extent of alkyl sulfonate–mediated DNA interstrand cross-linking has been shown to vary with the length of the alkyl chain between sulfonate esters, with the tetramethylene-containing busulfan showing less interstrand cross-linking capability than hexamethylene, methylene, or octamethylene analogues. Intrastrand cross-linking also occurs, preferentially at 5′-GA-3′ but also at 5′-GG-3′ sequences. Alkylation of Cys sulfhydryl groups is yet another mechanism of cytotoxicity.

Chemical Properties

White Crystalline Solid

Originator

Myleran,Burroughs- Wellcome,US,1954

Uses

Different sources of media describe the Uses of 55-98-1 differently. You can refer to the following data:
1. Antineoplastic alkylating agent, the palliative treatment of chronic myeloid leukemia, and insect sterilant.
2. Busulfan USP (Myleran) is used to treat Chronic granulocytic leukemia; other myeloproliferative disorders.

Indications

Busulfan (Myleran) is a bifunctional methanesulfonic ester that forms intrastrand cross-linkages with DNA. The drug is well absorbed after oral administration and has a plasma half-life of less than 5 minutes. Metabolites and degradation products are excreted primarily in the urine. Busulfan is used in the palliative treatment of chronic granulocytic leukemia. Daily oral therapy results in decreased peripheral white blood cells and improved symptoms in almost all patients during the chronic phase of the disease. Excessive uric acid production from rapid tumor cell lysis should be prevented by coadministration of allopurinol. At usual therapeutic dosages, busulfan is selectively toxic to granulocyte precursors rather than lymphocytes. Thrombocytopenia and anemia and less commonly, nausea, alopecia, mucositis, and sterility also may occur. Unusual side effects of busulfan include gynecomastia, a general increase in skin pigmentation, and interstitial pulmonary fibrosis.

Definition

ChEBI: A methanesulfonate ester that is butane-1,4-diol in which the hydrogens of the hydroxy groups are replaced by methanesulfonyl groups. An alkylating antineoplastic agent, it is used for the treatment of chronic myeloid leukemia (although it has been largely replaced by newer drugs). It is also used as an insect sterilant.

Manufacturing Process

3.6 grams of redistilled 1,4-butanediol were dissolved in 10 ml of pyridine and the solution was cooled in ice and water. 9.6 grams of redistilled methanesulfonyl- chloride were added dropwise at such a rate that the temperature did not rise above 20°C. The solution was then allowed to stand at room temperature to; 30 minutes, during which time the temperature rose to 60°C. A thick precipitate of pyridine hydrochloride was formed. The mass was cooled in ice water and was treated with 30 ml of ice cold water. On agitation, a white crystalline precipitate was formed. This was filtered off and washed well with ice cold water and allowed to drain on the pump. It weighed 7.8 grams and had a melting point of 100°C. 3.5 grams of the material were recrystallized from acetone and ether to give small white needles, having a melting point of 106°-107°C, unchanged by further recrystallization.

Brand name

Myleran (GlaxoSmithKline).

Therapeutic Function

Antineoplastic

General Description

Different sources of media describe the General Description of 55-98-1 differently. You can refer to the following data:
1. White crystals or powder.
2. As an alternative to utilizing aziridines as electrophilic species,it was found that simply utilizing a carbon chain terminated atboth ends by leaving groups gave compounds capable of actingas cross-linking agents.Busulfan utilizestwo sulfonate functionalities as leaving groups separated by afour-carbon chain that reacts with DNA to primarily form intrastrandcross-link at 5'-GA-3' sequences.The sulfonatesare also subject to displacement by the sulfhydryl functionsfound in cysteine and glutathione, and metabolic products areformed as a result of nucleophilic attack by these groups togenerate sulfonium species along with methane sulfonicacid.This is followed by conversion to tetrahydrothiophene,and further oxidation products are subsequently produced togive the sulfoxide and sulfone. The cyclic sulfone known assulfolane may be further oxidized to give 3-hydroxysulfolane.
3. Busulfan is available as 2-mg tablets for oral administrationand 10-mL vials for IV administration in the treatment ofchronic myelogenous leukemia (CML) and in high-dosetherapy for refractory leukemia with bone marrow transplant.The agent is well absorbed when given orally, well distributedinto tissues, and crosses the blood-brain barrier.Metabolism occurs in the liver to give mainly methane sulfonic acid by the action of glutathione-S-transferase. Other identified metabolites in humanshave included tetrahydrothiophene-1-oxide, sulfalene,primarily in the urine, and the terminal elimination half-lifeis 2.5 hours. Adverse effects include dose-limiting myelosuppression;nausea and vomiting that occur commonly butare generally mild; and pulmonary symptoms including interstitialpulmonary fibrosis, which is referred to as “busulfanlung,” occurs belatedly (1–10 years posttreatment) andalthough rare, it is severe. Other adverse effects includemucositis, skin rash, impotence, amenorrhea, infertility, hepatoxicity,insomnia, anxiety, and an increased risk of secondarymalignancies. At normal doses, the agent is welltolerated except for the myelosuppression that occurs. Thishas allowed for high-dose therapy with the agent when accompaniedby bone marrow transplant to counter the myelosuppressiveeffects.

Air & Water Reactions

Busulfan is an alkylating agent which hydrolyzes in water. .

Reactivity Profile

Busulfan is an alkylating agent which hydrolyzes in water. . Strong reducers may yield hydrogen sulfide.

Hazard

Extremely toxic, carcinogen, clastogenic, teratogenic, immunosuppressive, delayed bone marrow aplasia, cataracts, pigmentation, pulmonary thrombosis, cardiotoxic effects, thrombocytopenia.

Fire Hazard

Flash point data for Busulfan are not available. Busulfan is probably combustible.

Clinical Use

Busulfan is used in the treatment of chronic myelogenous leukemia and can be administered either orally or by IV infusion.

Side effects

Serious bone marrow hypoplasia and myelosuppression are possible with this agent, and recovery from busulfaninduced pancytopenia can take up to 2 years.

Safety Profile

Confirmed carcinogen producing leukemia, kidney, and uterine tumors. Experimental neoplastigenic and tumorigenic data. Poison by ingestion, subcutaneous, intraperitoneal, intravenous, and possibly other routes. Ingestion by pregnant women can cause cancer of the reproductive system of the fetus includtng the uterus. Human teratogenic effects by ingestion and possibly other routes include developmental abnormaltties of the eye, ear, craniofacial area including the nose and tongue, gastrointestinal system, endocrine system, urogenital system, and other unspecified areas. Other human reproductive effects by ingestion and possibly other routes include: impotence, changes in the uterus, cervix, and vagina, and menstrual-cycle dtsorders. Experimental reproductive effects. Human systemic effects by ingestion: general arteriolar or venous ddation of the eye, changes in structure or function of salivary glands. When heated to decomposition it emits toxic fumes of SOx. See also SULFONATES.

Synthesis

Busulfan, 1,4-butandioldimethansulfonate (30.2.3.1), is made by reacting butandiol with methanesulfonyl chloride.

Veterinary Drugs and Treatments

Busulfan may be useful in the adjunctive therapy of chronic granulocytic leukemias or polycythemia vera in small animals. Not commonly used in veterinary medicine.

Drug interactions

Potentially hazardous interactions with other drugs Antibacterials: concentration increased by metronidazole. Antipsychotics: avoid with clozapine, increased risk of agranulocytosis. Antifungals: metabolism inhibited by itraconazole, monitor for signs of busulfan toxicity.

Carcinogenicity

1,4-Butanediol dimethanesulfonate is known to be a human carcinogen based on sufficient evidence of carcinogenicity from studies in humans.

Metabolism

Busulfan is extensively metabolised in the liver, mainly by conjugation with glutathione, either spontaneously or mediated by the enzyme glutathione-S-transferase. About 12 inactive metabolites have been identified, which are excreted in the urine. About 1% of busulfan is excreted unchanged. Elimination in the faeces is considered to be negligible.

references

[1]. probin v, wang y, zhou d. busulfan-induced senescence is dependent on ros production upstream of the mapk pathway. free radic biol med, 2007, 42(12): 1858-1865. [2]. probin v, wang y, bai a, et al. busulfan selectively induces cellular senescence but not apoptosis in wi38 fibroblasts via a p53-independent but extracellular signal-regulated kinase-p38 mitogen-activated protein kinase-dependent mechanism. j pharmacol exp ther, 2006, 319(2): 551-560.[3]. choi yj, ok dw, kwon dn, et al. murine male germ cell apoptosis induced by busulfan treatment correlates with loss of c-kit-expression in a fas/fasl- and p53-independent manner. febs lett, 2004, 575(1-3): 41-51.

Check Digit Verification of cas no

The CAS Registry Mumber 55-98-1 includes 5 digits separated into 3 groups by hyphens. The first part of the number,starting from the left, has 2 digits, 5 and 5 respectively; the second part has 2 digits, 9 and 8 respectively.
Calculate Digit Verification of CAS Registry Number 55-98:
(4*5)+(3*5)+(2*9)+(1*8)=61
61 % 10 = 1
So 55-98-1 is a valid CAS Registry Number.
InChI:InChI=1/C6H14O6S2/c1-13(7,8)11-5-3-4-6-12-14(2,9)10/h3-6H2,1-2H3

55-98-1 Well-known Company Product Price

  • Brand
  • (Code)Product description
  • CAS number
  • Packaging
  • Price
  • Detail
  • TCI America

  • (B1022)  1,4-Butanediol Dimethanesulfonate  >97.0%(T)

  • 55-98-1

  • 25g

  • 630.00CNY

  • Detail
  • Sigma-Aldrich

  • (B1170000)  Busulfan  European Pharmacopoeia (EP) Reference Standard

  • 55-98-1

  • B1170000

  • 1,880.19CNY

  • Detail
  • Sigma-Aldrich

  • (B2635)  Busulfan  analytical standard, for drug analysis

  • 55-98-1

  • B2635-10G

  • 351.00CNY

  • Detail
  • Sigma-Aldrich

  • (B2635)  Busulfan  analytical standard, for drug analysis

  • 55-98-1

  • B2635-25G

  • 710.19CNY

  • Detail

55-98-1SDS

SAFETY DATA SHEETS

According to Globally Harmonized System of Classification and Labelling of Chemicals (GHS) - Sixth revised edition

Version: 1.0

Creation Date: Aug 12, 2017

Revision Date: Aug 12, 2017

1.Identification

1.1 GHS Product identifier

Product name busulfan

1.2 Other means of identification

Product number -
Other names Myleran

1.3 Recommended use of the chemical and restrictions on use

Identified uses For industry use only.
Uses advised against no data available

1.4 Supplier's details

1.5 Emergency phone number

Emergency phone number -
Service hours Monday to Friday, 9am-5pm (Standard time zone: UTC/GMT +8 hours).

More Details:55-98-1 SDS

55-98-1Synthetic route

Butane-1,4-diol
110-63-4

Butane-1,4-diol

methanesulfonamide
3144-09-0

methanesulfonamide

busulfan
55-98-1

busulfan

Conditions
ConditionsYield
With triethylamine at 5 - 40℃; for 4h; Temperature;91%
Butane-1,4-diol
110-63-4

Butane-1,4-diol

methanesulfonyl chloride
124-63-0

methanesulfonyl chloride

busulfan
55-98-1

busulfan

Conditions
ConditionsYield
With triethylamine In dichloromethane at 10 - 20℃; for 24h;86%
With triethylamine In dichloromethane at 0 - 20℃; for 4h;73.52%
With pyridine at 25℃; for 2h;55%
tetrahydrofuran
109-99-9

tetrahydrofuran

methanesulfonyl bromide
41138-92-5

methanesulfonyl bromide

A

1,4-dibromo-butane
110-52-1

1,4-dibromo-butane

B

4,4'-dibromo-di-n-butyl ether
7239-41-0

4,4'-dibromo-di-n-butyl ether

C

busulfan
55-98-1

busulfan

D

1-bromo-4-methanesulfonyloxy-butane
40671-33-8

1-bromo-4-methanesulfonyloxy-butane

Conditions
ConditionsYield
zinc(II) chloride at 75℃; for 5h;
1-bromo-4-methanesulfonyloxy-butane
40671-33-8

1-bromo-4-methanesulfonyloxy-butane

silver methanesulfonate
2386-52-9

silver methanesulfonate

busulfan
55-98-1

busulfan

Conditions
ConditionsYield
In acetonitrile for 5h; Heating;
Butane-1,4-diol
110-63-4

Butane-1,4-diol

Methanesulfonic anhydride
7143-01-3

Methanesulfonic anhydride

busulfan
55-98-1

busulfan

bistrimethyl(1,4-butanedioxy)silane
18001-91-7

bistrimethyl(1,4-butanedioxy)silane

methanesulfonyl chloride
124-63-0

methanesulfonyl chloride

busulfan
55-98-1

busulfan

Conditions
ConditionsYield
With tin(IV) chloride at 80 - 100℃;
4-(dicyanomethylene)-2-methyl-6-(p-dimethylaminostyryl)-4H-pyran
96042-30-7

4-(dicyanomethylene)-2-methyl-6-(p-dimethylaminostyryl)-4H-pyran

methanesulfonyl chloride
124-63-0

methanesulfonyl chloride

busulfan
55-98-1

busulfan

Conditions
ConditionsYield
With triethylamine In water; ethyl acetate
busulfan
55-98-1

busulfan

1,10-N,N'-bis-[cyclomaltoheptaosyl-6A-deoxy-6A-ureido]-4,7,13,16-tetraoxa-1,10-diazacyclooctadecane
1182838-48-7

1,10-N,N'-bis-[cyclomaltoheptaosyl-6A-deoxy-6A-ureido]-4,7,13,16-tetraoxa-1,10-diazacyclooctadecane

C6H14O6S2*C98H164N4O74
1182838-51-2

C6H14O6S2*C98H164N4O74

Conditions
ConditionsYield
In water; dimethyl sulfoxide at 20℃; for 18h; Inert atmosphere;100%
busulfan
55-98-1

busulfan

1,10-N,N'-bis-(β-D-ureidocellobiosyl)-4,7,13,16-tetraoxa-1,10-diazacyclooctadecane
1182838-47-6

1,10-N,N'-bis-(β-D-ureidocellobiosyl)-4,7,13,16-tetraoxa-1,10-diazacyclooctadecane

C6H14O6S2*C38H68N4O26
1182838-49-8

C6H14O6S2*C38H68N4O26

Conditions
ConditionsYield
In water; dimethyl sulfoxide at 20℃; for 18h; Inert atmosphere;100%
busulfan
55-98-1

busulfan

2-(benzhydrylideneamino)-1-(10,10-dimethyl-3,3-dioxo-3λ6-thia-4-aza-tricyclo[5.2.1.01.5]dec-4-yl)ethanone
138566-17-3

2-(benzhydrylideneamino)-1-(10,10-dimethyl-3,3-dioxo-3λ6-thia-4-aza-tricyclo[5.2.1.01.5]dec-4-yl)ethanone

C16H26N2O3S

C16H26N2O3S

Conditions
ConditionsYield
Stage #1: 2-(benzhydrylideneamino)-1-(10,10-dimethyl-3,3-dioxo-3λ6-thia-4-aza-tricyclo[5.2.1.01.5]dec-4-yl)ethanone With lithium hexamethyldisilazane In tetrahydrofuran at -78℃; for 0.333333h; Inert atmosphere;
Stage #2: busulfan In tetrahydrofuran at -78℃; for 3.16667h;
83%
busulfan
55-98-1

busulfan

potassium thioacetate
10387-40-3

potassium thioacetate

1,4-bis-acetylsulfanyl-butane
6633-90-5

1,4-bis-acetylsulfanyl-butane

Conditions
ConditionsYield
In acetone for 70h; Ambient temperature;82%
busulfan
55-98-1

busulfan

4-methoxy-aniline
104-94-9

4-methoxy-aniline

N-(4-methoxyphenyl)pyrrolidine
54660-04-7

N-(4-methoxyphenyl)pyrrolidine

Conditions
ConditionsYield
With potassium carbonate In water at 100℃; for 1h; Microwave irradiation;81.3%
busulfan
55-98-1

busulfan

C116H146O24

C116H146O24

3-phenyl-3H-diazirine
42270-91-7

3-phenyl-3H-diazirine

C120H152O24*C7H6N2

C120H152O24*C7H6N2

Conditions
ConditionsYield
With caesium carbonate In N,N,N,N,N,N-hexamethylphosphoric triamide at 20℃; for 84h;80.6%
busulfan
55-98-1

busulfan

C116H130(2)H16O24

C116H130(2)H16O24

3-phenyl-3H-diazirine
42270-91-7

3-phenyl-3H-diazirine

C120H136(2)H16O24*C7H6N2

C120H136(2)H16O24*C7H6N2

Conditions
ConditionsYield
With caesium carbonate In N,N,N,N,N,N-hexamethylphosphoric triamide at 20℃; for 84h;80%
busulfan
55-98-1

busulfan

aniline
62-53-3

aniline

N-phenylpyrrolidine
4096-21-3

N-phenylpyrrolidine

Conditions
ConditionsYield
With potassium carbonate In water at 100℃; for 1h; Microwave irradiation;78.6%
ethanol
64-17-5

ethanol

busulfan
55-98-1

busulfan

carbon monoxide
201230-82-2

carbon monoxide

diethyl adipate
141-28-6

diethyl adipate

Conditions
ConditionsYield
With sodium iodide; dicobalt octacarbonyl In various solvent(s) at 100℃; under 38000 Torr; for 24h;78%
busulfan
55-98-1

busulfan

C18H27N3O5
193282-97-2

C18H27N3O5

C23H37N3O8S
1610616-07-3

C23H37N3O8S

Conditions
ConditionsYield
With potassium carbonate In N,N-dimethyl-formamide at 20℃; for 7h;77%
busulfan
55-98-1

busulfan

benzo[1,3]dioxolo-5-ylamine
14268-66-7

benzo[1,3]dioxolo-5-ylamine

1-(3,4-methylenedioxyphenyl)pyrrolidine

1-(3,4-methylenedioxyphenyl)pyrrolidine

Conditions
ConditionsYield
With potassium carbonate In water at 100℃; for 1h; Microwave irradiation;76.3%
busulfan
55-98-1

busulfan

p-toluidine
106-49-0

p-toluidine

1-p-tolylpyrrolidine
54104-82-4

1-p-tolylpyrrolidine

Conditions
ConditionsYield
With potassium carbonate In water at 100℃; for 1h; Microwave irradiation;75.1%
busulfan
55-98-1

busulfan

1,2:5,6-di-O-isopropylidene-α-D-glucofuranose
582-52-5

1,2:5,6-di-O-isopropylidene-α-D-glucofuranose

A

Methanesulfonic acid 4-[(3aR,5R,6S,6aR)-5-((R)-2,2-dimethyl-[1,3]dioxolan-4-yl)-2,2-dimethyl-tetrahydro-furo[2,3-d][1,3]dioxol-6-yloxy]-butyl ester

Methanesulfonic acid 4-[(3aR,5R,6S,6aR)-5-((R)-2,2-dimethyl-[1,3]dioxolan-4-yl)-2,2-dimethyl-tetrahydro-furo[2,3-d][1,3]dioxol-6-yloxy]-butyl ester

B

1,4-bis<3-O-(1,2:5,6-di-O-isopropylidene-α-D-glucofuranos-3-yl)>butane
167535-48-0

1,4-bis<3-O-(1,2:5,6-di-O-isopropylidene-α-D-glucofuranos-3-yl)>butane

Conditions
ConditionsYield
With potassium hydroxide In dimethyl sulfoxide; toluene at 50℃; for 8h;A 3.2%
B 75%
busulfan
55-98-1

busulfan

4-chloro-aniline
106-47-8

4-chloro-aniline

1-(4-chlorophenyl)pyrrolidine
4280-30-2

1-(4-chlorophenyl)pyrrolidine

Conditions
ConditionsYield
With potassium carbonate In water at 100℃; for 1h; Microwave irradiation;72.4%
busulfan
55-98-1

busulfan

1,2:3,4-di-O-isopropylidene-α-D-galactopyranose
4064-06-6

1,2:3,4-di-O-isopropylidene-α-D-galactopyranose

A

Methanesulfonic acid 4-((3aR,5R,5aS,8aS,8bR)-2,2,7,7-tetramethyl-tetrahydro-bis[1,3]dioxolo[4,5-b;4',5'-d]pyran-5-ylmethoxy)-butyl ester

Methanesulfonic acid 4-((3aR,5R,5aS,8aS,8bR)-2,2,7,7-tetramethyl-tetrahydro-bis[1,3]dioxolo[4,5-b;4',5'-d]pyran-5-ylmethoxy)-butyl ester

B

1,4-bis<6-O-(1,2:3,4-di-O-isopropylidene-α-D-galactopyranos-6-yl)>butane
167535-76-4

1,4-bis<6-O-(1,2:3,4-di-O-isopropylidene-α-D-galactopyranos-6-yl)>butane

Conditions
ConditionsYield
With potassium hydroxide In dimethyl sulfoxide; toluene at 50℃; for 8h;A 3.2 g
B 72%
busulfan
55-98-1

busulfan

3-chloro-aniline
108-42-9

3-chloro-aniline

N-(3-chlorophenyl)tetrahydropyrrole

N-(3-chlorophenyl)tetrahydropyrrole

Conditions
ConditionsYield
With potassium carbonate In water at 100℃; for 1h; Microwave irradiation;70.2%
busulfan
55-98-1

busulfan

4-Aminoacetophenone
99-92-3

4-Aminoacetophenone

N-(4-acetylphenyl)pyrrolidine
21557-09-5

N-(4-acetylphenyl)pyrrolidine

Conditions
ConditionsYield
With potassium carbonate In water at 100℃; for 1h; Microwave irradiation;65.5%
busulfan
55-98-1

busulfan

2-Chloroaniline
95-51-2

2-Chloroaniline

N-(2-chlorophenyl)tetrahydropyrrole
105516-46-9

N-(2-chlorophenyl)tetrahydropyrrole

Conditions
ConditionsYield
With potassium carbonate In water at 100℃; for 1h; Microwave irradiation;64.7%

55-98-1Relevant articles and documents

Busulfan drug intermediate 1,4 bis-methyl sulfonate butyl diester synthetic method

-

Paragraph 0014; 0015, (2016/10/10)

A busulfan drug intermediate 1,4-bis-methyl sulfonate butyl diester synthetic method comprises the following steps: 0.15mol of 1,4-butanediol and 150-170ml of triethylamine are added into a reaction vessel, solution temperature is reduced to 3-5 DEG C, stirring speed is controlled at 130-160rpm, 0.36-0.38mol of methanesulfonic acid amine is slowly dropwise added, after the completion of the dropwise addition, the solution temperature is raised to 35-40 DEG C, the solution is stirred for 3-4h, solution temperature is reduced to 15-20 DEG C, a solid is precipitated, and the solid is filtered, washed with a saline solution, dehydrated with a dehydrating agent, and recrystallized in cyclohexane to obtain a white solid of 1,4-bis-methyl sulfonate butyl diester; and the saline solution in the step is any one of sodium nitrate and potassium sulphate.

DITHIOAMINE REDUCING AGENTS

-

Page/Page column, (2013/08/28)

Dithioamine reducing agents useful for the reduction of disulfide bonds. The reducing agents of this invention are useful, for example, to reduce disulfide bonds, particularly in proteins, or to prevent the formation of disulfide bonds, particularly in proteins and other biological molecules. Reducing agents of this invention are useful and suitable for application in a variety of biological applications, particularly as research and synthetic reagents. The invention provides S-acylated dithioamines which can be selectively activated reducing agents by removal of the S-acyl groups enzymatically or chemically. The invention further provides dithiane precursors of thioamino reducing agents. The invention provides dithioamine reducing agents, S-acylated dithioamines and dithianes which are immobilized on surfaces, including among others, glass, quartz, microparticles, nanoparticles and resins.

THERAPEUTIC FOR HEPATIC CANCER

-

, (2011/02/18)

A novel pharmaceutical composition for treating or preventing hepatocellular carcinoma and a method of treatment are provided. A pharmaceutical composition for treating or preventing liver cancer is obtained by combining a chemotherapeutic agent with an anti-glypican 3 antibody. Also disclosed is a pharmaceutical composition for treating or preventing liver cancer which comprises as an active ingredient an anti-glypican 3 antibody for use in combination with a chemotherapeutic agent, or which comprises as an active ingredient a chemotherapeutic agent for use in combination with an anti-glypican 3 antibody. Using the chemotherapeutic agent and the anti-glypican 3 antibody in combination yields better therapeutic effects than using the chemotherapeutic agent alone, and mitigates side effects that arise from liver cancer treatment with the chemotherapeutic agent.

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