REVIEW Ubenimex, also known as Bestatin, a dipeptide N-((2S, 3R)-3-amino-2-hydroxy-4-phenyl butanyl) L-leucine is a competitive for leucine aminopeptidase and aminopeptidase-B protease inhibitor. It exerts a direct stimulating effect on lymphocytes (and monocytes) via its fixation on cell surface leucine-aminopeptidase, and an indirect effect on monocytes (and lymphocytes) via aminopeptidase B inhibition of tuftsin catabolism. Thus, it is an immunomodulating agent. Ubenimex has also been studied for use in the treatment of acute myelocytic leukemia. It is also an inhibitor of leukotriene A4 hydrolase and aminopeptidase N.
REFERENCES
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Ota K. Review of ubenimex (Bestatin): clinical research. Biomed Pharmacother. 1991;45(2-3):55-60.
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Hirayama Y, Sakamaki S, Takayanagi N, Tsuji Y, Sagawa T, Chiba H, Matsunaga T, Niitsu Y. Chemotherapy with ubenimex corresponding to patient age and organ disorder for 18 cases of acute myelogeneous leukemia in elderly patients--effects, complications and long-term survival]. Gan To Kagaku Ryoho. 2003 Aug;30(8):1113-8
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