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This includes the one-electron reduction of Dox into its semiquinone form by P450 reductase enzymes, two-electron reduction into the alcohol metabolite doxorubicinol by carbonyl reductase enzymes, reduction into doxorubicin 7-deoxyaglycone by the action of cytosolic NADPH-dependent glycosidases, and hydrolysis by NADPH-dependent microsomal oxidoreductases into doxorubicin hydroxyaglycone (Fig

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Methylation depends on adequate levels of methionine, SAM (S-adenosylmethionine), and critical cofactors but its true limiting factor is ATP

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