REVIEW Dimethyl fumarate is a lipophilic, highly mobile molecule in human tissue. As a alpha,beta-unsaturated electrophilic compound, dimethyl fumarate is rapidly attacked by the detoxifying agent glutathione (GSH) in a Michael addition reaction. Dimethyl fumarate is highly reactive: when administered orally, it does not survive long enough to be absorbed into blood without being attacked by GSH. However, part of it is hydrolyzed by esterases to produce monomethylfumarate, which is more resistant. GSH depletion and subsequent induction of the anti-inflammatory stress protein HO-1 is thought to be one of the mechanisms responsible for the immunomodulatory actions of DMF.
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Kubal, Gina; Meyer, David J.; Norman, Richard E.; Sadler, Peter J. (1995). Investigations of Glutathione Conjugation in Vitro by 1H NMR Spectroscopy. Uncatalyzed and Glutathione Transferase-Catalyzed Reactions. Chemical Research in Toxicology 8 (5): 780-91. doi:10.1021/tx00047a019. PMID 7548762.
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Schmidt, Thomas J.; Ak, Muharrem; Mrowietz, Ulrich (2007). Reactivity of dimethyl fumarate and methylhydrogen fumarate towards glutathione and N-acetyl-l-cysteine-Preparation of S-substituted thiosuccinic acid esters. Bioorganic & Medicinal Chemistry 15 (1): 333-42. doi:10.1016/j.bmc.2006.09.053. PMID 17049250.
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Schmidt, Thomas J.; Aka, Muharrem; Mrowietz, Ulrich (2007). Reactivity of dimethyl fumarate and methylhydrogen fumarate towards glutathione and N-acetyl-l-cysteine-Preparation of S-substituted thiosuccinic acid esters. Bioorganic & Medicinal Chemistry 15 (1): 333-342. doi:10.1016/j.bmc.2006.09.053. PMID 17049250.
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