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Uses:
 Podophyllum resin has long been used as a purgative but has largely been

    replaced by less drastic drugs. It is used as a paint in the treatment of soft venereal
    and other warts. Podophyllotoxin is also used for this purpose.
 It has a cytotoxic action.

         Semisynthetic Podophyllotoxin Derivatives

(1) Etoposide:(4'-demethylepipodophyIlotoxine thylideneglucoside).

 Etoposide is a lignan derivative obtained semisynthetically from podophyllotoxin

and used in the treatment of small-cell lung cancer and testicular cancer as

well as lymphomas and leukemias.

                                                  H

         H3C            O                   O
                     O                                O
                     HO
                                             OH
                          O

                                                                  O

                     O
                                                             O

                             H3CO                                 OCH3

                                                           OH
                                                     Etoposide

(2) Teniposide: (4' -demethylepipodophyllotoxin-thenylidene glucoside).

 Teniposide has similar anticancer properties and is used principally in the

treatment of pediatric neuroblastoma, lymphocytic leukaemia and brain

tumors in children.            H

                                      O              O
                                  O                            O
                                  HO
                     S                                OH

                                        O                         O
                                                                  O
                                         O

                                  H3CO                            OCH3
                             Teniposide OH
Cynarin

 Cynarin is 1,3-dicaffeoylquinic acid (diester).
 Source: Leaves of artichoke, Cynara scolymus, Family Compositae.
 Actions and Uses:

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