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. 2021 Oct 11;13(10):1656. doi: 10.3390/pharmaceutics13101656

Figure 2.

Figure 2

The putative intracellular activation pathway of TAF. TAF exhibits a significantly improved cell permeability compared to tenofovir. After cell entry, TAF is hydrolyzed by CatA and CES1 and is converted to its alanine metabolite (TFV-Ala) following several rapid chemical reaction steps. TFV-Ala is further hydrolyzed by HINT1 to form the monophosphonate product, tenofovir, which is subsequently phosphorylated by kinases to generate the active metabolite tenofivir-diphosphote (TFV-DP).