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His team screened nutraceutical compounds among numerous compounds, looking for any substance that might inhibit the enzyme. "Lo and behold, the best one was derived from avocado," said Spagnuolo.

Earlier, his lab looked at avocatin B, a fat molecule found only in avocados, for potential use in preventing diabetes and managing obesity. Now he's eager to see it used in leukaemia patients.

"VLCAD can be a good marker to identify patients suitable for this type of therapy. It can also be a marker to measure the activity of the drug," said Spagnuolo. "That sets the stage for the eventual use of this molecule in human clinical trials."

Currently, about half of patients over 65 diagnosed with AML enter palliative care. Others undergo chemotherapy, but drug treatments are toxic and can end up killing patients.

"There's been a drive to find less toxic drugs that can be used."

Referring to earlier work using avocatin B for diabetes, Spagnuolo said, "We completed a human study with this as an oral supplement and have been able to show that appreciable amounts are fairly well tolerated."

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