MTX is well absorbed.

After absorption, approximately 10% of MTX is converted to its major metabolite 7-

Hydroxy-Methotrexate (7-OH-MTX). The hydroxylation

process takes place in the liver via hepatic aldehyde oxidase and results in a much less

active form of MTX. 7-OH-MTX is less water soluble as compared to MTX and may

contribute to the renal toxicity frequently seen after high doses of MTX. (Tian and Cronstein, 2007) thus causing the side effect of nephrotoxicity and also may inhibit any further uptake of MTX by cancer cells.

My question is WHY 7-OH MTX is less soluble than MTX ? or what makes it less soluble?

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