Chemical element isotopes: specifically the elements without any stable isotopes are technetium (atomic number 43), promethium (atomic number 61), and all observed elements with atomic numbers greater than 82. Of the 80 elements with at least one stable isotope, 26 have only one single stable isotope. The mean number of stable isotopes for the 80 stable elements is 3.1 stable isotopes per element. The largest number of stable isotopes that occur for a single element is 10 (for tin, element 50). The mass number of an element, "A", is the number of nucleons (protons and neutrons) in the atomic nucleus. Different isotopes
SN-38 SN-38 SN-38 is an antineoplastic drug. It is the active metabolite of irinotecan (an analog of camptothecin - a topoisomerase I inhibitor) but has 1000 times more activity than irinotecan itself. In vitro cytotoxicity assays show that the potency of SN-38 relative to irinotecan varies from 2- to 2000-fold. SN38 is formed via hydrolysis of irinotecan by carboxylesterases and metabolized via glucuronidation by UGT1A1. The variant of UGT1A1 in ~10% of Caucasians which leads to poor metabolism of SN-38 predicts irinotecan toxicity, as it is then less easily excreted from the body in its SN-38 glucuronide form. SN-38 and its