RR-bis-pantoyl-cystamine 在
吡啶 、
pyridinium salt of β-cyanoethyl phosphate 、
N,N'-二环己基碳二亚胺 作用下,
生成 Phosphoric acid mono-((R)-3-hydroxy-3-{2-[2-((R)-2-hydroxy-3,3-dimethyl-4-phosphonooxy-butyrylamino)-ethyldisulfanyl]-ethylcarbamoyl}-2,2-dimethyl-propyl) ester