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Fenretinide and its relation to cancer
1Department of Biochemistry and Molecular Biology, University of Leeds, Leeds, LS2 9JT, UK.
Abstract:
Retinoids, natural or synthetic substances which have vitamin A activity, have a well-known reputation for their antitumour and differention-inducing activity in vitro and in vivo. More than 1500 retinoids have been tested so far but very few of them have been entered into clinical trials because of their side-effects. All-trans-N-(4-hydroxyphenyl)retinamide (4HPR or fenretinide) is a synthetic retinoid that is reported to have fewer side-effects compared to naturally occurring retinoids such as all-trans retinoic acid (ATRA) and 9-cis retinoic acid. In addition, fenretinide has been shown to induce cell death (apoptosis) even in ATRA-resistant cell lines. Although the mechanism by which fenretinide acts is not entirely known it is considered to be a promising drug and seems to induce apoptosis via different pathway(s) from classical retinoids. In this review, we discuss possible mechanisms of fenretinide action and summarize results of clinical trials.
Insights
Fenretinide (4HPR) is a synthetic retinoid with fewer side-effects than natural retinoids. It effectively induces apoptosis, even in resistant cells, via unique pathways, showing promise as an anticancer drug.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Retinoids, vitamin A derivatives, exhibit anticancer and differentiation-inducing properties.
- Many retinoids cause significant side effects, limiting clinical applications.
- Fenretinide (4HPR) is a synthetic retinoid with a potentially improved side-effect profile.
Purpose of the Study:
- To review the mechanisms of action for fenretinide (4HPR).
- To summarize clinical trial outcomes for fenretinide.
- To evaluate fenretinide as a promising anticancer agent.
Main Methods:
- Review of existing literature on fenretinide's biological activity.
- Analysis of preclinical data regarding fenretinide's mechanism of action.
- Compilation and summary of data from fenretinide clinical trials.
Main Results:
- Fenretinide demonstrates anticancer activity and induces apoptosis.
- Fenretinide exhibits efficacy in cell lines resistant to other retinoids like all-trans retinoic acid (ATRA).
- Fenretinide appears to operate through distinct apoptotic pathways compared to classical retinoids.
Conclusions:
- Fenretinide is a promising anticancer drug with a favorable side-effect profile.
- Fenretinide's unique mechanism of action warrants further investigation.
- Clinical trials suggest potential therapeutic benefits of fenretinide.
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