NO-NSAIDs and cancer: promising novel agents

B Rigas1, H Kalofonos, E Lebovics

  • 1American Health Foundation, 1 Dana Road, Valhalla, NY 10595, USA. brigas@ahf.org

Insights

Nitric oxide-donating nonsteroidal anti-inflammatory drugs (NO-donating NSAIDs) show promise for cancer prevention and treatment. Their enhanced safety and efficacy, particularly in colon cancer, stem from affecting key carcinogenic pathways.

Area of Science:

  • Oncology
  • Pharmacology
  • Gastroenterology

Background:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs) have limitations in cancer prevention and treatment.
  • Nitric oxide (NO) donation may enhance NSAID safety and efficacy.
  • Colon cancer presents significant challenges in prevention and therapy.

Purpose of the Study:

  • To explore the potential applications of NO-donating NSAIDs in human cancer.
  • To evaluate the chemopreventive effects of NO-donating NSAIDs against colon cancer.
  • To assess the efficacy and safety of NO-donating NSAIDs in cancer treatment and symptom management.

Main Methods:

  • Review of preclinical models and existing evidence on NO-donating NSAIDs.
  • Analysis of molecular pathways involved in colon carcinogenesis.
  • Comparison of NO-donating NSAIDs with traditional NSAIDs.

Main Results:

  • NO-donating NSAIDs demonstrate enhanced safety and efficacy compared to traditional NSAIDs.
  • Evidence suggests potential for colon cancer chemoprevention.
  • NO-donating NSAIDs impact critical pathways in colon cancer development.

Conclusions:

  • NO-donating NSAIDs offer a promising therapeutic strategy for colon cancer prevention.
  • These agents may overcome limitations associated with conventional NSAIDs.
  • Further research into NO-donating NSAIDs for cancer treatment and pain management is warranted.

Related Concept Videos

Cancer Prevention02:59

Cancer Prevention

Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Cancer Prevention02:59

Cancer Prevention

Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Drugs for Peptic Ulcer Disease: Prostaglandin Analogs as Mucosal Protective Agents01:20

Drugs for Peptic Ulcer Disease: Prostaglandin Analogs as Mucosal Protective Agents

The gastric mucosa produces prostaglandins E2 (PGE2) and prostacyclin (PGI2), crucial in maintaining gastric health. They exert cytoprotective effects, including increasing bicarbonate secretion, releasing protective mucin, reducing gastric acid output, and preventing harmful vasoconstriction. These effects are mediated through various receptors, such as EP1, EP2, EP3, and EP4.
Non-steroidal anti-inflammatory drugs (NSAIDs) can induce peptic ulcers by inhibiting cyclooxygenase, decreasing...
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists01:28

Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists

Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy.  SP binds and activates these...