Evolving anticancer drug valproic acid: insights into the mechanism and clinical studies

Roman A Blaheta1, Martin Michaelis, Pablo Hernáiz Driever

  • 1Zentrum der Chirurgie, Klinik für Urologie und Kinderurologie, Johann Wolfgang Goethe-Universität, Frankfurt am Main, Germany.

Insights

Valproic acid (VPA) shows potent anticancer effects by impacting tumor cell differentiation, proliferation, and apoptosis. This review highlights VPA

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Valproic acid (VPA), a short-chain fatty acid, is recognized for its diverse biological effects.
  • Previous research (2002) established VPA's potential as an anticancer agent.
  • Recent studies indicate a growing range of tumor cell types susceptible to VPA.

Purpose of the Study:

  • To provide an updated review of valproic acid's (VPA) anticancer properties.
  • To summarize the expanding evidence for VPA's efficacy against various malignancies.
  • To explore novel therapeutic strategies involving VPA.

Main Methods:

  • Literature review of in vitro and clinical studies on valproic acid (VPA).
  • Analysis of VPA's effects on tumor cell differentiation, proliferation, apoptosis, immunogenicity, metastasis, and angiogenesis.
  • Evaluation of VPA in combination therapies for cancer treatment.

Main Results:

  • Valproic acid (VPA) demonstrates broad-spectrum anticancer activity, including in chemoresistant cells.
  • VPA influences key cancer hallmarks: inducing differentiation, inhibiting proliferation, and increasing apoptosis and immunogenicity.
  • VPA reduces tumor metastatic and angiogenic potential.
  • Combination therapies with VPA show promise for a wider therapeutic index.

Conclusions:

  • Valproic acid (VPA) is a promising anticancer drug with established and emerging therapeutic applications.
  • Ongoing clinical studies suggest VPA's potential as a monotherapy or in combination for solid and hematological cancers.
  • The multifaceted mechanisms of VPA warrant further investigation for optimizing cancer treatment strategies.

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