Consideration of use of phenothiazines in particular trifluorperazine for epidermal growth factor receptor associated cancers
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Published on: August 11, 2017
Richard E Kast1, Eric Lewin Altschuler
1Department of Psychiatry, College of Medicine, University of Vermont, 2 Church Street, Burlington, VT 05401, United States.
Abstract:
Papers from a generation ago suggested that phenothiazines--in particular trifluorperazine (Stelazine) a medicinal approved by the FDA and still commonly used for schizophrenia--downregulate the epidermal growth factor receptor. As numerous cancers--e.g., colon cancer, breast cancer, pancreatic cancer and glioblastoma--are dependent on signaling via this receptor, we here suggest that phenothiazines such as trifluorperazine be considered for use in epidermal growth factor receptor associated cancers.
Insights
Phenothiazines like trifluorperazine may treat cancers by downregulating the epidermal growth factor receptor. This suggests a new therapeutic avenue for EGFR-associated cancers, including colon, breast, pancreatic, and glioblastoma.
Area of Science:
- Oncology
- Pharmacology
Background:
- Epidermal growth factor receptor (EGFR) signaling is crucial for numerous cancers.
- Phenothiazines, like trifluorperazine (Stelazine), are FDA-approved and commonly used for schizophrenia.
- Previous research indicated phenothiazines downregulate EGFR.
Purpose of the Study:
- To explore the potential of phenothiazines as a novel therapeutic strategy for EGFR-associated cancers.
- To investigate the role of trifluorperazine in targeting EGFR signaling in various malignancies.
Main Methods:
- Literature review of existing studies on phenothiazines and EGFR.
- Analysis of cancer dependency on EGFR signaling pathways.
- Hypothesizing therapeutic applications based on EGFR downregulation.
Main Results:
- Phenothiazines, particularly trifluorperazine, have been shown to downregulate EGFR.
- EGFR signaling is a key driver in cancers such as colon, breast, pancreatic, and glioblastoma.
- This downregulation mechanism presents a potential anti-cancer effect.
Conclusions:
- Phenothiazines, including trifluorperazine, show promise for treating EGFR-dependent cancers.
- Consideration of trifluorperazine for EGFR-associated malignancies is warranted.
- Further research into phenothiazine-based cancer therapies is suggested.
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