New hopes from old drugs: revisiting DNA-binding small molecules as anticancer agents

Katerina Gurova1

  • 1Department of Cell Stress Biology, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263, USA. katerina.gurova@roswellpark.org

Insights

New anticancer drugs could target DNA without causing damage, potentially reducing side effects and secondary cancers. Quinacrine, an antimalarial, shows promise by modulating cell pathways for tumor cell death.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Current chemotherapy predominantly uses DNA-damaging agents for cancer treatment.
  • While effective, DNA-damaging agents cause significant side effects and secondary cancer risks due to genotoxicity.
  • There is a need for novel anticancer strategies with improved safety profiles.

Purpose of the Study:

  • To explore the potential of DNA-targeting agents that do not induce DNA damage for cancer therapy.
  • To evaluate if such agents can be as effective as DNA-damaging drugs in eliminating tumor cells.
  • To highlight quinacrine as a model compound for this novel therapeutic approach.

Main Methods:

  • Review of existing literature on DNA-targeting anticancer agents.
  • Analysis of research data on the antimalarial drug quinacrine.
  • Examination of quinacrine's interaction with DNA and its effects on cellular pathways relevant to tumor survival.

Main Results:

  • Agents targeting DNA without causing damage offer a potential alternative to genotoxic chemotherapy.
  • Quinacrine demonstrates DNA binding without inducing damage.
  • Quinacrine modulates cellular pathways crucial for tumor cell survival, suggesting anticancer potential.

Conclusions:

  • Non-DNA-damaging, DNA-targeting agents represent a promising avenue for cancer treatment.
  • Quinacrine serves as a viable example, showcasing the therapeutic potential of such compounds.
  • This approach may overcome the limitations associated with traditional genotoxic chemotherapies.

Related Concept Videos

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...
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...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Drug Discovery: Overview01:26

Drug Discovery: Overview

Drug discovery is a multifaceted process involving extensive screening, testing, and optimization of lead compounds to identify potential new drugs for therapeutic use. It combines several approaches, including screening large numbers of natural products, chemical modification of known active molecules, identification of new drug targets, and rational design based on biological mechanisms and drug-receptor structure. These approaches are carried out in both academic research laboratories and...
Drug-Receptor Bonds01:25

Drug-Receptor Bonds

Drug-receptor bonds are formed through various chemical forces when drugs interact with target cells. Covalent bonds, strong and irreversible, are exemplified by DNA-alkylating anticancer agents that inhibit cell division. However, such irreversible drug binding lacks selectivity and can modify the DNA of the surrounding healthy cells. Covalent binding often contributes to tissue toxicity, as seen with chloroform and paracetamol metabolites binding to the liver, causing hepatotoxicity.
In...
Targets for Drug Action: Overview01:26

Targets for Drug Action: Overview

Drugs target macromolecules to modify ongoing cellular processes. Primary drug targets include receptors, ion channels, transporters, and enzymes.
Receptors are either membrane-spanning or intracellular proteins, which upon binding a ligand, get activated and transmit the signal downstream to elicit a response. Drugs bind receptors, either mimicking the action of endogenous ligands or blocking the receptor activity to bring about a modified response. Nearly 35% of approved drugs target the G...