Targeting malignancies with disulfiram (Antabuse): multidrug resistance, angiogenesis, and proteasome
1Department of Cell Biology and Genetics, Faculty of Science, Palacky University, Slechtitelu 11, 78371 Olomouc, Czech Republic. cvekb@seznam.cz
Abstract:
An old drug, Antabuse (disulfiram), used for decades in alcohol aversion therapy, and its metabolite Ditiocarb were shown from 1970s to suppress cancer growth in vivo and even in human patients. The drug targets multidrug resistance, angiogenesis, invasion, and proteasome. Today, there are ongoing clinical trials of Antabuse as an adjuvant therapy against lung cancer and as a monotherapy against cancers metastasizing to liver. The larger clinical trials, if appropriate, will need support from governments and charities to get the generic drug into the clinic as a "non-profit" drug.
Insights
Antabuse (disulfiram), an established alcohol aversion drug, shows promise in suppressing cancer growth by targeting key tumor processes. Ongoing trials investigate its use in lung and liver cancer treatment.
Area of Science:
- Oncology
- Pharmacology
Background:
- Antabuse (disulfiram), a drug used for alcohol aversion therapy, has demonstrated anti-cancer properties since the 1970s.
- Its metabolite, Ditiocarb, also exhibits cancer-suppressive effects.
- The drug mechanism involves targeting multidrug resistance, angiogenesis, invasion, and proteasome activity.
Purpose of the Study:
- To review the existing evidence on Antabuse (disulfiram) as a potential anti-cancer agent.
- To highlight ongoing clinical investigations into Antabuse's efficacy in various cancer types.
Main Methods:
- Review of historical and current research on Antabuse (disulfiram) and Ditiocarb in cancer suppression.
- Analysis of ongoing clinical trials for Antabuse in lung cancer and liver metastases.
Main Results:
- Antabuse (disulfiram) has shown efficacy in suppressing cancer growth in preclinical and clinical settings.
- Current trials are exploring Antabuse as an adjuvant therapy for lung cancer and monotherapy for liver metastases.
Conclusions:
- Antabuse (disulfiram) presents a viable, repurposed therapeutic option for cancer treatment.
- Further large-scale clinical trials and potential "non-profit" drug initiatives are needed to support its broader clinical application.
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