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Published on: June 16, 2023
β-blockers: a novel class of antitumor agents
Yi Ji1, Siyuan Chen, Xianmin Xiao
1Division of Oncology, Department of Pediatric Surgery, Children's Hospital of Fudan University, Shanghai, China.
Abstract:
β-adrenergic signaling modulates key signaling pathways that are important for tumor-promoting processes, and numerous mechanisms of action have been elucidated. Preclinical studies have demonstrated that β-adrenergic antagonists, or β-blockers, can block multiple fundamental biologic processes underlying the progression and metastasis of tumors, including the inhibition of cell proliferation, migration, invasion, resistance to programmed cell death, and tumor angiogenesis and metastasis. Human pharmacoepidemiologic studies suggest that β-blockers have a role in inhibiting cancer progression and metastasis in combination with standard therapies. Furthermore, a number of prospective studies have demonstrated that β-blockers are effective at halting infantile hemangioma growth. These findings shed light on the novel perspective of using β-blockers as a class of potential antitumor agents in clinical oncology.
Insights
Beta-adrenergic antagonists, or beta-blockers, show promise in cancer treatment by inhibiting tumor growth, metastasis, and angiogenesis. Clinical studies suggest their efficacy in combination with standard therapies and for infantile hemangioma.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Beta-adrenergic signaling pathways are implicated in tumor promotion.
- Understanding these pathways is crucial for developing novel cancer therapies.
Purpose of the Study:
- To evaluate the potential of beta-adrenergic antagonists (beta-blockers) as antitumor agents.
- To review evidence on the mechanisms and clinical efficacy of beta-blockers in cancer.
Main Methods:
- Review of preclinical studies on beta-blocker effects on tumor cell proliferation, migration, invasion, apoptosis resistance, angiogenesis, and metastasis.
- Analysis of human pharmacoepidemiologic and prospective studies investigating beta-blocker use in cancer patients and infantile hemangioma.
Main Results:
- Preclinical data indicate beta-blockers inhibit key tumor-promoting processes.
- Human studies suggest beta-blockers can enhance standard cancer therapies and halt infantile hemangioma growth.
- Beta-blockers demonstrate multifaceted anti-tumorigenic effects.
Conclusions:
- Beta-blockers represent a potential novel class of antitumor agents.
- Further clinical investigation into beta-blockers for cancer treatment is warranted.
- The findings support the repurposing of beta-blockers in clinical oncology.
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