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Multi-targeted therapy of cancer by niclosamide: A new application for an old drug
Yonghe Li1, Pui-Kai Li2, Michael J Roberts3
1Drug Discovery Division, Southern Research Institute, Birmingham, AL, United States.
Abstract:
The rapid development of new anticancer drugs that are safe and effective is a common goal shared by basic scientists, clinicians and patients. The current review discusses one such agent, namely niclosamide, which has been used in the clinic for the treatment of intestinal parasite infections. Recent studies repeatedly identified niclosamide as a potential anticancer agent by various high-throughput screening campaigns. Niclosamide not only inhibits the Wnt/β-catenin, mTORC1, STAT3, NF-κB and Notch signaling pathways, but also targets mitochondria in cancer cells to induce cell cycle arrest, growth inhibition and apoptosis. A number of studies have established the anticancer activities of niclosamide in both in vitro and in vivo models. Moreover, the inhibitory effects of niclosamide on cancer stem cells provide further evidence for its consideration as a promising drug for cancer therapy. This article reviews various aspects of niclosamide as they relate to its efficacy against cancer and associated molecular mechanisms.
Insights
Niclosamide, an antiparasitic drug, shows significant anticancer potential by inhibiting key cancer signaling pathways and targeting mitochondria. Its efficacy against cancer stem cells makes it a promising candidate for novel cancer therapies.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Anticancer drug development aims for safe and effective agents.
- Niclosamide is an established antiparasitic medication.
- High-throughput screening identified niclosamide as a potential anticancer agent.
Purpose of the Study:
- To review the anticancer efficacy of niclosamide.
- To explore the molecular mechanisms underlying niclosamide's anticancer activity.
- To assess niclosamide's potential in cancer therapy, including its effects on cancer stem cells.
Main Methods:
- Review of existing scientific literature on niclosamide's anticancer properties.
- Analysis of studies investigating niclosamide's effects on various cancer cell signaling pathways (Wnt/β-catenin, mTORC1, STAT3, NF-κB, Notch).
- Examination of research on niclosamide's impact on cancer cell mitochondria, cell cycle, growth, apoptosis, and cancer stem cells in vitro and in vivo models.
Main Results:
- Niclosamide effectively inhibits multiple cancer-promoting signaling pathways.
- The drug targets cancer cell mitochondria, leading to cell cycle arrest, growth inhibition, and apoptosis.
- Niclosamide demonstrates significant anticancer activity in both in vitro and in vivo experimental models.
- Evidence suggests niclosamide inhibits cancer stem cells, crucial for tumor recurrence and metastasis.
Conclusions:
- Niclosamide exhibits broad-spectrum anticancer properties through diverse molecular mechanisms.
- Its ability to target key signaling pathways and cancer stem cells positions it as a promising therapeutic agent.
- Further clinical investigation of niclosamide for cancer treatment is warranted.
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