Potential anti-cancer drugs commonly used for other indications
Veronika Hanusova, Lenka Skalova, Vera Kralova
1Department of Biochemical Sciences, Charles University in Prague, Faculty of Pharmacy, Heyrovskeho 1203, Hradec Kralove, CZ-500 05, Czech Republic. matousp7@faf.cuni.cz.
Abstract:
An increasing resistance of mammalian tumor cells to chemotherapy along with the severe side effects of commonly used cytostatics has raised the urgency in the search for new anti-cancer agents. Several drugs originally approved for indications other than cancer treatment have recently been found to have a cytostatic effect on cancer cells. These drugs could be expediently repurposed as anti-cancer agents, since they have already been tested for toxicity in humans and animals. The groups of newly recognized potential cytostatics discussed in this review include benzimidazole anthelmintics (albendazole, mebendazole, flubendazole), anti-hypertensive drugs (doxazosin, propranolol), psychopharmaceuticals (chlorpromazine, clomipramine) and antidiabetic drugs (metformin, pioglitazone). All these drugs have a definite potential to be used especially in combinations with other cytostatics; the chemotherapy targeting of multiple sites now represents a promising approach in cancer treatment. The present review summarizes recent information about the anti-cancer effects of selected drugs commonly used for other medical indications. Our aim is not to collect all the reported results, but to present an overview of various possibilities. Advantages, disadvantages and further perspectives regarding individual drugs are discussed and evaluated.
Insights
Repurposing existing medications like benzimidazoles, antihypertensives, psychopharmaceuticals, and antidiabetics shows promise for new cancer treatments. These drugs offer potential cytostatic effects, especially when combined with chemotherapy, to combat drug resistance.
Area of Science:
- Oncology
- Pharmacology
- Drug Discovery
Background:
- Rising resistance to conventional chemotherapy necessitates novel anti-cancer strategies.
- Existing drugs with known safety profiles can be repurposed for cancer treatment, accelerating development.
- Drug repurposing leverages established toxicity data, reducing development time and cost.
Purpose of the Study:
- To review the anti-cancer potential of drugs approved for other medical conditions.
- To evaluate selected drugs, including benzimidazole anthelmintics, antihypertensives, psychopharmaceuticals, and antidiabetics, as potential cytostatic agents.
- To discuss the advantages, disadvantages, and future perspectives of these repurposed drugs in cancer therapy.
Main Methods:
- Literature review of recent studies on the anti-cancer effects of repurposed drugs.
- Analysis of cytostatic activity of specific drug classes: benzimidazoles (albendazole, mebendazole, flubendazole), antihypertensives (doxazosin, propranolol), psychopharmaceuticals (chlorpromazine, clomipramine), and antidiabetics (metformin, pioglitazone).
- Evaluation of the potential for combination therapy with conventional cytostatics.
Main Results:
- Several non-cancer drugs exhibit cytostatic effects on mammalian tumor cells.
- Benzimidazole anthelmintics, antihypertensives, psychopharmaceuticals, and antidiabetics show promise as anti-cancer agents.
- Combination therapy using repurposed drugs alongside conventional chemotherapy is a viable strategy.
Conclusions:
- Drug repurposing offers a valuable avenue for developing new anti-cancer therapies.
- Selected existing medications demonstrate significant potential as cytostatic agents, particularly in combination regimens.
- Further research into these repurposed drugs could lead to more effective and safer cancer treatments.
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