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A Second WNT for Old Drugs: Drug Repositioning against WNT-Dependent Cancers
Kamal Ahmed1, Holly V Shaw2, Alexey Koval3
1Department of Pharmacology and Toxicology, University of Lausanne, Lausanne 1011, Switzerland. kamal.ahmed@unil.ch.
Abstract:
Aberrant WNT signaling underlies cancerous transformation and growth in many tissues, such as the colon, breast, liver, and others. Downregulation of the WNT pathway is a desired mode of development of targeted therapies against these cancers. Despite the urgent need, no WNT signaling-directed drugs currently exist, and only very few candidates have reached early phase clinical trials. Among different strategies to develop WNT-targeting anti-cancer therapies, repositioning of existing drugs previously approved for other diseases is a promising approach. Nonsteroidal anti-inflammatory drugs like aspirin, the anti-leprotic clofazimine, and the anti-trypanosomal suramin are among examples of drugs having recently revealed WNT-targeting activities. In total, 16 human-use drug compounds have been found to be working through the WNT pathway and show promise for their prospective repositioning against various cancers. Advances, hurdles, and prospects of developing these molecules as potential drugs against WNT-dependent cancers, as well as approaches for discovering new ones for repositioning, are the foci of the current review.
Insights
Aberrant WNT signaling drives cancer. Repurposing existing drugs like aspirin offers a promising strategy for developing new targeted cancer therapies, with 16 compounds showing potential.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Aberrant WNT signaling is implicated in various cancers, including colon, breast, and liver.
- Targeting the WNT pathway is a crucial goal for developing novel anti-cancer therapies.
- Currently, no WNT signaling-directed drugs are available, and few candidates are in clinical trials.
Purpose of the Study:
- To review drug repositioning strategies for WNT-targeting anti-cancer therapies.
- To highlight existing drugs with WNT pathway activity for potential cancer treatment.
- To discuss advances, challenges, and future directions in developing repositioned drugs for WNT-dependent cancers.
Main Methods:
- Literature review of studies investigating drug repositioning for WNT-targeting cancer therapies.
- Identification of existing human-use drugs with demonstrated WNT pathway activity.
- Analysis of the therapeutic potential and challenges associated with these repositioned drugs.
Main Results:
- Sixteen human-use drug compounds have been identified with WNT pathway activity.
- Examples include nonsteroidal anti-inflammatory drugs (e.g., aspirin), clofazimine, and suramin.
- These drugs show promise for repositioning against various WNT-dependent cancers.
Conclusions:
- Drug repositioning is a viable and promising approach for developing WNT-targeting cancer therapies.
- Existing drugs like aspirin, clofazimine, and suramin represent potential candidates for treating WNT-dependent cancers.
- Further research and clinical trials are needed to advance these repositioned drugs into cancer treatment.
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