Exploiting Cancer Metal Metabolism using Anti-Cancer Metal- Binding Agents

Angelica M Merlot1, Danuta S Kalinowski1, Zaklina Kovacevic1

  • 1Molecular Pharmacology and Pathology Program, The University of Sydney, Department of Pathology and Bosch Institute, School of Medical Sciences, Faculty of Medicine, Sydney, NSW, 2006, Australia.

Insights

Altered metal levels in cancer cells are targeted by new thiosemicarbazone drugs. These metal-binding agents show promise as anticancer therapies, with some now in clinical trials for resistant tumors.

Area of Science:

  • Biochemistry and Molecular Biology
  • Oncology
  • Medicinal Chemistry

Background:

  • Metals are essential for cellular functions like energy production and proliferation.
  • Aberrant metal levels and metabolism are observed in various cancers.
  • Targeting metal homeostasis presents a novel strategy for cancer therapy.

Purpose of the Study:

  • To review the role of metals in cancer.
  • To highlight the development of metal-binding agents, specifically thiosemicarbazones, as anti-cancer drugs.
  • To discuss the pre-clinical and clinical progress of these agents.

Main Methods:

  • Literature review focusing on metal homeostasis in cancer.
  • Analysis of thiosemicarbazone chelators as anti-cancer agents.
  • Examination of pre-clinical and clinical trial data.

Main Results:

  • Thiosemicarbazone derivatives exhibit potent anti-cancer and anti-metastatic effects in vitro and in vivo.
  • These agents demonstrate favorable toxicological profiles.
  • Several thiosemicarbazone compounds are progressing through multi-center clinical trials.

Conclusions:

  • Metal ion-binding agents, particularly thiosemicarbazones, are promising anti-cancer therapeutics.
  • Their efficacy in targeting cancer-related metal dysregulation is supported by pre-clinical and clinical evidence.
  • Thiosemicarbazones represent a valuable class of drugs for treating advanced and resistant cancers.

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