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Repurposing itraconazole as an anticancer agent
Hiroshi Tsubamoto1,2, Tomoko Ueda1, Kayo Inoue1
1Department of Obstetrics and Gynecology, Hyogo College of Medicine, Nishinomiya, Hyogo 663-8501, Japan.
Abstract:
Itraconazole, a common anti-fungal agent, has demonstrated potential anticancer activity, including reversing chemoresistance mediated by P-glycoprotein, modulating the signal transduction pathways of Hedgehog, mechanistic target of rapamycin and Wnt/β-catenin in cancer cells, inhibiting angiogenesis and lymphangiogenesis, and possibly interfering with cancer-stromal cell interactions. Clinical trials have suggested the clinical benefits of itraconazole monotherapy for prostate cancer and basal cell carcinoma, as well as the survival advantage of combination chemotherapy for relapsed non-small cell lung, ovarian, triple negative breast, pancreatic and biliary tract cancer. As drug repurposing is cost-effective and timesaving, a review was conducted of preclinical and clinical data focusing on the anticancer activity of itraconazole, and discusses the future directions for repurposing itraconazole as an anticancer agent.
Insights
Itraconazole, an antifungal drug, shows anticancer potential by overcoming chemotherapy resistance and inhibiting tumor growth. Drug repurposing itraconazole offers a cost-effective strategy for various cancers.
Area of Science:
- Oncology
- Pharmacology
- Drug Repurposing
Background:
- Itraconazole is a widely used antifungal medication.
- Emerging evidence suggests itraconazole possesses anticancer properties.
Purpose of the Study:
- To review preclinical and clinical data on itraconazole's anticancer activity.
- To explore the potential of repurposing itraconazole as an anticancer agent.
Main Methods:
- Systematic review of preclinical studies.
- Analysis of clinical trial data.
- Focus on itraconazole's mechanisms of action in cancer.
Main Results:
- Itraconazole reverses P-glycoprotein-mediated chemoresistance.
- It modulates key cancer signaling pathways (Hedgehog, mTOR, Wnt/β-catenin).
- It inhibits angiogenesis, lymphangiogenesis, and cancer-stromal interactions.
Conclusions:
- Itraconazole demonstrates significant anticancer potential, supported by clinical trials in prostate cancer, basal cell carcinoma, and combination therapies for other cancers.
- Drug repurposing of itraconazole is a promising, cost-effective strategy for cancer treatment.
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