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Unintended Effects of GPCR-Targeted Drugs on the Cancer Phenotype
Abigail C Cornwell1, Michael E Feigin1
1Department of Pharmacology and Therapeutics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Abstract:
G protein-coupled receptors (GPCRs) are the most common class of therapeutic targets, accounting for ~35% of all FDA-approved drugs. Cancer patients receive numerous medications not only to combat cancer but also to alleviate pain, nausea, and anxiety, many of which target GPCRs. Emerging evidence has implicated GPCRs as drivers of cancer progression, therapeutic resistance, and metastasis. Therefore, the effects of commonly prescribed GPCR-targeted drugs must be reevaluated in the context of cancer. Epidemiological and experimental evidence indicate that widely used GPCR-targeted drugs may promote or inhibit cancer progression. It is crucial that we more fully understand the indirect effects of GPCR-targeted drugs on the cancer phenotype. This review summarizes recent advances in characterizing these interactions and highlights future research opportunities.
Insights
Commonly prescribed G protein-coupled receptor (GPCR) drugs, used for cancer symptom management, may unexpectedly influence cancer progression. Reevaluating these indirect effects is crucial for patient care and cancer research.
Area of Science:
- Pharmacology
- Oncology
- Molecular Biology
Background:
- G protein-coupled receptors (GPCRs) are key therapeutic targets, with ~35% of FDA-approved drugs targeting them.
- Cancer patients frequently use GPCR-targeted medications for symptom management (pain, nausea, anxiety).
- GPCRs are increasingly recognized as significant contributors to cancer progression, metastasis, and treatment resistance.
Purpose of the Study:
- To reevaluate the impact of commonly prescribed GPCR-targeted drugs within the context of cancer.
- To investigate the dual role of these drugs in potentially promoting or inhibiting cancer.
- To highlight the importance of understanding the indirect effects of these medications on the cancer phenotype.
Main Methods:
- Review of epidemiological data.
- Analysis of experimental evidence.
- Synthesis of recent research findings on GPCR-cancer interactions.
Main Results:
- Evidence suggests widely used GPCR-targeted drugs can influence cancer progression.
- The effects can be either inhibitory or promoting, depending on the specific drug and cancer context.
- Significant indirect effects of these drugs on cancer phenotype are evident.
Conclusions:
- A comprehensive understanding of GPCR-drug interactions in cancer is urgently needed.
- Further research is essential to elucidate these complex relationships.
- This knowledge is critical for optimizing cancer patient care and therapeutic strategies.
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