Repurposing antifungal drugs for cancer therapy
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Published on: July 1, 2020
Ningna Weng1, Zhe Zhang2, Yunhan Tan3
1Department of Abdominal Oncology, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, PR China; Department of Medical Oncology, Fujian Cancer Hospital & Fujian Medical University Cancer Hospital, Fujian 350011, PR China.
Background:
Repurposing antifungal drugs in cancer therapy has attracted unprecedented attention in both preclinical and clinical research due to specific advantages, such as safety, high-cost effectiveness and time savings compared with cancer drug discovery. The surprising and encouraging efficacy of antifungal drugs in cancer therapy, mechanistically, is attributed to the overlapping targets or molecular pathways between fungal and cancer pathogenesis. Advancements in omics, informatics and analytical technology have led to the discovery of increasing "off-site" targets from antifungal drugs involved in cancerogenesis, such as smoothened (D477G) inhibition from itraconazole in basal cell carcinoma.
Aim Of Review:
This review illustrates several antifungal drugs repurposed for cancer therapy and reveals the underlying mechanism based on their original target and "off-site" target. Furthermore, the challenges and perspectives for the future development and clinical applications of antifungal drugs for cancer therapy are also discussed, providing a refresh understanding of drug repurposing.
Key Scientific Concepts Of Review:
This review may provide a basic understanding of repurposed antifungal drugs for clinical cancer management, thereby helping antifungal drugs broaden new indications and promote clinical translation.
Insights
Repurposing antifungal drugs for cancer therapy shows promise due to shared molecular pathways. This review explores mechanisms and future applications of these repurposed drugs in oncology.
Area of Science:
- Oncology
- Pharmacology
- Drug Repurposing
Background:
- Antifungal drugs are being repurposed for cancer therapy, offering advantages like safety and cost-effectiveness.
- Their efficacy stems from overlapping molecular targets and pathways in fungal and cancer pathogenesis.
- Advancements in omics and informatics identify new 'off-site' targets for antifungal drugs in cancer, such as itraconazole's inhibition of smoothened in basal cell carcinoma.
Purpose of the Study:
- To review antifungal drugs repurposed for cancer therapy.
- To elucidate the mechanisms of action, including original and 'off-site' targets.
- To discuss challenges and future perspectives for clinical application.
Main Methods:
- Literature review of preclinical and clinical studies.
- Analysis of molecular targets and pathways.
- Discussion of drug repurposing strategies.
Main Results:
- Several antifungal drugs demonstrate efficacy in cancer therapy.
- Mechanisms involve targeting shared pathways and novel 'off-site' targets.
- Drug repurposing offers a viable strategy for cancer treatment development.
Conclusions:
- Repurposed antifungal drugs present a promising avenue for cancer management.
- Understanding their mechanisms can accelerate clinical translation.
- This approach broadens indications for antifungal agents and enhances cancer drug discovery.
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