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Antipsychotic Drug Fluphenazine against Human Cancer Cells
Diana Duarte1,2,3, Nuno Vale1,3,4
1OncoPharma Research Group, Center for Health Technology and Services Research (CINTESIS), Rua Doutor Plácido da Costa, s/n, 4200-450 Porto, Portugal.
Abstract:
Drug repurposing is a strategy that can speed up and find novel clinical uses for already-approved drugs for several diseases, such as cancer. This process is accelerated compared to the development of new drugs because these compounds have already been tested in clinical trials and data related to their pharmacokinetics is already described, reducing the costs and time associated with the development of new anticancer therapeutics. Several studies suggest that the repurposing of fluphenazine for cancer therapy may be a promising approach, as this drug proved to reduce the viability of diverse cancer cell lines. In this review, intensive research of the literature was performed related to the anticancer potential of fluphenazine in different human cancer cells. We have found several research articles on the cytotoxic effect of fluphenazine in lung, breast, colon, liver, brain, leukemia, oral, ovarian, and skin cancer and have summarized the main findings in this review. Taken together, these findings suggest that fluphenazine may regulate the cell cycle, reduce cell proliferation, and cause apoptosis in several types of cancer cells, besides being an established calmodulin inhibitor. It was also found that this drug is able to target cancer-related proteins, such as ABCB1 and P-glycoprotein as well as to regulate the Akt and Wnt signaling pathways. Some studies also refer this drug causes DNA alterations and interferes with cell invasion and migration ability as well as with ROS generation. Collectively, these results imply that fluphenazine may be a favorable compound for further research in oncologic therapy.
Insights
Drug repurposing offers a faster path to new cancer treatments. Fluphenazine shows promise as an anticancer drug, effectively reducing cancer cell viability and proliferation across various cancer types.
Area of Science:
- Oncology
- Pharmacology
- Drug Discovery
Background:
- Drug repurposing accelerates the development of novel therapeutics by utilizing existing drugs with known safety profiles.
- Anticancer drug development is time-consuming and expensive; repurposing approved drugs offers a cost-effective alternative.
- Fluphenazine, an established drug, has demonstrated potential for anticancer applications.
Purpose of the Study:
- To review existing literature on the anticancer potential of fluphenazine.
- To summarize the efficacy of fluphenazine against diverse human cancer cell lines.
- To explore the molecular mechanisms underlying fluphenazine's cytotoxic effects in cancer.
Main Methods:
- Comprehensive literature search for studies investigating fluphenazine's effects on cancer cells.
- Analysis of research articles detailing cytotoxic effects, cell cycle regulation, apoptosis induction, and pathway modulation.
- Synthesis of findings regarding fluphenazine's impact on cancer-related proteins and cellular processes.
Main Results:
- Fluphenazine exhibits cytotoxic effects across various cancer types, including lung, breast, colon, liver, brain, leukemia, oral, ovarian, and skin cancer.
- The drug modulates cell cycle, inhibits proliferation, and induces apoptosis in cancer cells.
- Fluphenazine acts as a calmodulin inhibitor and targets cancer-related proteins like ABCB1 and P-glycoprotein, influencing Akt and Wnt signaling pathways.
Conclusions:
- Fluphenazine demonstrates significant anticancer potential through multiple mechanisms, including cell cycle regulation, apoptosis induction, and pathway interference.
- The drug's ability to affect DNA integrity, cell invasion, migration, and ROS generation further supports its therapeutic promise.
- Fluphenazine is a promising candidate for further investigation and development as an oncologic therapy.
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