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The application of antidepressant drugs in cancer treatment
Yunxi Zheng1, Xu Chang2, Yuyang Huang2
1Department of Orthopedics, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, China; Medical Collage of Nanchang University, Nanchang, Jiangxi 330006, China.
Abstract:
Antidepressants refer to psychotropic drugs which are used to treat mental illness with prominent emotional depression symptoms. It was reported that antidepressants had associated with anti-carcinogenic function which was associated with various signaling pathways and changing of microenvironment. Its mechanism includes cell apoptosis, antiproliferative effects, mitochondria-mediated oxidative stress, DNA damaging, changing of immune response and inflammatory conditions, and acting by inhibiting multidrug resistance of cancer cells. Accumulated studies showed that antidepressants influenced the metabolic pathway of tumor cells. This review summarized recent developments with the impacts and mechanisms of 10 kinds of antidepressants in carcinostasis. Antidepressants are also used in combination therapy with typical anti-tumor drugs which shows a synergic effect in anti-tumor. By contrast, the promotion roles of antidepressants in increasing cancer recurrence risk, mortality, and morbidity are also included. Further clinical experiments and mechanism analyses needed to be achieved. A full understanding of the underlying mechanisms of antidepressants-mediated anticarcinogenic effects may provide new clues for cancer prevention and clinical treatment.
Insights
Antidepressants show anti-cancer effects by influencing tumor cell metabolism and pathways, but can also increase cancer risk. Further research is needed to understand their dual role in cancer treatment and prevention.
Area of Science:
- Pharmacology
- Oncology
- Molecular Biology
Background:
- Antidepressants are psychotropic drugs for depression.
- Emerging evidence suggests antidepressants possess anti-carcinogenic properties.
- Their mechanisms involve complex signaling pathways and microenvironmental changes.
Purpose of the Study:
- To review the impacts and mechanisms of 10 antidepressants on cancer.
- To explore their potential in combination cancer therapy.
- To address the dual role of antidepressants in cancer progression.
Main Methods:
- Literature review of accumulated studies on antidepressants and cancer.
- Analysis of mechanisms including apoptosis, proliferation, oxidative stress, and drug resistance.
- Examination of effects on tumor cell metabolism and immune response.
Main Results:
- Antidepressants exhibit anti-carcinogenic effects via apoptosis, antiproliferative actions, and oxidative stress.
- They inhibit multidrug resistance and influence tumor cell metabolism.
- Some antidepressants show synergistic effects when combined with anti-cancer drugs.
Conclusions:
- Antidepressants have demonstrated significant anti-cancer potential through various mechanisms.
- Their role in cancer prevention and treatment warrants further investigation.
- Understanding these mechanisms may offer novel strategies for cancer therapy.
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