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The evidence for repurposing anti-epileptic drugs to target cancer
Mir Aroosa1, Jonaid Ahmad Malik2,3, Sakeel Ahmed4
1Department of Pharmacology, Jamia Hamdard, New Delhi, India.
Abstract:
Antiepileptic drugs are versatile drugs with the potential to be used in functional drug formulations with drug repurposing approaches. In the present review, we investigated the anticancer properties of antiepileptic drugs and interlinked cancer and epileptic pathways. Our focus was primarily on those drugs that have entered clinical trials with positive results and those that provided good results in preclinical studies. Many contributing factors make cancer therapy fail, like drug resistance, tumor heterogeneity, and cost; exploring all alternatives for efficient treatment is important. It is crucial to find new drug targets to find out new antitumor molecules from the already clinically validated and approved drugs utilizing drug repurposing methods. The advancements in genomics, proteomics, and other computational approaches speed up drug repurposing. This review summarizes the potential of antiepileptic drugs in different cancers and tumor progression in the brain. Valproic acid, oxcarbazepine, lacosamide, lamotrigine, and levetiracetam are the drugs that showed potential beneficial outcomes against different cancers. Antiepileptic drugs might be a good option for adjuvant cancer therapy, but there is a need to investigate further their efficacy in cancer therapy clinical trials.
Insights
Antiepileptic drugs show promise for cancer treatment through drug repurposing. Several antiepileptic medications demonstrated anticancer effects in preclinical and clinical studies, suggesting their potential as adjuvant cancer therapies.
Area of Science:
- Pharmacology
- Oncology
- Drug Discovery
Background:
- Antiepileptic drugs (AEDs) are being explored for novel therapeutic applications beyond epilepsy.
- Cancer therapy faces challenges including drug resistance, tumor heterogeneity, and high costs.
- Drug repurposing offers a strategy to identify new antitumor agents from existing, approved medications.
Purpose of the Study:
- To review the anticancer properties of antiepileptic drugs.
- To examine the link between cancer and epileptic pathways.
- To highlight AEDs with positive preclinical and clinical trial results for cancer treatment.
Main Methods:
- Literature review focusing on antiepileptic drugs with demonstrated anticancer potential.
- Analysis of studies investigating the efficacy of AEDs in various cancer types and brain tumor progression.
- Consideration of advancements in genomics, proteomics, and computational approaches in drug repurposing.
Main Results:
- Several antiepileptic drugs, including valproic acid, oxcarbazepine, lacosamide, lamotrigine, and levetiracetam, exhibited beneficial outcomes against different cancers.
- These AEDs show potential in targeting cancer and tumor progression, particularly in brain cancers.
- Positive results were observed in both preclinical studies and clinical trials for specific antiepileptic drugs.
Conclusions:
- Antiepileptic drugs represent a promising avenue for drug repurposing in oncology.
- These drugs may serve as valuable options for adjuvant cancer therapy.
- Further clinical investigation is warranted to fully establish the efficacy of antiepileptic drugs in cancer treatment.
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