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Published on: September 6, 2024
Cancer drug repurposing in autism spectrum disorder
Giorgia Pedini1, Chin-Lin Chen2, Tilmann Achsel2
1University of Rome Tor Vergata, Department of Biomedicine and Prevention, Via Montpellier 1, 00133, Rome, Italy.
Abstract:
Autism spectrum disorder (ASD) is a complex neurodevelopmental condition with uncertain origins. Understanding of the mechanisms underlying ASD remains limited, and treatments are lacking. Genetic diversity complicates drug development. Given the complexity and severity of ASD symptoms and the rising number of diagnoses, exploring novel therapeutic strategies is essential. Here, we focus on shared molecular pathways between ASD and cancer and highlight recent progress on the repurposing of cancer drugs for ASD treatment, such as mTOR inhibitors, histone deacetylase inhibitors, and anti-inflammatory agents. We discuss how to improve trial design considering drug dose and patient age. Lastly, the discussion explores the critical aspects of side effects, commercial factors, and the efficiency of drug-screening pipelines; all of which are essential considerations in the pursuit of repurposing cancer drugs for addressing core features of ASD.
Insights
Repurposing cancer drugs offers a novel therapeutic strategy for autism spectrum disorder (ASD) by targeting shared molecular pathways. This approach addresses the urgent need for effective treatments for ASD, improving patient outcomes.
Area of Science:
- Neuroscience
- Oncology
- Pharmacology
Background:
- Autism spectrum disorder (ASD) is a complex neurodevelopmental condition with limited understanding of its mechanisms and a lack of effective treatments.
- Genetic diversity in ASD complicates traditional drug development, necessitating novel therapeutic strategies.
- The rising incidence of ASD diagnoses underscores the critical need for innovative interventions.
Purpose of the Study:
- To explore shared molecular pathways between ASD and cancer.
- To highlight the potential of repurposing established cancer drugs for ASD treatment.
- To discuss key considerations for successful drug repurposing in ASD.
Main Methods:
- Review of scientific literature focusing on molecular pathways common to ASD and cancer.
- Identification of existing cancer drugs with potential therapeutic applications in ASD.
- Analysis of factors influencing the efficacy and safety of repurposed drugs.
Main Results:
- Shared molecular pathways, including mTOR signaling, histone deacetylase activity, and inflammatory processes, are implicated in both ASD and cancer.
- Specific classes of cancer drugs, such as mTOR inhibitors, histone deacetylase inhibitors, and anti-inflammatory agents, show promise for ASD treatment.
- Optimizing trial design, considering drug dosage, patient age, side effects, and commercial viability are crucial for successful repurposing.
Conclusions:
- Repurposing cancer drugs represents a promising avenue for developing novel ASD therapies.
- Targeting shared molecular pathways offers a rational approach to drug development for ASD.
- Addressing practical challenges in clinical trials and drug development pipelines is essential for translating this potential into effective treatments.
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