Antineoplastics for treating Alzheimer's disease and dementia: Evidence from preclinical and observational studies
Viswanath Das1,2, John H Miller3, Charanraj Goud Alladi1
1Institute of Molecular and Translational Medicine, Faculty of Medicine and Dentistry, Palacký University and University Hospital Olomouc, Olomouc, Czech Republic.
Abstract:
As the world population ages, there will be an increasing need for effective therapies for aging-associated neurodegenerative disorders, which remain untreatable. Dementia due to Alzheimer's disease (AD) is one of the leading neurological diseases in the aging population. Current therapeutic approaches to treat this disorder are solely symptomatic, making the need for new molecular entities acting on the causes of the disease extremely urgent. One of the potential solutions is to use compounds that are already in the market. The structures have known pharmacokinetics, pharmacodynamics, toxicity profiles, and patient data available in several countries. Several drugs have been used successfully to treat diseases different from their original purposes, such as autoimmunity and peripheral inflammation. Herein, we divulge the repurposing of drugs in the area of neurodegenerative diseases, focusing on the therapeutic potential of antineoplastics to treat dementia due to AD and dementia. We briefly touch upon the shared pathological mechanism between AD and cancer and drug repurposing strategies, with a focus on artificial intelligence. Next, we bring out the current status of research on the development of drugs, provide supporting evidence from retrospective, clinical, and preclinical studies on antineoplastic use, and bring in new areas, such as repurposing drugs for the prion-like spreading of pathologies in treating AD.
Insights
Repurposing existing drugs, particularly antineoplastics, offers a promising avenue for treating neurodegenerative diseases like Alzheimer's disease (AD). This strategy leverages known drug profiles to address the urgent need for effective dementia therapies.
Area of Science:
- Neuroscience
- Oncology
- Pharmacology
Background:
- Aging populations face a growing burden of untreatable neurodegenerative disorders, including Alzheimer's disease (AD).
- Current AD treatments are symptomatic, highlighting an urgent need for disease-modifying therapies.
- Drug repurposing offers a viable strategy by utilizing compounds with established safety and pharmacokinetic data.
Purpose of the Study:
- To explore the therapeutic potential of repurposing antineoplastic drugs for treating dementia due to AD.
- To investigate shared pathological mechanisms between cancer and AD.
- To highlight the role of artificial intelligence in drug repurposing strategies.
Main Methods:
- Review of existing literature on drug repurposing for neurodegenerative diseases.
- Analysis of retrospective, clinical, and preclinical studies on antineoplastic drug use in AD.
- Exploration of AI-driven drug repurposing approaches.
- Consideration of repurposing drugs targeting prion-like spreading in AD pathology.
Main Results:
- Antineoplastic drugs show potential for treating AD dementia based on shared pathological pathways.
- Evidence from various study types supports the efficacy of repurposed antineoplastics.
- AI and prion-like pathology targeting represent emerging areas in AD drug repurposing.
Conclusions:
- Drug repurposing, especially of antineoplastics, presents a viable strategy to develop novel treatments for Alzheimer's disease dementia.
- Further research into AI-driven repurposing and targeting prion-like mechanisms could accelerate therapeutic development.
- Repurposing existing drugs offers a faster and potentially safer route to effective dementia therapies.
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