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Repurposing of Indomethacin and Naproxen as anticancer agents: progress from 2017 to present
Asmaa E Kassab1, Ehab M Gedawy1,2
1Department of Pharmaceutical Organic Chemistry, Faculty of Pharmacy, Cairo University Kasr El-Aini Street, P. O. Box 11562 Cairo Egypt asmaa.kassab@pharma.cu.edu.eg +2023635140 +2023639307.
Abstract:
Inflammation is strongly linked to cancer and is essential for the growth and development of tumors. Targeting inflammation and the mediators involved in the inflammatory process could therefore provide a suitable method for cancer prevention and therapy. Numerous studies have shown that inflammation can predispose tumors. Non-steroidal anti-inflammatory drugs (NSAIDs) can affect the tumor microenvironment through increasing apoptosis and chemo-sensitivity while decreasing cell migration. Since the development of novel drugs requires a significant amount of money and time and poses a significant challenge for drug discovery, there has been a recent increase in interest in drug repositioning or repurposing. The growing body of research suggests that drug repurposing is essential for the quicker and less expensive development of anticancer therapies. In order to set the course for potential future repositioning of NSAIDs for clinical deployment in the treatment of cancer, the antiproliferative activity of derivatives of Indomethacin and Naproxen as well as their mechanism of action and structural activity relationships (SARs) published in the time frame from 2017 to 2024 are summarized in this review.
Insights
Non-steroidal anti-inflammatory drugs (NSAIDs) show promise in cancer prevention and therapy by targeting inflammation. This review explores NSAID derivatives, like Indomethacin and Naproxen, for repurposing as anticancer agents.
Area of Science:
- Oncology
- Pharmacology
- Drug Discovery
Background:
- Inflammation is a key driver in tumor growth and development.
- Non-steroidal anti-inflammatory drugs (NSAIDs) modulate the tumor microenvironment, enhancing apoptosis and chemosensitivity while reducing cell migration.
- Drug repurposing offers a faster, cost-effective approach to developing new cancer therapies.
Purpose of the Study:
- To review the antiproliferative activity of Indomethacin and Naproxen derivatives.
- To elucidate their mechanisms of action and structural activity relationships (SARs).
- To assess their potential for repositioning as anticancer agents.
Main Methods:
- Literature review of studies published between 2017 and 2024.
- Analysis of antiproliferative effects of NSAID derivatives.
- Examination of mechanisms of action and SARs.
Main Results:
- NSAID derivatives exhibit significant antiproliferative activity against various cancer types.
- Specific structural modifications enhance efficacy and target specific pathways.
- Established SARs provide a basis for designing more potent anticancer agents.
Conclusions:
- NSAID derivatives, particularly those of Indomethacin and Naproxen, hold considerable potential for cancer therapy.
- Drug repurposing of NSAIDs presents a viable strategy for developing novel anticancer treatments.
- Further research into SARs and clinical trials is warranted for therapeutic deployment.
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