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Published on: April 26, 2016
The potential of dibenzazepine carboxamides in cancer therapy
Nastaran Afsordeh1, Safura Pournajaf1, Javad Mirnajafi-Zadeh1
1Department of Medical Physiology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Abstract:
Cancer is a leading cause of mortality worldwide, with most conventional treatments lacking efficacy and having significant challenges like drug resistance. Finding new molecules is quite challenging in terms of cost, time and setbacks. Hence, drug repurposing is considered sensible for skipping the long process of drug development. Dibenzazepine carboxamides, as traditional anticonvulsants, primarily function by blocking voltage-gated sodium channels, which not only mitigate seizures but also influence mood disorders through modulation of serotonin and dopamine. Recent studies have uncovered their anticancer properties, demonstrated by both in vitro and in vivo experiments. This review comprehensively examines dibenzazepine's pharmacodynamics, pharmacokinetics, and clinical applications, focusing on their emerging role in oncology. By highlighting the anticancer mechanisms of action-including apoptosis induction, inhibition of HDAC, Wnt/β-Catenin signaling, and Voltage-gated sodium channels, we suggest further research to fully elucidate their therapeutic potential and application in cancer treatment.
Insights
Dibenzazepine carboxamides, repurposed anticonvulsants, show promising anticancer effects by targeting key cellular pathways. Further research is needed to explore their full therapeutic potential in oncology.
Area of Science:
- Oncology
- Pharmacology
- Drug Discovery
Background:
- Cancer remains a leading global cause of mortality, with conventional treatments facing challenges like drug resistance.
- Developing novel anticancer drugs is costly and time-consuming, making drug repurposing a strategic alternative.
- Dibenzazepine carboxamides, known anticonvulsants, are emerging as potential anticancer agents.
Purpose of the Study:
- To review the pharmacodynamics, pharmacokinetics, and clinical applications of dibenzazepines in oncology.
- To explore the anticancer mechanisms of dibenzazepine carboxamides.
- To highlight the therapeutic potential of these compounds in cancer treatment.
Main Methods:
- Comprehensive literature review of dibenzazepine carboxamides.
- Analysis of *in vitro* and *in vivo* studies demonstrating anticancer properties.
- Examination of proposed anticancer mechanisms of action.
Main Results:
- Dibenzazepine carboxamides exhibit anticancer properties through various mechanisms.
- These mechanisms include induction of apoptosis, inhibition of histone deacetylase (HDAC), and modulation of Wnt/β-Catenin signaling.
- Voltage-gated sodium channels are also implicated in their anticancer effects.
Conclusions:
- Dibenzazepine carboxamides represent a promising class of compounds for cancer treatment.
- Drug repurposing of these anticonvulsants offers a viable strategy to accelerate cancer drug development.
- Further investigation is warranted to fully understand and optimize their application in oncology.
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