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Updated: Sep 16, 2025

Anticancer Metal Complexes: Synthesis and Cytotoxicity Evaluation by the MTT Assay
Published on: November 10, 2013
Arsenic compounds in cancer therapy: mechanistic insights and antitumor activity
Xian Zhang1, Yujiao Liu2, Shuangnian Xu3
1Depatment of Hematology, Postgraduate Union Training Base of Xiangyang No.1 People's Hospital, School of Medicine, Wuhan University of Science and Technology, Xiangyang 441000, China.
Abstract:
Arsenic (As) is a naturally occurring metalloid with a dual nature, known both as an environmental hazard and a therapeutic agent. Despite its toxicity and role as a carcinogenic factor in various tumors, arsenic has been valued for its medicinal properties for centuries. Currently, arsenic trioxide (ATO), a prominent arsenic-based therapeutic, is a first-line treatment for acute promyelocytic leukemia (APL) when combined with all-trans retinoic acid. Beyond APL, growing evidence supports the therapeutic potential of arsenic compounds in treating other hematologic and solid tumors. Both inorganic and organic arsenic compounds exhibit anti-tumor effects through mechanisms such as promoting tumor cell differentiation, inhibiting angiogenesis, blocking oncogenic signaling pathways, inducing reactive oxygen species (ROS) production, and causing cell cycle arrest. This review highlights the applications of arsenic compounds in cancer therapy, focusing on their diverse mechanisms of action and recent advances in their use against various malignancies.
Insights
Arsenic compounds, including arsenic trioxide (ATO), show therapeutic promise beyond acute promyelocytic leukemia (APL). This review explores their anti-tumor mechanisms and applications in various cancers.
Area of Science:
- Oncology
- Toxicology
- Pharmacology
Background:
- Arsenic (As) is a metalloid with historical medicinal use, despite its toxicity and carcinogenicity.
- Arsenic trioxide (ATO) is a key therapeutic for acute promyelocytic leukemia (APL) in combination therapy.
- Emerging evidence suggests broader applications for arsenic compounds in cancer treatment.
Purpose of the Study:
- To review the therapeutic applications of arsenic compounds in cancer therapy.
- To elucidate the diverse anti-tumor mechanisms of inorganic and organic arsenic compounds.
- To highlight recent advancements in arsenic-based cancer treatments.
Main Methods:
- Literature review of arsenic compounds in cancer therapy.
- Analysis of anti-tumor mechanisms including differentiation induction, anti-angiogenesis, and ROS production.
- Examination of recent clinical and preclinical studies on arsenic in various malignancies.
Main Results:
- Arsenic compounds demonstrate anti-tumor effects via multiple pathways.
- Mechanisms include promoting tumor cell differentiation, inhibiting angiogenesis, and inducing cell cycle arrest.
- Arsenic compounds show potential against both hematologic and solid tumors.
Conclusions:
- Arsenic compounds possess significant therapeutic potential in oncology.
- Understanding their mechanisms of action is crucial for developing novel cancer therapies.
- Further research into arsenic-based treatments may expand their role in managing diverse cancers.
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