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常用于其他适应症的潜在抗癌药物。

Potential anti-cancer drugs commonly used for other indications.

作者信息

Hanusova Veronika, Skalova Lenka, Kralova Vera, Matouskova Petra

机构信息

Department of Biochemical Sciences, Charles University in Prague, Faculty of Pharmacy, Heyrovskeho 1203, Hradec Kralove, CZ-500 05, Czech Republic.

出版信息

Curr Cancer Drug Targets. 2015;15(1):35-52. doi: 10.2174/1568009615666141229152812.

Abstract

An increasing resistance of mammalian tumor cells to chemotherapy along with the severe side effects of commonly used cytostatics has raised the urgency in the search for new anti-cancer agents. Several drugs originally approved for indications other than cancer treatment have recently been found to have a cytostatic effect on cancer cells. These drugs could be expediently repurposed as anti-cancer agents, since they have already been tested for toxicity in humans and animals. The groups of newly recognized potential cytostatics discussed in this review include benzimidazole anthelmintics (albendazole, mebendazole, flubendazole), anti-hypertensive drugs (doxazosin, propranolol), psychopharmaceuticals (chlorpromazine, clomipramine) and antidiabetic drugs (metformin, pioglitazone). All these drugs have a definite potential to be used especially in combinations with other cytostatics; the chemotherapy targeting of multiple sites now represents a promising approach in cancer treatment. The present review summarizes recent information about the anti-cancer effects of selected drugs commonly used for other medical indications. Our aim is not to collect all the reported results, but to present an overview of various possibilities. Advantages, disadvantages and further perspectives regarding individual drugs are discussed and evaluated.

摘要

哺乳动物肿瘤细胞对化疗的耐药性不断增加,加上常用细胞抑制剂的严重副作用,使得寻找新型抗癌药物的紧迫性日益凸显。最近发现,几种最初被批准用于非癌症治疗适应症的药物对癌细胞具有细胞抑制作用。这些药物可以方便地重新用作抗癌剂,因为它们已经在人和动物身上进行了毒性测试。本综述中讨论的新发现的潜在细胞抑制剂类别包括苯并咪唑驱虫药(阿苯达唑、甲苯达唑、氟苯达唑)、抗高血压药物(多沙唑嗪、普萘洛尔)、精神药物(氯丙嗪、氯米帕明)和抗糖尿病药物(二甲双胍、吡格列酮)。所有这些药物都有一定的潜力,特别是与其他细胞抑制剂联合使用;现在,针对多个位点的化疗是癌症治疗中一种很有前景的方法。本综述总结了近期有关常用于其他医学适应症的特定药物抗癌作用的信息。我们的目的不是收集所有已报道的结果,而是概述各种可能性。对个别药物的优缺点及进一步前景进行了讨论和评估。

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