Cortés Hernán, Reyes-Hernández Octavio D, Alcalá-Alcalá Sergio, Bernal-Chávez Sergio A, Caballero-Florán Isaac H, González-Torres Maykel, Sharifi-Rad Javad, González-Del Carmen Manuel, Figueroa-González Gabriela, Leyva-Gómez Gerardo
Laboratorio de Medicina Genómica, Departamento de Genómica, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Ciudad de México, Mexico.
Laboratorio de Biología Molecular del Cáncer, UMIEZ, Facultad de Estudios Superiores Zaragoza, Universidad Nacional Autónoma de México, Ciudad de México, Mexico.
Front Oncol. 2021 Jan 8;10:605714. doi: 10.3389/fonc.2020.605714. eCollection 2020.
Skin cancers are highly prevalent malignancies that affect millions of people worldwide. These include melanomas and nonmelanoma skin cancers. Melanomas are among the most dangerous cancers, while nonmelanoma skin cancers generally exhibit a more benign clinical pattern; however, they may sometimes be aggressive and metastatic. Melanomas typically appear in body regions exposed to the sun, although they may also appear in areas that do not usually get sun exposure. Thus, their development is multifactorial, comprising endogenous and exogenous risk factors. The management of skin cancer depends on the type; it is usually based on surgery, chemotherapy, immunotherapy, and targeted therapy. In this respect, oncological treatments have demonstrated some progress in the last years; however, current therapies still present various disadvantages such as little cell specificity, recurrent relapses, high toxicity, and increased costs. Furthermore, the pursuit of novel medications is expensive, and the authorization for their clinical utilization may take 10-15 years. Thus, repositioning of drugs previously approved and utilized for other diseases has emerged as an excellent alternative. In this mini-review, we aimed to provide an updated overview of drugs' repurposing to treat skin cancer and discuss future perspectives.
皮肤癌是高度常见的恶性肿瘤,影响着全球数百万人。其中包括黑色素瘤和非黑色素瘤皮肤癌。黑色素瘤是最危险的癌症之一,而非黑色素瘤皮肤癌通常表现出更为良性的临床模式;然而,它们有时可能具有侵袭性并发生转移。黑色素瘤通常出现在暴露于阳光的身体部位,尽管它们也可能出现在通常不暴露于阳光的区域。因此,其发病是多因素的,包括内源性和外源性风险因素。皮肤癌的治疗取决于类型;通常基于手术、化疗、免疫疗法和靶向疗法。在这方面,肿瘤治疗在过去几年中已取得一些进展;然而,目前的疗法仍然存在各种缺点,如细胞特异性低、复发率高、毒性大以及成本增加。此外,研发新型药物成本高昂,其临床应用的获批可能需要10至15年。因此,重新利用先前已获批用于其他疾病的药物已成为一种绝佳选择。在本综述中,我们旨在提供药物重新利用治疗皮肤癌的最新概述,并讨论未来前景。