Department of Pharmaceutical Organic Chemistry, Faculty of Pharmacy, Cairo University, Kasr El-Aini Street, Cairo, P.O. Box 11562, Egypt.
Department of Pharmaceutical Chemistry, Faculty of Pharmacy and Pharmaceutical Industries, Badr University in Cairo (BUC), Badr City, Cairo, P.O. Box 11829, Egypt.
Curr Pharm Des. 2024;30(16):1217-1239. doi: 10.2174/0113816128304230240327044201.
Inflammation is critical to the formation and development of tumors and is closely associated with cancer. Therefore, addressing inflammation and the mediators that contribute to the inflammatory process may be a useful strategy for both cancer prevention and treatment. Tumor predisposition can be attributed to inflammation. It has been demonstrated that NSAIDs can modify the tumor microenvironment by enhancing apoptosis and chemosensitivity and reducing cell migration. There has been a recent rise in interest in drug repositioning or repurposing because the development of innovative medications is expensive, timeconsuming, and presents a considerable obstacle to drug discovery. Repurposing drugs is crucial for the quicker and less expensive development of anticancer medicines, according to an increasing amount of research. This review summarizes the antiproliferative activity of derivatives of NSAIDs such as Diclofenac, Etodolac, Celecoxib, Ibuprofen, Tolmetin, and Sulindac, published between 2017 and 2023. Their mechanism of action and structural activity relationships (SARs) were also discussed to set the path for potential future repositioning of NSAIDs for clinical deployment in the treatment of cancer.
炎症对于肿瘤的形成和发展至关重要,并且与癌症密切相关。因此,解决炎症以及导致炎症过程的介质可能是癌症预防和治疗的一种有效策略。肿瘤易感性可归因于炎症。已经证明,非甾体抗炎药 (NSAIDs) 可以通过增强细胞凋亡和化疗敏感性以及减少细胞迁移来改变肿瘤微环境。由于开发创新药物既昂贵又耗时,并且对药物发现构成相当大的障碍,因此最近人们对药物重新定位或重新利用产生了浓厚的兴趣。越来越多的研究表明,重新利用药物对于更快、更经济地开发抗癌药物至关重要。这篇综述总结了 2017 年至 2023 年间发表的 Diclofenac、Etodolac、Celecoxib、Ibuprofen、Tolmetin 和 Sulindac 等 NSAIDs 衍生物的抗增殖活性。还讨论了它们的作用机制和构效关系 (SAR),为 NSAIDs 的潜在未来重新定位以在癌症治疗中进行临床应用铺平了道路。