Trybus Ewa, Trybus Wojciech
Department of Medical Biology, Jan Kochanowski University of Kielce, Uniwersytecka 7, 25-406 Kielce, Poland.
Cancers (Basel). 2024 Dec 20;16(24):4253. doi: 10.3390/cancers16244253.
Despite significant progress in the field of clinical oncology in terms of diagnostic and treatment methods, the results of anticancer therapy are still not fully satisfactory, especially due to limited response and high toxicity. This has forced the need for further research to finding alternative ways to improve success rates in oncological treatment. A good solution to this problem in the context of rapidly obtaining an effective drug that works on multiple levels of cancer and is also safe is the global strategy of repurposing an existing drug. Research into other applications of an existing drug enables a precise assessment of its possible mechanisms of action and, consequently, the broadening of therapeutic indications. This strategy is also supported by the fact that most non-oncological drugs have pleiotropic effects, and most of the diseases for which they were originally intended are multifactorial, which in turn is a very desirable phenomenon due to the heterogeneous and multifaceted biology of cancer. In this review, we will mainly focus on the anticancer potential of H1 antihistamines, especially the new generation that were not originally intended for cancer therapy, to highlight the relevant signaling pathways and discuss the properties of these agents for their judicious use based on the characteristic features of cancer.
尽管临床肿瘤学领域在诊断和治疗方法方面取得了显著进展,但抗癌治疗的结果仍不尽如人意,尤其是由于反应有限和毒性高。这就迫切需要进一步研究,以找到提高肿瘤治疗成功率的替代方法。在快速获得一种能在癌症多个层面起作用且安全有效的药物的背景下,解决这一问题的一个好办法是重新利用现有药物的全球战略。对现有药物的其他应用进行研究,可以精确评估其可能的作用机制,从而拓宽治疗适应症。这一策略还得到以下事实的支持:大多数非肿瘤药物具有多效性,而且它们最初针对的大多数疾病都是多因素的,鉴于癌症生物学的异质性和多面性,这反过来又是一个非常理想的现象。在这篇综述中,我们将主要关注H1抗组胺药的抗癌潜力,特别是那些最初并非用于癌症治疗的新一代H1抗组胺药,以突出相关信号通路,并根据癌症的特征讨论这些药物的特性以便合理使用。