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FDA批准的用于非癌症病症的药物的长期低剂量给药:癌细胞中潜在靶点的综述

Prolonged Low-Dose Administration of FDA-Approved Drugs for Non-Cancer Conditions: A Review of Potential Targets in Cancer Cells.

作者信息

Chang Olivia, Cheon Sarah, Semenova Nina, Azad Neelam, Iyer Anand Krishnan, Yakisich Juan Sebastian

机构信息

Governor's School for Science and Technology, Hampton, VA 23666, USA.

Department of Pharmaceutical Sciences, School of Pharmacy, Hampton University, Hampton, VA 23668, USA.

出版信息

Int J Mol Sci. 2025 Mar 18;26(6):2720. doi: 10.3390/ijms26062720.

Abstract

Though not specifically designed for cancer therapy, several FDA-approved drugs such as metformin, aspirin, and simvastatin have an effect in lowering the incidence of cancer. However, there is a great discrepancy between in vitro concentrations needed to eliminate cancer cells and the plasma concentration normally tolerated within the body. At present, there is no universal explanation for this discrepancy and several mechanisms have been proposed including targeting cancer stem cells (CSCs) or cellular senescence. CSCs are cells with the ability of self-renewal and differentiation known to be resistant to chemotherapy. Senescence is a response to damage and stress, characterized by permanent cell-cycle arrest and apoptotic resistance. Although, for both situations, there are few examples where low concentrations of the FDA-approved drugs were the most effective, there is no satisfactory data to support that either CSCs or cellular senescence are the target of these drugs. In this review, we concisely summarize the most used FDA-approved drugs for non-cancer conditions as well as their potential mechanisms of action in lowering cancer incidence. In addition, we propose that prolonged low-dose administration (PLDA) of specific FDA-approved drugs can be useful for effectively preventing metastasis formation in selected patients.

摘要

虽然二甲双胍、阿司匹林和辛伐他汀等几种已获美国食品药品监督管理局(FDA)批准的药物并非专门为癌症治疗而设计,但它们在降低癌症发病率方面具有一定作用。然而,消除癌细胞所需的体外浓度与人体通常能耐受的血浆浓度之间存在很大差异。目前,对于这种差异尚无普遍的解释,并且已经提出了几种机制,包括靶向癌症干细胞(CSC)或细胞衰老。癌症干细胞是具有自我更新和分化能力的细胞,已知对化疗具有抗性。衰老是对损伤和应激的一种反应,其特征是永久性细胞周期停滞和凋亡抗性。尽管在这两种情况下,很少有低浓度的FDA批准药物最为有效的例子,但尚无令人满意的数据支持癌症干细胞或细胞衰老就是这些药物的作用靶点。在本综述中,我们简要总结了最常用于非癌症病症的FDA批准药物及其降低癌症发病率的潜在作用机制。此外,我们提出,对特定的FDA批准药物进行长期低剂量给药(PLDA)可能有助于有效预防特定患者发生转移。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4c8/11942989/15e55afc626b/ijms-26-02720-g001.jpg

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