Recycling the purpose of old drugs to treat ovarian cancer

Autor: Miguel Henriques Abreu, Mariana Nunes, Carla Bartosch, Sara Ricardo
Přispěvatelé: Instituto de Investigação e Inovação em Saúde
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Oncology
Drug repurposing
Review
Ex vivo cultures
lcsh:Chemistry
Efficacy
Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use
Metformin / therapeutic use
lcsh:QH301-705.5
Spectroscopy
media_common
Ovarian Neoplasms / drug therapy
Ovarian Neoplasms
drug repurposing
Diphosphonates
chemoresistance
General Medicine
Metformin
Computer Science Applications
ex vivo cultures
Drug repositioning
ovarian cancer
Female
Itraconazole
Chemoresistance
medicine.drug
Drug
medicine.medical_specialty
Bevacizumab
media_common.quotation_subject
Ritonavir / therapeutic use
Catalysis
Inorganic Chemistry
Ovarian Neoplasms / pathology
Ovarian cancer
Internal medicine
medicine
Humans
Physical and Theoretical Chemistry
Molecular Biology
Neoplasm Recurrence
Local / prevention & control

Ivermectin
Ritonavir
business.industry
Ivermectin / therapeutic use
Organic Chemistry
Drug Repositioning
medicine.disease
lcsh:Biology (General)
lcsh:QD1-999
Diphosphonates / therapeutic use
Drug Repositioning / methods
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Neoplasm Recurrence
Local

Itraconazole / therapeutic use
business
Zdroj: International Journal of Molecular Sciences
International Journal of Molecular Sciences, Vol 21, Iss 7768, p 7768 (2020)
Popis: The main challenge in ovarian cancer treatment is the management of recurrences. Facing this scenario, therapy selection is based on multiple factors to define the best treatment sequence. Target therapies, such as bevacizumab and polymerase (PARP) inhibitors, improved patient survival. However, despite their achievements, ovarian cancer survival remains poor; these therapeutic options are highly costly and can be associated with potential side effects. Recently, it has been shown that the combination of repurposed, conventional, chemotherapeutic drugs could be an alternative, presenting good patient outcomes with few side effects and low costs for healthcare institutions. The main aim of this review is to strengthen the importance of repurposed drugs as therapeutic alternatives, and to propose an in vitro model to assess the therapeutic value. Herein, we compiled the current knowledge on the most promising non-oncological drugs for ovarian cancer treatment, focusing on statins, metformin, bisphosphonates, ivermectin, itraconazole, and ritonavir. We discuss the primary drug use, anticancer mechanisms, and applicability in ovarian cancer. Finally, we propose the use of these therapies to perform drug efficacy tests in ovarian cancer ex vivo cultures. This personalized testing approach could be crucial to validate the existing evidences supporting the use of repurposed drugs for ovarian cancer treatment. Funding: This manuscript was funded by HOPE: Improving ovarian cancer patients’ survival—donation from an ovarian cancer patient and by the FCT (Fundação para a Ciência e a Tecnologia) project PTDC/MEC-ONC/29503/2017.
Databáze: OpenAIRE