Impact of Polypharmacy for Chronic Ailments in Colon Cancer Patients: A Review Focused on Drug Repurposing.

NSAIDs antibiotics antidepressants antihypertensive colon cancer drug repurposing metformin statins

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
23 Sep 2020
Historique:
received: 20 08 2020
revised: 15 09 2020
accepted: 21 09 2020
entrez: 26 9 2020
pubmed: 27 9 2020
medline: 27 9 2020
Statut: epublish

Résumé

Colorectal cancer is characterized by high incidence worldwide. Despite increased awareness and early diagnosis thanks to screening programmes, mortality remains high, particularly for patients with metastatic involvement. Immune checkpoint inhibitors or poly (ADP-ribose) polymerase (PARP)-inhibitors have met with disappointing results when used in this setting, opposed to other malignancies. New drugs with different mechanisms of action are needed in this disease. Drug repurposing might offer new therapeutic options, as patients with metastatic colorectal cancer often share risk factors for other chronic diseases and thus frequently are on incidental therapy with these drugs. The aim of this review is to summarise the published results of the activity of drugs used to treat chronic medications in patients affected by colorectal cancer. We focused on antihypertensive drugs, Non-Steroid Anti-inflammatory Drugs (NSAIDs), metformin, antidepressants, statins and antibacterial antibiotics. Our review shows that there are promising results with beta blockers, statins and metformin, whereas data concerning antidepressants and antibacterial antibiotics seem to show a potentially harmful effect. It is hoped that further prospective trials that take into account the role of these drugs as anticancer medications are conducted.

Identifiants

pubmed: 32977434
pii: cancers12102724
doi: 10.3390/cancers12102724
pmc: PMC7598185
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Riccardo Giampieri (R)

Division of Medical Oncology, University Hospital-Marche Polytechnic University, Ancona, 60126 Marche, Italy.

Luca Cantini (L)

Division of Medical Oncology, University Hospital-Marche Polytechnic University, Ancona, 60126 Marche, Italy.

Enrica Giglio (E)

Division of Medical Oncology, University Hospital-Marche Polytechnic University, Ancona, 60126 Marche, Italy.

Alessandro Bittoni (A)

Division of Medical Oncology, University Hospital-Marche Polytechnic University, Ancona, 60126 Marche, Italy.

Andrea Lanese (A)

Division of Medical Oncology, University Hospital-Marche Polytechnic University, Ancona, 60126 Marche, Italy.

Sonia Crocetti (S)

Division of Medical Oncology, University Hospital-Marche Polytechnic University, Ancona, 60126 Marche, Italy.

Federica Pecci (F)

Division of Medical Oncology, University Hospital-Marche Polytechnic University, Ancona, 60126 Marche, Italy.

Cecilia Copparoni (C)

Division of Medical Oncology, University Hospital-Marche Polytechnic University, Ancona, 60126 Marche, Italy.

Tania Meletani (T)

Division of Medical Oncology, University Hospital-Marche Polytechnic University, Ancona, 60126 Marche, Italy.

Edoardo Lenci (E)

Division of Medical Oncology, University Hospital-Marche Polytechnic University, Ancona, 60126 Marche, Italy.

Alessio Lupi (A)

Division of Medical Oncology, University Hospital-Marche Polytechnic University, Ancona, 60126 Marche, Italy.

Maria Giuditta Baleani (MG)

Division of Medical Oncology, University Hospital-Marche Polytechnic University, Ancona, 60126 Marche, Italy.

Rossana Berardi (R)

Division of Medical Oncology, University Hospital-Marche Polytechnic University, Ancona, 60126 Marche, Italy.

Classifications MeSH