Drug Repurposing, an Attractive Strategy in Pancreatic Cancer Treatment: Preclinical and Clinical Updates.

drug repositioning immunomodulation pancreatic ductal adenocarcinoma repurposed drugs tumor microenvironment

Journal

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

Informations de publication

Date de publication:
05 Aug 2021
Historique:
received: 30 06 2021
revised: 26 07 2021
accepted: 02 08 2021
entrez: 27 8 2021
pubmed: 28 8 2021
medline: 28 8 2021
Statut: epublish

Résumé

Pancreatic cancer (PC) is one of the deadliest malignancies worldwide, since patients rarely display symptoms until an advanced and unresectable stage of the disease. Current chemotherapy options are unsatisfactory and there is an urgent need for more effective and less toxic drugs to improve the dismal PC therapy. Repurposing of non-oncology drugs in PC treatment represents a very promising therapeutic option and different compounds are currently being considered as candidates for repurposing in the treatment of this tumor. In this review, we provide an update on some of the most promising FDA-approved, non-oncology, repurposed drug candidates that show prominent clinical and preclinical data in pancreatic cancer. We also focus on proposed mechanisms of action and known molecular targets that they modulate in PC. Furthermore, we provide an explorative bioinformatic analysis, which suggests that some of the PC repurposed drug candidates have additional, unexplored, oncology-relevant targets. Finally, we discuss recent developments regarding the immunomodulatory role displayed by some of these drugs, which may expand their potential application in synergy with approved anticancer immunomodulatory agents that are mostly ineffective as single agents in PC.

Identifiants

pubmed: 34439102
pii: cancers13163946
doi: 10.3390/cancers13163946
pmc: PMC8394389
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Subventions

Organisme : Ministry of Education, University and Research (MIUR), Progetti di Ricerca di Interesse Nazionale (PRIN)
ID : 2017EKMFTN_005

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Auteurs

Laura De Lellis (L)

Department of Pharmacy, G. d'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy.

Serena Veschi (S)

Department of Pharmacy, G. d'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy.

Nicola Tinari (N)

Department of Medical, Oral and Biotechnological Sciences, G. d'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy.
Center for Advanced Studies and Technology-CAST, G. d'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy.

Zhirajr Mokini (Z)

European Society of Anaesthesiology and Intensive Care (ESAIC) Mentorship Programme, ESAIC, 24 Rue des Comédiens, BE-1000 Brussels, Belgium.

Simone Carradori (S)

Department of Pharmacy, G. d'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy.

Davide Brocco (D)

Department of Pharmacy, G. d'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy.

Rosalba Florio (R)

Department of Pharmacy, G. d'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy.

Antonino Grassadonia (A)

Department of Medical, Oral and Biotechnological Sciences, G. d'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy.
Center for Advanced Studies and Technology-CAST, G. d'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy.

Alessandro Cama (A)

Department of Pharmacy, G. d'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy.
Center for Advanced Studies and Technology-CAST, G. d'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy.

Classifications MeSH