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Table 2 Antibiotics, antifungals, antimalarial, anti-inflammatory as potential drug candidate against cancer

From: Repurposing approved non-oncology drugs for cancer therapy: a comprehensive review of mechanisms, efficacy, and clinical prospects

Class of Drug

Name of drug

Structure

Type of cancer to be used

Mechanism

Refs.

Antibiotics

Sulfisoxazole

Breast cancer

Interfering with endothelin receptor A to stop breast cancer cells from exuding tiny extracellular vesicles

[154]

Azithromycin

Colon cancer

↑TNF-α-related apoptosis

↑TRAIL

↑DR4/5

↓Autophagy

[155]

Doxycycline

Osteosarcoma, prostate carcinoma, myeloid and colon cancer

In myeloid and colon cancer, it prevents permeation by lowering MMP-2 and MMP-9

[166]

Anthracycline

Endometrial, breast, bladder, hepatic, thyroid, and pulmonary malignancies

Attaches to DNA, causing it to get alkylated, which stops the cell cycle

[182]

Antifungals

Itraconazole

Non-small cell lung cancer

By eliminating lipids from the plasma membrane, it decreases AKT1 activity, which inhibits its downstream target mTOR, resulting in mortality and growth slowering

[188]

Rapamycin

Breast cancer

It promotes intracellular autophagy and boosts the function of Atg7 and DAPK via transcriptional activation

[196]

Griseofulvin

Colorectal and cervical cancers

Affects microtubule assembly in MCF-7 cells, causing programmed cell death

↑Cell cycle arrest

[199,200,201]

Clotrimazole

Breast, colon and pulmonary cancer

Blockes actin polymerization and activates glycolytic inflow

[203]

Ciclopirox

Breast, colorectal cancer rhabdomyosarcoma

↓CDC–CDK,

↓Bcl-XL

↑Caspase-dependent cascade causing apoptotic cell death

[208, 209]

Nannocystin A

Colorectal and breast cancer cells

Target eukaryotic elongation factor 1 in proteome investigations

[213, 214]

NSAIDS drugs

Aspirin

Hepatocellular carcinoma

Affects P4HA2 by suppressing NF-κB and LMCD1-AS1/let-7g of Aspirin prevents tumour growth and accumulation of collagen

[313, 314]

Ibuprofen

Adenocarcinoma

Modulates the expression levels of cancer-related genes Akt, P53, PCNA, Bax, and Bcl2

[228]

Naproxen

bladder carcinoma

↑Cell arrest

↑Cancer cells death

↑PI3K

[233]

Diclofenac

Ovarian cancer

↑Apoptotic cell death

↓SOD2

↓Proportion of free radicals

[243, 244]

Celecoxib

Bladder cancer

Blocks epithelial-to-mesenchymal transformation

↓miRNA-145/TGFBR2/Smad3 axis

[250]

Indomethacin

Colon cancer

↓Cancer cell proliferation

↓PKC-p38-DRP1

↓Wnt/-βcatenin signalling, to effectively target MAPK mechanisms

[259, 263]

Thiocolchicoside

Leukaemia, lymphoma, and squamous cell carcinoma

Blocks the receptor stimulator NF-kB ligand

↓NF-kB signalling cascade

↓Cancer-induced bone metastasis

[308, 309]

Artemisinin

Breast cancer

Deactivates cancer-related fibroblasts and decreases CAFs mediating growth and metastases by suppressing TGF-β signalling

[315]

Artesunate

Hepatocellular carcinoma

↑Pro-apoptotic proteins

↑caspases

↓MYC oncogene

↓Anti-apoptotic proteins

[272, 273]

Dihydroartemisinin

Ovarian cancer

↓Cancer cell development

↓Metastases by addressing the platelet-derived growth factor receptor-alpha (PDGFR)

[316]

Mebendazole

Melanoma

↑Apoptotic cell death

↑Caspases

↑Bcl-2

↓Repressor of apoptosis X-linked blocker of apoptosis (XIAP)

[71, 72]

Chloroquine

Metastatic tumors

Par-4-dependent suppression, mediates p53- and Rab8b-based Par-4 production to promote tumour cell death

[279]

Pyrimethamine

Non-small cell lung cancer

↓EMT

↓Invasion

↓Cancer cells growth, ↓Metastases by interacting with dihydrofolate reductase and thymidine phosphorylase

[96, 97]

Quinacrine

Renal cancer

Facilitates chromatin transcription (FACT) protein complex, which seems to be trapped on chromatin and induces CK2-induced phosphorylation of p53, responsible for quinacrine-mediated p53 transcription

[299, 300]

  1. Symbols: symbols: ↑increase, ↓decrease
  2. EMT epithelial-to-mesenchymal transition, Erk ½ extracellular signal-regulated kinase 1/2, HDACs histone deacetylase inhibitors, M Phase mitosis, m RNA messenger ribonucleic acid, MAPK mitogen-activated protein kinase, MCF-7 michigan cancer foundation-7, miRNA microRNAs, MMP-2 matrix metalloproteinases-2, MYC master regulator of cell cycle entry and proliferative metabolism, NF-kB nuclear factor kappa-light-chain-enhancer of activated B cells, P4HA2 collagen prolyl-4-hydroxylase α subunit 2, PARP poly ADP ribose polymerase, PCNA proliferating cell nuclear antigen, PDGFR platelet-derived growth factors, PI3K phosphoinositide 3-kinases, ROS reactive oxygen species, SOD2 superoxide dismutase 2, STAT-3 signal transducer and activator of transcription 3, TGFBR2 transforming growth factor-beta, TRAIL TNF-related apoptosis-inducing ligand, VEGF vascular endothelial growth factor, XIAP X-linked inhibitor of apoptosis protein, YAP1 yes-associated protein 1