Repurposing quinacrine for treatment-refractory cancer

Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved..

Quinacrine, also known as mepacrine, has originally been used as an antimalarial drug for close to a century, but was recently rediscovered as an anticancer agent. The mechanisms of anticancer effects of quinacrine are not well understood. The anticancer potential of quinacrine was discovered in a screen for small molecule activators of p53, and was specifically shown to inhibit NFκB suppression of p53. However, quinacrine can cause cell death in cells that lack p53 or have p53 mutations, which is a common occurrence in many malignant tumors including high grade serous ovarian cancer. Recent reports suggest quinacrine may inhibit cancer cell growth through multiple mechanisms including regulating autophagy, FACT (facilitates chromatin transcription) chromatin trapping, and the DNA repair process. Additional reports also suggest quinacrine is effective against chemoresistant gynecologic cancer. In this review, we discuss anticancer effects of quinacrine and potential mechanisms of action with a specific focus on gynecologic and breast cancer where treatment-refractory tumors are associated with increased mortality rates. Repurposing quinacrine as an anticancer agent appears to be a promising strategy based on its ability to target multiple pathways, its selectivity against cancer cells, and the synergistic cytotoxicity when combined with other anticancer agents with limited side effects and good tolerability profile.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:68

Enthalten in:

Seminars in cancer biology - 68(2021) vom: 30. Jan., Seite 21-30

Sprache:

Englisch

Beteiligte Personen:

Oien, Derek B [VerfasserIn]
Pathoulas, Christopher L [VerfasserIn]
Ray, Upasana [VerfasserIn]
Thirusangu, Prabhu [VerfasserIn]
Kalogera, Eleftheria [VerfasserIn]
Shridhar, Viji [VerfasserIn]

Links:

Volltext

Themen:

Antimalarials
Antineoplastic Agents
Breast cancer
Drug repurposing
Endometrial cancer
H0C805XYDE
Journal Article
Ovarian cancer
Quinacrine
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Review

Anmerkungen:

Date Completed 28.02.2022

Date Revised 28.02.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.semcancer.2019.09.021

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM301705720