In vitro anticancer activity of fluphenazine, perphenazine and prochlorperazine. A review

© 2020 John Wiley & Sons, Ltd..

Drug repositioning is an approach that could accelerate the clinical use of compounds in different diseases. The goal is to take advantage of the fact that approved drugs have been tested on humans and detailed information is available on their pharmacology, toxicity and formulation. It can significantly reduce the costs and time needed to implement necessary therapies on the market. In recent years, phenothiazines are being tested for cancer, viral, bacterial, fungal and other diseases. Most research focuses on chlorpromazine as a model drug in this class, but other drugs such as fluphenazine, perphenazine and prochlorperazine have been proven to inhibit the viability of different cancer cell lines. In this study, we performed an extensive literature search to find and summarize all papers on the chosen phenothiazines and their potential in treating different types of cancerin vitro for further animal/clinical trials. Fluphenazine, perphenazine and prochlorperazine possess anticancer activity towards different types of human cancer. The antitumor activity is mainly mediated by an effect of the drugs on the cell cycle, proliferation or apoptosis. Possible molecular targets of phenothiazine derivatives are the drug's efflux pumps (ABCB1 and P-glycoprotein) and two parallel pathways (AKT and Wnt) regulated by the D2 receptor antagonists. The drugs have the potential to reduce the viability of human cancer cell lines, fragment the DNA, stimulate apoptosis, inhibit cell migration and invasiveness as well as impair the production of reactive oxygen species. In addition, due to the sedative and antiemetic properties antipsychotics can be used as an adjuvant for the treatment of chemotherapy side effects.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:41

Enthalten in:

Journal of applied toxicology : JAT - 41(2021), 1 vom: 14. Jan., Seite 82-94

Sprache:

Englisch

Beteiligte Personen:

Otręba, Michał [VerfasserIn]
Kośmider, Leon [VerfasserIn]

Links:

Volltext

Themen:

Anticancer activity
Antineoplastic Agents
Antipsychotic Agents
Dopamine Antagonists
FTA7XXY4EZ
Fluphenazine
Journal Article
Neuroleptic drugs
Perphenazine
Prochlorperazine
Review
S79426A41Z
YHP6YLT61T

Anmerkungen:

Date Completed 06.12.2021

Date Revised 14.12.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/jat.4046

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM314253955