Repurposing of Various Current Medicines as Radioprotective Agents

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BACKGROUND: The side effects of ionising radiation include skin changes, dry mouth, hair loss, low blood count, and the mutagenic effect on normal cells when utilized in radiotherapy for cancer treatment. These radiations can cause damage to the cell membrane, lipids, proteins, and DNA and generate free radicals. Evidence reports stated that radiotherapy accounts for 17-19% of secondary malignancies, labelling this treatment option a double-edged sword.

OBJECTIVE: Radioprotective molecules are used for mitigating radiotherapy's side effects. These agents show free radical scavenging, antioxidant, collagen synthesis inhibition, protease inhibition, immune stimulation, increased cytokine production, electron transfer, and toxicity reduction properties. The most frequently used amifostine has an array of cancer applications, showing multitarget action as nephroprotective to cisplatin and reducing the chances of xerostomia. Many other agents, such as metformin, edaravone, mercaptopropionylglycine, in specific diseases, such as diabetes, cerebral infarction, cystinuria, have shown radioprotective action. This article will discuss potentially repurposed radioprotectors that can be used in the clinical setting, along with a brief discussion on specific synthetic agents like amifostine and PrC-210.

METHODS: Rigorous literature search using various electronic databases, such as PubMed, ScienceDirect, Scopus, EMBASE, Bentham Science, Cochrane Library, etc., was made. Peer-review research and review papers were selected, studied, reviewed, and analysed.

CONCLUSION: Safety and risk-free treatment can be guaranteed with the repurposed agents. Agents like metformin, captopril, nifedipine, simvastatin, and various others have shown potent radioprotective action in various studies. This review compiled repurposed synthetic radioprotective agents.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

Anti-cancer agents in medicinal chemistry - 23(2023), 10 vom: 23., Seite 1104-1121

Sprache:

Englisch

Beteiligte Personen:

Kaur, Rajwinder [VerfasserIn]
Lang, Damanpreet Kaur [VerfasserIn]
Singh, Harwinder [VerfasserIn]
Arora, Arpita [VerfasserIn]
Garg, Nikhil [VerfasserIn]
Saini, Balraj [VerfasserIn]

Links:

Volltext

Themen:

Amifostine
Free radicals
Journal Article
M487QF2F4V
PrC-210
Radiation
Radiation-Protective Agents
Radioprotective agents
Radiotherapy
Repurposed drugs
Review

Anmerkungen:

Date Completed 06.06.2023

Date Revised 12.06.2023

published: Print

Citation Status MEDLINE

doi:

10.2174/1871520622666220404090049

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM339089741