Drug repurposing to overcome resistance to various therapies for colorectal cancer

W Fong, KKW To - Cellular and molecular life sciences, 2019 - Springer
W Fong, KKW To
Cellular and molecular life sciences, 2019Springer
Emergence of novel treatment modalities provides effective therapeutic options, apart from
conventional cytotoxic chemotherapy, to fight against colorectal cancer. Unfortunately, drug
resistance remains a huge challenge in clinics, leading to invariable occurrence of disease
progression after treatment initiation. While novel drug development is unfavorable in terms
of time frame and costs, drug repurposing is one of the promising strategies to combat
resistance. This approach refers to the application of clinically available drugs to treat a …
Abstract
Emergence of novel treatment modalities provides effective therapeutic options, apart from conventional cytotoxic chemotherapy, to fight against colorectal cancer. Unfortunately, drug resistance remains a huge challenge in clinics, leading to invariable occurrence of disease progression after treatment initiation. While novel drug development is unfavorable in terms of time frame and costs, drug repurposing is one of the promising strategies to combat resistance. This approach refers to the application of clinically available drugs to treat a different disease. With the well-established safety profile and optimal dosing of these approved drugs, their combination with current cancer therapy is suggested to provide an economical, safe and efficacious approach to overcome drug resistance and prolong patient survival. Here, we review both preclinical and clinical efficacy, as well as cellular mechanisms, of some extensively studied repurposed drugs, including non-steroidal anti-inflammatory drugs, statins, metformin, chloroquine, disulfiram, niclosamide, zoledronic acid and angiotensin receptor blockers. The three major treatment modalities in the management of colorectal cancer, namely classical cytotoxic chemotherapy, molecular targeted therapy and immunotherapy, are covered in this review.
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