期刊
ONCOLOGY LETTERS
卷 14, 期 3, 页码 2587-2597出版社
SPANDIDOS PUBL LTD
DOI: 10.3892/ol.2017.6569
关键词
itraconazole; malignancy; hedgehog pathway; angiogenesis; drug resistance
类别
资金
- Ovacome, Ovarian Cancer Support Charity
The repurposing of drugs is becoming increasingly attractive as it avoids the lengthy process and cost implications associated with bringing a novel drug to market. Itraconazole is a broad-spectrum anti-fungal agent. An emerging body of in vivo, in vitro and clinical evidence have confirmed that it also possesses antineoplastic activities and has a synergistic action when combined with other chemotherapeutic agents. It acts via several mechanisms to prevent tumour growth, including inhibition of the Hedgehog pathway, prevention of angiogenesis, decreased endothelial cell proliferation, cell cycle arrest and induction of auto-phagocytosis. These allow itraconazole, either alone or in combination with other cytotoxic agents, to increase drug efficacy and overcome drug resistance. This study reviews the reported literature on the use of itraconazole in a variety of malignancies and highlights the recent insights into the critical pathways acted upon to prevent tumour growth.
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