4.7 Review

Repurposing non-oncology small-molecule drugs to improve cancer therapy: Current situation and future directions

Journal

ACTA PHARMACEUTICA SINICA B
Volume 12, Issue 2, Pages 532-557

Publisher

INST MATERIA MEDICA, CHINESE ACAD MEDICAL SCIENCES
DOI: 10.1016/j.apsb.2021.09.006

Keywords

Drug repurposing; Non-oncology drug; Cancer therapy; Cardiovascular drug; Microbiological drug; Small-molecule antibiotics; Anti-viral drug; Anti-inflammatory drug

Funding

  1. Natural Science Foundation of China [82172649, 81873089, 31970374, 81803365, 81873939]
  2. National Key Research and Development Program of China [2021YFE0203100]
  3. Key R&D Program of Sichuan Province (China) [2021YFS0046]
  4. Applied Basic Research Programs of Science and Technology Department of Sichuan Province (China) [2020YJ028]
  5. Wuhan Edisprings Technology & Culture Co., Ltd. [P-202104271435368589]

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Drug repurposing refers to the use of a drug for treating diseases other than its original indication. Repurposing non-oncology drugs has become an attractive approach in improving cancer therapy, with potential cost and time advantages. This review focuses on summarizing the therapeutic potential of non-oncology drugs in human cancers and discussing their novel targets and signaling pathways.
Drug repurposing or repositioning has been well-known to refer to the therapeutic applications of a drug for another indication other than it was originally approved for. Repurposing non-oncology small-mole-cule drugs has been increasingly becoming an attractive approach to improve cancer therapy, with potentially lower overall costs and shorter timelines. Several non-oncology drugs approved by FDA have been recently reported to treat different types of human cancers, with the aid of some new emerging technologies, such as omics sequencing and artificial intelligence to overcome the bottleneck of drug repurposing. Therefore, in this review, we focus on summarizing the therapeutic potential of non-oncology drugs, including cardiovascular drugs, microbiological drugs, small-molecule antibiotics, anti-viral drugs, anti-inflammatory drugs, anti-neurodegenerative drugs, antipsychotic drugs, antidepressants, and other drugs in human cancers. We also discuss their novel potential targets and relevant signaling pathways of these old non-oncology drugs in cancer therapies. Taken together, these inspiring findings will shed new light on repurposing more non-oncology small-molecule drugs with their intricate molecular mechanisms for future cancer drug discovery.

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