Drug Repurposing: The Mechanisms and Signaling Pathways of Anti-Cancer Effects of Anesthetics
Abstract
Cancer is one of the leading causes of death worldwide. There are only limited treatment strategies that can be applied to treat cancer, including surgical resection, chemotherapy, and radiotherapy, but these have only limited effectiveness. Developing a new drug for cancer therapy is protracted, costly, and inefficient. Recently, drug repurposing has become a rising research field to provide new meaning for an old drug. By searching a drug repurposing database ReDO_DB, a brief list of anesthetic/sedative drugs, such as haloperidol, ketamine, lidocaine, midazolam, propofol, and valproic acid, are shown to possess anti-cancer properties. Therefore, in the current review, we will provide a general overview of the anti-cancer mechanisms of these anesthetic/sedative drugs and explore the potential underlying signaling pathways and clinical application of these drugs applied individually or in combination with other anti-cancer agents.
Anesthetic drugs and anesthetic technique may affect cancer recurrence and metastasis after surgery.
Cancer surgery: how may anesthesia influence outcome?
Outcomes of cancer surgery after inhalational and intravenous anesthesia: a systematic review
Long-term Survival for Patients Undergoing Volatile versus IV Anesthesia for Cancer Surgery: A Retrospective Analysis
Surgery for cancer: does anesthesia matter?
The effect of neuraxial anesthesia on cancer recurrence and survival after cancer surgery: an updated meta-analysis
Can anesthesia influence cancer outcomes after surgery?
Anesthesia in patients with cancer disorders
Impact of anesthesia for cancer surgery: continuing professional development
Long-term prognosis after cancer surgery with inhalational anesthesia and total intravenous anesthesia: a systematic review and meta-analysis
Anesthesia and cancer recurrences: The current knowledge and evidence
Anesthesia and cancer recurrence: context for divergent study outcomes
Repositioning lidocaine as an anticancer drug: the role beyond anesthesia
Local anesthetic lidocaine and cancer: insight into tumor progression and recurrence
The amide local anesthetic lidocaine in cancer surgery—potential antimetastatic effects and preservation of immune cell function
Antitumor effects of lidocaine on human breast cancer cells
Anti-tumor effects of lidocaine on human gastric cancer cells
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