The magic bullet: Niclosamide

The term ‘magic bullet’ is a scientific concept proposed by the German Nobel laureate Paul Ehrlich in 1907, describing a medicine that could specifically and efficiently target a disease without harming the body. Oncologists have been looking for a magic bullet for cancer therapy ever since. However...

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Main Authors: Haowen Jiang, Albert M. Li, Jiangbin Ye
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.1004978/full
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author Haowen Jiang
Albert M. Li
Albert M. Li
Jiangbin Ye
Jiangbin Ye
Jiangbin Ye
author_facet Haowen Jiang
Albert M. Li
Albert M. Li
Jiangbin Ye
Jiangbin Ye
Jiangbin Ye
author_sort Haowen Jiang
collection DOAJ
description The term ‘magic bullet’ is a scientific concept proposed by the German Nobel laureate Paul Ehrlich in 1907, describing a medicine that could specifically and efficiently target a disease without harming the body. Oncologists have been looking for a magic bullet for cancer therapy ever since. However, the current therapies for cancers—including chemotherapy, radiation therapy, hormone therapy, and targeted therapy—pose either pan-cytotoxicity or only single-target efficacy, precluding their ability to function as a magic bullet. Intriguingly, niclosamide, an FDA-approved drug for treating tapeworm infections with an excellent safety profile, displays broad anti-cancer activity in a variety of contexts. In particular, niclosamide inhibits multiple oncogenic pathways such as Wnt/β-catenin, Ras, Stat3, Notch, E2F-Myc, NF-κB, and mTOR and activates tumor suppressor signaling pathways such as p53, PP2A, and AMPK. Moreover, niclosamide potentially improves immunotherapy by modulating pathways such as PD-1/PDL-1. We recently discovered that niclosamide ethanolamine (NEN) reprograms cellular metabolism through its uncoupler function, consequently remodeling the cellular epigenetic landscape to promote differentiation. Inspired by the promising results from the pre-clinical studies, several clinical trials are ongoing to assess the therapeutic effect of niclosamide in cancer patients. This current review summarizes the functions, mechanism of action, and potential applications of niclosamide in cancer therapy as a magic bullet.
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spelling doaj.art-185f2d556b834ac4add12e56e9990e042022-12-22T03:42:10ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-11-011210.3389/fonc.2022.10049781004978The magic bullet: NiclosamideHaowen Jiang0Albert M. Li1Albert M. Li2Jiangbin Ye3Jiangbin Ye4Jiangbin Ye5Department of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, United StatesDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, United StatesCancer Biology Program, Stanford University School of Medicine, Stanford, CA, United StatesDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, United StatesCancer Biology Program, Stanford University School of Medicine, Stanford, CA, United StatesStanford Cancer Institute, Stanford University School of Medicine, Stanford, CA, United StatesThe term ‘magic bullet’ is a scientific concept proposed by the German Nobel laureate Paul Ehrlich in 1907, describing a medicine that could specifically and efficiently target a disease without harming the body. Oncologists have been looking for a magic bullet for cancer therapy ever since. However, the current therapies for cancers—including chemotherapy, radiation therapy, hormone therapy, and targeted therapy—pose either pan-cytotoxicity or only single-target efficacy, precluding their ability to function as a magic bullet. Intriguingly, niclosamide, an FDA-approved drug for treating tapeworm infections with an excellent safety profile, displays broad anti-cancer activity in a variety of contexts. In particular, niclosamide inhibits multiple oncogenic pathways such as Wnt/β-catenin, Ras, Stat3, Notch, E2F-Myc, NF-κB, and mTOR and activates tumor suppressor signaling pathways such as p53, PP2A, and AMPK. Moreover, niclosamide potentially improves immunotherapy by modulating pathways such as PD-1/PDL-1. We recently discovered that niclosamide ethanolamine (NEN) reprograms cellular metabolism through its uncoupler function, consequently remodeling the cellular epigenetic landscape to promote differentiation. Inspired by the promising results from the pre-clinical studies, several clinical trials are ongoing to assess the therapeutic effect of niclosamide in cancer patients. This current review summarizes the functions, mechanism of action, and potential applications of niclosamide in cancer therapy as a magic bullet.https://www.frontiersin.org/articles/10.3389/fonc.2022.1004978/fullniclosamidemitochondrial uncouplermetabolismepigeneticsanti-tumor effectoncogenic pathways
spellingShingle Haowen Jiang
Albert M. Li
Albert M. Li
Jiangbin Ye
Jiangbin Ye
Jiangbin Ye
The magic bullet: Niclosamide
Frontiers in Oncology
niclosamide
mitochondrial uncoupler
metabolism
epigenetics
anti-tumor effect
oncogenic pathways
title The magic bullet: Niclosamide
title_full The magic bullet: Niclosamide
title_fullStr The magic bullet: Niclosamide
title_full_unstemmed The magic bullet: Niclosamide
title_short The magic bullet: Niclosamide
title_sort magic bullet niclosamide
topic niclosamide
mitochondrial uncoupler
metabolism
epigenetics
anti-tumor effect
oncogenic pathways
url https://www.frontiersin.org/articles/10.3389/fonc.2022.1004978/full
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