The Importance of Gender-Related Anticancer Research on Mitochondrial Regulator Sodium Dichloroacetate in Preclinical Studies In Vivo

Sodium dichloroacetate (DCA) is an investigational medicinal product which has a potential anticancer preparation as a metabolic regulator in cancer cells’ mitochondria. Inhibition of pyruvate dehydrogenase kinases by DCA keeps the pyruvate dehydrogenase complex in the active form, resulti...

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Main Authors: Donatas Stakišaitis, Milda Juknevičienė, Eligija Damanskienė, Angelija Valančiūtė, Ingrida Balnytė, Marta Maria Alonso
Format: Article
Language:English
Published: MDPI AG 2019-08-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/11/8/1210
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author Donatas Stakišaitis
Milda Juknevičienė
Eligija Damanskienė
Angelija Valančiūtė
Ingrida Balnytė
Marta Maria Alonso
author_facet Donatas Stakišaitis
Milda Juknevičienė
Eligija Damanskienė
Angelija Valančiūtė
Ingrida Balnytė
Marta Maria Alonso
author_sort Donatas Stakišaitis
collection DOAJ
description Sodium dichloroacetate (DCA) is an investigational medicinal product which has a potential anticancer preparation as a metabolic regulator in cancer cells&#8217; mitochondria. Inhibition of pyruvate dehydrogenase kinases by DCA keeps the pyruvate dehydrogenase complex in the active form, resulting in decreased lactic acid in the tumor microenvironment. This literature review displays the preclinical research data on DCA&#8217;s effects on the cell pyruvate dehydrogenase deficiency, pyruvate mitochondrial oxidative phosphorylation, reactive oxygen species generation, and the Na<sup>+</sup>&#8722;K<sup>+</sup>&#8722;2Cl<sup>&#8722;</sup> cotransporter expression regulation in relation to gender. It presents DCA pharmacokinetics and the hepatocarcinogenic effect, and the safety data covers the DCA monotherapy efficacy for various human cancer xenografts in vivo in male and female animals. Preclinical cancer researchers report the synergistic effects of DCA combined with different drugs on cancer by reversing resistance to chemotherapy and promoting cell apoptosis. Researchers note that female and male animals differ in the mechanisms of cancerogenesis but often ignore studying DCA&#8217;s effects in relation to gender. Preclinical gender-related differences in DCA pharmacology, pharmacological mechanisms, and the elucidation of treatment efficacy in gonad hormone dependency could be relevant for individualized therapy approaches so that gender-related differences in treatment response and safety can be proposed.
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spelling doaj.art-8ac7c63f43cc47aaabc621bbec9b2ac32023-09-03T02:53:11ZengMDPI AGCancers2072-66942019-08-01118121010.3390/cancers11081210cancers11081210The Importance of Gender-Related Anticancer Research on Mitochondrial Regulator Sodium Dichloroacetate in Preclinical Studies In VivoDonatas Stakišaitis0Milda Juknevičienė1Eligija Damanskienė2Angelija Valančiūtė3Ingrida Balnytė4Marta Maria Alonso5Laboratory of Molecular Oncology, National Cancer Institute, 08660 Vilnius, LithuaniaDepartment of Histology and Embryology, Medical Academy, Lithuanian University of Health Sciences, 44307 Kaunas, LithuaniaDepartment of Histology and Embryology, Medical Academy, Lithuanian University of Health Sciences, 44307 Kaunas, LithuaniaDepartment of Histology and Embryology, Medical Academy, Lithuanian University of Health Sciences, 44307 Kaunas, LithuaniaDepartment of Histology and Embryology, Medical Academy, Lithuanian University of Health Sciences, 44307 Kaunas, LithuaniaDepartment of Pediatrics, Clínica Universidad de Navarra, University of Navarra, 55 Pamplona, SpainSodium dichloroacetate (DCA) is an investigational medicinal product which has a potential anticancer preparation as a metabolic regulator in cancer cells&#8217; mitochondria. Inhibition of pyruvate dehydrogenase kinases by DCA keeps the pyruvate dehydrogenase complex in the active form, resulting in decreased lactic acid in the tumor microenvironment. This literature review displays the preclinical research data on DCA&#8217;s effects on the cell pyruvate dehydrogenase deficiency, pyruvate mitochondrial oxidative phosphorylation, reactive oxygen species generation, and the Na<sup>+</sup>&#8722;K<sup>+</sup>&#8722;2Cl<sup>&#8722;</sup> cotransporter expression regulation in relation to gender. It presents DCA pharmacokinetics and the hepatocarcinogenic effect, and the safety data covers the DCA monotherapy efficacy for various human cancer xenografts in vivo in male and female animals. Preclinical cancer researchers report the synergistic effects of DCA combined with different drugs on cancer by reversing resistance to chemotherapy and promoting cell apoptosis. Researchers note that female and male animals differ in the mechanisms of cancerogenesis but often ignore studying DCA&#8217;s effects in relation to gender. Preclinical gender-related differences in DCA pharmacology, pharmacological mechanisms, and the elucidation of treatment efficacy in gonad hormone dependency could be relevant for individualized therapy approaches so that gender-related differences in treatment response and safety can be proposed.https://www.mdpi.com/2072-6694/11/8/1210sodium dichloroacetatecancerpreclinical researchgender differences
spellingShingle Donatas Stakišaitis
Milda Juknevičienė
Eligija Damanskienė
Angelija Valančiūtė
Ingrida Balnytė
Marta Maria Alonso
The Importance of Gender-Related Anticancer Research on Mitochondrial Regulator Sodium Dichloroacetate in Preclinical Studies In Vivo
Cancers
sodium dichloroacetate
cancer
preclinical research
gender differences
title The Importance of Gender-Related Anticancer Research on Mitochondrial Regulator Sodium Dichloroacetate in Preclinical Studies In Vivo
title_full The Importance of Gender-Related Anticancer Research on Mitochondrial Regulator Sodium Dichloroacetate in Preclinical Studies In Vivo
title_fullStr The Importance of Gender-Related Anticancer Research on Mitochondrial Regulator Sodium Dichloroacetate in Preclinical Studies In Vivo
title_full_unstemmed The Importance of Gender-Related Anticancer Research on Mitochondrial Regulator Sodium Dichloroacetate in Preclinical Studies In Vivo
title_short The Importance of Gender-Related Anticancer Research on Mitochondrial Regulator Sodium Dichloroacetate in Preclinical Studies In Vivo
title_sort importance of gender related anticancer research on mitochondrial regulator sodium dichloroacetate in preclinical studies in vivo
topic sodium dichloroacetate
cancer
preclinical research
gender differences
url https://www.mdpi.com/2072-6694/11/8/1210
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