An Innovative Drug Repurposing Approach to Restrain Endometrial Cancer Metastatization

Background: Endometrial cancer (EC) is the most common gynecologic tumor and the world’s fourth most common cancer in women. Most patients respond to first-line treatments and have a low risk of recurrence, but refractory patients, and those with metastatic cancer at diagnosis, remain with no treatm...

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Main Authors: Federica Torricelli, Elisabetta Sauta, Veronica Manicardi, Vincenzo Dario Mandato, Andrea Palicelli, Alessia Ciarrocchi, Gloria Manzotti
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/12/5/794
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author Federica Torricelli
Elisabetta Sauta
Veronica Manicardi
Vincenzo Dario Mandato
Andrea Palicelli
Alessia Ciarrocchi
Gloria Manzotti
author_facet Federica Torricelli
Elisabetta Sauta
Veronica Manicardi
Vincenzo Dario Mandato
Andrea Palicelli
Alessia Ciarrocchi
Gloria Manzotti
author_sort Federica Torricelli
collection DOAJ
description Background: Endometrial cancer (EC) is the most common gynecologic tumor and the world’s fourth most common cancer in women. Most patients respond to first-line treatments and have a low risk of recurrence, but refractory patients, and those with metastatic cancer at diagnosis, remain with no treatment options. Drug repurposing aims to discover new clinical indications for existing drugs with known safety profiles. It provides ready-to-use new therapeutic options for highly aggressive tumors for which standard protocols are ineffective, such as high-risk EC. Methods: Here, we aimed at defining new therapeutic opportunities for high-risk EC using an innovative and integrated computational drug repurposing approach. Results: We compared gene-expression profiles, from publicly available databases, of metastatic and non-metastatic EC patients being metastatization the most severe feature of EC aggressiveness. A comprehensive analysis of transcriptomic data through a two-arm approach was applied to obtain a robust prediction of drug candidates. Conclusions: Some of the identified therapeutic agents are already successfully used in clinical practice to treat other types of tumors. This highlights the potential to repurpose them for EC and, therefore, the reliability of the proposed approach.
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spelling doaj.art-c0fe1a47c2524934a108fc5e7287df972023-11-17T07:28:13ZengMDPI AGCells2073-44092023-03-0112579410.3390/cells12050794An Innovative Drug Repurposing Approach to Restrain Endometrial Cancer MetastatizationFederica Torricelli0Elisabetta Sauta1Veronica Manicardi2Vincenzo Dario Mandato3Andrea Palicelli4Alessia Ciarrocchi5Gloria Manzotti6Laboratory of Translational Research, Azienda USL-IRCCS di Reggio Emilia, Viale Risorgimento 80, 42123 Reggio Emilia, ItalyLaboratory of Translational Research, Azienda USL-IRCCS di Reggio Emilia, Viale Risorgimento 80, 42123 Reggio Emilia, ItalyLaboratory of Translational Research, Azienda USL-IRCCS di Reggio Emilia, Viale Risorgimento 80, 42123 Reggio Emilia, ItalyUnit of Obstetrics and Gynaecology, Azienda USL-IRCCS di Reggio Emilia, 42123 Reggio Emilia, ItalyPathology Unit, Department of Oncology and Advanced Technologies, Azienda USL-IRCCS di Reggio Emilia, 42123 Reggio Emilia, ItalyLaboratory of Translational Research, Azienda USL-IRCCS di Reggio Emilia, Viale Risorgimento 80, 42123 Reggio Emilia, ItalyLaboratory of Translational Research, Azienda USL-IRCCS di Reggio Emilia, Viale Risorgimento 80, 42123 Reggio Emilia, ItalyBackground: Endometrial cancer (EC) is the most common gynecologic tumor and the world’s fourth most common cancer in women. Most patients respond to first-line treatments and have a low risk of recurrence, but refractory patients, and those with metastatic cancer at diagnosis, remain with no treatment options. Drug repurposing aims to discover new clinical indications for existing drugs with known safety profiles. It provides ready-to-use new therapeutic options for highly aggressive tumors for which standard protocols are ineffective, such as high-risk EC. Methods: Here, we aimed at defining new therapeutic opportunities for high-risk EC using an innovative and integrated computational drug repurposing approach. Results: We compared gene-expression profiles, from publicly available databases, of metastatic and non-metastatic EC patients being metastatization the most severe feature of EC aggressiveness. A comprehensive analysis of transcriptomic data through a two-arm approach was applied to obtain a robust prediction of drug candidates. Conclusions: Some of the identified therapeutic agents are already successfully used in clinical practice to treat other types of tumors. This highlights the potential to repurpose them for EC and, therefore, the reliability of the proposed approach.https://www.mdpi.com/2073-4409/12/5/794drug repurposingendometrial cancergene expressionmetastasisPI3K pathway
spellingShingle Federica Torricelli
Elisabetta Sauta
Veronica Manicardi
Vincenzo Dario Mandato
Andrea Palicelli
Alessia Ciarrocchi
Gloria Manzotti
An Innovative Drug Repurposing Approach to Restrain Endometrial Cancer Metastatization
Cells
drug repurposing
endometrial cancer
gene expression
metastasis
PI3K pathway
title An Innovative Drug Repurposing Approach to Restrain Endometrial Cancer Metastatization
title_full An Innovative Drug Repurposing Approach to Restrain Endometrial Cancer Metastatization
title_fullStr An Innovative Drug Repurposing Approach to Restrain Endometrial Cancer Metastatization
title_full_unstemmed An Innovative Drug Repurposing Approach to Restrain Endometrial Cancer Metastatization
title_short An Innovative Drug Repurposing Approach to Restrain Endometrial Cancer Metastatization
title_sort innovative drug repurposing approach to restrain endometrial cancer metastatization
topic drug repurposing
endometrial cancer
gene expression
metastasis
PI3K pathway
url https://www.mdpi.com/2073-4409/12/5/794
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