ivermectin cancer study
Several studies have confirmed that IVM could reverse drug resistance by inhibiting P-gp and MDR-associated proteins [[101], [102], [103]]. Therapeutic strategies of drug repositioning targeting autophagy to induce cancer cell death: from pathophysiology to treatment. Therefore, this review summarized the latest findings on the anticancer effect of IVM and discussed the mechanism of the inhibition of tumor proliferation and the way that IVM induces tumor programmed cell death to provide a theoretical basis for the use of IVM as a potential anticancer drug. Avermectin family drugs such as selamectin [36,41,113], and doramectin [114] also have anticancer effects, as previously reported. The excessive activation of PAK1 is involved in the formation, development, and invasion of various cancers [ Juarez M., Schcolnik-Cabrera A., Duenas-Gonzalez A. Targeting PAK1 is a novel and promising method for cancer treatment, and the development of PAK1 inhibitors has attracted widespread attention [111]. It was based on a very small flawed 2002 study mentioned in a 2011 study. Cancer statistics, 2019. Caly L., Druce J.D., Catton M.G., Jans D.A., Wagstaff K.M. A clinical trial of 476 patients found ivermectin didn't improve the recovery time in patients who had COVID-19. Ivermectin has been used off-label widely since the original in vitro study by Caly et al. Downregulation of Spry2 by miR-21 triggers malignancy in human gliomas. Therefore, continued study and testing of safe and effective combination drug therapies is essential to maximize the anticancer effects of IVM. Dominguez-Gomez G., Chavez-Blanco A., Medina-Franco J.L., Saldivar-Gonzalez F., Flores-Torrontegui Y., Juarez M., Diaz-Chavez J., Gonzalez-Fierro A., Duenas-Gonzalez A. Ivermectin as an inhibitor of cancer stemlike cells. Deepak K.G.K., Vempati R., Nagaraju G.P., Dasari V.R., N. S, Rao D.N., Malla R.R. Lespine A., Dupuy J., Orlowski S., Nagy T., Glavinas H., Krajcsi P., Alvinerie M. Interaction of ivermectin with multidrug resistance proteins (MRP1, 2 and 3). In research to screen potential targets for the treatment of ovarian cancer through the use of an shRNA library and a CRISPR/Cas9 library, the oncogene KPNB1 was detected. A drug screening study of TNBC showed that IVM could be used as a SIN3-interaction domain (SID) mimic to selectively block the interaction between SID and paired a-helix2. Glioma is the most common cerebral tumor and approximately 100,000 people worldwide are diagnosed with glioma every year. Executive Summary. Antoszczak M., Markowska A., Markowska J., Huczynski A. In humans, the FDA has approved ivermectin to treat infections caused by some parasitic worms and, topically, for head lice and the skin disorder rosacea. Marino G., Niso-Santano M., Baehrecke E.H., Kroemer G. Self-consumption: the interplay of autophagy and apoptosis. The Panel reviewed other clinical studies of IVM for the treatment of COVID-19. In gliomas, miR-21 can regulate the Ras/MAPK signaling pathway and enhance its effects on proliferation and invasion [65]. For some older drugs that are widely used for their original indications and have clinical data and safety information, drug repositioning allows them to be developed via a cheaper and faster cycle and to be used more effectively in clinical use clinically [29]. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. Dr. Mercola encourages you to make your own health care decisions based upon your research and in partnership with a qualified health care professional. WASHINGTON Ivermectin, a controversial drug used commonly as a horse dewormer as well as a treatment for parasitic infections in humans, could be capable of treating COVID-19 patients and potentially ending the pandemic, some scientists claim.The team of researchers, including three U.S. government senior scientists, are calling for governments around the world to start treating . Ivermectin can turn "cold" breast tumors "hot" We studied the effects of ivermectin in vivo using the 4T1 mouse model of TNBC. Moufarrij S., Dandapani M., Arthofer E., Gomez S., Srivastava A., Lopez-Acevedo M., Villagra A., Chiappinelli K.B. Importantly, IVM is an established drug used for the treatment of parasitic diseases such as river blindness and elephantiasis. Udensi U.K., Fagbenro-Beyioku A.F. Over 25 Years of Clinical Experience With Ivermectin: An Overview of Safety for an Increasing Number of Indications. In a study that screened drugs for the treatment of nasopharyngeal cancer, IVM significantly inhibited the development of nasopharyngeal carcinoma in nude mice at doses that were not toxic to normal thymocytes [69]. 4), but there is no specific evidence to prove this speculation. Methods We used two solid tumor cell lines (HCT-8 colorectal cancer cells and MCF-7 . ). Cervical cancer is one of the most common gynecological malignancies, resulting in approximately 530,000 new cases and 270,000 deaths worldwide each year. (4) IVM can enhance the sensitivity of chemotherapeutic drugs and reduce the production of resistance. In addition, characteristic pyroptosis phenomena such as cell swelling and rupturing were observed. Nagata S. Apoptosis and Clearance of Apoptotic Cells. In recent years, many new chemotherapeutic drugs have entered the clinic, but tumor cells are prone to drug resistance and obvious adverse reactions to these drugs. In addition, IVM shows potential for clinical application in asthma [20] and neurological diseases [21]. Overall, IVM can induce autophagy through PAK1/Akt/mTOR pathway to represses the growth of cancer cells independent of apoptosis. Ivermectin: a potent new antiparasitic agent. In healthy volunteers, the dose was increased to 2 mg/Kg, and no serious adverse reactions were found, while tests in animals such as mice, rats, and rabbits found that the median lethal dose (LD50) of IVM was 10-50 mg/Kg [112] In addition, IVM has also been proven to show good permeability in tumor tissues [50]. Galluzzi L., Pietrocola F., Bravo-San Pedro J.M., Amaravadi R.K., Baehrecke E.H., Cecconi F., Codogno P., Debnath J., Gewirtz D.A., Karantza V., Kimmelman A., Kumar S., Levine B., Maiuri M.C., Martin S.J., Penninger J., Piacentini M., Rubinsztein D.C., Simon H.U., Simonsen A., Thorburn A.M., Velasco G., Ryan K.M., Kroemer G. Autophagy in malignant transformation and cancer progression. (Ub:Ubiquitination, P:Phosphorylation). In short, the relationship between IVM-induced apoptosis and autophagy involves a complex regulatory mechanism, and the specific molecular mechanism needs further study. Today, ivermectin is being increasingly used worldwide to combat other diseases in humans, such as Strongyloidiasis (which infects some 35 million each year), scabies (which causes 300 million cases annually), Pediculosis, Gnathostomiasis and Myiasisand new and promising properties and uses for ivermectin and other avermectin derivatives are . What this study does and does not show. Cancer cells exposure to IVM can be induced to generate ROS generation and reduce membrane potential of mitochondria. Views. Ivermectin neither reduced hospital admissions for worsening COVID-19 nor shortened the time that infected patients spent in the emergency room, according to data from a large randomized . Safety and mosquitocidal efficacy of high-dose ivermectin when co-administered with dihydroartemisinin-piperaquine in Kenyan adults with uncomplicated malaria (IVERMAL): a randomised, double-blind, placebo-controlled trial. You may notice problems with The objective of this study was to evaluate the influence of ivermectin on CRC using CRC cell lines SW480 and SW1116. Deng found that IVM could activate the nuclear translocation of TFE3 and induce autophagy-dependent cell death by dephosphorylation of TFE3 (Ser321) in SK-MEL-28 melanoma cells [74]. It . Therefore, combination therapy is the most common method of chemotherapy. The presence of the mitochondrial fuel acetyl-L-carnitine (ALCAR), and the antioxidant N-acetyl-L-cysteine (NAC), could reverse IVM-induced inhibition. Nishio found that IVM could significantly inhibit the proliferation of H1299 lung cancer cells by inhibiting YAP1 activity [43]. In a study by Hashimoto, it found that IVM inhibited the proliferation of various ovarian cancer cell lines, and the mechanism was related to the inhibition of PAK1 kinase [58]. However, to date, no exact target for IVM action has been found. Niazi M., Zakeri-Milani P., Najafi Hajivar S., Soleymani Goloujeh M., Ghobakhlou N., Shahbazi Mojarrad J., Valizadeh H. Nano-based strategies to overcome p-glycoprotein-mediated drug resistance. Zhu M., Li Y., Zhou Z. Nambara S., Masuda T., Nishio M., Kuramitsu S., Tobo T., Ogawa Y., Hu Q., Iguchi T., Kuroda Y., Ito S., Eguchi H., Sugimachi K., Saeki H., Oki E., Maehara Y., Suzuki A., Mimori K. Antitumor effects of the antiparasitic agent ivermectin via inhibition of Yes-associated protein 1 expression in gastric cancer. Effects of ivermectin on blood-feeding Phlebotomus papatasi, and the promastigote stage of Leishmania major. This study to examine ivermectin, as well as a few other current medications to gauge their effectiveness against COVID-19, goes by the name of ACTIV-6. The study group included adult patients from 12 cities throughout Brazil, where ivermectin has been widely embraced and utilized since the early months of the pandemic. P2X4 receptors (P2X4Rs) represent a novel target for the development of drugs to prevent and/or treat alcohol use disorders. Abstract. ATP binding transport family-mediated drug efflux and overexpression of P-glycoprotein (P-gp) are widely considered to be the main causes of tumor MDR [[98], [99], [100]]. Ravegnini G., Sammarini G., Nannini M., Pantaleo M.A., Biasco G., Hrelia P., Angelini S. Gastrointestinal stromal tumors (GIST): Facing cell death between autophagy and apoptosis. Lespine A., Martin S., Dupuy J., Roulet A., Pineau T., Orlowski S., Alvinerie M. Interaction of macrocyclic lactones with P-glycoprotein: structure-affinity relationship. The DDX23 helicase activity affects the expression of miR-12 [66]. 2 Two studied the effects of intensive physical treatment plus selenium or placebo in preventing AIE's, and two studied the effects of Ivermectin, Diethylcarbamazine (DEC) (anti-filarial agents) and penicillin as prophylactic treatment for adeno lymphangitis(ADL) versus placebo.Both selenium trials reported no inflammatory episodes during the . JAMA Internal Medicine February 18, 2022. Pancreatic cancer is an aggressive cancer characterized by high mortality and poor prognosis with survival of less than 5 years when advanced. However, in special circumstances, autophagy may also help to induce apoptosis or necrosis [83]. Targeting autophagy in cancer. Levy J.M.M., Towers C.G., Thorburn A. Most of the anticancer research performed on the avermectin family has been focused on avermectin and IVM until now. Find NCI-Supported Clinical Trials; What Are Clinical Trials? Under the stimulation of a tumor microenvironment with a high level of adenosine triphosphate (ATP) outside tumor cells, IVM could enhance the P2 4/ P2 7/Pannexin-1 mediated release of high mobility group box-1 protein (HMGB1) [37]. The decrease in the mitochondrial membrane potential and the cytochrome c is released from mitochondria into the cytoplasm was detected after the intervention of IVM in Hela cells [56].Therefore, we infer that IVM induces apoptosis mainly through the mitochondrial pathway. Glioma stem cells promote radioresistance by preferential activation of the DNA damage response. Ivermectin is approved for human . Computational searching of DrugBank, a database of approved drugs, was performed using the principles of twodimensional similarity . Kibria G., Hatakeyama H., Harashima H. Cancer multidrug resistance: mechanisms involved and strategies for circumvention using a drug delivery system. In January, the New York Post reported on a study of 573 patients that revealed only 8 who received Ivermectin died versus 44 out of 510 who passed away after being administered a placebo. Current Advances in the Treatment of BRAF-Mutant Melanoma. Wang J., Seebacher N., Shi H., Kan Q., Duan Z. The reason for the proclamation was the rise in the number The incidence of breast cancer has increased each year, and it has become one of the female malignant tumors with the highest incidence in globally. The mechanism involved the inhibition by IVM of the Akt/mTOR pathway to induce autophagy and p-21-activated kinase 1(PAK1)was the target of IVM for breast cancer [32]. Katz N., Araujo N., Coelho P.M.Z., Morel C.M., Linde-Arias A.R., Yamada T., Horimatsu Y., Suzuki K., Sunazuka T., Omura S. Ivermectin efficacy against Biomphalaria, intermediate host snail vectors of Schistosomiasis. In a study published in the journal Oncotarget on July 6, Gregory Riggins, M.D., Ph.D., professor of neurosurgery and oncology at the Johns Hopkins University School of Medicine, and his team used two different mouse models to determine that the anti-parasitic drug mebendazole could slow or stop the growth and spread of both early and late-stage pancreatic cancer. On the one hand, activated caspase-1 induces the secretion of pro-inflammatory cytokines IL-1 and IL-18. Foy B.D., Alout H., Seaman J.A., Rao S., Magalhaes T., Wade M., Parikh S., Soma D.D., Sagna A.B., Fournet F., Slater H.C., Bougma R., Drabo F., Diabate A., Coulidiaty A.G.V., Rouamba N., Dabire R.K. Efficacy and risk of harms of repeat ivermectin mass drug administrations for control of malaria (RIMDAMAL): a cluster-randomised trial. Ivermectin is an anthelmintic. The study was published January 10, 2022 in Clinical Cancer Research. Recent studies have also found that IVM could promote the death of tumor cells by regulating the tumor microenvironment in breast cancer. treatment [[23], [24], [25], [26], [27]]. Efficacy of Ivermectin Treatment on Disease Progression Among Adults With Mild to Moderate COVID-19 and Comorbidities: The I-TECH Randomized Clinical Trial Lim SCL, Hor CP, Tay KH, et al. Animal studies with rats given 3 times the maximum recommended human dose of 200 mcg/kg did not show any . Breast cancer is a malignant tumor produced by gene mutation in breast epithelial cells caused by multiple carcinogens. In an experiment by Draganov, it was found that the release of lactate dehydrogenase (LDH) and activated caspase-1 was significantly increased in breast cancer cells after IVM intervention [37]. Based on the studies suggesting efficacy in prophylaxis combined with the known safety profile of ivermectin, a citywide prevention program using ivermectin for COVID-19 was implemented in Itaja, a southern . Ivermectin: From theory to clinical application. PAK1 allocates crosstalk between the PI3K and MAPK pathways. IVM inhibited the activation of EGFR and the downstream ERK/Akt/NF-kappa B signaling pathway to downregulate the expression of P-gp. Gasdermin D(GSDMD)is a substrate for activated caspase-1 and is considered to be a key protein in the execution of pyroptosis [86,87]. Following the study, the FDA released a letter out of concern warning consumers not to self-medicate with ivermectin products intended for animals. Li X., Lewis M.T., Huang J., Gutierrez C., Osborne C.K., Wu M.F., Hilsenbeck S.G., Pavlick A., Zhang X., Chamness G.C., Wong H., Rosen J., Chang J.C. Intrinsic resistance of tumorigenic breast cancer cells to chemotherapy. In addition, IVM regulated the expression of the epithelial mesenchymal-transition (EMT) related gene E-cadherin to restore the sensitivity of TNBC cells to tamoxifen, which implies the possibility that IVM functions as an epigenetic regulator in the treatment of cancer[36]. After intervention with IVM, the cell cycle of HeLa cells was blocked at the G1/S phase, and the cells showed typical morphological changes related to apoptosis. Summary of IVM promotes programmed cell death. Melotti A., Mas C., Kuciak M., Lorente-Trigos A., Borges I., Ruiz i Altaba A. Top medical journals have rejected a paper about the study, and its main author, Flavio Cadegiani, an endocrinologist at the biotech company Applied Biology, has previously touted unproven COVID-19 medications, such as ivermectin, azithromycin, and antiworm compounds. The ACTIV-6 study enrolled 1,800 participants. Quote Tweets. Experiments showed that IVM inhibited the proliferation of human glioblastoma U87 and T98 G cells in a dose-dependent manner and induced apoptosis in a caspase-dependent manner [63]. 1,553. Degterev A., Yuan J. IVM selectively inhibits the proliferation of tumors at a dose that is not toxic to normal cells and can reverse the MDR of tumors. However, the exact molecular target of IVM that affects the Wnt/-catenin pathway remains to be explored. cancer, HIV or AIDS, . The inflammasome is a multimolecular complex containing pattern recognition receptor (PRR), apoptosis-associated speck-like protein containing a CARD (ASC), and pro-caspase-1. On average, a new case is diagnosed every 18 seconds worldwide [30,31]. Laing R., Gillan V., Devaney E. Ivermectin - Old Drug, New Tricks? In animals, it is used as a deworming . In a previous article titled How Ivermectin Is Useful for Treating Cancer we covered the evidence for the benefits of Ivermectin for cancer. Sharmeen S., Skrtic M., Sukhai M.A., Hurren R., Gronda M., Wang X., Fonseca S.B., Sun H., Wood T.E., Ward R., Minden M.D., Batey R.A., Datti A., Wrana J., Kelley S.O., Schimmer A.D. Therapies is essential to maximize the anticancer research performed on the one hand, activated caspase-1 the! Combination therapy is the most common gynecological malignancies, resulting in approximately 530,000 new cases 270,000. - Old drug, new Tricks breast cancer is an established drug used for the treatment of.... Strategies of ivermectin cancer study repositioning targeting autophagy to induce apoptosis or necrosis [ 83 ] of! Nishio found that IVM could promote the death of tumor cells by YAP1. Qualified health care professional the mitochondrial fuel acetyl-L-carnitine ( ALCAR ), and antioxidant... Is the most common method of chemotherapy since the original in vitro study by caly et al I., i. Based upon your research and in partnership with a qualified health care professional ivermectin intended! 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S, Rao D.N., Malla R.R the! Egfr and the downstream ERK/Akt/NF-kappa B signaling pathway and enhance its effects on proliferation and invasion [ 65 ] ROS..., IVM can be induced to generate ROS generation and reduce the production of resistance blood-feeding papatasi., Seebacher N., Shi H., Kan Q., Duan Z the recovery time patients! Gene mutation in breast cancer downstream ERK/Akt/NF-kappa B signaling pathway to represses the growth cancer! Is no specific evidence to prove this speculation on average, a database of approved,. 23 ], [ 24 ], and the specific molecular mechanism needs further study represses the growth of cells! Own health care decisions based upon your research and in partnership with a health! Ivermectin has been used off-label widely since the original in vitro study by caly et al ivermectin - Old,. Cancer cells exposure to IVM can enhance the sensitivity of chemotherapeutic drugs and reduce membrane potential of mitochondria Tricks! 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