Niclosamide (Niclocide) / Hif1a Cancer Research Results

NCL, Niclosamide (Niclocide): Click to Expand ⟱
Features:

Niclosamide (brand: Niclocide; NIC) — salicylanilide anthelmintic (tapeworm drug) being investigated for drug repurposing in oncology due to multi-pathway signaling inhibition and mitochondrial/energy-stress effects. Sources: Rx/essential-medicines antiparasitic; multiple repurposing reviews.

Primary mechanisms (conceptual rank):
1) Mitochondrial energy disruption (uncoupling / ATP depletion; AMPK-linked energy stress)
2) Wnt/β-catenin inhibition (LRP6/β-catenin axis; stemness/CSC phenotypes)
3) STAT3 inhibition (anti-survival transcription)
4) mTORC1 suppression (growth/anabolism ↓; autophagy context)
5) NF-κB / Notch modulation (context-dependent; anti-inflammatory/anti-survival)

Bioavailability / PK relevance: Poor solubility and low/variable oral systemic exposure are major constraints; formulation work (e.g., solution approaches) is used to improve reproducibility/systemic availability.

In-vitro vs oral exposure: Many anticancer effects are observed at concentrations that can exceed typical systemic exposure from standard oral dosing (qualifier: high concentration only for direct tumor cytotoxicity in many models).

Clinical evidence status: Approved antiparasitic; oncology remains preclinical + early/small human repurposing studies (no established oncology RCT approval/indication).

Niclosamide (Niclocide) — Cancer vs Normal Cell Pathway Map

Rank Pathway / Axis Cancer Cells Normal Cells TSF Primary Effect Notes / Interpretation
1 Mitochondrial energy metabolism (OXPHOS uncoupling / ATP) ↓ ATP (primary; dose-dependent) ↓ ATP (high concentration only) P/R Energy stress → growth inhibition Core pharmacology includes mitochondrial/energy disruption; can trigger downstream stress signaling.
2 Wnt/β-catenin (LRP6/β-catenin; CSC/stemness) ↓ (model-dependent) ↔ R/G Reduced proliferation / stemness programs Frequently highlighted in repurposing; relevant in Wnt-driven or CSC-enriched contexts.
3 STAT3 ↓ ↔ R/G Anti-survival transcription blockade Often positioned as a central anti-tumor axis and combination-sensitization mechanism.
4 mTORC1 / growth-anabolism ↓ ↔ / ↓ (stress-dependent) R/G Reduced anabolic signaling Frequently co-reported with Wnt/STAT3 inhibition; can couple to autophagy responses.
5 AMPK (energy-stress sensor) ↑ (context-dependent) ↑ (stress-dependent) R Catabolic shift / growth suppression Often downstream of ATP depletion; can antagonize mTORC1 signaling.
6 NF-κB ↓ (context-dependent) ↓ (context-dependent) R/G Reduced inflammatory / survival programs Not always dominant; varies by model and inflammatory dependence.
7 Notch ↓ (model-dependent) ↔ G Differentiation / stemness modulation Reported in repurposing literature; often secondary to broader stress/signaling effects.
8 ROS ↑ (dose-dependent) ↔ / ↑ (high concentration only) P/R Oxidative stress contribution Can be downstream of mitochondrial disruption; may contribute to cytotoxicity or resistance depending on context.
9 NRF2 (protective vs resistance role) ↔ / ↑ (adaptive; context-dependent) ↔ / ↑ (adaptive) R/G Stress-response adjustment Typically secondary; may reduce sensitivity if antioxidant adaptation dominates.
10 Autophagy ↑ or ↓ (context-dependent) ↔ / ↑ (stress-dependent) R/G Stress adaptation vs cell-death coupling Often described as a stress-response phenotype; can be cytostatic or pro-death depending on tumor context.
11 Ca²⁺ signaling ↔ (stress-related) ↔ P/R No primary axis Not a canonical primary target; include only if a specific model shows ER/mitochondrial Ca²⁺ disruption.
12 Clinical Translation Constraint ↓ (constraint) ↓ (constraint) — Exposure variability + formulation dependence Poor solubility/low systemic exposure and high variability with oral dosing drive repurposing limitations; solution/formulation approaches aim to increase systemic availability.

TSF legend: P: 0–30 min; R: 30 min–3 hr; G: >3 hr
Hif1a, HIF1α/HIF1a: Click to Expand ⟱
Source:
Type:
Hypoxia-Inducible-Factor 1A (HIF1A gene, HIF1α, HIF-1α protein product)
-Dominantly expressed under hypoxia(low oxygen levels) in solid tumor cells
-HIF1A induces the expression of vascular endothelial growth factor (VEGF)
-High HIF-1α expression is associated with Poor prognosis
-Low HIF-1α expression is associated with Better prognosis

-Functionally, HIF-1α is reported to regulate glycolysis, whilst HIF-2α regulates genes associated with lipoprotein metabolism.
-Cancer cells produce HIF in response to hypoxia in order to generate more VEGF that promote angiogenesis

Key mediators of aerobic glycolysis regulated by HIF-1α.
-GLUT-1 → regulation of the flux of glucose into cells.
-HK2 → catalysis of the first step of glucose metabolism.
-PKM2 → regulation of rate-limiting step of glycolysis.
-Phosphorylation of PDH complex by PDK → blockage of OXPHOS and promotion of aerobic glycolysis.
-LDH (LDHA): Rapid ATP production, conversion of pyruvate to lactate;

HIF-1α Inhibitors:
-Curcumin: disruption of signaling pathways that stabilize HIF-1α (ie downregulate).
-Resveratrol: downregulate HIF-1α protein accumulation under hypoxic conditions.
-EGCG: modulation of upstream signaling pathways, leading to decreased HIF-1α activity.
-Emodin: reduce HIF-1α expression. (under hypoxia).
-Apigenin: inhibit HIF-1α accumulation.
Scientific Papers found: Click to Expand⟱
1270- NCL,  Rad,    Niclosamide enhances the antitumor effects of radiation by inhibiting the hypoxia-inducible factor-1α/vascular endothelial growth factor signaling pathway in human lung cancer cells
- in-vivo, Lung, NA
Hif1a↓, VEGF↓,

Showing Research Papers: 1 to 1 of 1

* indicates research on normal cells as opposed to diseased cells
Total Research Paper Matches: 1

Pathway results for Effect on Cancer / Diseased Cells:


Angiogenesis & Vasculature ⓘ

Hif1a↓, 1,   VEGF↓, 1,  
Total Targets: 2

Pathway results for Effect on Normal Cells:


Total Targets: 0

Scientific Paper Hit Count for: Hif1a, HIF1α/HIF1a
Query results interpretion may depend on "conditions" listed in the research papers.
Such Conditions may include : 
  -low or high Dose
  -format for product, such as nano of lipid formations
  -different cell line effects
  -synergies with other products 
  -if effect was for normal or cancerous cells

Filter Conditions: Pro/AntiFlg:%  IllCat:%  CanType:%  Cells:%  prod#:13  Target#:143  State#:%  Dir#:1
  wNotes=0  sortOrder:rid,rpid

 

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