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| 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): 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
TSF legend: P: 0–30 min; R: 30 min–3 hr; G: >3 hr |
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| Mitochondrial respiration plays a crucial role in the development and progression of cancer. Cancer cells often exhibit altered metabolic profiles, including changes in mitochondrial respiration, to support their rapid growth and proliferation. In cancer cells, mitochondrial respiration is often downregulated, and instead, they rely on glycolysis for energy production, even in the presence of oxygen. This phenomenon is known as the "Warburg effect." There are several key players involved in the regulation of mitochondrial respiration in cancer cells, including: Pyruvate dehydrogenase (PDH): a critical enzyme that converts pyruvate into acetyl-CoA, which is then fed into the citric acid cycle. Citrate synthase: an enzyme that catalyzes the first step of the citric acid cycle. Succinate dehydrogenase (SDH): an enzyme that participates in both the citric acid cycle and the electron transport chain. Cytochrome c oxidase (COX): the final enzyme in the electron transport chain, responsible for generating ATP. Alterations in the expression and activity of these enzymes can impact mitochondrial respiration in cancer cells. For example, increased expression of PDH and citrate synthase can enhance mitochondrial respiration, while decreased expression of SDH and COX can impair it. Additionally, various transcription factors and signaling pathways regulate mitochondrial respiration in cancer cells, including: HIF-1α (hypoxia-inducible factor 1 alpha): a transcription factor that promotes glycolysis and suppresses mitochondrial respiration in response to hypoxia. c-Myc: a transcription factor that regulates the expression of genes involved in mitochondrial respiration and biogenesis. PI3K/Akt/mTOR: a signaling pathway that promotes cell growth and proliferation, in part by regulating mitochondrial respiration. |
| 1271- | NCL, | Niclosamide inhibits ovarian carcinoma growth by interrupting cellular bioenergetics |
| - | vitro+vivo, | Ovarian, | SKOV3 |
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
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