| 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. |