| Rank |
Pathway / Axis |
Cancer Cells |
Normal Cells |
TSF |
Primary Effect |
Notes / Interpretation |
| 1 |
β-Tubulin / Microtubule dynamics |
↓ (primary) |
↓ (proliferating cells) |
P/R |
Mitotic spindle disruption |
Core mechanism; similar class effect to other benzimidazoles. Selectivity depends on proliferation rate. |
| 2 |
Mitotic arrest → intrinsic apoptosis |
↑ |
↑ (high proliferation) |
R/G |
Caspase-mediated cell death |
Follows spindle disruption; cancer cells often more susceptible due to mitotic stress vulnerability. |
| 3 |
Glucose uptake / Glycolysis (Warburg linkage) |
↓ (model-dependent) |
↔ |
R/G |
Metabolic stress |
Reported GLUT inhibition and reduced hexokinase activity in some models; secondary mechanism. |
| 4 |
ROS |
↑ (dose-dependent) |
↔ / ↑ (high concentration) |
P/R |
Oxidative stress amplification |
Often secondary to metabolic and microtubule stress; may enhance apoptosis. |
| 5 |
NRF2 axis |
↔ / ↓ (context-dependent) |
↔ |
R/G |
Redox-response modulation |
Not a primary target; redox shifts may indirectly influence NRF2 signaling. |
| 6 |
p53 pathway |
↑ (model-dependent) |
↔ |
G |
Tumor suppressor activation |
Reported stabilization or activation in some cancer lines; dependent on functional p53 status. |
| 7 |
PI3K/AKT/mTOR |
↓ (secondary; model-dependent) |
↔ |
R/G |
Reduced survival signaling |
Often downstream of metabolic stress or ROS elevation. |
| 8 |
HIF-1α |
↓ (model-dependent) |
↔ |
G |
Reduced hypoxia adaptation |
Linked to metabolic interference; not universally established. |
| 9 |
Ca²⁺ signaling |
↔ (stress-related) |
↔ |
P/R |
Not a primary axis |
No consistent evidence of direct Ca²⁺ modulation. |
| 10 |
Ferroptosis |
↔ (investigational) |
↔ |
R/G |
Not established primary mechanism |
ROS generation may overlap with lipid peroxidation pathways but not core evidence. |
| 11 |
Clinical Translation Constraint |
↓ (constraint) |
↓ (constraint) |
— |
PK variability + lack of human oncology data |
Veterinary drug; limited human PK; no oncology approval; safety at anti-cancer doses unknown. |