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Source: Thailand Medical News  Jan 11, 2020  4 years, 10 months, 1 week, 4 days, 20 hours, 19 minutes ago

Brunel University Researchers Discover Prozac Can Be Used To Treat Pediatric Cancer

Brunel University Researchers Discover Prozac Can Be Used To Treat Pediatric Cancer
Source: Thailand Medical News  Jan 11, 2020  4 years, 10 months, 1 week, 4 days, 20 hours, 19 minutes ago
The controversial anti-depressant drug Prozac could be used to tackle one of the deadliest childhood tumours and possibly other types of cancer, medical scientists said.

Prozac or fluoxetine as it is called by its chemical name, works to fight the highly aggressive neuroblastoma, which is most common in young children.



The research breakthrough led by Brunel University London could spare young patients treatment with highly toxic cocktails of chemotherapy drugs and radiation.

Professor Arturo Sala from Brunel University, London told Thailand Medical News, "Prozac has the potential to be used in children with neuroblastoma as a new and effective anti-cancer drug, but with less toxicity than current cancer treatments."

The research findings were published the journal Oncogenesis.

The team showed that Prozac can stabilise a protein encoded by the gene CDKN1B that kills neuroblastoma cells and slows their growth. And crucially, the doses needed are safe for children, which they call 'a major clinical advance'.

The medical researchers found significantly fewer metastases (when cancer spreads from one part of the body to another) in organs such as liver, kidneys and bone marrows in mice on Prozac.

The intention to use Prozac to treat cancer came after previous studies found people on long-term treatment for psychotic illnesses have lower cancer rates.

Collaborating with Italy's D'Annunzio University of Chieti–Pescara, the researchers made the discovery using a gene-editing tool called CRISPR. CRISPR let them target the CDKN1B gene, which is downregulated in cancers with mutation of the oncogene MYC, such as neuroblastoma.

Fluoxetine could potentially treat other cancers too, said Prof Sala: "Since Prozac targets MYC-expressing cancer cells, it could possibly be used to treat a wide range of human cancers with high MYC expression, for example big killers such as breast cancer or prostate cancer."

The pediatric cancer called neuroblastoma is the most commonly diagnosed cancer in the first year of life and is responsible for most cancer deaths in babies. Neuroblastoma is a cancerous tumor that begins in nerve tissue of infants and very young children. The abnormal cell s are often found in the nerve tissue that is present in the unborn baby and later develops into a detectable tumor. Even with surgery, radiotherapy and chemotherapy, the average patient with high-risk metastatic disease lives less than 3 years. Relapse is common, so finding a less toxic drug to prolong remission could be life-changing.

The study results, Prof Sala said, "warrant the opening of clinical trials in which long-term Prozac treatments could be included in consolidation or post-consolidation therapies in patients who are at high risk of disease relapse".
 
Reference: Sandra Bibbo' et al. Repurposing a psychoactive drug for children with cancer: p27Kip1-dependent inhibition of metastatic neuroblastomas by Prozac, Oncogenesis (2020). DOI: 10.1038/s41389-019-0186-3
 

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