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| Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) commonly used to treat pain, inflammation, and fever. Diclofenac — a synthetic phenylacetic-acid derivative and nonsteroidal anti-inflammatory drug used clinically for analgesic, anti-inflammatory, and antipyretic effects. It is a nonselective cyclooxygenase inhibitor with moderately greater functional inhibition of COX-2 than COX-1. Standard abbreviations include DCF, DIC, and Dicl. Diclofenac is approved in oral, topical, ophthalmic, rectal, and injectable formulations for non-cancer indications; its proposed anticancer use is drug repurposing and remains investigational. Primary mechanisms (ranked):
Bioavailability / PK relevance: Oral diclofenac is extensively absorbed but undergoes substantial first-pass metabolism, producing approximately 50–55% systemic bioavailability. It reaches peak plasma concentration in roughly 2–3 hours, is more than 99% albumin-bound, and has a terminal plasma half-life of approximately 2 hours. Metabolism is primarily hepatic through CYP2C9, with additional CYP2C8, CYP3A4, and UGT2B7 contributions. High protein binding, short systemic exposure, and dose-limiting cardiovascular, gastrointestinal, renal, and hepatic toxicity constrain sustained anticancer exposure. Topical formulations provide high local tissue exposure but substantially lower systemic exposure. In-vitro vs systemic exposure relevance: Many direct antiproliferative, mitochondrial, ROS, and microtubule effects are reported at approximately 50–500 µM and frequently exceed the sustained unbound concentrations achievable with standard oral dosing. Effects on COX/PGE2 signalling, MYC, lactate metabolism, angiogenesis, or treatment sensitization may occur at lower or intermittently achievable concentrations, but their dependence on tumor type, formulation, exposure duration, and protein content is substantial. High-concentration cytotoxic findings should not be interpreted as evidence that conventional analgesic dosing will directly kill tumors. Clinical evidence status: Established approved NSAID for pain and inflammatory disorders; preclinical-to-early-human evidence for oncology repurposing. Animal studies and tumor-cell studies support metabolic, antiangiogenic, and cytotoxic activity. Human oncology evidence consists mainly of topical treatment studies in actinic keratosis, perioperative or supportive-care investigations, biomarker studies, and small or ongoing trials. A phase II study is evaluating systemic diclofenac in non-small-cell lung cancer, but diclofenac is not an approved systemic anticancer therapy and there is no established survival benefit from randomized oncology trials. Diclofenac Mechanistic Profile
P: 0–30 min R: 30 min–3 hr G: >3 hr |
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| Destruction of mitochondrial transmembrane potential, which is widely regarded as one of the earliest events in the process of cell apoptosis. Mitochondria are organelles within eukaryotic cells that produce adenosine triphosphate (ATP), the main energy molecule used by the cell. For this reason, the mitochondrion is sometimes referred to as “the powerhouse of the cell”. Mitochondria produce ATP through process of cellular respiration—specifically, aerobic respiration, which requires oxygen. The citric acid cycle, or Krebs cycle, takes place in the mitochondria. The mitochondrial membrane potential is widely used in assessing mitochondrial function as it relates to the mitochondrial capacity of ATP generation by oxidative phosphorylation. The mitochondrial membrane potential is a reliable indicator of mitochondrial health. In cancer cells, ΔΨm is often decreased, which can lead to changes in cellular metabolism, increased glycolysis, increased reactive oxygen species (ROS) production, and altered cell death pathways. The membrane of malignant mitochondria is hyperpolarized (−220 mV) in comparison to their healthy counterparts (−160 mV), which facilitates the penetration of positively charged molecules to the cancer cells mitochondria. The MMP is a critical indicator of mitochondrial function, directly reflecting the organelle's capacity to generate ATP through oxidative phosphorylation. |
| 6701- | DFC, | Intracellular pH and calcium signaling as molecular targets of diclofenac-induced apoptosis against colon cancer |
| - | in-vivo, | Colon, | NA |
| 6698- | DFC, | Diclofenac induces proteasome and mitochondrial dysfunction in murine cardiomyocytes and hearts |
| - | in-vivo, | Nor, | NA |
| 6689- | DFC, | Diclofenac-Induced Apoptosis in the Neuroblastoma Cell Line SH-SY5Y: Possible Involvement of the Mitochondrial Superoxide Dismutase |
| - | in-vitro, | neuroblastoma, | SH-SY5Y |
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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