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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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| In all eukaryotic cells, intracellular Ca2+ levels are maintained at low resting concentrations (approximately 100 nM) by the activity of the major Ca2+ extrusion system, the plasma membrane Ca2+-ATPase (PMCA), which exchanges extracellular protons (H+) for cytosolic Ca2+. Indeed, sustained elevation of [Ca2+]C in the form of overload, saturating all Ca2+-dependent effectors, prolonged decrease in [Ca2+]ER, causing ER stress response, and high [Ca2+]M, inducing mitochondrial permeability transition (MPT), are considered to be pro-death factors. In cancer the Ca2+-handling toolkit undergoes profound remodelling (figure 1) to favour activation of Ca2+-dependent transcription factors, such as the nuclear factor of activated T cells (NFAT), c-Myc, c-Jun, c-Fos that promote hypertrophic growth via induction of the expression of the G1 and G1/S phase transition cyclins (D and E) and associated cyclin-dependent kinases (CDK4 and CDK2). Thus, cancer cells may evade apoptosis through decreasing calcium influx into the cytoplasm. This can be achieved by either downregulation of the expression of plasma membrane Ca2+-permeable ion channels or by reducing the effectiveness of the signalling pathways that activate these channels. Such protective measures would largely diminish the possibility of Ca2+ overload in response to pro-apoptotic stimuli, thereby impairing the effectiveness of mitochondrial and cytoplasmic apoptotic pathways. Voltage-Gated Calcium Channels (VGCCs): Overexpression of VGCCs has been associated with increased tumor growth and metastasis in various cancers, including breast and prostate cancer. Store-Operated Calcium Entry (SOCE): SOCE mechanisms, such as STIM1 and ORAI1, are often upregulated in cancer cells, contributing to enhanced cell survival and proliferation. High intracellular calcium levels are associated with increased cell proliferation and migration, leading to a poorer prognosis. Calcium signaling can also influence hormone receptor status, affecting treatment responses. Increased Ca²⁺ signaling is associated with advanced disease and metastasis. Patients with higher CaSR expression may have a worse prognosis due to enhanced tumor growth and resistance to apoptosis. -Ca2+ is an important regulator of the electric charge distribution of bio-membranes. |
| 6701- | DFC, | Intracellular pH and calcium signaling as molecular targets of diclofenac-induced apoptosis against colon cancer |
| - | in-vivo, | Colon, | NA |
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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