Lithium in Cancer Therapy: Friend or Foe?

Lithium, a trace element important for fetal health and development, is considered a metal drug with a well-established clinical regime, economical production process, and a mature storage system. Several studies have shown that lithium affects tumor development by regulating inositol monophosphate...

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Veröffentlicht in:Cancers 2023-02, Vol.15 (4), p.1095
Hauptverfasser: Yang, Chunhao, Zhu, Bo, Zhan, Mingjie, Hua, Zi-Chun
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creator Yang, Chunhao
Zhu, Bo
Zhan, Mingjie
Hua, Zi-Chun
description Lithium, a trace element important for fetal health and development, is considered a metal drug with a well-established clinical regime, economical production process, and a mature storage system. Several studies have shown that lithium affects tumor development by regulating inositol monophosphate (IMPase) and glycogen synthase kinase-3 (GSK-3). Lithium can also promote proliferation and programmed cell death (PCD) in tumor cells through a number of new targets, such as the nuclear receptor NR4A1 and Hedgehog-Gli. Lithium may increase cancer treatment efficacy while reducing side effects, suggesting that it can be used as an adjunctive therapy. In this review, we summarize the effects of lithium on tumor progression and discuss the underlying mechanisms. Additionally, we discuss lithium's limitations in antitumor clinical applications, including its narrow therapeutic window and potential pro-cancer effects on the tumor immune system.
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Several studies have shown that lithium affects tumor development by regulating inositol monophosphate (IMPase) and glycogen synthase kinase-3 (GSK-3). Lithium can also promote proliferation and programmed cell death (PCD) in tumor cells through a number of new targets, such as the nuclear receptor NR4A1 and Hedgehog-Gli. Lithium may increase cancer treatment efficacy while reducing side effects, suggesting that it can be used as an adjunctive therapy. In this review, we summarize the effects of lithium on tumor progression and discuss the underlying mechanisms. Additionally, we discuss lithium's limitations in antitumor clinical applications, including its narrow therapeutic window and potential pro-cancer effects on the tumor immune system.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36831437</pmid><doi>10.3390/cancers15041095</doi><orcidid>https://orcid.org/0000-0001-6043-8774</orcidid><oa>free_for_read</oa></addata></record>
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subjects Antitumor activity
Apoptosis
Autophagy
Binding sites
Bisphosphonates
Cachexia
Cancer
Cancer therapies
Care and treatment
Catalysis
Cell death
Cell proliferation
Chemotherapy
Chloride
Dosage and administration
Drug resistance
Enzymes
Fetuses
Glycogen
Glycogen synthase kinase 3
Hypotheses
Immune system
Inositol monophosphate
Kinases
Leukemia
Ligands
Lithium
Magnesium
Melanoma
Metabolism
Phosphatase
Phosphorylation
Proteins
Review
Side effects
Signal transduction
Sodium
Tumor cells
Tumor necrosis factor-TNF
Tumors
title Lithium in Cancer Therapy: Friend or Foe?
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