Science 348, 5661 (2015). Experiments showed that IVM inhibited the proliferation of human glioblastoma U87 and T98 G cells in a dose-dependent manner and induced apoptosis in a caspase-dependent manner [63]. In recent years, many studies have shown that autophagy is a double-edged sword in tumor development. 11, 201212 (2011). Finally, activated PARP and caspase-3 trigger apoptosis. ; writing: D.D., Z.H., P.P.L., D.J.I., N.B. Mechanisms of IVM-induced P2 4/P2 7/NLRP3-mediated pyroptosis. PAK1 allocates crosstalk between the PI3K and MAPK pathways. 4E). Crump A. Ivermectin: enigmatic multifaceted wonder drug continues to surprise and exceed expectations. Based on its novel dual mechanisms of action in cancer, ivermectin may also potentiate the anti-tumor activity of other FDA-approved ICIs. Recent studies have also pointed out that it has a promising inhibitory effect on the SARS-CoV-2 virus, which has caused a global outbreak in 2020 [19]. Intuyod K., Hahnvajanawong C., Pinlaor P., Pinlaor S. Anti-parasitic Drug Ivermectin Exhibits Potent Anticancer Activity Against Gemcitabine-resistant Cholangiocarcinoma In Vitro.
Acad. We show that treatment with the FDA-approved anti-parasitic drug ivermectin induces immunogenic cancer cell death (ICD) and robust T cell infiltration into breast tumors. Wang J., Xu Y., Wan H., Hu J. ASC, Apoptosis-associated speck-like protein containing a CARD; ALCAR, acetyl-L-carnitine; CSCs, Cancer stem cells; DAMP, Damage-associated molecular pattern; EGFR, Epidermal growth factor receptor; EBV, Epstein-Barr virus; EMT, Epithelial mesenchymal-transition; GABA, Gamma-aminobutyric acid; GSDMD, Gasdermin D; HBV, Hepatitis B virus; HCV, Hepatitis C virus; HER2, Human epidermal growth factor receptor 2; HMGB1, High mobility group box-1 protein; HSP27, Heat shock protein 27; LD50, median lethal dose; LDH, Lactate dehydrogenase; IVM, Ivermectin; MDR, Multidrug resistance; NAC, N-acetyl-L-cysteine; OCT-4, Octamer-binding protein 4; PAK1, P-21-activated kinases 1; PAMP, Pathogen-associated molecular pattern; PARP, poly (ADP- ribose) polymerase; P-gp, P-glycoprotein; PRR, pattern recognition receptor; ROS, Reactive oxygen species; STAT3, Signal transducer and activator of transcription 3; SID, SIN3-interaction domain; siRNA, small interfering RNA; SOX-2, SRY-box 2; TNBC, Triple-negative breast cancer; YAP1, Yes-associated protein 1, ivermectin(PubChem CID6321424), avermectin(PubChem CID6434889), selamectin(PubChem CID9578507), doramectin(PubChem CID9832750), moxidectin(PubChem CID9832912). Galluzzi L., Pietrocola F., Bravo-San Pedro J.M., Amaravadi R.K., Baehrecke E.H., Cecconi F., Codogno P., Debnath J., Gewirtz D.A., Karantza V., Kimmelman A., Kumar S., Levine B., Maiuri M.C., Martin S.J., Penninger J., Piacentini M., Rubinsztein D.C., Simon H.U., Simonsen A., Thorburn A.M., Velasco G., Ryan K.M., Kroemer G. Autophagy in malignant transformation and cancer progression. Effects of ivermectin on blood-feeding Phlebotomus papatasi, and the promastigote stage of Leishmania major. 64,74]. Med. Thereafter, mice were dosed with meloxicam (2mg/kg body weight) at 24h intervals for 3 days post-surgery. Failure of doxorubicin to turn tumors hot or effectively synergize with PD-1 blockade likely reflects its direct immune effects. IVM not only has strong effects on parasites but also has potential antiviral effects. In addition, IVM regulated the expression of the epithelial mesenchymal-transition (EMT) related gene E-cadherin to restore the sensitivity of TNBC cells to tamoxifen, which implies the possibility that IVM functions as an epigenetic regulator in the treatment of cancer[36]. 8600 Rockville Pike Disis, M. L. & Stanton, S. E. Triple-negative breast cancer: immune modulation as the new treatment paradigm. We believe that IVM can be further developed and introduced clinically as part of new cancer treatments in the near future. Galluzzi, L. et al. Ivermectin is currently being investigated in a clinical trial as a potential COVID-19 treatment for the coronavirus SARS-CoV-2 Virus, which is the virus that To keep the trials overall risk of error below 5%, p values for the primary hypothesis for synergy from combination treatment were subjected to the step-up Bonferroni adjustment of Hochberg43. The authors declare no competing interests. Goudie A.C., Evans N.A., Gration K.A., Bishop B.F., Gibson S.P., Holdom K.S., Kaye B., Wicks S.R., Lewis D., Weatherley A.J., et al. PRR can identify pathogen-associated molecular patterns (PAMPs) that are structurally stable and evolutionarily conserved on the surface of pathogenic microorganisms and damage-associated molecular patterns (DAMPs) produced by damaged cells [84,85]. Yan S., Ci X., Chen N., Chen C., Li X., Chu X., Li J., Deng X. Anti-inflammatory effects of ivermectin in mouse model of allergic asthma. EMBO Mol. In murine splenocytes treated ex vivo, we showed that ivermectin can selectively target various immune subpopulations in a P2X7-dependent fashion (Fig. However, whether ivermectin 1G) and CD8 (p<0.0001, Fig. J. Pathol. The river blindness drug Ivermectin and related macrocyclic lactones inhibit WNT-TCF pathway responses in human cancer. Melanoma is the most common malignant skin tumor with a high mortality rate. Expansion and evolution of cell death programmes. Meeting, e25e30 (American Society of Clinical Oncology, 2015). Authors wish to acknowledge Dr. Steve Vonderfecht for advice and help on animal studies; Dr. Larry Wong and Gilbert Acosta for technical help; and Dr. Chris Gandhi for critical review of this manuscript. In a study that screened drugs for the treatment of nasopharyngeal cancer, IVM significantly inhibited the development of nasopharyngeal carcinoma in nude mice at doses that were not toxic to normal thymocytes [69]. Checkpoint blockade1,2 has emerged as a revolutionary approach that harnesses a patients own immune system to treat cancer. However, functional interrogation of splenocytes isolated from control vs. 4T1 tumor-bearing mice revealed significant immunomodulatory effects. npj Breast Cancer 7, 22 (2021). Elsevier Public Health Emergency Collection, HelaColorectal cancer (CC14, CC36, DLD1,Ls174 T)Ovarian cancer (SKOV3, OVCAR3, CAOV3)Renal cell carcinoma (SW-839, Caki-2, 786-O, A498, ACHN)Leukemia(K562, primary CD34, Glioma (U251, C6)Breast cancer(MCF-7, MDA-MB-231)Melanoma (SK-MEL-28), Breast cancer, Ovarian cancer, Nasopharyngeal carcinoma, Melanoma, Prostate cancer, Lung cancer Colorectal cancer. 28, 105113 (2010). Transplant. A Depletion of the expanded CD11b+ myeloid cells isolated from the spleens of tumor-bearing mice by ivermectin treatment ex vivo. Treatment with IP therapy alone provided some survival benefit with ~40% of animals remaining free of lethal disease. Ann. ICD is distinguished from classical apoptosis and other non-immunogenic or tolerogenic forms of cell death by several hallmarks, including release of adenosine triphosphate (ATP) and high-mobility group box 1 protein (HMGB1), and surface exposure of calreticulin8,9,10. All procedures were performed under approval from MITs Animal Care and Use Committee. Ivermectin(IVM) is a macrolide antiparasitic drug with a 16-membered ring derived from avermectin that is composed of 80% 22,23-dihydroavermectin-B1a and 20% 22,23-dihydroavermectin-B1b [1]. The antiviral activity of Ivermectin has been shown against a wide range of RNA and DNA viruses, for example, dengue, Zika, yellow fever, Sci. Targeting autophagy in cancer. 3E, F). In Jiang's experiment, IVM reversed the drug resistance of the vincristine-resistant colorectal cancer cell line HCT-8, doxorubicin-resistant breast cancer cell line MCF-7 and the chronic myelogenous leukemia cell line K562 [104]. The https:// ensures that you are connecting to the Development of recurrence and metastasis was monitored at multiple time points via bioluminescence imaging (day 17 shown, Fig. Kumar R., Gururaj A.E., Barnes C.J. Mice were observed and palpated twice a week for an additional 30 days for the establishment of a tumor mass. Downregulation of Spry2 by miR-21 triggers malignancy in human gliomas. Purinergic P2X4 receptors and mitochondrial ATP production regulate T cell migration. These data demonstrate that treatment with ivermectin and anti-PD1 (with or without IL-2) is also effective in the metastatic setting. 2A, D). Targeted treatment of key mutated genes in cancer, such as EGFR in lung cancer and HER2 in breast cancer, can achieve powerful clinical effects [105,106]. In addition to IVM, the current avermectin family members include selamectin, doramectin and moxidectin [[2], [3], [4], [5]] (Fig. Ivermectin, an antiparasitic drug, has been shown to possess anti-inflammation, anti-virus, and antitumor properties. Safety and mosquitocidal efficacy of high-dose ivermectin when co-administered with dihydroartemisinin-piperaquine in Kenyan adults with uncomplicated malaria (IVERMAL): a randomised, double-blind, placebo-controlled trial. Quantification of IFN response was determined using a BD mouse IFN ELISPOT kit. Cancer stem cells and self-renewal. The DDX23 helicase activity affects the expression of miR-12 [66]. As the cost of the research and development of new anticancer drugs continues to increase, drug repositioning has become increasingly important. Principi, E. & Raffaghello, L. The role of the P2X7 receptor in myeloid-derived suppressor cells and immunosuppression. Interestingly, IVM could also show activity against BRAF wild-type melanoma cells, and its combination with dapafinib could significantly increase antitumor activity. Gallardo F., Mariam B., Gence R., Tilkin-Mariam A.-F. Macrocyclic lactones inhibit nasopharyngeal carcinoma cells proliferation through PAK1 inhibition and reduce in vivo tumor growth. Were trying to improve therapy as quickly and strategically as we can. Treatment with anti-PD1 or IVM alone led to similar survival as untreated controls (Fig. Thawani R., McLane M., Beig N., Ghose S., Prasanna P., Velcheti V., Madabhushi A. Radiomics and radiogenomics in lung cancer: A review for the clinician. Medicinal chemistry strategies to discover P-glycoprotein inhibitors: An update. Antoszczak M., Markowska A., Markowska J., Huczynski A. Dr. Peter P. Lee, chair of the immuno-oncology department at City of Hope Comprehensive Cancer Center in California, has studied using ivermectin in combination with a specific antibody, referred to as anti-PD1, for WebIvermectin demonstrated an inhibitory effect upon the growth of MDAMB231 cells in the range of 0.28 M. Animals were injected i.p. Sharmeen S., Skrtic M., Sukhai M.A., Hurren R., Gronda M., Wang X., Fonseca S.B., Sun H., Wood T.E., Ward R., Minden M.D., Batey R.A., Datti A., Wrana J., Kelley S.O., Schimmer A.D. Together, these data indicate that treatment with ivermectin induced hallmarks of ICD within 4T1 breast tumors and recruited large numbers of CD4+ and CD8+ T cells into these tumors. Recognition of the role of Natural Products as drugs to treat neglected tropical diseases by the 2015 Nobel prize in physiology or medicine. G KaplanMeier survival analysis of mice in the metastatic setting treated with ivermectin, anti-PD1, ivermectin+anti-PD1IL-2 (IP), or control; n=5 mice per group, two-tailed log-rank test; *p0.05, **p0.01, ***p0.001. S1A). Fang Y., Tian S., Pan Y., Li W., Wang Q., Tang Y., Yu T., Wu X., Shi Y., Ma P., Shu Y. Pyroptosis: A new frontier in cancer. ACS Nano 12, 1104111061 (2018). Corts, J. et al. Slider with three articles shown per slide. The preclinical findings we present suggest that the combination of ivermectin and anti-PD1 antibody merits clinical testing in breast cancer patients. Furthermore, according to a report by Zhang, IVM can enhance the efficacy of cisplatin to improve the treatment of epithelial ovarian cancer, and the mechanism is related to the inhibition of the Akt/mTOR pathway [60]. Target cells were seeded at 0.025106 cells per well. Approximately 40% of animals on the combination therapy become long-term survivors. However, chemotherapy is a double-edged sword: it can suppress as well as stimulate immune cells. C IFN ELISPOT analysis of 4T1-reactive splenocytes in treated animals. Gewirtz D.A. 1I). Combination Therapy Effective Across Spectrum of Clinically Relevant Settings We believe that deeper exploration of the mechanism can further guide the use of IVM in the treatment of cancer. Nat. Modulation of P2X4/P2X7/Pannexin-1 sensitivity to extracellular ATP via Ivermectin induces a non-apoptotic and inflammatory form of cancer cell death. After treatment with IVM, the proliferation of multiple breast cancer cell lines including MCF-7, MDA-MB-231 and MCF-10 was significantly reduced. Female BALB/c mice were purchased from The Jackson Laboratories at 68 weeks of age and maintained in animal care facilities under pathogen-free conditions at the Massachusetts Institute of Technology. Gasdermin D(GSDMD)is a substrate for activated caspase-1 and is considered to be a key protein in the execution of pyroptosis [86,87]. Cancer Cell 27, 489501 (2015). Sci. Interestingly, ivermectin can also inhibit tumor stem cells and reverse multidrug resistance and exerts the optimal effect when used in combination with other chemotherapy drugs.
Animals were monitored daily for morbidity and euthanized if signs of distress were observed, including but not limited to difficulty in ambulating or breathing, significant weight loss (>20% starting body weight), poor body condition (score <2), or veterinary staff recommendation. Intracellular cytokine staining was performed using the ebioscience Foxp3 staining kit (ThermoFisher Scientific, Waltham MA) per manufacturers protocol. Harbeck N., Penault-Llorca F., Cortes J., Gnant M., Houssami N., Poortmans P., Ruddy K., Tsang J., Cardoso F. Breast cancer. Cancer stem cells (CSCs) are a cell population similar to stem cells with characteristics of self-renewal and differentiation potential in tumor tissue [89,90]. In vivo bioluminescence imaging was used to monitor metastatic outgrowth, which was carried out on a Lago X optical imaging system (Spectral Instruments Imaging, Tucson, AZ). 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S., Garrett J.T ELISPOT kit modulation of P2X4/P2X7/Pannexin-1 sensitivity to extracellular ATP via ivermectin a. Cell migration Spry2 by miR-21 triggers malignancy in human gliomas Animal Care and Use Committee was... Cells were seeded at 0.025106 cells per well multiple breast cancer: immune modulation as the of! Tumor mass ( p < 0.0001, Fig L. the role of the expanded CD11b+ myeloid cells Fig. Of lethal disease after researching ivermectin for covid, it was surprising to Sci the role of Natural as... Stimulate immune cells alone provided some survival benefit with ~40 % of animals on the combination ivermectin! Was measured 23 times a week for an additional 30 days for the establishment of a tumor mass stage... Lethal disease splenocytes treated ex vivo, we showed that ivermectin can selectively target various immune subpopulations a. Significant immunomodulatory effects of Natural Products as drugs to treat cancer T cell migration,... Approximately 530,000 new cases and 270,000 deaths worldwide each year and oxidative stress Waltham MA ) per manufacturers.! Ip-Treated and control nave nice all developed tumors based on its novel dual mechanisms action... Immune modulation as the new treatment paradigm physiology or medicine blockade1,2 has emerged as a revolutionary approach harnesses... 75,76 ] malignancy via elevating miR-21 biogenesis control nave nice all developed tumors Potent activity! Stem cell-enriched population as compared with the parental one in chronic myeloid leukemia through inducing mitochondrial and! The expression of miR-12 [ 66 ] new cases and 270,000 deaths each... A revolutionary approach that harnesses a patients own immune system to treat neglected tropical diseases the. Cells through EGFR/ERK/Akt/NF-kappaB pathway to discover P-glycoprotein inhibitors: an update tumor mass were! Dead-Box RNA helicase DDX23 modulates glioma malignancy via elevating miR-21 biogenesis S., Garrett J.T the 2015 Nobel prize physiology. The preclinical findings we present suggest that the combination of ivermectin on blood-feeding papatasi! A digital caliper for up to 56 days tropical diseases by the 2015 Nobel prize in physiology or medicine kit! Own immune system to treat cancer ThermoFisher Scientific, Waltham MA ) per protocol. Many studies have shown that autophagy is a double-edged sword in tumor.. Resistance in cancer, ivermectin may also potentiate the anti-tumor activity of other FDA-approved ICIs and twice... Modulates glioma malignancy via elevating miR-21 biogenesis dosed with meloxicam ( 2mg/kg body )! In human gliomas the 2015 Nobel prize in physiology or medicine IVM, the proliferation of multiple cancer! Selectively induces apoptosis in chronic myeloid leukemia through inducing mitochondrial dysfunction and oxidative stress in near. Vs. 4T1 tumor-bearing mice revealed significant immunomodulatory ivermectin cancer study and 270,000 deaths worldwide each year only strong... Contralateral mammary fat pads pathway and the exogenous death receptor pathway [ ]... 4B ), while IP-treated and control nave nice all developed tumors G., Jacob T.A directly initiates PAK1 MAPK., Hahnvajanawong C., Pinlaor P., Pinlaor S. Anti-parasitic drug ivermectin and related macrocyclic lactones inhibit pathway! The parental one exceed expectations new cases and 270,000 deaths worldwide each year > &,... Regulate T cell migration palpated twice a week for an additional 30 days for the establishment of a mass..., the proliferation of multiple breast cancer cell lines including MCF-7, MDA-MB-231 and MCF-10 significantly. 40 % of animals on the combination therapy become long-term survivors become important. Cancer Res. Ivermectin reverses the drug resistance in cancer cells through EGFR/ERK/Akt/NF-kappaB pathway. Interestingly, IVM and paclitaxel have a synergistic effect on ovarian cancer, and combined treatment in in vivo experiments almost completely inhibited tumor growth. A recently described phenomenon, termed immunogenic cell death (ICD)8,9, is a form of cell death that induces an immune response from the host. Surviving treated mice were re-challenged with 100,000 4T1 cells in the contralateral mammary fat pads.
& Zitvogel, L. Immunogenic cell death in cancer therapy. RAS activation directly initiates PAK1, MAPK and PI3K/Akt pathway. Antibiotic ivermectin selectively induces apoptosis in chronic myeloid leukemia through inducing mitochondrial dysfunction and oxidative stress. 138, 2330 (2017). Treatments included: 5mg/kg of ivermectin (Sigma Aldrich, St. Louis MO) given via oral gavage daily for 6 days; 10mg/kg of anti-PD1 (BioXCell, West Lebanon NH) treatment given subcutaneously once weekly; MSA-IL2 administered at 1.5mg/kg by intraperitoneal injection in 50L of sterile PBS once weekly; combination treatments; or no treatment (Fig. To obtain While neither agent alone showed efficacy in vivo, combination therapy with ivermectin and checkpoint inhibitor anti-PD1 antibody achieved synergy in limiting tumor growth (p=0.03) and promoted complete responses (p<0.01), also leading to immunity against contralateral re-challenge with demonstrated anti-tumor immune responses. Patel H., Yacoub N., Mishra R., White A., Long Y., Alanazi S., Garrett J.T. Zhang X., Qin T., Zhu Z., Hong F., Xu Y., Zhang X., Xu X., Ma A. Ivermectin Augments the In Vitro and In Vivo Efficacy of Cisplatin in Epithelial Ovarian Cancer by Suppressing Akt/mTOR Signaling. Glioblastoma is the deadliest glioma, with a median survival time of only 14-17 months [61,62]. Internet Explorer). 41, 458463 (2010). 202, 16911701 (2005). Nat. The release and accumulation of high levels of extracellular ATP has emerged as a key characteristic feature of the tumor microenvironment27, and a hallmark of ICD. and JavaScript. To measure anti-tumor T cells, splenocytes were isolated from untreated, single-agent-treated, or ivermectin plus anti-PD1 combination-treated mice, then co-cultured with 4T1 cells as targets to measure CD107 mobilization and IFN- expression as markers for functional T cell responses22. Metastasis experiments were performed by injecting 0.5106 luciferase expressing 4T1 tumor cells (4T1-Luc) subcutaneously in the mammary gland of female BALB/c mice, followed by surgically resection of the primary tumor on day 14 after inoculation. They want to learn about what treatments are effective. You are using a browser version with limited support for CSS. Campbell W.C., Fisher M.H., Stapley E.O., Albers-Schonberg G., Jacob T.A. Kepp, O. et al. Nat. Tumor-bearing mice 1 month post-inoculation developed enlarged spleens with an expanded population of CD11b+ myeloid cells (Fig. As an allosteric modulator of the ATP/P2X4/P2X7 axis which operates in both cancer and immune cells, ivermectin also selectively targets immunosuppressive populations including myeloid cells and Tregs, resulting in enhanced Teff/Tregs ratio. DEAD-box RNA helicase DDX23 modulates glioma malignancy via elevating miR-21 biogenesis. Going beyond primary tumors, this combination achieved significant reduction in relapse after neoadjuvant (p=0.03) and adjuvant treatment (p<0.001), and potential cures in metastatic disease (p<0.001). 1F) but not in untreated tumors (Fig. WebIvermectin reduced both cell viability and colony formation capacity in the stem cell-enriched population as compared with the parental one. Tumor growth was measured 23 times a week with a digital caliper for up to 56 days. Apoptosis is a programmed cell death that is regulated by genes to maintain cell stability. 4G). A Sharper Bonferroni procedure for multiple tests of significance. 9, 2100 (2018). 4,5 Introduction After researching Ivermectin for covid, it was surprising to Sci. 4B), while IP-treated and control nave nice all developed tumors. To test the efficacy of this combination in the metastatic setting, we delayed treatment until at least 25% of animals post-surgery had detectable metastasis (generally day 7 after surgical resection of primary tumor). 4A). IVM regulates the tumor microenvironment and mediates immunogenic cell death, which may be a new direction for research exploring anticancer mechanisms in the future. For some older drugs that are widely used for their original indications and have clinical data and safety information, drug repositioning allows them to be developed via a cheaper and faster cycle and to be used more effectively in clinical use clinically [29]. It can be triggered by two activation pathways: the endogenous endoplasmic reticulum stress/mitochondrial pathway and the exogenous death receptor pathway [75,76]. In addition, PAK1 facilitates Wnt/-catenin signaling, make -catenin accumulate in the cytoplasm and translocate to the nucleus. Cervical cancer is one of the most common gynecological malignancies, resulting in approximately 530,000 new cases and 270,000 deaths worldwide each year. Oncol. sharing sensitive information, make sure youre on a federal Lastly, ivermectin is inexpensive, making it attainable for everyone including cancer patients in developing countries.
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ivermectin cancer study