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      Investigating the potential anticancer activities of antibiotics as topoisomerase II inhibitors and DNA intercalators: in vitro, molecular docking, molecular dynamics, and SAR studies

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          Abstract

          Topoisomerase II (TOP-2) is a promising molecular target for cancer therapy. Numerous antibiotics could interact with biologically relevant macromolecules and provoke antitumor potential. Herein, molecular docking studies were used to investigate the binding interactions of 138 antibiotics against the human topoisomerase II-DNA complex. Followed by the MD simulations for 200 ns and MM-GBSA calculations. On the other hand, the antitumor activities of the most promising candidates were investigated against three cancer cell lines using doxorubicin (DOX) as a reference drug. Notably, spiramycin ( SP) and clarithromycin ( CL) showed promising anticancer potentials on the MCF-7 cell line. Moreover, azithromycin ( AZ) and CL exhibited good anticancer potentials against the HCT-116 cell line. Finally, the TOP-2 enzyme inhibition assay was carried out to confirm the proposed rationale. Briefly, potent TOP-2 inhibitory potentials were recorded for erythromycin ( ER) and roxithromycin ( RO). Additionally, a SAR study opened eyes to promising anticancer pharmacophores encountered by these antibiotics.

          Highlights
          • Molecular docking studies of 139 antibiotics against the topoisomerase II-DNA complex.

          • SP, RO, AZ, CL, and ER were the most promising and commercially available candidates.

          • Molecular dynamics simulations for 200 ns for the most promising five complexes.

          • MM-GBSA calculations for the frontier five complexes.

          • SP and CL showed promising anticancer potentials on the MCF-7 cell line, besides, AZ and CL exhibited good anticancer potentials against the HCT-116 cell line.

          • Potent TOP-2 inhibitory potentials were recorded for ER and RO.

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          Cancer statistics in China and United States, 2022: profiles, trends, and determinants

          Background: The cancer burden in the United States of America (USA) has decreased gradually. However, China is experiencing a transition in its cancer profiles, with greater incidence of cancers that were previously more common in the USA. This study compared the latest cancer profiles, trends, and determinants between China and USA. Methods: This was a comparative study using open-source data. Cancer cases and deaths in 2022 were calculated using cancer estimates from GLOBOCAN 2020 and population estimates from the United Nations. Trends in cancer incidence and mortality rates in the USA used data from the Surveillance, Epidemiology, and End Results program and National Center for Health Statistics. Chinese data were obtained from cancer registry reports. Data from the Global Burden of Disease 2019 and a decomposition method were used to express cancer deaths as the product of four determinant factors. Results: In 2022, there will be approximately 4,820,000 and 2,370,000 new cancer cases, and 3,210,000 and 640,000 cancer deaths in China and the USA, respectively. The most common cancers are lung cancer in China and breast cancer in the USA, and lung cancer is the leading cause of cancer death in both. Age-standardized incidence and mortality rates for lung cancer and colorectal cancer in the USA have decreased significantly recently, but rates of liver cancer have increased slightly. Rates of stomach, liver, and esophageal cancer decreased gradually in China, but rates have increased for colorectal cancer in the whole population, prostate cancer in men, and other seven cancer types in women. Increases in adult population size and population aging were major determinants for incremental cancer deaths, and case-fatality rates contributed to reduced cancer deaths in both countries. Conclusions: The decreasing cancer burden in liver, stomach, and esophagus, and increasing burden in lung, colorectum, breast, and prostate, mean that cancer profiles in China and the USA are converging. Population aging is a growing determinant of incremental cancer burden. Progress in cancer prevention and care in the USA, and measures to actively respond to population aging, may help China to reduce the cancer burden.
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            Anthracyclines: molecular advances and pharmacologic developments in antitumor activity and cardiotoxicity.

            The clinical use of anthracyclines like doxorubicin and daunorubicin can be viewed as a sort of double-edged sword. On the one hand, anthracyclines play an undisputed key role in the treatment of many neoplastic diseases; on the other hand, chronic administration of anthracyclines induces cardiomyopathy and congestive heart failure usually refractory to common medications. Second-generation analogs like epirubicin or idarubicin exhibit improvements in their therapeutic index, but the risk of inducing cardiomyopathy is not abated. It is because of their janus behavior (activity in tumors vis-à-vis toxicity in cardiomyocytes) that anthracyclines continue to attract the interest of preclinical and clinical investigations despite their longer-than-40-year record of longevity. Here we review recent progresses that may serve as a framework for reappraising the activity and toxicity of anthracyclines on basic and clinical pharmacology grounds. We review 1) new aspects of anthracycline-induced DNA damage in cancer cells; 2) the role of iron and free radicals as causative factors of apoptosis or other forms of cardiac damage; 3) molecular mechanisms of cardiotoxic synergism between anthracyclines and other anticancer agents; 4) the pharmacologic rationale and clinical recommendations for using cardioprotectants while not interfering with tumor response; 5) the development of tumor-targeted anthracycline formulations; and 6) the designing of third-generation analogs and their assessment in preclinical or clinical settings. An overview of these issues confirms that anthracyclines remain "evergreen" drugs with broad clinical indications but have still an improvable therapeutic index.
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              Projections of cancer prevalence in the United Kingdom, 2010–2040

              Background: There are currently two million cancer survivors in the United Kingdom, and in recent years this number has grown by 3% per annum. The aim of this paper is to provide long-term projections of cancer prevalence in the United Kingdom. Methods: National cancer registry data for England were used to estimate cancer prevalence in the United Kingdom in 2009. Using a model of prevalence as a function of incidence, survival and population demographics, projections were made to 2040. Different scenarios of future incidence and survival, and their effects on cancer prevalence, were also considered. Colorectal, lung, prostate, female breast and all cancers combined (excluding non-melanoma skin cancer) were analysed separately. Results: Assuming that existing trends in incidence and survival continue, the number of cancer survivors in the United Kingdom is projected to increase by approximately one million per decade from 2010 to 2040. Particularly large increases are anticipated in the oldest age groups, and in the number of long-term survivors. By 2040, almost a quarter of people aged at least 65 will be cancer survivors. Conclusion: Increasing cancer survival and the growing/ageing population of the United Kingdom mean that the population of survivors is likely to grow substantially in the coming decades, as are the related demands upon the health service. Plans must, therefore, be laid to ensure that the varied needs of cancer survivors can be met in the future.
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                Author and article information

                Journal
                J Enzyme Inhib Med Chem
                J Enzyme Inhib Med Chem
                Journal of Enzyme Inhibition and Medicinal Chemistry
                Taylor & Francis
                1475-6366
                1475-6374
                26 January 2023
                2023
                26 January 2023
                : 38
                : 1
                : 2171029
                Affiliations
                [a ]Pharmaceutical Chemistry Department, Faculty of Pharmacy, Ahram Canadian University , Giza, Egypt
                [b ]Department of Medicinal Chemistry, Faculty of Pharmacy, Port Said University , Port Said, Egypt
                [c ]BK21 FOUR Team and Integrated Research Institute for Drug Development, College of Pharmacy, Dongguk University-Seoul , Goyang, Republic of Korea
                [d ]Department of Pharmaceutical Organic Chemistry, Faculty of Pharmacy, Mansoura University , Mansoura, Egypt
                [e ]Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Tanta University , Tanta, Egypt
                [f ]Department of Chemistry, Faculty of Science, University of Benghazi , Benghazi, Libya
                [g ]PharmD, Faculty of Pharmacy, Libyan International Medical University , Benghazi, Libya
                [h ]Department of Chemistry, University of Cape Town , Rondebosch, South Africa
                [i ]Department of Pharmaceutics, Faculty of Pharmacy, Umm Al-Qura University , Makkah, Saudi Arabia
                [j ]Department of Clinical Sciences, College of Medicine, University of Sharjah , Sharjah, the United Arab Emirates
                [k ]Department of Pharmacology and Toxicology, Faculty of Pharmacy, Mansoura University , Mansoura, Egypt
                [l ]Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Kafrelsheikh University , Kafrelsheikh, Egypt
                [m ]School of Biotechnology, Badr University in Cairo , Badr City, Egypt
                Author notes

                Supplemental data for this article can be accessed online at https://doi.org/10.1080/14756366.2023.2171029.

                CONTACT Ahmed A. Al‐Karmalawy akarmalawy@ 123456acu.edu.eg Pharmaceutical Chemistry Department, Faculty of Pharmacy, Ahram Canadian University , Giza, Egypt
                Author information
                https://orcid.org/0000-0001-6455-5716
                https://orcid.org/0000-0003-1869-9596
                https://orcid.org/0000-0001-6996-4017
                https://orcid.org/0000-0002-8173-6073
                Article
                2171029
                10.1080/14756366.2023.2171029
                9881673
                36701269
                2444043f-8234-48e1-bca1-7e8f5aa90e2e
                © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Page count
                Figures: 12, Tables: 2, Pages: 16, Words: 7956
                Categories
                Research Article
                Research Paper

                Pharmaceutical chemistry
                antibiotics,cytotoxicity,topoisomerase ii,molecular docking and dynamics,mm-gbsa

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