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DRUG:

dactinomycin

i
Other names: Act D, GNF-PF-2290, NCI-C04682, NSC-3053
Company:
Generic mfg.
Drug class:
Topoisomerase II inhibitor, RNA synthesis inhibitor
Related drugs:
8d
A scientometric and comparative study of rhabdomyosarcoma research by pediatricians and stomatologists. (PubMed, J Dent Sci)
Cancer chemotherapy mainly vincristine, dactinomycin, and cyclophosphamide, surgery, radiotherapy, and brachytherapy were the common keywords of treatment. The more common keywords such as age, facial neoplasms, mouth neoplasms, orbital neoplasms, gingiva, mandible, DNA-binding proteins, gene silencing, and Rh30 cell line were reported by stomatologists. This study is the first comprehensive report of the scientometric characteristics of RMS publications by pediatricians and stomatologists, highlighting the need for increased awareness among clinicians to avoid diagnostic delays and ensure timely treatment.
Journal
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FOXO1 (Forkhead box O1) • PAX3 (Paired Box 3)
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cyclophosphamide • vincristine • dactinomycin
15d
Progressive Metastatic Cutaneous TFCP2::FUS Fusion-Positive Rhabdomyosarcoma: A Case Report. (PubMed, Case Rep Oncol)
He was treated with vincristine, dactinomycin, and cyclophosphamide, followed by cabozantinib and pembrolizumab, and finally pembrolizumab and concurrent radiation therapy to the targetable lesions. He had a continual, rapid progression of disease and expired 2 months following radiation. This case is notable because it presents a rare example of an aggressive, TFCP2::FUS gene fusion-positive RMS presenting with multiple cutaneous metastases, and highlights that this entity is highly resistant to multiple chemotherapies, immunotherapy, and radiation therapy.
Journal • PD(L)-1 Biomarker • IO biomarker
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FUS (FUS RNA Binding Protein) • TFCP2 (Transcription Factor CP2) • MYOD1 (Myogenic Differentiation 1)
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Keytruda (pembrolizumab) • Cabometyx (cabozantinib tablet) • cyclophosphamide • vincristine • dactinomycin
16d
NSUN2 restrains gastric cancer cell apoptosis and ferroptosis by promoting the m5C modification of EPYC. (PubMed, Hereditas)
NSUN2-mediated m5C modification of EPYC contributed to GC cell growth and metastasis, which provided a novel regulatory axis for understanding the pathogenesis of GC.
Journal
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NOP2 (NOP2 Nucleolar Protein) • NSUN2 (NOP2/Sun RNA Methyltransferase 2)
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dactinomycin
25d
Targeting the METTL3/PCNA axis with STM2457 overcomes cisplatin resistance in osteosarcoma. (PubMed, Transl Cancer Res)
Mechanistic investigations included quantification of global m6A levels, analysis of PCNA messenger RNA (mRNA) stability via actinomycin D assay, and western blot for protein expression. Our findings demonstrate that STM2457 overcomes cisplatin resistance in OS by targeting the METTL3-m6A-PCNA axis, thereby disrupting a key DNA repair and cell survival pathway. Pharmacological inhibition of METTL3 represents a novel and promising epigenetic strategy for resensitizing chemoresistant OS, supporting its potential for future clinical development.
Journal
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CASP3 (Caspase 3) • VIM (Vimentin) • PCNA (Proliferating cell nuclear antigen) • METTL3 (Methyltransferase Like 3)
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cisplatin • dactinomycin
26d
In vitro and in vivo anticancer efficacy of the combination of Actinomycin D and resveratrol. (PubMed, Biochem Cell Biol)
The in vivo efficacy was further supported by Ki-67 expression in tumor tissues. Taken together, our findings demonstrated that although the combination of Act D and resveratrol showed better efficacy in vitro than any of the single agent, the in vivo efficacy was not improved.
Preclinical • Journal
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GDF15 (Growth differentiation factor 15) • CDKN1A (Cyclin-dependent kinase inhibitor 1A) • BBC3 (BCL2 Binding Component 3)
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dactinomycin
26d
CircMCM7 Promotes Hepatocellular Carcinoma Cell Proliferation and Metastasis By Modulating MCM7 Expression. (PubMed, J Biochem Mol Toxicol)
Actinomycin D treatment and RNase R assay were performed to examine the stability of circMCM7...Notably, overexpression of MCM7 partially rescued the inhibitory effects on proliferation and invasion, as well as the pro-apoptotic effects induced by circMCM7 knockdown. This study elucidates the oncogenic function of circMCM7 in hepatocellular carcinoma and confirms its regulatory roles in HCC cell proliferation, invasion, and apoptosis through modulation of MCM7 expression, suggesting circMCM7 as a potential therapeutic target for HCC treatment.
Journal
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GAPDH (Glyceraldehyde-3-Phosphate Dehydrogenase) • ANXA5 (Annexin A5) • MCM7 (Minichromosome Maintenance Complex Component 7)
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dactinomycin
28d
FOXM1/FUS facilitates triple-negative breast cancer malignant progression and glutamine metabolism through mediating SLC7A5 transcription. (PubMed, J Mol Histol)
RNA binding protein immunoprecipitation (RIP), RNA pull-down, and actinomycin D (Act D) experiments evaluated fused in sarcoma (FUS)-SLC7A5 interaction...Its expression is transcriptionally driven by FOXM1 and post-transcriptionally stabilized by FUS. Targeting the FOXM1/SLC7A5 axis presents a novel therapeutic strategy for TNBC.
Journal
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FUS (FUS RNA Binding Protein) • SLC7A5 (Solute Carrier Family 7 Member 5) • FOXM1 (Forkhead Box M1)
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dactinomycin
1m
Primary ovarian rhabdomyosarcoma: A diagnostic dilemma in an uncommon tumor. (PubMed, J Cancer Res Ther)
Early relapse suggested the aggressive nature of the tumor, requiring chemotherapy with VAC (vincristine, actinomycin D, and cyclophosphamide). This case highlights the importance of early diagnosis, and the urgent need for standardized therapeutic approaches to improve patient outcomes in ovarian RMS.
Journal
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WT1 (WT1 Transcription Factor)
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cyclophosphamide • vincristine • dactinomycin
1m
Conception After Chemotherapy for Intraplacental Choriocarcinoma: Favorable 5-Year Follow-Up of the Mother and Child. (PubMed, Am J Case Rep)
Postpartum elevation of human chorionic gonadotropin levels prompted EMA-CO (etoposide, methotrexate, actinomycin D/cyclophosphamide, vincristine) chemotherapy; 7 treatment courses were completed without side effects or metastasis. The findings highlight the importance of accurate diagnosis and appropriate management of IC; they support previous observations that chemotherapy does not preclude future successful pregnancies. Additionally, the report underscores the clinical challenges of IC, its implications for future pregnancies, and the need for long-term follow-up concerning both mother and child.
Journal
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AFP (Alpha-fetoprotein)
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AFP elevation
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cyclophosphamide • etoposide IV • methotrexate • vincristine • dactinomycin
1m
Disrupting resistance: novel therapeutic approaches to combat multidrug resistance in fusion-negative rhabdomyosarcoma. (PubMed, Cancer Drug Resist)
While standard chemotherapies - vincristine, actinomycin D, and alkylating agents - are effective against localized disease, multidrug resistance (MDR) often leads to treatment failure in relapsed and metastatic RMS. Radiotherapy resistance is mediated through the DNA-PK-mTORC2-AKT axis, while drug transporters such as ABCB1 and SLC7A11, along with age-dependent CYP enzyme expression, affect drug bioavailability. Targeting these convergent mechanisms offers a promising therapeutic strategy to overcome resistance in FN-RMS.
Review • Journal
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ABCB1 (ATP Binding Cassette Subfamily B Member 1) • FBXW7 (F-Box And WD Repeat Domain Containing 7) • SLC7A11 (Solute Carrier Family 7 Member 11)
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RAS mutation
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vincristine • dactinomycin
2ms
Trial primary completion date
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Avastin (bevacizumab) • sorafenib • doxorubicin hydrochloride • cyclophosphamide • ifosfamide • etoposide IV • irinotecan • vincristine • dactinomycin • Neulasta (pegfilgrastim) • Neupogen (filgrastim) • dexrazoxane