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DRUG CLASS:

RNA synthesis inhibitor

8d
NSUN4 Facilitates the Activity of Oncogenic Protein CDC20 to Promote NSCLC Development by Mediating m5C Modification of CDC20 mRNA. (PubMed, Thorac Cancer)
Our findings identify the pro-tumorigenic property of the NSUN4/CDC20 cascade in NSCLC. Targeting the novel cascade may be a promising way for combating this deadly disease.
Journal
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CDC20 (Cell Division Cycle 20)
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dactinomycin
11d
Structural and Functional Insights into Targeting GCCG Sites in the EGFR Promoter by Two DNA Intercalators to Inhibit Breast Cancer Metastasis. (PubMed, J Med Chem)
We report here that the cooperative binding of doxorubicin (Dox) with actinomycin D (ActD) enhances the specificity for consecutive GCCG sites in DNA. In vivo, the combination significantly suppresses tumor growth and outperforms the standard Dox and cyclophosphamide regimen in inhibiting metastasis. This study highlights targeting the activated EGFR pathway with sequence-specific DNA-targeting drug combinations as a potential TNBC treatment.
Journal
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EGFR (Epidermal growth factor receptor)
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doxorubicin hydrochloride • cyclophosphamide • dactinomycin
12d
Potential mechanism of circKIAA1429 accelerating the progression of hepatocellular carcinoma. (PubMed, Infect Agent Cancer)
circKIAA1429 interacts with SETD1A to inhibit the enrichment of H3K4me3 and H3K27me3 on GLIS2 or NAP1L3 promoter, thus inhibiting/promoting the expression of GLIS2/NAP1L3 and accelerating the progression of HCC.
Journal
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GLIS2 (GLIS Family Zinc Finger 2) • SETD1A (SET Domain Containing 1A) • VIRMA (Vir Like M6A Methyltransferase Associated)
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dactinomycin
16d
Cordycepin mediates pyroptosis in HCC through the upregulation of TXNIP and synergizes with anti-PD-L1 immunotherapy. (PubMed, Hepatol Commun)
Overall, our study successfully established a combined therapeutic strategy using COR and PD-L1 inhibitors. This strategy has significant synergistic effects on cancer cells, highlighting its importance in cancer therapy.
Journal • PD(L)-1 Biomarker • IO biomarker
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CD8 (cluster of differentiation 8) • TXNIP (Thioredoxin Interacting Protein)
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PD-L1 expression
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Tecentriq (atezolizumab) • cordycepin (OVI-123)
17d
EIF4E-mediated biogenesis of circPHF14 promotes the growth and metastasis of pancreatic ductal adenocarcinoma via Wnt/β-catenin pathway. (PubMed, Mol Cancer)
EIF4E-mediated biogenesis of circPHF14 stabilizes WNT7A mRNA via interaction with PABPC1, which subsequently activates the Wnt/β-catenin pathway, promoting the growth and metastasis of PDAC. These findings indicate that circPHF14 holds promise as a biomarker and therapeutic target for PDAC.
Journal
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SNAI2 (Snail Family Transcriptional Repressor 2) • WNT7A (Wnt Family Member 7A) • PABPC1 (Poly(A) Binding Protein Cytoplasmic 1)
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dactinomycin
23d
IGF2BP1/AIFM2 axis regulates ferroptosis and glycolysis to drive hepatocellular carcinoma progression. (PubMed, Cell Signal)
IGF2BP1 stabilized AIFM2 mRNA to regulate ferroptosis and glycolysis and promoted HCC progression.
Journal
|
IGF2BP1 (Insulin Like Growth Factor 2 MRNA Binding Protein 1) • AIFM2 (Apoptosis Inducing Factor Mitochondria Associated 2)
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dactinomycin
23d
Has_circ_ASH1L acts as a sponge for miR-1254 to promote the malignant progression of cervical cancer by targeting CD36. (PubMed, Cancer Gene Ther)
The characteristics of circ_ASH1L were determined by RNase R digestion, actinomycin D, and nucleo-plasmic separation assays...Similarly, modulation of CD36 expression efficiently counteracted the effect of miR-1254 on the malignant biological behavior of CC cells. In conclusion, circ_ASH1L promoted the malignant progression of CC via upregulating CD36 expression through sponging miR-1254.
Journal
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CD36 (thrombospondin receptor)
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dactinomycin
23d
IGF2BP2-induced circRNF20 facilitates breast cancer cell proliferation via the HuR/CDCA4 axis. (PubMed, Kaohsiung J Med Sci)
The stability of circRNF20 was tested after treatment with actinomycin D. A nude mouse xenograft tumor model was established to validate the effect of IGF2BP2 in vivo...The overexpression of circRNF20 or CDCA4 abolished the inhibitory effect of IGF2BP2 silencing on BC cell proliferation. In conclusion, the binding of IGF2BP2 to circRNF20 prevents its degradation, thus facilitating BC cell proliferation via the HuR/CDCA4 axis.
Journal
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IGF2BP2 (Insulin Like Growth Factor 2 MRNA Binding Protein 2) • RNF20 (Ring Finger Protein 20)
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dactinomycin
25d
METTL1 Enhances RRP9 mRNA Stability Through m7G Modification to Drive Colorectal Tumorigenesis. (PubMed, Mol Carcinog)
The influence of METTL1 in m7G methylation and stability of RRP9 mRNA was evaluated by methylated immunoprecipitation (MeRIP) assay and Actinomycin D (Act D) treatment, respectively...METTL1 depletion impeded the growth of HCT-116 subcutaneous xenografts in vivo by RRP9. Our observations identified METTL1 as a crucial protumorigenic factor to drive growth, metastasis, and stemness of CRC cells through RRP9, offering new targets for combating CRC.
Journal
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METTL1 (Methyltransferase 1, TRNA Methylguanosine)
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dactinomycin
29d
Insulin-Like Growth Factor 2 mRNA-Binding Protein 2 (IGF2BP2) Promotes Castration-Resistant Prostate Cancer Progression by Regulating AR-V7 mRNA Stability. (PubMed, Cancer Rep (Hoboken))
Taken together, our findings suggest that IGF2BP2 plays a critical role in regulating AR-V7 expression and stability, offering a novel target for developing therapeutic interventions for CRPC.
Journal
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AR (Androgen receptor) • IGF2BP2 (Insulin Like Growth Factor 2 MRNA Binding Protein 2)
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AR splice variant 7
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Xtandi (enzalutamide) • abiraterone acetate • dactinomycin
30d
Preclinical Assessment of Dactinomycin in KMT2A-Rearranged Infant Acute Lymphoblastic Leukemia. (PubMed, Cancers (Basel))
Combination testing with the conventional chemotherapeutic agents currently used to treat infants with ALL demonstrated additivity with cytarabine. Dactinomycin is extensively used for the treatment of solid tumors in children and has an acceptable safety profile when used to treat infants in this context. However, despite being readily translational and exhibiting promising in vitro cytotoxicity, dactinomycin showed limited efficacy in vivo and therefore does not represent a priority candidate for integrating into therapy for infants with ALL.
Preclinical • Journal
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KMT2A (Lysine Methyltransferase 2A)
|
cytarabine • dactinomycin
1m
Effect of S. Aureus Skin Decolonization on Disease Severity in Atopic Dermatitis Patients (clinicaltrials.gov)
P4, N=100, Not yet recruiting, Boston Children's Hospital | Initiation date: Dec 2024 --> Dec 2025
Trial initiation date
1m
MFSD2A Overexpression Inhibits Hepatocellular Carcinoma Through TGF-β/Smad Signaling. (PubMed, Mol Carcinog)
Luciferase reporter, RNA immunoprecipitation, actinomycin D, and immunofluorescence assays were performed to investigate the molecule mechanisms of MFSD2A...Knockdown of MFSD2A abrogated the inhibitory effect of miR-3189-3p inhibitor on HCC cellular processes, and overexpression of MFSD2A reversed the tumor-promoting effect of HDLBP overexpression. Overall, MFSD2A exerts a tumor-inhibiting effect in HCC via suppression of TGF-β/Smad signaling, suggesting that MFSD2A may be a promising target for HCC therapy.
Journal
|
SMAD4 (SMAD family member 4) • TGFB1 (Transforming Growth Factor Beta 1) • MFSD2A (MFSD2 Lysolipid Transporter A) • HDLBP (High Density Lipoprotein Binding Protein)
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dactinomycin
1m
METTL14-mediated m6A modification of LINC00340 exerts oncogenic role in retinoblastoma by regulating Notch signaling pathway. (PubMed, Int Ophthalmol)
The findings of study reveal that METTL14-mediated m6A modification of LINC00340 exerts oncogenic function in RB via Notch signaling pathway, which may uncover a novel molecular mechanism driving RB progression and identify a potential therapeutic target for RB.
Journal
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METTL14 (Methyltransferase 14)
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dactinomycin
1m
Upregulation of TTYH3 by lncRNA LUCAT1 through interacting with ALYREF facilitates the metastasis in non-small cell lung cancer. (PubMed, Cancer Biol Ther)
RNA pull-down, RNA immunoprecipitation, qRT-PCR, western blot, and actinomycin D assays were adopted to determine the relationships among LUCAT1, ALYREF, and TTYH3...TTYH3 overexpression eliminated the suppressive functions of ALYREF downregulation in NSCLC progression. LUCAT1 promotes TTYH3 expression via interacting with ALYREF, thereby facilitating NSCLC migration, invasion, and EMT.
Journal
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CDH1 (Cadherin 1) • VIM (Vimentin) • CDH2 (Cadherin 2) • ALYREF (Aly/REF Export Factor) • LUCAT1 (Lung Cancer Associated Transcript 1)
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dactinomycin
1m
RBM15-mediated m6A modification of XPR1 promotes the malignant progression of lung adenocarcinoma. (PubMed, Naunyn Schmiedebergs Arch Pharmacol)
An actinomycin D assay was conducted to analyze the effect of RBM15 silencing on XPR1 mRNA stability...RBM15-mediated m6A modification of XPR1 promoted the malignant progression of lung adenocarcinoma. These findings provide new insights into the molecular mechanism underlying the pathogenesis of LUAD and suggest potential therapeutic strategies for the treatment of this devastating disease.
Journal
|
CASP3 (Caspase 3) • GPX4 (Glutathione Peroxidase 4) • SLC7A11 (Solute Carrier Family 7 Member 11) • RBM15 (RNA Binding Motif Protein 15)
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dactinomycin
1m
NSUN3 Aggravates Sepsis-Associated Acute Kidney Injury by Stabilising TIFA mRNA Through m5C. (PubMed, Clin Exp Pharmacol Physiol)
NSUN3 aggravates SA-AKI by stabilising TIFA mRNA through m5C, indicating that NSUN3 may be a biomarker for SA-AKI.
Journal
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NOP2 (NOP2 Nucleolar Protein)
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dactinomycin
1m
NAT10 promotes ovarian cancer cell migration, invasion, and stemness via N4-acetylcytidine modification of CAPRIN1. (PubMed, BMC Womens Health)
The molecular mechanism of NAT10 function was analyzed using bioinformatics, ac4C- RNA immunoprecipitation, and actinomycin D treatment assay...Mechanistically, NAT10 stabilizes CAPRIN1 by promoting its ac4C modification. These findings suggest that NAT10 may be a promising therapy target for OC.
Journal
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CAPRIN1 (Cell Cycle Associated Protein 1)
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dactinomycin
1m
An Open Clinical Trial of the Safety and Efficacy of the Drug Fluorothiazinone, 300 Mg Tablets with the Participation of Adult Patients with Chronic Bacterial Cystitis" (clinicaltrials.gov)
P3, N=280, Not yet recruiting, Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation
New P3 trial
1m
Pharmacological activity of OST-01, a natural product from baccharis coridifolia, on breast cancer cells. (PubMed, J Hematol Oncol)
Mechanistically, OST-01 induces ferroptosis by downregulating LRP8-regulated selenoproteins, i.e., GPX4. A shift from a basal-mesenchymal to a luminal-epithelial state of breast cancer stem cells (BCSCs) as supported by the downregulation of stemness (e.g., CD44) and mesenchymal (e.g., FN1 and vimentin) markers, along with the upregulation of differentiation markers (e.g., CD24) and luminal-epithelial markers (e.g., CK19), was also observed.
Journal
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CD24 (CD24 Molecule) • GPX4 (Glutathione Peroxidase 4) • VIM (Vimentin) • KRT19 (Keratin 19)
1m
CircWDR78 inhibits the development of colorectal cancer by regulating the miR-653-3p/RGS4 axis. (PubMed, J Cancer Res Clin Oncol)
This discovery highlights the significance of circWDR78 as a potential regulatory axis of miR-653-3p/RGS4 in CRC progression.
Journal
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MIR653 (MicroRNA 653)
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dactinomycin
1m
A methyltransferase-independent role for METTL1 in tRNA aminoacylation and oncogenic transformation. (PubMed, Mol Cell)
METTL1-amplified liposarcomas were hypersensitive to actinomycin D, a clinical inhibitor of ribosome biogenesis. We propose that METTL1 overexpression promotes sarcomagenesis by stimulating tRNA aminoacylation, protein synthesis, and tumor cell growth independent of its methyltransferase activity.
Journal
|
METTL1 (Methyltransferase 1, TRNA Methylguanosine)
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dactinomycin
2ms
Cordycepin and Its Structural Derivatives Effectively Suppress the High Expression of Epidermal Growth Factor Receptor (EGFR) Tyrosine Kinase in Breast Carcinomas: A Computational Drug Development Approach. (PubMed, Curr Med Chem)
Consequently, these derivative compounds Cordycepin have the potential to be utilized as lead molecules in the development of highly effective and potent EGFR tyrosine kinase inhibitors for the treatment of breast cancer patients.
Journal
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EGFR (Epidermal growth factor receptor)
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EGFR expression
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Caprelsa (vandetanib) • cordycepin (OVI-123)
2ms
hnRNPA2B1 drives colorectal cancer progression via the circCDYL/EIF4A3/PHF8 axis. (PubMed, Kaohsiung J Med Sci)
CDYL expression was detected after actinomycin D and RNase R treatment...hnRNPA2B1 mechanistically elevated the m6A level of circCDYL while decreasing its expression, which in turn reduced the binding of circCDYL to EIF4A3 and enhanced PHF8 expression. In summary, hnRNPA2B1-mediated m6A modification decreases circCDYL expression, which inhibits the interaction of circCDYL with EIF4A3, enhances PHF8 expression, and ultimately facilitates CRC progression.
Journal
|
EIF4A3 (Eukaryotic Translation Initiation Factor 4A3) • HNRNPA2B1 (Heterogeneous Nuclear Ribonucleoprotein A2/B1)
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dactinomycin
2ms
CircCCT2/miR-146a-5p/IRAK1 axis promotes the development of head and neck squamous cell carcinoma. (PubMed, BMC Cancer)
CircCCT2 promotes HNSCC development through the miR-146a-5p/IRAK1 axis, revealing that circCCT2 is a potential biomarker and target for HNSCC.
Journal
|
CCT2 (Chaperonin Containing TCP1 Subunit 2) • IRAK1 (Interleukin 1 Receptor Associated Kinase 1)
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dactinomycin
2ms
SHIELD: Staph Intervention for Effective Local Defense (clinicaltrials.gov)
P4, N=120, Recruiting, Johns Hopkins Bloomberg School of Public Health | Trial primary completion date: Jan 2025 --> Dec 2025
Trial primary completion date
2ms
WTAP-Mediated m6A Modification of TRAIL-DR4 Suppresses MH7A Cell Apoptosis. (PubMed, Int J Rheum Dis)
This study suggests that WTAP-mediated m6A modification of TRAIL-DR4 suppresses MH7A cell apoptosis. This discovery offers a new focus and avenue for the clinical treatment of RA, while also extending our understanding of the pathophysiology of RA from the standpoint of m6A alteration.
Journal • IO biomarker
|
BCL2 (B-cell CLL/lymphoma 2) • WT1 (WT1 Transcription Factor) • BAX (BCL2-associated X protein) • WTAP (WT1 Associated Protein)
|
BCL2 expression
|
dactinomycin
2ms
MUPIPHARM: Pharmacology of Mupirocin in Nasal Application in Healthy Volunteers: Monocentric Study (clinicaltrials.gov)
P1, N=40, Recruiting, Centre Hospitalier Universitaire de Saint Etienne | Trial completion date: Mar 2025 --> Dec 2025 | Trial primary completion date: Dec 2024 --> Jun 2025
Trial completion date • Trial primary completion date
2ms
A Pilot Study of Thermodox and MR-HIFU for Treatment of Relapsed Solid Tumors (clinicaltrials.gov)
P2, N=0, Withdrawn, Children's National Research Institute | N=14 --> 0 | Trial completion date: Dec 2025 --> Dec 2024 | Recruiting --> Withdrawn | Trial primary completion date: Dec 2025 --> Dec 2024
Enrollment change • Trial completion date • Trial withdrawal • Trial primary completion date
|
ThermoDox (lyso-thermosensitive liposomal doxorubicin)
2ms
ABLE: Asymptomatic Bacteriuria in Pregnancy in Low- and Middle-IncomE Countries (clinicaltrials.gov)
P3, N=1134, Not yet recruiting, NICHD Global Network for Women's and Children's Health | Phase classification: P1 --> P3
Phase classification
3ms
CircDUSP16 mediates the effect of triple-negative breast cancer in pirarubicin via the miR-1224-3p/TFDP2 axis. (PubMed, Biochem Pharmacol)
Additionally, THP, a commonly used anthracycline chemotherapy drug, was found to downregulate circDUSP16, suggesting that its therapeutic effects on TNBC may be mediated through circDUSP16/miR-1224-3p/TFDP2 pathway. Our findings suggest that circDUSP16 is a promising biomarker and potential therapeutic target for TNBC.
Journal
|
DUSP1 (Dual Specificity Phosphatase 1) • MIR122 (MicroRNA 122)
|
Pinorubin (pirarubicin)
3ms
M6A modification-mediated LIMA1 promotes the progression of hepatocellular carcinoma through the wnt-βcatenin/Hippo pathway. (PubMed, Cell Biol Toxicol)
In HCC, LIMA1 functions as a tumor promoter and engages with the WNT-β-catenin and Hippo signaling pathways,, affecting the characteristics of tumor cells. LIMA1 expression is regulated by METTL3-mediated m6A modification, leading to its high expression in HCC. Our research presents a hopeful objective for the detection and therapy of HCC.
Journal
|
METTL3 (Methyltransferase Like 3)
|
dactinomycin
3ms
BADMC: Bacterial Decolonization Within Dyads (clinicaltrials.gov)
P=N/A, N=20, Recruiting, Duke University | Trial completion date: Jun 2025 --> Jun 2026 | Trial primary completion date: Oct 2024 --> Oct 2025
Trial completion date • Trial primary completion date
3ms
CIBERSTAPH: Study of the Impact of a Targeted Decolonization of S. Aureus Persistent Carriers (clinicaltrials.gov)
P4, N=434, Terminated, Centre Hospitalier Universitaire de Saint Etienne | N=850 --> 434 | Recruiting --> Terminated; Lack of inclusons
Enrollment change • Trial termination
3ms
Cordycepin Extracted from Cordyceps militaris mitigated CUMS-induced depression of rats via targeting GSK3β/β-catenin signaling pathway. (PubMed, J Ethnopharmacol)
This study indicated that cordycepin exerted antidepressant effect by modulating GSK3β/β-catenin pathway, suggesting its potential as a candidate agent for depression.
Preclinical • Journal
|
MYC (V-myc avian myelocytomatosis viral oncogene homolog) • LDHA (Lactate dehydrogenase A) • CCND1 (Cyclin D1) • PKM (Pyruvate Kinase M1/2)
|
cordycepin (OVI-123)
3ms
Hypoxia-inducible factor-targeting therapy augmented the sensitivity to programmed death ligand-1 blockade by enhancing interferon-γ-induced chemokines in tumor cells. (PubMed, Int J Cancer)
We revealed that the HIF1A inhibitors echinomycin (EC) and YC-1 upregulated CXCL10/11 genes induced by IFN-γ in tumor cells in vitro...Combination therapy enhanced tumor infiltration of CD8 T cells and suppressed tumor angiogenesis. The present study suggests that HIF1A signaling in tumor cells dominates ICI resistance via the downregulation of tumor-derived CXCL10/11.
Journal • PD(L)-1 Biomarker • IO biomarker • Tumor cell
|
PD-L1 (Programmed death ligand 1) • CD8 (cluster of differentiation 8) • IFNG (Interferon, gamma) • HIF1A (Hypoxia inducible factor 1, alpha subunit) • CXCL10 (Chemokine (C-X-C motif) ligand 10)
|
HIF1A expression • CXCL10 expression
|
echinomycin
3ms
Transurethral resection of bladder tumor with Bacille Calmette-Guerin intravesical instillation for HRNMIBC and factors influencing recurrence. (PubMed, Am J Transl Res)
The combination of TURBT with pirarubicin and BCG intravesical instillation significantly lowers the recurrence rate in HRNMIBC patients and enhances both quality of life and immune function recovery. Independent factors affecting HRNMIBC recurrence include tumor number, stage, grade, and primary tumor status.
Journal
|
CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule)
|
Pinorubin (pirarubicin)
3ms
Natural small molecule hinokitone mitigates NASH fibrosis by targeting regulation of FXR-mediated hepatocyte apoptosis. (PubMed, J Adv Res)
In conclusion, HO has an inhibitory effect on NASH fibrosis. This effect is mediated by targeting upregulation of hepatocyte FXR, which in turn attenuates hepatocyte apoptosis and thus indirectly inhibits the activation of HSCs.
Journal
|
TNFA (Tumor Necrosis Factor-Alpha) • CASP8 (Caspase 8)
|
dactinomycin
3ms
ABLE: Asymptomatic Bacteriuria in Pregnancy in Low- and Middle-IncomE Countries (clinicaltrials.gov)
P1, N=1134, Not yet recruiting, NICHD Global Network for Women's and Children's Health
New P1 trial
3ms
GEFT inhibits the GSDM-mediated proptosis signalling pathway, promoting the progression and drug resistance of rhabdomyosarcoma. (PubMed, Cell Death Dis)
Overall, our investigation demonstrated that nigericin and dactinomycin play therapeutic roles in tumours by promoting RMS cell pyroptosis. Interference with GEFT and drug combination can exert a great inhibitory effect on tumours.
Journal
|
CASP3 (Caspase 3) • NLRP3 (NLR Family Pyrin Domain Containing 3) • GSDME (Gasdermin E)
|
dactinomycin
4ms
Synergistic fermentation of Cordyceps militaris and herbal substrates boosts grower pig antioxidant and immune function. (PubMed, BMC Vet Res)
Results demonstrated that CMSSF has the potential to be used as a natural growth promoter to enhance immunity, antioxidation, as well as overall health and growth performance of grower pigs.
Journal
|
IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha)
|
cordycepin (OVI-123)