Skip to main content
Top
Published in: Clinical & Experimental Metastasis 1/2024

05-01-2024 | ß-Blockers | Review

Beta-blocker adjunct therapy as a prospective anti-metastatic with cardio-oncologic regulation

Authors: Sachin G Nair, Sonu Benny, Wesley M Jose, Aneesh T P

Published in: Clinical & Experimental Metastasis | Issue 1/2024

Login to get access

Abstract

The prevailing treatment stratagem in cancer therapy still challenges the dilemma of a probable metastatic spread following an initial diagnosis. Including an anti-metastatic agent demands a significant focus to overrule the incidence of treatment failures. Adrenergic stimulation underlying the metastatic spread paved the way for beta blockers as a breakthrough in repurposing as an anti-metastatic agent. However, the current treatment approach fails to fully harness the versatile potential of the drug in inhibiting probable metastasis. The beta blockers were seen to show a myriad of grip over the pro-metastatic and prognostic parameters of the patient. Novel interventions in immune therapy, onco-hypertension, surgery-induced stress, induction of apoptosis and angiogenesis inhibition have been used as evidence to interpret our objective of discussing the potential adjuvant role of the drug in the existing anti-cancer regimens. Adding weight to the relative incidence of onco-hypertension as an unavoidable side effect from chemotherapy, the slot for an anti-hypertensive agent is necessitated, and we try to suggest beta-blockers to fill this position. However, pointing out the paucity in the clinical study, we aim to review the current status of beta blockers under this interest to state how the drug should be included as a drug of choice in every patient undergoing cancer treatment.
Literature
2.
9.
go back to reference Papadaki MA, Stoupis G, Theodoropoulos PA, Mavroudis D, Georgoulias V, Agelaki S (2019) ‘Circulating tumor cells with stemness and Epithelial-to-Mesenchymal transition features are chemoresistant and predictive of poor outcome in metastatic breast cancer’. Mol. Cancer Ther 18(2):437–447. Feb. https://doi.org/10.1158/1535-7163.MCT-18-0584 Papadaki MA, Stoupis G, Theodoropoulos PA, Mavroudis D, Georgoulias V, Agelaki S (2019) ‘Circulating tumor cells with stemness and Epithelial-to-Mesenchymal transition features are chemoresistant and predictive of poor outcome in metastatic breast cancer’. Mol. Cancer Ther 18(2):437–447. Feb. https://​doi.​org/​10.​1158/​1535-7163.​MCT-18-0584
37.
go back to reference Machado NO, Chopra P (2009) Pancreatic Metastasis from renal carcinoma managed by whipple resection. A case report and literature review of metastatic pattern, surgical management and outcome. J Pancreas 10(4):413–418 Machado NO, Chopra P (2009) Pancreatic Metastasis from renal carcinoma managed by whipple resection. A case report and literature review of metastatic pattern, surgical management and outcome. J Pancreas 10(4):413–418
43.
go back to reference Chen H, Liu D, Guo L, Cheng X, Guo N, Shi M (Jan. 2018) Chronic psychological stress promotes lung metastatic colonization of circulating Breast cancer cells by decorating a pre-metastatic niche through activating β-adrenergic signaling. J Pathol 244(1):49–60. https://doi.org/10.1002/path.4988 Chen H, Liu D, Guo L, Cheng X, Guo N, Shi M (Jan. 2018) Chronic psychological stress promotes lung metastatic colonization of circulating Breast cancer cells by decorating a pre-metastatic niche through activating β-adrenergic signaling. J Pathol 244(1):49–60. https://​doi.​org/​10.​1002/​path.​4988
58.
go back to reference Izzedine H et al Gemcitabine-induced thrombotic microangiopathy: a systematic review. Nephrology, dialysis, transplantation: official publication of the European Dialysis and Transplant Association - European Renal Association vol. 21,11 (2006): 3038–3045. https://doi.org/10.1093/ndt/gfl507 Izzedine H et al Gemcitabine-induced thrombotic microangiopathy: a systematic review. Nephrology, dialysis, transplantation: official publication of the European Dialysis and Transplant Association - European Renal Association vol. 21,11 (2006): 3038–3045. https://​doi.​org/​10.​1093/​ndt/​gfl507
68.
go back to reference Murugan S, Rousseau B, Sarkar DK (2021) Beta 2 adrenergic receptor antagonist propranolol and opioidergic receptor antagonist naltrexone produce Synergistic effects on Breast Cancer Growth Prevention by acting on Cancer cells and Immune Environment in a preclinical model of Breast Cancer. Cancers 13(19). https://doi.org/10.3390/cancers13194858 Murugan S, Rousseau B, Sarkar DK (2021) Beta 2 adrenergic receptor antagonist propranolol and opioidergic receptor antagonist naltrexone produce Synergistic effects on Breast Cancer Growth Prevention by acting on Cancer cells and Immune Environment in a preclinical model of Breast Cancer. Cancers 13(19). https://​doi.​org/​10.​3390/​cancers13194858
70.
go back to reference Gardner KP et al (2022) Beta 2-Adrenergic receptor in circulating Cancer-Associated cells predicts for increases in stromal macrophages in circulation and patient survival in metastatic Breast Cancer. 1–11, Gardner KP et al (2022) Beta 2-Adrenergic receptor in circulating Cancer-Associated cells predicts for increases in stromal macrophages in circulation and patient survival in metastatic Breast Cancer. 1–11,
90.
go back to reference Sokołowska P, Nowak JZ (2005) Constitutive activity of β-adrenergic receptors in C6 glioma cells. Pharmacol Rep 57(5):659–663PubMed Sokołowska P, Nowak JZ (2005) Constitutive activity of β-adrenergic receptors in C6 glioma cells. Pharmacol Rep 57(5):659–663PubMed
107.
122.
go back to reference Solerno L et al (Aug. 2020) Abstract 3062: Drug repurposing of β-blocker propranolol and hemostatic compound desmopressin in osteosarcoma: Preclinical antitumor activity on 2D and 3D cell growth, chemotaxis and xenograft progression. Cancer Res 80(16_Supplement):3062. https://doi.org/10.1158/1538-7445.AM2020-3062 Solerno L et al (Aug. 2020) Abstract 3062: Drug repurposing of β-blocker propranolol and hemostatic compound desmopressin in osteosarcoma: Preclinical antitumor activity on 2D and 3D cell growth, chemotaxis and xenograft progression. Cancer Res 80(16_Supplement):3062. https://​doi.​org/​10.​1158/​1538-7445.​AM2020-3062
Metadata
Title
Beta-blocker adjunct therapy as a prospective anti-metastatic with cardio-oncologic regulation
Authors
Sachin G Nair
Sonu Benny
Wesley M Jose
Aneesh T P
Publication date
05-01-2024
Publisher
Springer Netherlands
Published in
Clinical & Experimental Metastasis / Issue 1/2024
Print ISSN: 0262-0898
Electronic ISSN: 1573-7276
DOI
https://doi.org/10.1007/s10585-023-10258-y

Other articles of this Issue 1/2024

Clinical & Experimental Metastasis 1/2024 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine