Review Article

Reactive Oxygen Species and Targeted Therapy for Pancreatic Cancer

Table 2

Drugs targeted to increase ROS.

Drugs or treatmentMechanismsReference

GemcitabineIncreasing ROS activated MST1 translocated to mitochondria and formed a complex with the local protein Cyp-D induced death of pancreatic cancer cells[76]

Eriocalyxin BIncrease the intracellular ROS levels and regulating the MAPK, NF-κB pathways[77]

Compound 3bIncrease ROS by AKT activation promoted activation of stress kinases (p38/JNK) resulting in pancreatic cancer cell death[68]

ArtemisininInduce apoptosis via the generation of ROS and triggering binding of CD95L to CD95 receptor[78]

GenipinUCP2 inhibition triggers ROS-dependent nuclear translocation of the glycolytic enzyme glyceraldehyde 3-phosphate dehydrogenase (GAPDH), formation of autophagosomes, and the expression of the autophagy marker LC3-II[74]

P-V; MDC-1112Reduce STAT3 levels in the mitochondria by preventing its translocation from the cytosol and enhanced the mitochondrial levels of ROS which triggered apoptosis[73]

Noninvasive radiofrequency treatmentImpair the function of mitochondria in cancer cells and increased ROS production[79]

Green 1Increase ROS production in mitochondria [80]

SKLB316Decrease the mitochondrial membrane potential and induce the generation of ROS in cells[81]

GemcitabineEnhance selectively the expression of CXCL8 through ROS generation and NF-κB activation[82]

Withaferin A combined with oxaliplatinEnhance mitochondrial dysfunction, inactivation of the PI3K/AKT pathway, and accumulation of intracellular ROS[69]

SpiclomazineReduce the mitochondria membrane potential, elevated ROS, and activated caspase-3/caspase-9[71]

Cerium oxide nanoparticlesSensitization of pancreatic cancer cells to radiation by ROS production[83]

Oleanolic acidArrests the cell cycle and induces apoptosis, possibly via ROS-mediated mitochondrial and lysosomal pathway[84]

CDDO-MeEnhance the production of ROS and inhibited the telomerase activity
loss of mitochondrial membrane potential and release of cytochrome c from mitochondria
ROS-dependent downregulated p-Akt, p-mTOR, and NF-κB (p65)
[85, 86]

BelinostatIncrease ROS-induced transforming growth factor-beta-activating kinase 1 (TAK1)/AMPK association to activate AMPK[87]

TBMMPIncrease cytochrome c release, reduced mitochondrial membrane potential, activated caspase-3, caspase-9, elevated ROS, and increased expression of Bax[88]

IsoalantolactoneInduce ROS-dependent apoptosis through intrinsic pathway[89]

Gallic acidActivated caspase-3, caspase-9, and reactive oxygen species [90]

DihydroartemisininDHA enhances Apo2L/TRAIL-mediated apoptosis in human pancreatic cancer cells through ROS-mediated upregulation of death receptor 5 (DR5)[33]

BML-275Induce ROS generation, DNA damage, and apoptosis via inhibition of the AMPK pathway and by inducing G2/M arrest via a pathway independent of AMPK [91]

Nickel nanowiresInduce ROS-mediated apoptosis[92]

FenretinideInduce apoptosis and autophagy and that sensitivity appears to be mediated by enhanced ROS[93]

SulforaphaneInduce autophagy depending on ROS[94]

Brucein DActivate redox-sensitive p38-MAPK pathway and inhibition of NF-κB antiapoptotic activity mediated by enhanced ROS[1]

Artesunate Induce ROS-mediated apoptosis[95]

Nitric oxide-donating aspirinROS → MAPKs → p21 (cip-1) → cyclin D1 → cell death[96]

Benzyl isothiocyanate Activate ERK, JNK, and P38 at leading to the induction of apoptosis mediated by enhanced ROS[97]

Arsenic trioxide and parthenolideInduce reactive oxygen species generation and apoptosis via the mitochondrial pathway[98]

TriphalaPhosphorylation of p53 and ERK induces apoptosis mediated by enhanced ROS[99]

CapsaicinInduce apoptosis through ROS generation and mitochondrial death pathway[100]

ResveratrolDamage mitochondrial function that leads to increased ROS, apoptosis[101]