“…ACDase deletion blocks the cell cycle at G1/S, promotes senescence through the β-Galactosidase/MITF pathway, induces apoptosis, reduces tumorigenesis, increases growth arrest, and decreases malignancy [ 68 ]. It was demonstrated that the activity of ACDase was significantly inhibited by Carmofur [ 55 , 58 ], LCL521 [ 19 , 65 , 69 , 70 ], Ceranib2 [ 24 , 71 , 72 , 73 ], N-oleocylethanolamine (NOE) [ 22 , 57 ], ARN14988 [ 74 ], LCL204 [ 10 , 64 ], Monascus Purperus (MP) [ 18 ], Hesperetin (Hst) [ 17 ], Hesperetine-7-O-acetate (HTA) [ 17 ], Silibinin [ 20 ], Curcumin [ 23 ], and Sanguinarine [ 21 , 75 ], leading to an increased accumulation of intracellular ceramide and apoptosis in various types of cancer cells, including glioblastoma; squamous cell carcinoma; acute myeloid leukemia; colorectal adenocarcinoma; and breast, prostate, lung, gastric, and kidney cancer. Furthermore, Carmofur, NOE, LCL521, and Ceranib2 have been used in combination with chemotherapeutic drugs or photodynamic therapy to either overcome cancer cell resistance to treatment, increase cell sensitivity to specific drugs, or increase the overall effectiveness of cancer cell apoptosis [ 22 , 55 , 58 , 70 , 72 , 73 ].…”