2023
DOI: 10.3390/antibiotics12030524
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Disulfiram: Mechanisms, Applications, and Challenges

Abstract: Background: Since disulfiram’s discovery in the 1940s and its FDA approval for alcohol use disorder, other indications have been investigated. This review describes potential clinical applications, associated risks, and challenges. Methods: For this narrative review, a PubMed search was conducted for articles addressing in vivo studies of disulfiram with an emphasis on drug repurposing for the treatment of human diseases. The key search terms were “disulfiram” and “Antabuse”. Animal studies and in vitro studie… Show more

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Cited by 39 publications
(12 citation statements)
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“…Ethanol is primarily metabolized in the liver, but is also metabolized by the stomach and the brain (Zakhari, 2006), which was reflected in the high enrichment of network genes in the liver, gastrointestinal tissues, and the brain. Disulfiram, by inhibiting ALDH1A1 - which was a gene in the alcohol consumption network - is an effective treatment for alcohol use disorder (Lanz et al ., 2023), suggesting that other genes identified by our network could also be viable pharmacological targets.…”
Section: Discussionmentioning
confidence: 99%
“…Ethanol is primarily metabolized in the liver, but is also metabolized by the stomach and the brain (Zakhari, 2006), which was reflected in the high enrichment of network genes in the liver, gastrointestinal tissues, and the brain. Disulfiram, by inhibiting ALDH1A1 - which was a gene in the alcohol consumption network - is an effective treatment for alcohol use disorder (Lanz et al ., 2023), suggesting that other genes identified by our network could also be viable pharmacological targets.…”
Section: Discussionmentioning
confidence: 99%
“…Disulfiram was also identified to inhibit B. burgdorferi growth by its high affinity for metal ions zinc and manganese, which are necessary for the spirochaetes’ metabolism [ 55 ]. Likewise, disulfiram combined with zinc enhanced the toxicity of zinc on macrophage phagocytosis [ 13 ], because diethyldithiocarbamate (DDTC), a unique metabolite of disulfiram, played a crucial role in chelating metal ions, e.g., copper and zinc, as well as metal-containing enzymes that are indispensable in cell activities [ 56 ].…”
Section: Discussionmentioning
confidence: 99%
“…Based on the available reports, MCC950, an inhibitor of the NACHT domain of NLRP3, may exhibit adverse renal effects with the augmentation of renal inflammation and the emergence of glomerulosclerosis in diabetic individuals [ 161 ]. Disulfiram, a therapeutic agent targeting GSDMD, has rare side effects, including papular acne, pruritus, exfoliative dermatitis, myopathy, and cardiomyopathy [ 162 , 163 , 164 ]. Celastrol, an inhibitor of the ROS-NF-κB-NLRP3 inflammasome axis, may induce hepatotoxicity, ototoxicity, or cardiotoxicity [ 165 ].…”
Section: Therapeutic Potential By Targeting the Nlrp3 Inflammasomementioning
confidence: 99%