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Improved cancer survival with use of common antihistamines. Epidemiological studies on the use of H1-antihistamines and survival in cancer.

Fritz, Ildikó LU (2020) In Lund University, Faculty of Medicine Doctoral Dissertation Series
Abstract
Cancer often results from chronic inflammation, and anti-inflammatory medications are therefore potential candidates for drug repurposing for cancer therapy. H2-antihistamines such as cimetidine have long been studied for their promise as cancer medications, but H1-antihistamines have thus far not been studied widely for this purpose. We have previously shown an association with improved breast cancer survival for use of some H1-antihistamines, and other studies have shown similar results for non-localized cancer, non-small cell lung cancer and ovarian cancer, while evidence is mounting that some H1-antihistamines normally used to alleviate allergic reactions may also have anti-tumor effects. In the four studies that form the basis of this... (More)
Cancer often results from chronic inflammation, and anti-inflammatory medications are therefore potential candidates for drug repurposing for cancer therapy. H2-antihistamines such as cimetidine have long been studied for their promise as cancer medications, but H1-antihistamines have thus far not been studied widely for this purpose. We have previously shown an association with improved breast cancer survival for use of some H1-antihistamines, and other studies have shown similar results for non-localized cancer, non-small cell lung cancer and ovarian cancer, while evidence is mounting that some H1-antihistamines normally used to alleviate allergic reactions may also have anti-tumor effects. In the four studies that form the basis of this dissertation, we show that some of the most commonly used H1-antihistamines in Sweden – desloratadine and loratadine – are associated with substantially improved survival for patients with melanoma (Study I), breast cancer (Study II) as well as several other immunogenic tumor types (Study III) and quantify the potential effect of a desloratadine intervention, showing that numerous lives may be spared should desloratadine be integrated into cancer therapy (Study IV). We suggest a desloratadine effect as the explanation of our findings, one that is likely immunological in nature, and call for randomized clinical trials of desloratadine as treatment of immunogenic cancers, and if effective, further studies to quantify and elucidate the mechanism. (Less)
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author
supervisor
opponent
  • Professor of Dermatology and Venereology Larkö, Olle, Sahlgrenska Academy, University of Gothenburg
organization
publishing date
type
Thesis
publication status
published
subject
keywords
epidemiology, histamine H1 antagonists, histamine antagonists, chemotherapy, immunotherapy
in
Lund University, Faculty of Medicine Doctoral Dissertation Series
issue
2020:87
pages
65 pages
publisher
Lund University, Faculty of Medicine
defense location
Segerfalksalen, BMC A10, Sölvegatan 17 i Lund
defense date
2020-09-11 13:00:00
ISSN
1652-8220
ISBN
978-91-7619-949-7
language
English
LU publication?
yes
id
4a35218b-9065-43ce-8fda-b161b8cad5a2
date added to LUP
2020-08-21 11:46:16
date last changed
2020-08-24 15:54:49
@phdthesis{4a35218b-9065-43ce-8fda-b161b8cad5a2,
  abstract     = {{Cancer often results from chronic inflammation, and anti-inflammatory medications are therefore potential candidates for drug repurposing for cancer therapy. H2-antihistamines such as cimetidine have long been studied for their promise as cancer medications, but H1-antihistamines have thus far not been studied widely for this purpose. We have previously shown an association with improved breast cancer survival for use of some H1-antihistamines, and other studies have shown similar results for non-localized cancer, non-small cell lung cancer and ovarian cancer, while evidence is mounting that some H1-antihistamines normally used to alleviate allergic reactions may also have anti-tumor effects. In the four studies that form the basis of this dissertation, we show that some of the most commonly used H1-antihistamines in Sweden – desloratadine and loratadine – are associated with substantially improved survival for patients with melanoma (Study I), breast cancer (Study II) as well as several other immunogenic tumor types (Study III) and quantify the potential effect of a desloratadine intervention, showing that numerous lives may be spared should desloratadine be integrated into cancer therapy (Study IV). We suggest a desloratadine effect as the explanation of our findings, one that is likely immunological in nature, and call for randomized clinical trials of desloratadine as treatment of immunogenic cancers, and if effective, further studies to quantify and elucidate the mechanism.}},
  author       = {{Fritz, Ildikó}},
  isbn         = {{978-91-7619-949-7}},
  issn         = {{1652-8220}},
  keywords     = {{epidemiology; histamine H1 antagonists; histamine antagonists; chemotherapy; immunotherapy}},
  language     = {{eng}},
  number       = {{2020:87}},
  publisher    = {{Lund University, Faculty of Medicine}},
  school       = {{Lund University}},
  series       = {{Lund University, Faculty of Medicine Doctoral Dissertation Series}},
  title        = {{Improved cancer survival with use of common antihistamines. Epidemiological studies on the use of H1-antihistamines and survival in cancer.}},
  url          = {{https://lup.lub.lu.se/search/files/82909925/Ildik_Fritz_Kappa.pdf}},
  year         = {{2020}},
}