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Table 3 Overview of ROS-modulated therapeutic approaches for targeting oxidative stress in cancer

From: Interplay of oxidative stress, cellular communication and signaling pathways in cancer

Therapeutic Approach

Agent Type

Examples

Mechanism

References

ROS-Scavenging

NADPH oxidase inhibitors

Diphenylene iodonium, Apocynin

inhibit NADPH oxidase, reducing ROS production

[90], [91]

Antioxidant vitamins

Vitamin E, Vitamin C, Vitamin A

neutralize free radicals by donating electrons

Selenium compounds

Selenomethionine, Ebselen

activate selenoproteins functioning as antioxidants

Natural compounds

Quercetin, Resveratrol, Curcumin, EGCG

inhibit ROS-generating enzymes and chelate metal ions

Enzyme mimetics

Manganese Porphyrins, EUK-134

mimic natural antioxidant enzymes

Polyamines

Spermine,

Spermidine

modulate cellular redox status by chelating metal ions or inducing expression of antioxidant enzymes

Miscellaneous

Edaravone, Trolox, Tempol

various mechanisms including free radical scavenging and metal chelation

ROS-Boosting

Nitroxide derivatives

Tempol, Tempone

generate ros to induce oxidative stress

[92], [93]

Pro-oxidant drugs

Arsenic trioxide, Doxorubicin, Menadione, Elesclomol

create redox imbalance, elevate ros levels leading to apoptosis

Photodynamic therapy agents

Aminolevulinic acid, Methylene blue, Rose Bengal

produce ROS when activated by light

Natural pro-oxidants

Beta-Lapachone, Parthenolide, Capsaicin

induce ROS generation disrupting redox balance

Metal chelators

Deferoxamine, Triapine, L1

chelate transition metal ions catalyzing ROS formation

Thiol antioxidants

N-Acetylcysteine, Glutathione, Thioredoxin

donate electrons to neutralize free radicals

Redox-cycling drugs

Plumbagin, Juglone, Thiosemicarbazones

cycle between oxidized and reduced forms, generating ros