Window of hope in cancer fight

Researchers based in Delhi find that arthritis drug may inhibit a key bacterium

September 10, 2017 12:02 am | Updated 12:02 am IST

A new treatment option for stomach cancer may be in the offing. Researchers from the School of Life Sciences and Special Centre for Molecular Medicine at Jawaharlal Nehru University (JNU), New Delhi, have found that the anti-arthritis drug diflunisal can be used to kill Helicobacter pylori , a bacterium responsible for stomach-related problems ranging from chronic gastritis and ulcers to cancer.

A common cancer

The development assumes importance as stomach cancer is the second-most common cancer among men and third-most among women worldwide. Its symptoms and signs are often reported too late when and after the disease has progressed to an advanced stage. Causes of gastric cancer include Helicobacter pylori infection, diet and lifestyle factors, consumption of tobacco and alcohol as well as a genetic susceptibility. Gastric ulcers are also caused by H. pylori as it damages the mucus that protects the stomach and the small intestine.

JNU researchers made the discovery about the new use for the arthritis drug while investigating a protein called beta-clamp in the bacterium which is a crucial target for drugs. A screening process with all drugs approved by the U.S. Food and Drug Administration (FDA) showed that diflusinal was able to inhibit the growth of the bacterium very well.

In a paper presented in a recent issue of the journal FEBS Letters , the research team led by S. Gourinath, Professor at the School of Life Sciences, observed that “diflunisal inhibits the growth of H. Pylori in the micro-molar range”.

How the drug works

Speaking to India Science Wire, he pointed out that since diflunisal is an FDA approved drug, it could be taken in combination with the existing quadrapole therapy, which could reduce the length of treatment for H. Pylori infection. Quadrapole therapy involves the administration of antibiotics, H2 blockers, proton pump inhibitors and stomach-lining protectors for four to six weeks.

Diflunisal is presently used to relieve mild to moderate pain.

It reduces pain, swelling, and joint stiffness caused by arthritis, and is categorised as a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing the levels of prostaglandins, chemicals that are responsible for pain, fever and inflammation.

Diflunisal blocks enzymes that make prostaglandins which results in their lower concentrations.

The team of researchers included Dr. S. Gourinath, Preeti Pandey, Vijay Verma, Gunjan Gautam, Nilima Kumari from School of Life Sciences and Suman Kumar Dhar from the Special Center for Molecular Medicine. — India Science Wire

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