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. 2023 Apr 21;28(8):3624. doi: 10.3390/molecules28083624

Table 1.

Studies summarising the effects of perhexiline on various cancer cells in vitro.

Study Cancer Cell Lines Key Findings
Ramu et al. (1984) [27] BCL P388
P388/ADR
Re-sensitised DOX-resistant P388/ADR to DOX.
Foster et al. (1988) [28] BRCA MCF-7
MCF-7/ADR
Re-sensitised DOX-resistant MCF-7/ADR to DOX.
Increased intracellular DOX accumulation.
Balgi et al. (2009) [29] BRCA MCF-7 Induced autophagy.
Inhibited mTOR signalling.
Ren et al. (2015) [24] BRCA MDA-MB-468 Inhibited growth.
SK-BR-3 Induced HER3 internalisation and degradation.
AU565 Synergistic with lapatinib.
BT474 Overcame lapatinib induced resistance.
Rodriguez-Enriquez et al. (2015) [23] BRCA


CAC
CRC
Lung
Fibroblast
MDA-MB-231
MDA-MB-468
MCF-7
HeLa
COLO205
A-549
3T3
CCD-25Lu
Inhibited growth.
Liu et al. (2016) [30] CLL Primary CLL, normal lymphocytes Inhibited growth.
Induced apoptosis.
Did not decrease oxygen consumption.
Batra & Alenfall (1991) [31] CRC HT-29 Inhibited growth.
Dhakal et al. (2022) [25] CRC





Fibroblast
COLO205
HCT116
HT-29
SW480
SW620
PDO
HFF
Inhibited growth.
Induced apoptosis.
Wang et al. (2020) [32] CRC

GC
HCT116
DLD-1
HGC27
MGC803
GES-1 CCD841
Induced apoptosis associated with decreased FAO, NADPH/NADP+ ratio, and mitochondrial transmembrane potential.
Increased ROS levels.
Synergistic with oxaliplatin.
Zhu et al. (2019) [33] EOC OVCAR3, CAOV3, OV90 Inhibited Akt/mTOR/S6K.
Increased apoptosis
Kant et al. (2020) [34] GBM PN19
MES83
T98G
U251
Anti-tumoral effects of PHX were independent of CPT and FAO inhibition.
Agren et al. (2014) [35] HCC HepG2 Inhibited growth.
Brown et al. (2018) [36] HCC Murine and human CD4+ T cells Rescued fatty acid-induced apoptosis.
Xu et al. (2018) [37] HCC Hep3B
Huh7
Showed effects on glycolysis, OXPHOS and FAO.
Inhibited growth.
Induced apoptosis.
Upregulated AMPK.
Xu et al. (2019)
[38]
MM RPMI8226
OPM2
Decreased viability.
Induced apoptosis.
Vella et al. (2015) [39] NB Increased expression of NDM29 ncRNA
Downregulated ABC transporter (ABCA1, ABCA12) and solute carrier (SLC7A11) expression.
Synergistic with cisplatin.
Rathore et al. (2021) [40] OSS NOS1 Did not alter oxygen consumption.
Inhibited cell proliferation, induced cell deat, and reduced total RSP6 and mTOR at higher concentration.
Synergistic with NCT-503.
Ghaffari et al. (2015) [41] PC, SCC PC-3, A-431 Reduced viability.
Flaig et al. (2017) [42] PC 22Rv1
MDV3100-resistant LNCaP
TRAMPC1
Combination treatments synergistically reduced proliferation.
Itkonen et al. (2017) [43] PC LNCaP Increased intracellular lipid accumulation.
Decreased proliferation.
Induced apoptosis and incomplete autophagy.
Blocked proliferation in combination with MVD-3100 or ABI.
Nassar et al. (2020) [44] PC LNCaP
C4-2B
22RV1
Decreased viability of cells.
Downregulated expression of cell-cycle related genes CDK4, CDK6, AURKB, CCD20, CCND1, CCNE2, and E2F1
Increased G0–G1 cells.
Increased cleaved PARP levels and apoptotic cells.
Synergistic with AUY922.
Schnell et al. (2015) [45] T-ALL HPB-ALL
DND41
JURKAT
CCRF-CEM
CUTLL1
RPMI8402
Induced strong anti-leukemic responses in T-ALL cells with and without NOTCH1 mutations.
Anti-leukemic in primary human T-ALL.