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. 2025 Aug 22;24:219. doi: 10.1186/s12943-025-02375-x

Table 2.

The ROS-overloading strategies in cancer control

Categories Drug names Mechanism ROS Effects Tumors References
ATF-6 inhibitors Melatonin RET induction Increase Anti-tumor Head and neck squamous cell carcinoma [405]
Complex I inhibitors SMIP003 Complex I Q site inhibition Increase Anti-tumor Triple-negative breast cancer [406]
Metformin Complex I FMN site inhibition Decrease Anti-tumor Colon cancer [407]
Phenformin Complex I inhibition Increase Anti-tumor Brain tumors [408]
Melanoma, breast, colon, lung, and prostate cancer [409]
Carboxyamidotriazole Complex I inhibition Increase Anti-tumor Colon cancer [410]
DNA cross-linking agent Cisplatin MtDNA damage Increase Anti-tumor Prostate cancer [411]
Mitochondrial content elevation Increase Anti-tumor Ovarian cancer [412]
​PML-RARα inhibitors Arsenic trioxide GSH depletion Increase Anti-tumor Leukemia [413]
Complex IV inhibition Increase Anti-tumor Leukemia [414]
TrxR and Prx inhibition Increase Anti-tumor Breast cancer [415]
Topoisomerase inhibitors DOX NADPH-to-DOX electron transfer Increase Anti-tumor Breast cancer [416]
NOX indirect activation Human osteosarcoma [417]
Leukemia [418]
Nanoparticles PTX@TPGS-PBTE NPs ROS-targeted PTX delivery Utilize ROS Anti-tumor Head and neck cancer [419]
Nanoparticles (CPT-Pt (IV) combined with P1 and mPEG2K-DSPE) ROS-mediated cisplatin/camptothecin release Utilize ROS Anti-tumor Colon cancer [420]
MOFs GSH depletion Increase Anti-tumor Liver cancer and breast cancer [421]
Radiation therapy Free electron-H2O interaction Increase Anti-tumor [422]
PDT Photosensitizer irradiation-induced ROS generation​ Increase Anti-tumor [423]
RDT Photosensitizer irradiation-induced ROS generation via high-energy X-ray Increase Anti-tumor [424]
SDT Sonoexcitation and ultrasonic cavitation Increase Anti-tumor [425, 426]
CDT Fenton reactions Increase Anti-tumor [427]
Xc- System inhibitors Erastin Xc- System blockade Increase Anti-tumor Osteosarcom, fibrosarcoma, and lung cancer [428]
Induction of VDAC opening Increase Anti-tumor Lung cancer [429]
Fibrosarcoma, Ewing’s sarcoma, neuroblastoma, adult acute monocytic leukemia [430]
IKE Xc- system blockade Increase Anti-tumor Diffuse large B-cell lymphoma [431]
Sorafenib Xc- system blockade Increase Anti-tumor Hepatocellular carcinoma and renal cell carcinoma [432]
Cyst(e)inases Blood cystine depletion Increase Anti-tumor Prostate carcinoma and breast cancer [433]
GCL inhibitors BSO GCL inhibition

Increase

Increase

Anti-tumor Renal cancer and ovarian cancer [434]
CYP450 inhibitors PEITC GSH depletion Increase Anti-tumor Breast cancer [435]
Leukemia [436]
Lung, colon, and ovarian cancer [437]
BITC Non-small cell lung cancer cells [438]
NRF2 inhibitors Brusatol NRF2 protein expression suppression Increase Anti-tumor Pancreatic cancer [439]
Halofuginone Global protein translation inhibition Increase Anti-tumor Lung adenocarcinoma, Oesophageal cancer [440]
ML385 Neh1 domain of the NRF2 protein binding Increase Anti-tumor Head and neck squamous cell carcinoma cancer cell [441]
Breast cancer [442]
Trx/TrxR inhibitors PX-12 Trx inhibition Increase Anti-tumor Acute myeloid leukemia [443]
Ethaselen Trx inhibition Increase Anti-tumor NSCLC and gastric cancer cell [444, 445]
Piperine TrxR Sec residue binding Increase Anti-tumor Cervical cancer, Non-small cell lung cancer, hepatocellular liver carcinoma [446]
MGd TrxR-targeting capability Increase Anti-tumor Metastatic renal cell carcinoma [447]
Multiple myeloma [448]
Lymphoma [449]
Auranofin TrxR-targeting capability Increase Anti-tumor Human thyroid cancer cell [450]
Epithelial ovarian cancer cell [451]
Glioblastoma and NSCLC [452]
NSCLC [453]
Pancreatic cancer [454]
Chronic lymphocytic leukemia [455]
Prx inhibitors Celastrol Prx-2 Cys172 residue binding Increase Anti-tumor Gastric cancer [456]
NQO1/GSTP1 inhibitors 5-Methyl-N-(5-nitro-thiazol-2-yl)-3-phenylisoxazole-4-carboxamide (MNPC) NQO1 and GSTP1 active sites binding Increase Anti-tumor Glioblastoma [457]
Phenothiazinium redox cyclers 3,7-diaminophenothiazinium-based redox cyclers Electron transfer and NQO1 substrate Increase Anti-tumor Melanoma [458]
HIF-1α inhibitors 2-methoxyestradiol Mitochondrial membrane potential disruption Increase Anti-tumor Neuroblastoma [459]

ATF-6 activating transcription factor 6, ERT reverse electron transfer, FMN flavin mononucleotide, NADPH nicotinamide adenine dinucleotide phosphate, DOX doxorubicin, NOX nicotinamide adenine dinucleotide phosphate oxidase, PTX paclitaxel, MOFs metal–organic frameworks, PDT photodynamic therapy, RDT radiodynamic therapy, SDT sonodynamic therapy, CDT chemodynamic therapy, VDAC voltage-dependent anion channel, IKE imidazole ketone erastin, BSO buthionine sulfoximine, GCL glutamate cysteine ligase, PEITC phenethyl isothiocyanate, BITC benzyl isothiocyanate, NSCLC non-small cell lung cancer, TrxR thioredoxin reductase, MGd Motexafin Gadolinium, Prx peroxiredoxin, Cys cystatin, NQO1 NAD(P)H dehydrogenase quinone 1, GSTP1 glutathione S-transferase P1