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. 2019 Jun 20;20(12):3017. doi: 10.3390/ijms20123017

Table 1.

Interference of anti-cancer agents with different mechanisms of calcium homeostasis. This table illustrates which calcium mediating processes are involved, the actual concentrations (doses) needed, the experimental model, and whether apoptosis or proliferations are involved.

Drug Class Drugs Axis/Mechanism of Induction of Cell Death Concentration Range Apoptosis Proliferation Cell Line References
Platinum agents (cytotoxic alkylating agent) Cisplatin [Ca2+]i ↑↑ by influx of extra cellular calcium.
[Ca2+]i ↑↑ / ER stress / mitochondrial Ca2+ over load / caspase 3 activation.
1 µM
5 µg/ml
↑↑ ↓↓ MCF-7
SH-SY5Y
HeLa-S3
[31,71,72,73]
Anti-metabolites 5-Fluorouracil Ca2+-CaM-p53 activation, Ca2+ influx partially through L-type Ca2+ channel.
Ca2+ entry through TRPV1 / mitochondrial ROS production / caspase 8.
768 μM,
25 μM
↑↑ ↓↓ HCT116
MCF-7
[74,75]
Inorganic arsenic compounds As2O3 IP3R, RyR / [Ca2+]i ↑↑ / DNA damage / caspase 3.
↑↑ER–mitochondrial Ca2+ transfer.
↓↓ ERK1 and ERK2
1 µM ↑↑ ↓↓ SH-SY5Y
Pml-/- mice
NB4 cells
U937
[31,76,77,78]
Anthracyclines Doxorubicin [Ca2+]i modulation - ERK1/2 inactivation, activation of pro apoptotic BIM pathway and mitochondrial Ca2+ overload. 500 nM–1 µM ↑↑ ↓↓ MDA-MB-231 [79]
Taxanes Paclitaxel
Docetaxel
In activation of PMCA2/calcineurin A and activation of calcineurin A /NFAT pathway/ ↑↑ pro-apoptotic protein Fas ligand.
External calcium influx, inhibition of bcl2/ IP3R-ER-[Ca2+]i.
1 nM
10-6 M
↑↑ MDA-MB-231
MCF-7
MDA-MB-468
[80,81]
Natural compounds Chalcones
Quercetin
EGCG
Piceatannol Etoposide; (semi-synthetic)
Resveratrol
Curcumin
Saikosaponin-d
Ca 2+ / ER stress / caspase 12.
G-protein / IP3R-ER-[Ca2+]i, / modulation of p53 / transcription of pro-apoptotic genes.
SERCA↓↓ activity / [Ca2+]i ↑↑ / increased mitochondrial Ca2+ uptake.
SERCA ↓↓ / [Ca2+]i ↑↑ / ER stress / Autophagy mediated cell death.
30–40 µM
50–100 µM
10 µM
↑↑ L1210
MDA-MB-231
MYCN2
HeLa
SW480 (colon)
MCF-7
[55,82,83,84,85,86]
Camptothecin analog Topotecan Increased [Ca2+]i, altered expression of calcium regulating proteins. 0.01 µM ↑↑ ↓↓ SH-SY5Y [87]
Hormonal receptor modulator Tamoxifen [Ca2+]i ↑↑ by influx of extra cellular calcium and release of Ca2+ from multiple stores.
VGCC
5–10 µM ↑↑ MCF-7
MG63
ZR-75-1
SCC
BFTC
[88,89,90,91,92]
DNA methylation and HDAC modulators TSA
Azacitidine
Digitoxin
Pyrithion zinc
Disulfiram
↑↑SERCA3 / apoptosis.
SOC / [Ca2+]i ↑↑ / CamK / via MeCP2 / reactivation of tumor suppressor genes.
50 nM–5 µM ↑↑ KATO-III (gastric carcinoma)
YB5 (colon)
[93,94]