Table 2.
Type of Compounds | Drug Name | Target | Mechanisms of Action | Cancer Types | Stage of Drug Development | References |
---|---|---|---|---|---|---|
Inhibitors of cytosolic chaperones | DMAG | HSP90 | Inhibits HSP90 by competing for ATP binding site and prevents chaperone role | Leukemia, melanoma, breast and ovarian cancers, medulloblastoma, cervical cancer, multiple myeloma, lung cancer | Clinical trials completed |
[271,272] |
PES | HSP70 | Inhibits HSP70 by acting on its C terminal binding domain, prevents substrate binding, and induces ROS | Lymphoma | Preclinic studies | [273,274] | |
Gamitrinibs | HSP90 | Binds HSP90 that accumulates at mitochondria and allows for cytochrome c release | Prostate | Completed | [275] | |
Nab-paclitaxel | Microtubules | Binds to and stabilizes microtubules, preventing their depolymerization thus inhibiting cellular motility, mitosis, and replication | Non-small lung cell carcinoma | Active, not recruiting, phase 2 | [276] | |
Inhibitors of mitochondrial proteins | Carboplatin | HSP40, DNA | Possible connection with HSP40; used in combinations with other drugs; induces intra-strand and inter-strand DNA cross-links, as well as DNA-protein cross-links. These carboplatin-induced DNA and protein effects result in apoptosis and cell growth inhibition | Non-small lung cell carcinoma, esophageal adenocarcinoma | Active, not recruiting, phase 2 | [277,278,279,280,281] NCT02716038; NCT02998268 |
ONC201/ONC212 (derivative of ONC201) | CLPP | Hyperactivates CLPP, which leads to protein synthesis inhibition and growth inhibition, or apoptosis via tumor-necrosis-factor-alpha-related apoptosis ligand | AML, gliomas, cervical, breast, endometrial, myeloma, lymphoma, endocrine, solid tumors | Completed (solid tumors), ongoing testing in phase 1 to phase 3 | [204,282] | |
AppCCl2P (metabolite of clodronate) | ANT | Inhibits ANT (adenine nucleotide transporter), mitochondrial oxygen consumption, and depolarizes mitochondrial membrane, all leading to apoptosis | Breast, bone, prostate, neoplasm | Phase 3, completed | [283,284,285] | |
Chlorambucil | mtDNA | Chlorambucil with cisplatin attacks cisplatin-resistant cancer cells, alkylates mtDNA, induces apoptosis through mtDNA damage and mitochondrial metabolic pathways by reducing dependency on glucose, depolarizes mitochondrial membrane, and mtDNA alkylation-induced ROS | Prostate, breast | Completed | [286,287,288] | |
Targeting mitophagy | LCL-461, liensinine, chloroquine, and hydroxychloroquine, mito-metformin, mito-carboxyl-proxyl-nitroxide | Prevents fusion of autophagosomes with lysosomes and incurs damage to promote apoptosis | Glioma, multiple myeloma, melanoma, lung, pancreatic cancer, sarcoma | Completed | [270,289] | |
Mitochondria-targeting molecules | Derivatives of TPP | N/A * | Functions as a mitochondrial targeting signal | N/A | N/A | [277] |
Szeto–Schiller peptides—dimethyltyrosine | N/A | Targets molecules to IMM and reduces ROS via its residues | N/A | N/A | [281,283,290] | |
Pyridinium-substituted tetraphenylethylene | N/A | Targets IMM, increases ROS, and disrupts membrane potential | N/A | N/A | [286,287,288] | |
Indolinium-based compounds | N/A | Increases ROS and depolarizes membrane potential | N/A | N/A | [289,291] |
* N/A, not applicable.