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. 2021 Oct 31;13(21):5484. doi: 10.3390/cancers13215484

Table 1.

List of studies evaluating the effects of compounds inducing FAO and the standard therapy combination in tumor treatment.

Drug Tumor Effect References
Oleanolic acid Hepatocellular carcinoma Oleanolic acid enhances lipolysis stimulating ROS production, which is responsible for mitochondrial apoptosis. [125]
Arachidonic acid Rat hepatoma cells Arachidonic acid-induced ROS leading cells to apoptosis. [127]
Trolox Rat hepatoma cells Trolox prevents arachidonic acid-induced apoptosis buffering ROS [127]
Palmitate Rat hepatoma cells Human hepatoblastoma Palmitate stimulates mitochondrial metabolism and ROS production, leading cells to apoptotic death [128,129]
N-acetyl cysteine (NAC) Rat hepatoma cells Breast cancer NAC limits ROS accumulation in palmitate treatment reducing apoptotic and enhancing cell viability. [128,138]
SU6656 Lung cancer SU6656, an Src inhibitor, results in FABP4 induction. The consequent activation of β-oxidation generates ROS that induces apoptosis [92]
Docosahexaenoic acid (DHA) Prostate cancer Breast cancer Leukaemia DHA generates ROS, consequently activating apoptosis. The co-treatment of DHA with other drugs increases the responsiveness to these. [130]
SkQ1 Cancer stem cell SkQ1 is a mitochondrial-specific antioxidant in combination with the pharmacological inhibition of FAO has been proposed as a promising therapeutic approach [133,135]
Cytarabine (AraC) Leukaemia AraC treatment causes an increase of the OXPHOS with higher ROS content. This aspect is useful to increase the sensitivity to other drugs, including etomoxir. [136,137]
Vitamin C/E Breast cancer The introduction of vitamins C and E in the diet confers a protective effect from tumor recurrence and survival of patients. [138]
BMS309403 Ovarian cancer BMS309403 is an inhibitor of FABP4 that impacts cell proliferation affecting β-oxidation and ROS production. [139]
Etomoxir Glioblastoma Leukaemia Etomoxir is a CPT1a inhibitor that affects the redox homeostasis causing the decrease of NADPH level and thus the GSH content leading cells to death.
An off-taget effect of Etomoxir is due to the oxidative stress caused by inhibiting the mitochondrial adenine nucleotide transporter and complex Ι of the electron transport chain.
[143,144,147]
Buthionine sulfoxamine (BSO) Lung cancer Pancreatic cancer BSO is an inhibitor of the GSH synthesis that leads to an overproduction of ROS by removing glutathione-based redox buffering capacity. [120]