Evidence map›Paper›PMID 35067737›Full record

ArticleCancer chemotherapy and pharmacology2022

Repurposed antipsychotic chlorpromazine inhibits colorectal cancer and pulmonary metastasis by inducing G2/M cell cycle arrest, apoptosis, and autophagy.

Fuyan Xu, Huizhi Xi, Mengya Liao, Yiqian Zhang, Hongbo Ma, Mengling Wu, Qiang Xue, Hongbao Sun, Yiwen Zhang, Yong Xia

Abstract read
PubMed Publisher
In one paragraph

Article in Cancer chemotherapy and pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Drug repurposing in oncology: a path beyond the bottleneck.Medical oncology (Northwood, London, England) · 2025
    Review
  7. Drug repositioning: examining antipsychotic drugs and their anticancer effects.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2025
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Cellular and oxidative stress responses ofFrontiers in physiology · 2023
    Article
  18. Article
  19. [VIPR1 promoter methylation promotes transcription factor AP-2Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Fuyan Xu *Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China.
Huizhi Xi *State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, 610041, China.
Mengya Liao *Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu, 610041, China.
Yiqian ZhangWest China School of Pharmacy, Sichuan University, Chengdu, 610041, China.
Hongbo MaWest China School of Pharmacy, Sichuan University, Chengdu, 610041, China.
Mengling WuState Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, 610041, China.
Qiang XueDepartment of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China.
Hongbao SunHuaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital, Sichuan University, Chengdu, 610041, China. 773770248@qq.com.
Yiwen ZhangState Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, 610041, China. yiwenzhang@scu.edu.cn.
Yong XiaDepartment of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China. yxia4@scu.edu.cn.ORCID 0000-0002-7939-9995
Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDespite efforts in developing effective therapeutic strategies, colorectal cancer (CRC) remains one of the most prevalent and lethal neoplasms. Repurposing approved drugs is an alluring strategy for developing anticancer agents. Some antipsychotic drugs, including chlorpromazine (CPZ), possess anticancer activities. However, the pharmacological effects of CPZ on CRC have not been clearly established.

methodsMTT assay, flow cytometry, western blotting analysis, subcutaneous mice tumor, and tail-vein-injection established lung metastasis model were used to investigate the anticancer effects of CPZ on CRC and the underlying mechanism.

resultsWe found that CPZ effectively suppressed CRC by inducing G2/M cell cycle arrest and apoptosis. Cell cycle arrest was associated with decreased activities of the cdc2/cyclin B1 complex, including suppressed expression of cyclin B1, cdc2 and cdc25c, and elevated expression levels of phosphorylated cdc2 (Tyr15). Moreover, CPZ suppressed mitochondrial membrane potential and elevated reactive oxygen species levels in cancer cells, implying that it induces mitochondria-dependent intrinsic apoptosis. CPZ blocked the autophagic flux and induced cytotoxic autophagy in CRC cells. In addition, CPZ suppressed tumor growth in two subcutaneous mouse models without causing obvious side effects. Analysis of the abundance of immune cells in the tumor microenvironment revealed that CPZ did not have an effect on their proportions. Furthermore, it significantly suppressed the lung metastasis of CT26 cells and prolonged mice survival.

conclusionThese findings indicated that repurposing CPZ is a novel treatment strategy for CRC patients.

Indexed as

Antineoplastic AgentsAntipsychotic AgentsColorectal NeoplasmsLung NeoplasmsAnimalsApoptosisAutophagyCell CycleCell Cycle CheckpointsCell Line, TumorCell ProliferationChlorpromazineCyclin B1HumansMiceTumor MicroenvironmentAntineoplastic AgentsAntipsychotic AgentsChlorpromazineCyclin B1ApoptosisCell cycle arrestChlorpromazineMetastasis

Identifiers

PMID35067737
OpenAlexW4207033021

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.