Desloratadine and loratadine stand out among common H1-antihistamines for association with improved breast cancer survival
"As tumors maintain an inflammatory microenvironment, anti-inflammatory
medication can be useful in cancer therapy. We have previously shown an
association with improved survival in melanoma for use of the H1-antihistamines desloratadine and loratadine, and here we examine use of H1-antihistamines and breast cancer mortality. We investigated use of the six major H1-antihistamines
(cetirizine, clemastine, desloratadine, ebastine, fexofenadine and
loratadine) and breast cancer-specific and overall mortality in a
nation-wide register-based study of all 61,627 Swedish women diagnosed
with breast cancer 2006–2013.
We found a consistently improved survival of desloratadine users, as well as of loratadine users, relative to nonusers, regardless of patient age, menopause, estrogen receptor status or stage of the tumor, or whether breast cancer-specific or overall survival was analyzed. The survival of users of other antihistamines varied relative to non-users.
Based on their safety and current use within the patient population, together with our observations, we suggest the initiation of trials of desloratadine and loratadine as treatment of breast cancer as well as studies of the mechanism behind their possible effect. Further studies on any effects of other H1-antihistamines may also be merited, as well as of H1-antihistamine use and survival in other malignancies."
Histamine
receptor 1 inhibition enhances antitumor therapeutic responses through
extracellular signal-regulated kinase (ERK) activation in breast cancer
Repurposing Cationic Amphiphilic Antihistamines for Cancer Treatment
"Non-small cell lung cancer (NSCLC) is one of the deadliest cancers
worldwide. In search for new NSCLC treatment options, we screened a
cationic amphiphilic drug (CAD) library for cytotoxicity against NSCLC
cells and identified several CAD antihistamines as inducers of lysosomal
cell death. We then performed a cohort study on the effect of CAD
antihistamine use on mortality of patients diagnosed with non-localized
cancer in Denmark between 1995 and 2011. The use of the most commonly
prescribed CAD antihistamine, loratadine, was associated with
significantly reduced all-cause mortality among patients with
non-localized NSCLC or any non-localized cancer when compared with use
of non-CAD antihistamines and adjusted for potential confounders. Of the
less frequently described CAD antihistamines, astemizole showed a
similar significant association with reduced mortality as loratadine
among patients with any non-localized cancer, and ebastine use showed a
similar tendency."
H1-Antihistamines
Reduce the Risk of Hepatocellular Carcinoma in Patients With Hepatitis B
Virus, Hepatitis C Virus, or Dual Hepatitis B Virus-Hepatitis C Virus
Infection
"AH use may reduce the risk for HCC among patients with HBV, HCV, or dual
infection in a dose-dependent manner. Further mechanistic research is
needed."