Evidence map›Paper›PMID 40874450›Full record

ArticlePharmacology research & perspectives2025

Repurposing the Antidepressant Sertraline: A Systematic Scoping Review of Its Anticancer Mechanisms.

Ciara B Blum, McCarlie-Jayne Dohrmann, Lucia McCarthy, Milli McMenamin, Liam A O'Callaghan

Erratum issuedAbstract readScoping Review
In one paragraph

Article in Pharmacology research & perspectives, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Ciara B BlumSchool of Medicine and Dentistry, Griffith University, Southport, Queensland, Australia.ORCID https://orcid.org/0009-0008-4116-4657
McCarlie-Jayne DohrmannSchool of Medicine and Dentistry, Griffith University, Southport, Queensland, Australia.ORCID https://orcid.org/0009-0001-5059-5458
Lucia McCarthySchool of Medicine and Dentistry, Griffith University, Southport, Queensland, Australia.ORCID https://orcid.org/0009-0007-1822-0350
Milli McMenaminSchool of Medicine and Dentistry, Griffith University, Southport, Queensland, Australia.ORCID https://orcid.org/0009-0003-7616-1038
Liam A O'CallaghanFaculty of Health Sciences and Medicine, Bond University, Robina, Queensland, Australia.ORCID https://orcid.org/0009-0001-0938-4720

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug repurposing offers a cost-effective and time-efficient strategy for identifying new cancer therapies. Sertraline, a widely prescribed selective serotonin reuptake inhibitor (SSRI), has shown promising anticancer properties through modulation of key pathways involved in tumor survival, stress adaptation, and therapeutic resistance. This scoping review systematically evaluates the current evidence on sertraline's anticancer mechanisms, efficacy, and translational potential. A systematic search of PubMed, EMBASE, Scopus, and Web of Science was conducted in accordance with PRISMA-ScR guidelines. Eligible studies included in vitro, in vivo, and clinical investigations. Data on cancer types, mechanisms, assays, and outcomes were extracted and synthesized. Of 97 screened articles, 67 met inclusion criteria, comprising 56 preclinical studies, nine population-based studies, and two mixed-methods reports. Sertraline induces apoptosis via mitochondrial dysfunction, caspase activation, and Bcl-2 downregulation, disrupts autophagy and the unfolded protein response, and impairs serine/glycine metabolism through SHMT inhibition. It also suppresses oncogenic signaling via mTOR and TCTP modulation. In vivo studies confirmed tumor growth inhibition in various cancer models, including breast, lung, glioblastoma, and liver. Sertraline enhances the efficacy of chemotherapy, radiotherapy, and targeted therapies by sensitizing resistant cells, modulating immune responses, and impairing metabolic recovery. Retrospective studies suggest no increased cancer risk with SSRI use and hint at protective associations in select malignancies. While current evidence is predominantly preclinical, sertraline's multi-targeted action and established safety profile support its candidacy for repurposing. Further translational research and biomarker-driven clinical trials are warranted to validate its therapeutic niche and optimize its integration into oncology.

Indexed as

Antidepressive AgentsAntineoplastic AgentsDrug RepositioningNeoplasmsSelective Serotonin Reuptake InhibitorsSertralineAnimalsApoptosisHumansAntidepressive AgentsAntineoplastic AgentsSelective Serotonin Reuptake InhibitorsSertralineantineoplastic agentsapoptosisdrug repositioningdrug resistancesertraline

Identifiers

PMID40874450
PMCPMC12392137

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.