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View the Table of Contents for the September 1 issue of Clinical Cancer Research.
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One way to expedite cancer drug development is to test drugs used for other indications as cancer therapeutics, a process that has been termed “repositioning.” To identify existing drugs that inhibit Akt, Gills and colleagues screened 6 FDA-approved HIV protease inhibitors and identified nelfinavir as the most potent inhibitor. Nelfinavir decreased proliferation of every cell line in the NCI60 panel and decreased the growth of lung cancer xenografts. Nelfinavir inhibited Akt transiently and caused cytotoxicity by inducing ER stress and autophagy, which was observed in vitro and in vivo. These studies indicate that nelfinavir has potential to be repositioned as a cancer therapeutic.