Cited by 130Synthesis and biological activityBioactive Compounds and Antitumor AgentsCancer therapeutics and mechanisms

The Antitumor Potentials of Benzimidazole Anthelmintics as Repurposing Drugs

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Abstract

The development of refractory tumor cells limits therapeutic efficacy in cancer by activating mechanisms that promote cellular proliferation, migration, invasion, metastasis, and survival. Benzimidazole anthelmintics have broad-spectrum action to remove parasites both in human and veterinary medicine. In addition to being antiparasitic agents, benzimidazole anthelmintics are known to exert anticancer activities, such as the disruption of microtubule polymerization, the induction of apoptosis, cell cycle (G2/M) arrest, anti-angiogenesis, and blockage of glucose transport. These antitumorigenic effects even extend to cancer cells resistant to approved therapies and when in combination with conventional therapeutics, enhance anticancer efficacy and hold promise as adjuvants. Above all, these anthelmintics may offer a broad, safe spectrum to treat cancer, as demonstrated by their long history of use as antiparasitic agents. The present review summarizes central literature regarding the anticancer effects of benzimidazole anthelmintics, including albendazole, parbendazole, fenbendazole, mebendazole, oxibendazole, oxfendazole, ricobendazole, and flubendazole in cancer cell lines, animal tumor models, and clinical trials. This review provides valuable information on how to improve the quality of life in patients with cancers by increasing the treatment options and decreasing side effects from conventional therapy.

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  • FBZ has shown potential in both in vitro and in vivo models of cancer.

    “FBZ has shown potential in both in vitro and in vivo models of cancer, as evidenced by studies such as those conducted by Song et al. [2].”

    From Fenbendazole as an Anticancer Agent? A Case Series of Self-Administration in Three Patients. (2025) · cites this paper as Song et al. [2]

    The sections on cancer cells and animal tumor models report fenbendazole’s effects in vitro and reduced tumor weight in mice, supporting its potential in both types of model. However, this source is a review reporting those studies, not an original experimental study conducted by “Song et al.”; it also reports animal models in which fenbendazole had no effect. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Benzimidazoles, including FBZ, have been shown to affect cancer stem cells.

    “Beyond targeting primary cancer cells, benzimidazoles, including FBZ, have been shown to affect cancer stem cells [2, 3].”

    From Fenbendazole as an Anticancer Agent? A Case Series of Self-Administration in Three Patients. (2025) · cites this paper as [2]

    The antitumorigenic-effects section reports that benzimidazole anthelmintics inhibited stemness and reduced stem-like cell subpopulations. The cited stemness finding concerns flubendazole, however; the passages about fenbendazole (FBZ) do not establish an effect on cancer stem cells. The indexed copy provides no page number for these passages. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • Preclinical studies suggest that FBZ exerts anticancer effects through a wide variety of mechanisms.

    “Preclinical studies suggest that FBZ exerts its anticancer effects through a wide variety of mechanisms.”
  • Mebendazole suppresses tumor growth in various cancer cell lines and animal models through inhibition of microtubule polymerization.

    “MBZ has been shown to potentially suppress tumor growth in various cancer cell lines and animal models through the inhibition of microtubule polymerization”

    From Drug repurposing for cancer therapy (2024) · cites this paper as [157]

  • Albendazole and mebendazole have been repositioned as promising anti-cancer drugs.

    “It is of particular note that albendazole and mebendazole have been repositioned as promising anti-cancer drugs.”

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Authors
Son, D.-S., Lee, E.-S., & Adunyah, S. E.
Affiliations
  • Meharry Medical College (US)
  • Florida Agricultural and Mechanical University (US)
Corresponding author
Son, Deok-Soo
Venue
Immune Network
Publisher
XMLink
Published
2020
Volume
20
Issue
4
Pages
e29-e29
ISSN
  • 1598-2629 (ISSN-L)
  • 2092-6685
OpenAlex
W3047494211
Cited by
130
References
6
Citations by year
2026: 11 · 2025: 21 · 2024: 26 · 2023: 22 · 2022: 30 · 2021: 19 · 2020: 1
FWCI
1.39
Type
journal article
Language
en
Open access
Locations
  • Immune Network (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
Funders
National Institutes of Health (NCI SC1CA200519, U54CA163069, RCMI 5U54AMD007586, R01ES024756, NIH S21MD000104)
Topics
  • Physical Sciences › Chemistry › Organic Chemistry › Synthesis and biological activity
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Bioactive Compounds and Antitumor Agents
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cancer therapeutics and mechanisms
Keywords
benzimidazole anthelmintics, drug repurposing, anticancer activity, albendazole, parbendazole, fenbendazole, mebendazole, oxibendazole, oxfendazole, ricobendazole, flubendazole, microtubule polymerization inhibition, apoptosis, G2/M cell cycle arrest, angiogenesis inhibition, glucose transport inhibition, drug resistance, combination therapy, adjuvant therapy

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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

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