Antiproliferative Activity of Repurposed Antifungal Agents Against Triple-Negative Breast Cancer Cell Lines: An In Vitro Evaluation
Systematic evaluation of azole-class antifungal compounds against MDA-MB-231 and MCF-7 cell lines revealed selective cytotoxic activity with IC₅₀ values in the low micromolar range. Fluconazole and itraconazole demonstrated differential activity between the two breast cancer subtypes, with itraconazole exhibiting a selectivity index >5 relative to MCF-10A non-malignant reference cells. Mechanistic studies indicated induction of apoptosis via the intrinsic mitochondrial pathway, as evidenced by caspase-3/7 activation and Annexin V staining. These findings support further investigation of azole antifungals as repositioning candidates for TNBC.