%0 Journal Article %T Zelnorm, an agonist of 5-Hydroxytryptamine 4-receptor, acts as a potential antitumor drug by targeting JAK/STAT3 signaling. %A Zhang L %A Song Q %A Zhang X %A Li L %A Xu X %A Xu X %A Li X %A Wang Z %A Lin Y %A Li X %A Li M %A Su F %A Wang X %A Qiu P %A Guan H %A Tang Y %A Xu W %A Yang J %A Zhao C %J Invest New Drugs %V 38 %N 2 %D 04 2020 %M 31087223 %F 3.651 %R 10.1007/s10637-019-00790-8 %X The Janus kinase (JAK)/signal transducer and activator of transcription 3 (STAT3) signaling pathway plays central roles in cancer cell growth and survival. Drug repurposing strategies have provided a valuable approach for developing antitumor drugs. Zelnorm (tegaserod maleate) was originally designed as an agonist of 5-hydroxytryptamine 4 receptor (5-HT4R) and approved by the FDA for treating irritable bowel syndrome with constipation (IBS-C). Through the use of a high-throughput drug screening system, Zelnorm was identified as a JAK/STAT3 signaling inhibitor. Moreover, the inhibition of STAT3 phosphorylation by Zelnorm was independent of its original target 5-HT4R. Zelnorm could cause G1 cell cycle arrest, induce cell apoptosis and inhibit the growth of a variety of cancer cells. The present study identifies Zelnorm as a novel JAK/STAT3 signaling inhibitor and reveals a new clinical application of Zelnorm upon market reintroduction.