Gefitinib-Tamoxifen Hybrid Ligands as Potent Agents against Triple-Negative Breast Cancer

Carine M Abdelmalek1,2, Zexi Hu3,4, Thales Kronenberger2,3,4

  • 1Department of Pharmaceutical Chemistry, Faculty of Pharmacy and Biotechnology, The German University in Cairo, 11835 New Cairo City, Cairo, Egypt.

Insights

New anticancer drug conjugates combine tamoxifen and gefitinib to target two cancer pathways simultaneously. These dual-action compounds show potent efficacy against breast cancer cells, including triple-negative breast cancer (TNBC), potentially overcoming treatment resistance and reducing toxicity.

Area of Science:

  • Medicinal Chemistry
  • Oncology
  • Pharmacology

Background:

  • Current cancer therapies face challenges including limited efficacy, high toxicity, and drug resistance.
  • Anticancer drug conjugates offer a potential strategy to overcome these limitations by targeting multiple pathways simultaneously.
  • Dual-targeting agents may provide pharmacokinetic advantages and reduce drug-drug interactions compared to combination therapies.

Purpose of the Study:

  • To design and synthesize novel hybrid anticancer agents by covalently linking ER antagonists (tamoxifen/endoxifen) with an EGFR inhibitor (gefitinib).
  • To evaluate the dual ER antagonist and EGFR inhibitory activities of these novel drug conjugates.
  • To assess the anti-cancer efficacy of the most potent analogues in various breast cancer cell lines, including triple-negative breast cancer (TNBC).

Main Methods:

  • Synthesis of novel tamoxifen/endoxifen-gefitinib hybrid molecules via covalent linkage.
  • In vitro evaluation of ER antagonist activity and EGFR inhibition.
  • Cellular viability assays using multiple breast cancer cell lines (MCF7, MDA-MB-231, MDA-MB-468, BT-549).

Main Results:

  • Synthesized hybrid ligands effectively retained both ER antagonist activity and EGFR inhibition.
  • The most potent analogues demonstrated single-digit nanomolar activity against both targets.
  • Amide-linked endoxifen-gefitinib conjugates (17b, 17c) exhibited superior anti-cancer activity in cellular viability assays.
  • Compounds 17b and 17c showed nanomolar IC50 values (380 nM - 970 nM) in TNBC cells, outperforming control compounds and combinations.

Conclusions:

  • Covalent conjugation of tamoxifen/endoxifen with gefitinib yields potent dual-targeting anticancer agents.
  • The endoxifen-gefitinib conjugates 17b and 17c demonstrate significant anti-cancer activity, particularly in TNBC cells.
  • These novel drug conjugates represent a promising strategy for overcoming limitations of current breast cancer treatments.

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