p53-Dependent ENOX2 Downregulation Mediates the Apoptotic Responses to Heteroarene-Fused Anthraquinones in Colon

Chien-Yu Chen1, Alexander S Tikhomirov2, Yih-Farng Liou3

  • 1Graduate Institute of Biomedical Sciences, College of Medicine, National Chung Hsing University, Taichung 402202, Taiwan.

Biomolecules
|July 28, 2026
PubMed

Insights

New anticancer compounds, heteroarene-fused anthraquinones, induce apoptosis by downregulating ENOX2 in colon cancer cells. P53 status dictates whether cells undergo apoptosis or cytostatic arrest.

Area of Science:

  • Medicinal Chemistry
  • Cancer Biology
  • Molecular Pharmacology

Background:

  • Anthraquinone derivatives are clinically used anticancer agents that induce DNA damage.
  • Heteroarene-fused anthraquinones represent a newer class with enhanced anticancer potential.
  • ENOX2 (euthanasia and nuclease domain-containing protein 2) has been identified as a key target for this scaffold.

Purpose of the Study:

  • To investigate the antiproliferative effects and mechanisms of novel heteroarene-fused anthraquinones (derivatives a, b, and c) in colon cancer cells.
  • To determine the role of p53 status in mediating the cellular response to these compounds.
  • To elucidate the relationship between ENOX2 modulation and the observed anti-cancer effects.

Main Methods:

  • Synthesis of three heteroarene-fused anthraquinone derivatives (a, b, and c) with varying heterocyclic atoms (sulfur, nitrogen, oxygen).
  • Treatment of colon cancer cell lines (HCT116 with wild-type and null p53) with the synthesized derivatives.
  • Assessment of antiproliferative effects, apoptosis induction, cell cycle arrest, and ENOX2 expression levels.

Main Results:

  • Derivatives a and b induced apoptosis and suppressed proliferation in p53 wild-type cells, correlating with ENOX2 downregulation and intrinsic apoptosis activation.
  • p53-null cells showed reduced sensitivity, weaker apoptotic responses, and minimal ENOX2 modulation by derivatives a and b.
  • Derivative c induced G2/M arrest (cytostatic effect) irrespective of p53 status, suggesting a different mechanism of action.

Conclusions:

  • The degree of ENOX2 modulation by heteroarene-fused anthraquinones is linked to their distinct anti-proliferative activities.
  • p53 status acts as a critical determinant in switching between cytostatic growth arrest and apoptotic cell death.
  • These findings highlight the potential of targeting ENOX2 and considering p53 status for developing novel colon cancer therapeutics.