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      Unveiling the antitumor potential of novel N-(substituted-phenyl)-8-methoxycoumarin-3-carboxamides as dual inhibitors of VEGFR2 kinase and cytochrome P450 for targeted treatment of hepatocellular carcinoma

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          Abstract

          Being the sixth most diagnosed cancer and the fourth leading cause of cancer-related deaths worldwide, liver cancer is considered as a serious disease with a high prevalence and poor prognosis. Current anticancer drugs for liver cancer have drawbacks, such as limited efficacy in later stages of the disease, toxicity to healthy cells, and the potential for drug resistance. There is ample evidence that coumarin-based compounds are potent anticancer agents, with numerous analogues currently being investigated in preclinical and clinical studies. The current study aimed to explore the antitumor potency of a new class of 8-methoxycoumarin-3-carboxamides against liver cancer. Toward this aim, we have designed, synthesized, and characterized a new set of N-(substituted-phenyl)-8-methoxycoumarin-3-carboxamide analogues. The assessment of antitumor activity revealed that the synthesized class of compounds possesses substantial cytotoxicity toward Hep-G2 cells when compared to staurosporine, without significant impact on normal cells. Out of the synthesized compounds, compound 7 demonstrated the most potent cytotoxic effect against Hep-G2 cells with an IC 50 of 0.75 µM, which was more potent than the drug staurosporine (IC 50 = 8.37 µM). The investigation into the mechanism behind the antiproliferative activity of compound 7 revealed that it interferes with DNA replication and induces DNA damage, leading to cell cycle arrest as demonstrated by a significant decrease in the percentage of cells in the G1 and G2/M phases, along with an increase in the percentage of cells in the S phase. Flow cytometric analysis further revealed that compound 7 has the ability to trigger programmed cell death by inducing necrosis and apoptosis in HepG-2 cells. Further explorations into the mechanism of action demonstrated that compound 7 displays a potent dual-inhibitory activity toward cytochrome P450 and vascular endothelial growth factor receptor-2 (VEGFR-2) proteins, as compared to sorafenib drug. Further, detailed computational studies revealed that compound 7 displays a considerable binding affinity toward the binding cavity of VEGFR2 and CYP450 proteins. Taken together, our findings indicate that the newly synthesized class of compounds, particularly compound 7, could serve as a promising scaffold for the development of highly effective anticancer agents against liver cancer.

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          Estimating the global cancer incidence and mortality in 2018: GLOBOCAN sources and methods

          Estimates of the worldwide incidence and mortality from 36 cancers and for all cancers combined for the year 2018 are now available in the GLOBOCAN 2018 database, compiled and disseminated by the International Agency for Research on Cancer (IARC). This paper reviews the sources and methods used in compiling the cancer statistics in 185 countries. The validity of the national estimates depends upon the representativeness of the source information, and to take into account possible sources of bias, uncertainty intervals are now provided for the estimated sex- and site-specific all-ages number of new cancer cases and cancer deaths. We briefly describe the key results globally and by world region. There were an estimated 18.1 million (95% UI: 17.5-18.7 million) new cases of cancer (17 million excluding non-melanoma skin cancer) and 9.6 million (95% UI: 9.3-9.8 million) deaths from cancer (9.5 million excluding non-melanoma skin cancer) worldwide in 2018.
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            Hepatocellular carcinoma

            Liver cancer remains a global health challenge, with an estimated incidence of >1 million cases by 2025. Hepatocellular carcinoma (HCC) is the most common form of liver cancer and accounts for ~90% of cases. Infection by hepatitis B virus and hepatitis C virus are the main risk factors for HCC development, although non-alcoholic steatohepatitis associated with metabolic syndrome or diabetes mellitus is becoming a more frequent risk factor in the West. Moreover, non-alcoholic steatohepatitis-associated HCC has a unique molecular pathogenesis. Approximately 25% of all HCCs present with potentially actionable mutations, which are yet to be translated into the clinical practice. Diagnosis based upon non-invasive criteria is currently challenged by the need for molecular information that requires tissue or liquid biopsies. The current major advancements have impacted the management of patients with advanced HCC. Six systemic therapies have been approved based on phase III trials (atezolizumab plus bevacizumab, sorafenib, lenvatinib, regorafenib, cabozantinib and ramucirumab) and three additional therapies have obtained accelerated FDA approval owing to evidence of efficacy. New trials are exploring combination therapies, including checkpoint inhibitors and tyrosine kinase inhibitors or anti-VEGF therapies, or even combinations of two immunotherapy regimens. The outcomes of these trials are expected to change the landscape of HCC management at all evolutionary stages.
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              Molecular mechanisms of cell death: recommendations of the Nomenclature Committee on Cell Death 2018

              Over the past decade, the Nomenclature Committee on Cell Death (NCCD) has formulated guidelines for the definition and interpretation of cell death from morphological, biochemical, and functional perspectives. Since the field continues to expand and novel mechanisms that orchestrate multiple cell death pathways are unveiled, we propose an updated classification of cell death subroutines focusing on mechanistic and essential (as opposed to correlative and dispensable) aspects of the process. As we provide molecularly oriented definitions of terms including intrinsic apoptosis, extrinsic apoptosis, mitochondrial permeability transition (MPT)-driven necrosis, necroptosis, ferroptosis, pyroptosis, parthanatos, entotic cell death, NETotic cell death, lysosome-dependent cell death, autophagy-dependent cell death, immunogenic cell death, cellular senescence, and mitotic catastrophe, we discuss the utility of neologisms that refer to highly specialized instances of these processes. The mission of the NCCD is to provide a widely accepted nomenclature on cell death in support of the continued development of the field.
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                Author and article information

                Contributors
                Journal
                Front Chem
                Front Chem
                Front. Chem.
                Frontiers in Chemistry
                Frontiers Media S.A.
                2296-2646
                04 August 2023
                2023
                : 11
                : 1231030
                Affiliations
                [1] 1 The Division of Organic Chemistry , Chemistry Department , Faculty of Science , Port-Said University , Port-Said, Egypt
                [2] 2 The Division of Biochemistry , Chemistry Department , Faculty of Science , Port-Said University , Port-Said, Egypt
                [3] 3 Biochemistry Department , Faculty of Pharmacy , Port-Said University , Port-Said, Egypt
                [4] 4 Department of Biology , College of Science , Imam Abdulrahman Bin Faisal University , Dammam, Saudi Arabia
                [5] 5 Basic and Applied Scientific Research Centre , Imam Abdulrahman Bin Faisal University , Dammam, Saudi Arabia
                [6] 6 Department of Biochemistry , Faculty of Medicine , Umm Al-Qura University , Makkah, Saudi Arabia
                [7] 7 Department of Surgery , Faculty of Medicine , Umm Al-Qura University , Makkah, Saudi Arabia
                [8] 8 Department of Pharmacology and Toxicology , Faculty of Medicine , Umm Al-Qura University , Makkah, Saudi Arabia
                [9] 9 Biology Department , Faculty of science , Al-Baha University , Al Aqiq, Saudi Arabia
                [10] 10 Division of Biological and Environmental Sciences (BESE) and Engineering, King Abdullah University of Science and Technology (KAUST) , Thuwal, Saudi Arabia
                [11] 11 Department of Pharmaceutical Sciences , College of Pharmacy , Princess Nourah Bint Abdulrahman University , Riyadh, Saudi Arabia
                [12] 12 Chemistry Department , Faculty of Science , Suez Canal University , Ismailia, Egypt
                [13] 13 Institute for Chemistry , Humboldt Universität zu Berlin , Berlin, Germany
                Author notes

                Edited by: Wagdy Mohamed Eldehna, Kafrelsheikh University, Egypt

                Reviewed by: Heba Allam, Cairo University, Egypt

                Rafael Gomes, University of Lisbon, Portugal

                *Correspondence: Mariusz Jaremko, mariusz.jaremko@ 123456kaust.edu.sa ; Essa M. Saied, essa.saied@ 123456science.suez.edu.eg
                Article
                1231030
                10.3389/fchem.2023.1231030
                10436493
                37601910
                0daad413-254c-413a-9006-1c40b8138593
                Copyright © 2023 Radwan, Abo-Elabass, Abd El-Baky, Alshwyeh, Almaimani, Almaimani, Ibrahim, Albogami, Jaremko, Alshawwa and Saied.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 14 June 2023
                : 24 July 2023
                Categories
                Chemistry
                Original Research
                Custom metadata
                Medicinal and Pharmaceutical Chemistry

                coumarin,hepatocellular carcinoma,cytotoxicity,cell arrest,apoptosis,cytochrome p450,vegfr2

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