<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xml:lang="en" article-type="research-article">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">molecules</journal-id>
      <journal-title>Molecules</journal-title>
      <abbrev-journal-title abbrev-type="publisher">Molecules</abbrev-journal-title>
      <abbrev-journal-title abbrev-type="pubmed">Molecules</abbrev-journal-title>
      <issn pub-type="epub">1420-3049</issn>
      <publisher>
        <publisher-name>MDPI</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.3390/molecules17089683</article-id>
      <article-id pub-id-type="publisher-id">molecules-17-09683</article-id>
      <article-categories>
        <subj-group>
          <subject>Article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Synthesis and Biological Evaluation of 3-Aryl-quinoxaline-2-carbonitrile 1,4-Di-<italic>N</italic>-oxide Derivatives as Hypoxic Selective Anti-tumor Agents</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Hu</surname>
            <given-names>Yunzhen</given-names>
          </name>
          <xref rid="af1-molecules-17-09683" ref-type="aff">1</xref>
          <xref rid="af2-molecules-17-09683" ref-type="aff">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Xia</surname>
            <given-names>Qing</given-names>
          </name>
          <xref rid="af1-molecules-17-09683" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Shangguan</surname>
            <given-names>Shihao</given-names>
          </name>
          <xref rid="af1-molecules-17-09683" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Liu</surname>
            <given-names>Xiaowen</given-names>
          </name>
          <xref rid="af3-molecules-17-09683" ref-type="aff">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Hu</surname>
            <given-names>Yongzhou</given-names>
          </name>
          <xref rid="af1-molecules-17-09683" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Sheng</surname>
            <given-names>Rong</given-names>
          </name>
          <xref rid="af1-molecules-17-09683" ref-type="aff">1</xref>
          <xref rid="c1-molecules-17-09683" ref-type="corresp">*</xref>
        </contrib>
      </contrib-group>
      <aff id="af1-molecules-17-09683"><label>1 </label>ZJU-ENS Joint Laboratory of Medicinal Chemistry, Zhejiang University, Hangzhou 310058, China</aff>
      <aff id="af2-molecules-17-09683"><label>2 </label>Department of Pharmacy, the First Affiliated Hospital of college of Medicine, Zhejiang University, Hangzhou 310006, China</aff>
      <aff id="af3-molecules-17-09683"><label>3 </label>Institute of Pharmacology &amp; Toxicology, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou 310058, China</aff>
      <author-notes>
        <corresp id="c1-molecules-17-09683"><label>*</label> Author to whom correspondence should be addressed; Email: <email>shengr@zju.edu.cn</email>; Tel./Fax: +86-571-8820-8458.</corresp>
      </author-notes>
      <pub-date pub-type="epub">
        <day>13</day>
        <month>08</month>
        <year>2012</year>
      </pub-date>
      <pub-date pub-type="collection">
        <month>08</month>
        <year>2012</year>
      </pub-date>
      <volume>17</volume>
      <issue>8</issue>
      <fpage>9683</fpage>
      <lpage>9696</lpage>
      <history>
        <date date-type="received">
          <day>06</day>
          <month>07</month>
          <year>2012</year>
        </date>
        <date date-type="rev-recd">
          <day>01</day>
          <month>08</month>
          <year>2012</year>
        </date>
        <date date-type="accepted">
          <day>02</day>
          <month>08</month>
          <year>2012</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>© 2012 by the authors; licensee MDPI, Basel, Switzerland.</copyright-statement>
        <copyright-year>2012</copyright-year>
        <license xmlns:xlink="http://www.w3.org/1999/xlink" license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0/">
          <p>This article is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/).</p>
        </license>
      </permissions>
      <abstract>
        <p>A series of 3-aryl-2-quinoxaline-carbonitrile 1,4-di-<italic>N</italic>-oxide derivatives were designed, synthesized and evaluated for hypoxic and normoxic cytotoxic activity against human SMMC-7721, K562, KB, A549 and PC-3 cell lines. Many of these new compounds displayed more potent hypoxic cytotoxic activity compared with TX-402 and TPZ in the tumor cells based evaluation, which confirmed our hypothesis that the replacement of the 3-amine with the substituted aryl ring of TX-402 increases the hypoxic anti-tumor activity. The preliminary SAR revealed that 3-chloro was a favorable substituent in the phenyl ring for hypoxic cytotoxicity and 7-methyl or 7-methoxy substituted derivatives exhibited better hypoxic selectivity against most of the tested cell lines. The most potent compound, 7-methyl-3-(3-chlorophenyl)-quinoxaline-2-carbonitrile 1,4-dioxide (<bold>9h</bold>) was selected for further anti-tumor evaluation and mechanistic study. It also exhibited significant cytotoxic activity against BEL-7402, HepG2, HL-60, NCI-H460, HCT-116 and CHP126 cell lines in hypoxia with IC<sub>50</sub> values ranging from 0.31 to 3.16 μM, and preliminary mechanism study revealed that <bold>9h</bold> induced apoptosis in a caspase-dependent pathway.</p>
      </abstract>
      <kwd-group>
        <kwd>3-aryl-2-quinoxaline-carbonitrile 1,4-dioxide</kwd>
        <kwd>hypoxic cytotoxic activity</kwd>
        <kwd>SAR</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec sec-type="intro">
      <title>1. Introduction</title>
      <p>Hypoxia is an inevitable circumstance in most solid tumors resulting from rapid tumor growth with an inefficient microvascular system. Tumor cells within these regions show resistance to radiotherapy and chemotherapy and present a tremendous challenge to cancer therapy [<xref ref-type="bibr" rid="B1-molecules-17-09683">1</xref>,<xref ref-type="bibr" rid="B2-molecules-17-09683">2</xref>]. Hypoxia also distinguishes solid tumor cells from physiologically normal cells and is marked as an attractive and exploitable therapeutic target. Five classes of chemical moieties (quinones, nitroimidazoles, aromatic N-oxides, aliphatic N-oxides and transition metal complexes) have been identified as hypoxic cytotoxins in recent years. These compounds were selectively activated by reductive enzymes within hypoxic environment and generated toxic metabolites causing cell death [<xref ref-type="bibr" rid="B3-molecules-17-09683">3</xref>].</p>
      <p>As classical aromatic N-oxides derivatives, tirapazamine (3-aminobenzotriazine-1,4-dioxide, <bold>1</bold>, TPZ, <xref ref-type="fig" rid="molecules-17-09683-f001">Figure 1</xref>) and 3-amino-2-quinoxalinecarbonitrile 1,4-di-<italic>N</italic>-oxide (TX-402, <bold>2</bold>, <xref ref-type="fig" rid="molecules-17-09683-f001">Figure 1</xref>) were extensively studied in the past years. TPZ was bioreductively activated through the one-electron reduction of the benzotriazine-l,4-di-<italic>N</italic>-oxide moiety by reductase to form hydroxyl and benzotriazinyl radicals that cause DNA damage. It had already been introduced into phase II and III clinical trials in combination with radiotherapy and chemotherapy for advanced head and neck cancers [<xref ref-type="bibr" rid="B4-molecules-17-09683">4</xref>,<xref ref-type="bibr" rid="B5-molecules-17-09683">5</xref>]. TX-402 also exhibited efficient hypoxic selective anti-tumor activities against various tumor cells with a similar DNA damage mechanism [<xref ref-type="bibr" rid="B6-molecules-17-09683">6</xref>]. Although both of them exhibited poor extravascular transport, the unique one-electron reduction activation mechanism and encouraging antitumor profiles have stimulated in recent years intense research efforts in the design and synthesis of a variety of TPZ and TX-402 derivatives [<xref ref-type="bibr" rid="B7-molecules-17-09683">7</xref>,<xref ref-type="bibr" rid="B8-molecules-17-09683">8</xref>,<xref ref-type="bibr" rid="B9-molecules-17-09683">9</xref>,<xref ref-type="bibr" rid="B10-molecules-17-09683">10</xref>]. For example, benzotriazine-1,4-dioxide derivatives SN 29751 (<bold>3</bold>, <xref ref-type="fig" rid="molecules-17-09683-f001">Figure 1</xref>) and SN 30000 (<bold>4</bold>, <xref ref-type="fig" rid="molecules-17-09683-f001">Figure 1</xref>) were identified as the promising secondary generation TPZ analogues by using a spatially resolved pharmacokinetic/pharmacodynamic (SR-PKPD) model that considers tissue penetration explicitly during lead optimization [<xref ref-type="bibr" rid="B7-molecules-17-09683">7</xref>,<xref ref-type="bibr" rid="B10-molecules-17-09683">10</xref>]. Beatriz reported the synthesis and the biological evaluation of a series of 2-arylcarbonyl-3-trifluoromethylquinoxaline-1,4-di-N-oxide derivatives. The most potent compound 2-(thiophene-2-carbonyl)-3-trifluoromethylquinoxaline 1,4-di-N-oxide (<bold>5</bold>, <xref ref-type="fig" rid="molecules-17-09683-f001">Figure 1</xref>) not only exhibited good cytotoxic activity against NCI 60 cell lines with mean GI<sub>50</sub> value of 0.07 μM, but also showed positive activity in an <italic>in vivo</italic> hollow fiber assay [<xref ref-type="bibr" rid="B8-molecules-17-09683">8</xref>].</p>
      <p>To overcome the poor extravascular transport of TPZ, our lab have synthesized and evaluated 3-aryl amino and 3-(alkoxymethylamino) benzotriazine-1,4-dioxide derivatives <bold>6</bold> and <bold>7</bold> (<xref ref-type="fig" rid="molecules-17-09683-f001">Figure 1</xref>) through introduction of lipophilic groups into the C-3 amino of TPZ. Most of these compounds were more potent than TPZ in the tumor cell lines assay and some of them exhibited higher hypoxia selectivity. The preliminary SAR study revealed that the introduction of an aromatic group at the C-3 amino was favorable for hypoxic cytotoxic activity and the physico-chemical study showed a positive correlation between hypoxic activity and lipophilicity within a certain range [<xref ref-type="bibr" rid="B11-molecules-17-09683">11</xref>,<xref ref-type="bibr" rid="B12-molecules-17-09683">12</xref>,<xref ref-type="bibr" rid="B13-molecules-17-09683">13</xref>].</p>
      <p>With a similar drug design strategy, we also synthesized a series of 3-phenyl-2-ethylthio- (or 2-ethylsulfonyl)-quinoxaline-1,4-dioxide derivatives through replacement of the 2-cyano and 3-amine moieties with 2-ethylthio (or 2-ethysulfonyl) and the 3-aryl of TX-402. The 2-ethylsulfonyl derivatives displayed moderate to good antiproliferative activity in hypoxia, while the 2-ethylthio derivatives showed almost no activity in the cell-based test. These results implicated that the electron-withdrawing 2-ethylsulfonyl moiety was necessary for hypoxic activity probably due to its modulation of the one-electron reduction potential of molecules. Among all the synthesized compounds, 3-(4-bromophenyl)-2-(ethylsulfonyl)-6-methylquinoxaline-1,4-dioxide (Q39, <bold>8</bold>, <xref ref-type="fig" rid="molecules-17-09683-f001">Figure 1</xref>) not only exhibited good antiproliferative activity in extensive cell lines in hypoxia, but also inhibited SMMC-7721 tumor growth in a dose-dependent manner in a human tumor xenograft mice model [<xref ref-type="bibr" rid="B14-molecules-17-09683">14</xref>,<xref ref-type="bibr" rid="B15-molecules-17-09683">15</xref>,<xref ref-type="bibr" rid="B16-molecules-17-09683">16</xref>].</p>
      <p>Based on these research results, we have envisioned that replacement of the 3-amino moiety of TX-402 with a substituted aryl would be favorable for hypoxic anti-tumor activity. To find new lead compounds with enhanced potency and hypoxic selectivity, we report here the design, synthesis and evaluation of a series of 3-aryl-2-quinoxalinecarbonitrile-1,4-di-<italic>N</italic>-oxide derivatives <bold>9a</bold>–<bold>t</bold> (<xref ref-type="fig" rid="molecules-17-09683-f001">Figure 1</xref>) as hypoxic selective anti-tumor agents. Although compounds containing this skeleton have been reported as antimalarial agents [<xref ref-type="bibr" rid="B17-molecules-17-09683">17</xref>,<xref ref-type="bibr" rid="B18-molecules-17-09683">18</xref>,<xref ref-type="bibr" rid="B19-molecules-17-09683">19</xref>], their hypoxic anti-tumor characteristic has never been disclosed. The main objective of present study was to investigate the effect of the replacement of the 3-amine moiety with a substituted 3-aryl moiety and the modification of substituent at the 7-position of TX-402 on anti-tumor activity and hypoxic selectivity. The study also has led to the identification of several new potent hypoxic selective anti-tumor compounds.</p>
      <fig id="molecules-17-09683-f001" position="anchor">
        <label>Figure 1</label>
        <caption>
          <p>The structures of aromatic <italic>N</italic>-oxides with hypoxic cytotoxic activity.</p>
        </caption>
        <graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="molecules-17-09683-g001.tif"/>
      </fig>
    </sec>
    <sec sec-type="results">
      <title>2. Results and Discussion</title>
      <sec>
        <title>2.1. Chemistry</title>
        <p>The synthetic route of 3-aryl-2-quinoxalinecarbonitrile-1,4-di-<italic>N</italic>-oxides <bold>9a</bold>–<bold>t</bold> is shown in <xref ref-type="fig" rid="molecules-17-09683-f003">Scheme 1</xref>. Refluxing of substituted benzoates <bold>10a</bold>–<bold>e</bold> with acetonitrile in the presence of sodium methoxide provided arylacetonitriles <bold>11a</bold>–<bold>e</bold>, followed by the classical Beirut reaction with 5-substituted benzofuroxans <bold>12a</bold>–<bold>d</bold> in ethanol with catalytic amount of potassium carbonate at room temperature to yield target compounds <bold>9a</bold>–<bold>t</bold>. The structures of all the newly synthesized compounds were confirmed by IR, <sup>1</sup>H-NMR and HRMS.</p>
        <fig id="molecules-17-09683-f003" position="anchor">
          <label>Scheme 1</label>
          <caption>
            <p>The synthetic route to compounds <bold>9a</bold>–<bold>t</bold>.</p>
          </caption>
          <graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="molecules-17-09683-g003.tif"/>
        </fig>
      </sec>
      <sec>
        <title>2.2. Pharmacology</title>
        <sec>
          <title>2.2.1. <italic>In Vitro</italic> Cytotoxic Activity</title>
          <p>All the newly synthesized compounds were assayed for <italic>in vitro </italic>cytotoxicity against five human cancer cell lines, including SMMC-7721 (hepatoma), K562 (chronic myeloid leukemia), KB (epidermoid carcinoma of the nasopharynx), A549 (nonsmall cell lung carcinoma) and PC-3 (prostate cancer) under normoxic and hypoxic conditions. TX-402 and TPZ were employed as positive controls and the antiproliferative activity results are summarized in <xref ref-type="table" rid="molecules-17-09683-t001">Table 1</xref>.</p>
          <p>As shown in <xref ref-type="table" rid="molecules-17-09683-t001">Table 1</xref>, many of 3-aryl-2-quinoxalinecarbonitrile-1,4-di-<italic>N</italic>-oxide derivatives showed higher or similar hypoxic cytotoxic activity and selectivity in comparison with those of TX-402 and TPZ against most of the tested cell lines, in particular for the SMMC-7721, K562 and KB cell lines.</p>
          <p>Obviously, the hypoxic cytotoxic potency of <bold>9a</bold>–<bold>t</bold> was highly dependent on the 3-position and 7-position substitutents of the quinoxaline. Such as, compound <bold>9a</bold> (3-phenylquinoxaline-2-carbonitrile 1,4-dioxide) exhibited weak to good cytotoxicity against the SMMC-7721, K562, KB, A549 and PC3 cell lines (IC<sub>50</sub> = 1.58, 17.53, 1.53, 8.08 and 25.0 μM, respectively). Compound <bold>9h</bold> (7-methyl-3-(3-chlorophenyl)-quinoxaline-2-carbonitrile 1,4-dioxide) showed good hypoxic cytotoxic activity against five cell lines, with IC<sub>50</sub> values of 0.76, 0.92, 0.53, 4.91 and 2.25 μM, respectively. By comparison with the IC<sub>50</sub> values of the TX-402 (&gt;50, 13.1, 0.98, &gt;50 and 5.87 μM, respectively), our hypothesis that the replacement of 3-amine with substituted aryl ring of TX-402 increased the hypoxic anti-tumor activity was confirmed.</p>
          <p>The substituents on the 3-phenyl moiety affect the anti-tumor activity by changing the electronic and lipophilic properties of the entire molecule. Comparing the cytotoxic activity of <bold>9c</bold> and <bold>9h</bold> with that of <bold>9a</bold> and <bold>9f</bold> suggested that an electron-withdrawing 3-chloro group in the 3-phenyl moiety increased cytotoxicity against most tested cell lines, particularly for the SMMC-7721, K562 and KB cell lines. The substituents on the 7-position of the quinoxaline ring also have a significant impact on anti-tumor activity and hypoxia selectivity because of the disparity in the electronic properties of the resulting molecules. As shown in <xref ref-type="table" rid="molecules-17-09683-t001">Table 1</xref>, 7-chloro derivatives <bold>9p</bold> and <bold>9q</bold> exhibited better hypoxic antiproliferative activity than the 7-unsubstituted derivative <bold>9a</bold> and <bold>9b</bold> in most tested cell lines.</p>
          <table-wrap id="molecules-17-09683-t001" position="anchor">
            <object-id pub-id-type="pii">molecules-17-09683-t001_Table 1</object-id>
            <label>Table 1</label>
            <caption>
              <p>Cytotoxicity of 2-cyano-3-aryl-quinoxaline 1,4-dioxides against five cancer cell lines in hypoxia and in normoxia.</p>
            </caption>
            <table>
              <thead>
                <tr>
                  <th rowspan="3" align="center" valign="middle">Comp.</th>
                  <th rowspan="3" align="center" valign="middle">R<sub>1</sub></th>
                  <th rowspan="3" align="center" valign="middle">R<sub>2</sub></th>
                  <th colspan="15" align="center" valign="middle">Cytotoxicity(IC<sub>50</sub>, μM) and HCR</th>
                </tr>
                <tr>
                  <th colspan="3" align="center" valign="middle">SMMC-7721</th>
                  <th colspan="3" align="center" valign="middle">K562</th>
                  <th colspan="3" align="center" valign="middle">KB</th>
                  <th colspan="3" align="center" valign="middle">A549</th>
                  <th colspan="3" align="center" valign="middle">PC3</th>
                </tr>
                <tr style="border-top: solid thin">
                  <th align="center" valign="middle">H <sup>a</sup></th>
                  <th align="center" valign="middle">N <sup>b</sup></th>
                  <th align="center" valign="middle">HCR <sup>c</sup></th>
                  <th align="center" valign="middle">H</th>
                  <th align="center" valign="middle">N</th>
                  <th align="center" valign="middle">HCR</th>
                  <th align="center" valign="middle">H</th>
                  <th align="center" valign="middle">N</th>
                  <th align="center" valign="middle">HCR</th>
                  <th align="center" valign="middle">H</th>
                  <th align="center" valign="middle">N</th>
                  <th align="center" valign="middle">HCR</th>
                  <th align="center" valign="middle">H</th>
                  <th align="center" valign="middle">N</th>
                  <th align="center" valign="middle">HCR</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td align="center" valign="middle">TX-402</td>
                  <td align="center" valign="middle">-</td>
                  <td align="center" valign="middle">-</td>
                  <td align="center" valign="middle">&gt;50</td>
                  <td align="center" valign="middle">&gt;50</td>
                  <td align="center" valign="middle">-</td>
                  <td align="center" valign="middle">13.1</td>
                  <td align="center" valign="middle">&gt;50</td>
                  <td align="center" valign="middle">-</td>
                  <td align="center" valign="middle">0.98</td>
                  <td align="center" valign="middle">8.85</td>
                  <td align="center" valign="middle">9.03 </td>
                  <td align="center" valign="middle">&gt;50</td>
                  <td align="center" valign="middle">&gt;50</td>
                  <td align="center" valign="middle">-</td>
                  <td align="center" valign="middle">5.87</td>
                  <td align="center" valign="middle">&gt;50</td>
                  <td align="center" valign="middle">-</td>
                </tr>
                <tr>
                  <td align="center" valign="middle">TPZ</td>
                  <td align="center" valign="middle">-</td>
                  <td align="center" valign="middle">-</td>
                  <td align="center" valign="middle">4.75</td>
                  <td align="center" valign="middle">32.79</td>
                  <td align="center" valign="middle">6.90 </td>
                  <td align="center" valign="middle">1.81</td>
                  <td align="center" valign="middle">19.41</td>
                  <td align="center" valign="middle">10.72 </td>
                  <td align="center" valign="middle">18.71</td>
                  <td align="center" valign="middle">6.29</td>
                  <td align="center" valign="middle">0.34 </td>
                  <td align="center" valign="middle">1.93</td>
                  <td align="center" valign="middle">7.43</td>
                  <td align="center" valign="middle">3.85 </td>
                  <td align="center" valign="middle">1.17</td>
                  <td align="center" valign="middle">20.97</td>
                  <td align="center" valign="middle">17.92 </td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9a</bold>
                  </td>
                  <td align="center" valign="middle">H</td>
                  <td align="center" valign="middle">H</td>
                  <td align="center" valign="middle">1.58</td>
                  <td align="center" valign="middle">15.7</td>
                  <td align="center" valign="middle">9.94 </td>
                  <td align="center" valign="middle">17.53</td>
                  <td align="center" valign="middle">45.4</td>
                  <td align="center" valign="middle">2.59 </td>
                  <td align="center" valign="middle">1.53</td>
                  <td align="center" valign="middle">16.46</td>
                  <td align="center" valign="middle">10.76 </td>
                  <td align="center" valign="middle">8.08</td>
                  <td align="center" valign="middle">52</td>
                  <td align="center" valign="middle">6.44 </td>
                  <td align="center" valign="middle">25</td>
                  <td align="center" valign="middle">24.6</td>
                  <td align="center" valign="middle">0.98 </td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9b</bold>
                  </td>
                  <td align="center" valign="middle">H</td>
                  <td align="center" valign="middle">3-CH<sub>3</sub></td>
                  <td align="center" valign="middle">5.07</td>
                  <td align="center" valign="middle">100</td>
                  <td align="center" valign="middle">19.72 </td>
                  <td align="center" valign="middle">17.7</td>
                  <td align="center" valign="middle">15.7</td>
                  <td align="center" valign="middle">0.89 </td>
                  <td align="center" valign="middle">7.9</td>
                  <td align="center" valign="middle">14.75</td>
                  <td align="center" valign="middle">1.87 </td>
                  <td align="center" valign="middle">21</td>
                  <td align="center" valign="middle">26.3</td>
                  <td align="center" valign="middle">1.25 </td>
                  <td align="center" valign="middle">18.2</td>
                  <td align="center" valign="middle">7.56</td>
                  <td align="center" valign="middle">0.42 </td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9c</bold>
                  </td>
                  <td align="center" valign="middle">H</td>
                  <td align="center" valign="middle">3-Cl</td>
                  <td align="center" valign="middle">1.09</td>
                  <td align="center" valign="middle">5</td>
                  <td align="center" valign="middle">4.59 </td>
                  <td align="center" valign="middle">1.03</td>
                  <td align="center" valign="middle">11.32</td>
                  <td align="center" valign="middle">10.99 </td>
                  <td align="center" valign="middle">0.76</td>
                  <td align="center" valign="middle">4.59</td>
                  <td align="center" valign="middle">6.04 </td>
                  <td align="center" valign="middle">10.61</td>
                  <td align="center" valign="middle">46.71</td>
                  <td align="center" valign="middle">4.40 </td>
                  <td align="center" valign="middle">3</td>
                  <td align="center" valign="middle">15.03</td>
                  <td align="center" valign="middle">5.01 </td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9d</bold>
                  </td>
                  <td align="center" valign="middle">H</td>
                  <td align="center" valign="middle">4-Br</td>
                  <td align="center" valign="middle">1.82</td>
                  <td align="center" valign="middle">32.9</td>
                  <td align="center" valign="middle">18.08 </td>
                  <td align="center" valign="middle">19.58</td>
                  <td align="center" valign="middle">47.1</td>
                  <td align="center" valign="middle">2.41 </td>
                  <td align="center" valign="middle">5.08</td>
                  <td align="center" valign="middle">13.61</td>
                  <td align="center" valign="middle">2.68 </td>
                  <td align="center" valign="middle">11.2</td>
                  <td align="center" valign="middle">19.8</td>
                  <td align="center" valign="middle">1.77 </td>
                  <td align="center" valign="middle">16.4</td>
                  <td align="center" valign="middle">&gt;50</td>
                  <td align="center" valign="middle">&gt;3.05</td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9e</bold>
                  </td>
                  <td align="center" valign="middle">H</td>
                  <td align="center" valign="middle">4-NO<sub>2</sub></td>
                  <td align="center" valign="middle">1.43</td>
                  <td align="center" valign="middle">8.28</td>
                  <td align="center" valign="middle">5.79 </td>
                  <td align="center" valign="middle">4.01</td>
                  <td align="center" valign="middle">3.98</td>
                  <td align="center" valign="middle">0.99 </td>
                  <td align="center" valign="middle">2.83</td>
                  <td align="center" valign="middle">12</td>
                  <td align="center" valign="middle">4.24 </td>
                  <td align="center" valign="middle">8.02</td>
                  <td align="center" valign="middle">42.31</td>
                  <td align="center" valign="middle">5.28 </td>
                  <td align="center" valign="middle">10.36</td>
                  <td align="center" valign="middle">&gt;50</td>
                  <td align="center" valign="middle">&gt;4.83</td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9f</bold>
                  </td>
                  <td align="center" valign="middle">CH<sub>3</sub></td>
                  <td align="center" valign="middle">H</td>
                  <td align="center" valign="middle">0.63</td>
                  <td align="center" valign="middle">100</td>
                  <td align="center" valign="middle">158.73 </td>
                  <td align="center" valign="middle">2.04</td>
                  <td align="center" valign="middle">22.6</td>
                  <td align="center" valign="middle">11.08 </td>
                  <td align="center" valign="middle">4.54</td>
                  <td align="center" valign="middle">34.9</td>
                  <td align="center" valign="middle">7.69 </td>
                  <td align="center" valign="middle">9.38</td>
                  <td align="center" valign="middle">12.5</td>
                  <td align="center" valign="middle">1.33 </td>
                  <td align="center" valign="middle">3.8</td>
                  <td align="center" valign="middle">24.2</td>
                  <td align="center" valign="middle">6.37 </td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9g</bold>
                  </td>
                  <td align="center" valign="middle">CH<sub>3</sub></td>
                  <td align="center" valign="middle">3-CH<sub>3</sub></td>
                  <td align="center" valign="middle">2.98</td>
                  <td align="center" valign="middle">2.97</td>
                  <td align="center" valign="middle">1.00 </td>
                  <td align="center" valign="middle">0.64</td>
                  <td align="center" valign="middle">3.16</td>
                  <td align="center" valign="middle">4.94 </td>
                  <td align="center" valign="middle">0.72</td>
                  <td align="center" valign="middle">10.65</td>
                  <td align="center" valign="middle">14.79 </td>
                  <td align="center" valign="middle">21.72</td>
                  <td align="center" valign="middle">&gt;50</td>
                  <td align="center" valign="middle">&gt;2.30</td>
                  <td align="center" valign="middle">6.21</td>
                  <td align="center" valign="middle">&gt;50</td>
                  <td align="center" valign="middle">&gt;8.05</td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9h</bold>
                  </td>
                  <td align="center" valign="middle">CH<sub>3</sub></td>
                  <td align="center" valign="middle">3-Cl</td>
                  <td align="center" valign="middle">0.76</td>
                  <td align="center" valign="middle">10.34</td>
                  <td align="center" valign="middle">13.61 </td>
                  <td align="center" valign="middle">0.92</td>
                  <td align="center" valign="middle">7.54</td>
                  <td align="center" valign="middle">8.20 </td>
                  <td align="center" valign="middle">0.53</td>
                  <td align="center" valign="middle">2.19</td>
                  <td align="center" valign="middle">4.13 </td>
                  <td align="center" valign="middle">4.91</td>
                  <td align="center" valign="middle">11.13</td>
                  <td align="center" valign="middle">2.27 </td>
                  <td align="center" valign="middle">2.25</td>
                  <td align="center" valign="middle">12.55</td>
                  <td align="center" valign="middle">5.57 </td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9i</bold>
                  </td>
                  <td align="center" valign="middle">CH<sub>3</sub></td>
                  <td align="center" valign="middle">4-Br</td>
                  <td align="center" valign="middle">0.93</td>
                  <td align="center" valign="middle">6.18</td>
                  <td align="center" valign="middle">6.65 </td>
                  <td align="center" valign="middle">1.07</td>
                  <td align="center" valign="middle">4.32</td>
                  <td align="center" valign="middle">4.04 </td>
                  <td align="center" valign="middle">0.17</td>
                  <td align="center" valign="middle">5.96</td>
                  <td align="center" valign="middle">35.06 </td>
                  <td align="center" valign="middle">36.15</td>
                  <td align="center" valign="middle">32.46</td>
                  <td align="center" valign="middle">0.90 </td>
                  <td align="center" valign="middle">5.54</td>
                  <td align="center" valign="middle">20.26</td>
                  <td align="center" valign="middle">3.66 </td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9j</bold>
                  </td>
                  <td align="center" valign="middle">CH<sub>3</sub></td>
                  <td align="center" valign="middle">4-NO<sub>2</sub></td>
                  <td align="center" valign="middle">1.6</td>
                  <td align="center" valign="middle">43</td>
                  <td align="center" valign="middle">26.88 </td>
                  <td align="center" valign="middle">6.59</td>
                  <td align="center" valign="middle">13.3</td>
                  <td align="center" valign="middle">2.02 </td>
                  <td align="center" valign="middle">5.12</td>
                  <td align="center" valign="middle">8.71</td>
                  <td align="center" valign="middle">1.70 </td>
                  <td align="center" valign="middle">17</td>
                  <td align="center" valign="middle">25</td>
                  <td align="center" valign="middle">1.47 </td>
                  <td align="center" valign="middle">28.3</td>
                  <td align="center" valign="middle">39</td>
                  <td align="center" valign="middle">1.38 </td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9k</bold>
                  </td>
                  <td align="center" valign="middle">OCH<sub>3</sub></td>
                  <td align="center" valign="middle">H</td>
                  <td align="center" valign="middle">1.16</td>
                  <td align="center" valign="middle">78</td>
                  <td align="center" valign="middle">67.24 </td>
                  <td align="center" valign="middle">7.98</td>
                  <td align="center" valign="middle">16.8</td>
                  <td align="center" valign="middle">2.11 </td>
                  <td align="center" valign="middle">3.97</td>
                  <td align="center" valign="middle">66.72</td>
                  <td align="center" valign="middle">16.81 </td>
                  <td align="center" valign="middle">6.31</td>
                  <td align="center" valign="middle">4.46</td>
                  <td align="center" valign="middle">0.71 </td>
                  <td align="center" valign="middle">6.76</td>
                  <td align="center" valign="middle">43.5</td>
                  <td align="center" valign="middle">6.43 </td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9l</bold>
                  </td>
                  <td align="center" valign="middle">OCH<sub>3</sub></td>
                  <td align="center" valign="middle">3-CH<sub>3</sub></td>
                  <td align="center" valign="middle">1.7</td>
                  <td align="center" valign="middle">6.23</td>
                  <td align="center" valign="middle">3.66 </td>
                  <td align="center" valign="middle">0.76</td>
                  <td align="center" valign="middle">13.53</td>
                  <td align="center" valign="middle">17.80 </td>
                  <td align="center" valign="middle">1.16</td>
                  <td align="center" valign="middle">6.23</td>
                  <td align="center" valign="middle">5.37 </td>
                  <td align="center" valign="middle">15.3</td>
                  <td align="center" valign="middle">&gt;50</td>
                  <td align="center" valign="middle">&gt;3.27</td>
                  <td align="center" valign="middle">4.41</td>
                  <td align="center" valign="middle">&gt;50</td>
                  <td align="center" valign="middle">&gt;11.34</td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9m</bold>
                  </td>
                  <td align="center" valign="middle">OCH<sub>3</sub></td>
                  <td align="center" valign="middle">3-Cl</td>
                  <td align="center" valign="middle">0.9</td>
                  <td align="center" valign="middle">4.83</td>
                  <td align="center" valign="middle">5.37 </td>
                  <td align="center" valign="middle">2.02</td>
                  <td align="center" valign="middle">6.76</td>
                  <td align="center" valign="middle">3.35 </td>
                  <td align="center" valign="middle">1.42</td>
                  <td align="center" valign="middle">4.87</td>
                  <td align="center" valign="middle">3.43 </td>
                  <td align="center" valign="middle">8.75</td>
                  <td align="center" valign="middle">&gt;50</td>
                  <td align="center" valign="middle">&gt;5.71</td>
                  <td align="center" valign="middle">2.25</td>
                  <td align="center" valign="middle">17.55</td>
                  <td align="center" valign="middle">7.80 </td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9n</bold>
                  </td>
                  <td align="center" valign="middle">OCH<sub>3</sub></td>
                  <td align="center" valign="middle">4-Br</td>
                  <td align="center" valign="middle">0.12</td>
                  <td align="center" valign="middle">13.84</td>
                  <td align="center" valign="middle">115.33 </td>
                  <td align="center" valign="middle">1.37</td>
                  <td align="center" valign="middle">3.34</td>
                  <td align="center" valign="middle">2.44 </td>
                  <td align="center" valign="middle">4.03</td>
                  <td align="center" valign="middle">6.63</td>
                  <td align="center" valign="middle">1.65 </td>
                  <td align="center" valign="middle">11.32</td>
                  <td align="center" valign="middle">28.43</td>
                  <td align="center" valign="middle">2.51 </td>
                  <td align="center" valign="middle">8.4</td>
                  <td align="center" valign="middle">28.61</td>
                  <td align="center" valign="middle">3.41 </td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9o</bold>
                  </td>
                  <td align="center" valign="middle">OCH<sub>3</sub></td>
                  <td align="center" valign="middle">4-NO<sub>2</sub></td>
                  <td align="center" valign="middle">1.62</td>
                  <td align="center" valign="middle">3.92</td>
                  <td align="center" valign="middle">2.42 </td>
                  <td align="center" valign="middle">4.49</td>
                  <td align="center" valign="middle">9.23</td>
                  <td align="center" valign="middle">2.06 </td>
                  <td align="center" valign="middle">5.41</td>
                  <td align="center" valign="middle">3.54</td>
                  <td align="center" valign="middle">0.65 </td>
                  <td align="center" valign="middle">6.17</td>
                  <td align="center" valign="middle">6.53</td>
                  <td align="center" valign="middle">1.06 </td>
                  <td align="center" valign="middle">18.7</td>
                  <td align="center" valign="middle">25.2</td>
                  <td align="center" valign="middle">1.35 </td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9p</bold>
                  </td>
                  <td align="center" valign="middle">Cl</td>
                  <td align="center" valign="middle">H</td>
                  <td align="center" valign="middle">0.46</td>
                  <td align="center" valign="middle">4.27</td>
                  <td align="center" valign="middle">9.28 </td>
                  <td align="center" valign="middle">2.66</td>
                  <td align="center" valign="middle">9.39</td>
                  <td align="center" valign="middle">3.53 </td>
                  <td align="center" valign="middle">0.33</td>
                  <td align="center" valign="middle">3.25</td>
                  <td align="center" valign="middle">9.85 </td>
                  <td align="center" valign="middle">5.75</td>
                  <td align="center" valign="middle">30.84</td>
                  <td align="center" valign="middle">5.36 </td>
                  <td align="center" valign="middle">3.89</td>
                  <td align="center" valign="middle">27.19</td>
                  <td align="center" valign="middle">6.99 </td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9q</bold>
                  </td>
                  <td align="center" valign="middle">Cl</td>
                  <td align="center" valign="middle">3-CH<sub>3</sub></td>
                  <td align="center" valign="middle">0.37</td>
                  <td align="center" valign="middle">1.73</td>
                  <td align="center" valign="middle">4.68 </td>
                  <td align="center" valign="middle">0.79</td>
                  <td align="center" valign="middle">0.87</td>
                  <td align="center" valign="middle">1.10 </td>
                  <td align="center" valign="middle">0.62</td>
                  <td align="center" valign="middle">11.85</td>
                  <td align="center" valign="middle">19.11 </td>
                  <td align="center" valign="middle">12.3</td>
                  <td align="center" valign="middle">18.5</td>
                  <td align="center" valign="middle">1.50 </td>
                  <td align="center" valign="middle">9.93</td>
                  <td align="center" valign="middle">&gt;50</td>
                  <td align="center" valign="middle">&gt;5.04</td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9r</bold>
                  </td>
                  <td align="center" valign="middle">Cl</td>
                  <td align="center" valign="middle">3-Cl</td>
                  <td align="center" valign="middle">0.8</td>
                  <td align="center" valign="middle">1.73</td>
                  <td align="center" valign="middle">2.16 </td>
                  <td align="center" valign="middle">1.73</td>
                  <td align="center" valign="middle">4.62</td>
                  <td align="center" valign="middle">2.67 </td>
                  <td align="center" valign="middle">0.51</td>
                  <td align="center" valign="middle">1.92</td>
                  <td align="center" valign="middle">3.76 </td>
                  <td align="center" valign="middle">11.77</td>
                  <td align="center" valign="middle">11.74</td>
                  <td align="center" valign="middle">1.00 </td>
                  <td align="center" valign="middle">3.06</td>
                  <td align="center" valign="middle">11.98</td>
                  <td align="center" valign="middle">3.92 </td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9s</bold>
                  </td>
                  <td align="center" valign="middle">Cl</td>
                  <td align="center" valign="middle">4-Br</td>
                  <td align="center" valign="middle">2.08</td>
                  <td align="center" valign="middle">23.7</td>
                  <td align="center" valign="middle">11.39 </td>
                  <td align="center" valign="middle">16.55</td>
                  <td align="center" valign="middle">38.5</td>
                  <td align="center" valign="middle">2.33 </td>
                  <td align="center" valign="middle">3.63</td>
                  <td align="center" valign="middle">17.82</td>
                  <td align="center" valign="middle">4.91 </td>
                  <td align="center" valign="middle">33.59</td>
                  <td align="center" valign="middle">4.1</td>
                  <td align="center" valign="middle">0.12 </td>
                  <td align="center" valign="middle">50.9</td>
                  <td align="center" valign="middle">13.3</td>
                  <td align="center" valign="middle">0.26 </td>
                </tr>
                <tr>
                  <td align="center" valign="middle">
                    <bold>9t</bold>
                  </td>
                  <td align="center" valign="middle">Cl</td>
                  <td align="center" valign="middle">4-NO<sub>2</sub></td>
                  <td align="center" valign="middle">3.4</td>
                  <td align="center" valign="middle">23.6</td>
                  <td align="center" valign="middle">6.94 </td>
                  <td align="center" valign="middle">1.67</td>
                  <td align="center" valign="middle">1.48</td>
                  <td align="center" valign="middle">0.89 </td>
                  <td align="center" valign="middle">4.92</td>
                  <td align="center" valign="middle">2.38</td>
                  <td align="center" valign="middle">0.48 </td>
                  <td align="center" valign="middle">5.72</td>
                  <td align="center" valign="middle">5.4</td>
                  <td align="center" valign="middle">0.94 </td>
                  <td align="center" valign="middle">16.1</td>
                  <td align="center" valign="middle">13.8</td>
                  <td align="center" valign="middle">0.86 </td>
                </tr>
              </tbody>
            </table>
			<table-wrap-foot>
			<fn>
            <p><sup>a</sup> H = Hypoxia: 3% percentage of oxygen. <sup>b</sup> N = Normoxia: 20% percentage of oxygen. <sup>c</sup> HCR, hypoxic cytotoxicity ratio.</p>
			</fn>
			</table-wrap-foot>
          </table-wrap>
          <p>On the other hand, the introduction of electron-donating methyl or methoxy groups into the 7-position of the quinoxaline ring improved the hypoxic selectivity against most cell lines, in particular for the SMMC-7721, K562 and KB cell lines. For example, 7-methyl and 7-methoxy-substituted quinoxaline derivatives <bold>9f</bold> and <bold>9n</bold> showed very high hypoxic selectivity against SMMC-7721 cell line, with HCR values of 159 and 115, respectively, which were 23- and 16.7-fold more selective than TPZ (HCR = 6.90). The 7-methyl-substituted quinoxaline derivative <bold>9i</bold> was the most hypoxic selective cytotoxin against the KB cell line (HCR value of 35.1), which is an 11.8-fold improvement compared with TPZ (HCR value of 2.97).</p>
          <p>Among all the five tested cell lines, the SMMC-7721 was the most sensitive cell line to these newly synthesized quinoxaline derivatives, with IC<sub>50</sub> values in the 0.37–5.07 μM range and HCR values between 1.0 and 158.73. The A549 one was the most resistant cell line to the hypoxic cytotoxic effect of these derivatives, with IC<sub>50</sub> values in the range of 5.72–36.15μM and HCR values between 0.12 and 5.71. This result was consistent with that of 2-arylcarbonyl-3-trifluoromethylquinoxaline-1,4-di-<italic>N</italic>-oxide derivatives [<xref ref-type="bibr" rid="B8-molecules-17-09683">8</xref>], suggesting that these two series of quinoxaline-1,4-di-<italic>N</italic>-oxide derivatives may possess similar anti-tumor characteristics.</p>
          <p>Compound <bold>9h</bold> aroused our great interest because of its high hypoxic antiproliferative activity against all the five cell lines with IC<sub>50 </sub>values range from 0.53 to 4.91 μM. It was further evaluated in other six tumor cell lines in hypoxia and in normoxia, including Human hepatoma BEL-7402, HepG2, Human promyelocytic leukemia HL-60, Human lung cancer NCI-H460, Human colon cancer HCT-116 and Human neuroblastoma CHP126. The results in <xref ref-type="table" rid="molecules-17-09683-t002">Table 2</xref> showed that <bold>9h</bold> also exhibited significant cytotoxicity against all six tested human tumor cell lines with IC<sub>50</sub> values in the range of 0.31–3.16 μM in hypoxia. It also showed moderate to good hypoxia selectivity with HCR values between 1.52 and 17.8. These results suggest that <bold>9h</bold> might be a promising candidate for further development as hypoxic selective anti-tumor agent.</p>
          <table-wrap id="molecules-17-09683-t002" position="anchor">
            <object-id pub-id-type="pii">molecules-17-09683-t002_Table 2</object-id>
            <label>Table 2</label>
            <caption>
              <p>Cytotoxic activity of <bold>9h</bold> against six human cancer cell lines in hypoxia and in normoxia.</p>
            </caption>
            <table>
              <thead>
                <tr>
                  <th rowspan="2" align="center" valign="middle">Cell line</th>
                  <th colspan="2" align="center" valign="middle">IC<sub>50</sub> (mM)</th>
                  <th rowspan="2" align="center" valign="middle">HCR <sup>c</sup></th>
                </tr>
                <tr style="border-top: solid thin">
                  <th align="center" valign="middle">H <sup>a</sup></th>
                  <th align="center" valign="middle">N <sup>b</sup></th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td align="left" valign="middle">Human hepatoma BEL-7402</td>
                  <td align="center" valign="middle">2.23</td>
                  <td align="center" valign="middle">14.7</td>
                  <td align="center" valign="middle">6.60</td>
                </tr>
                <tr>
                  <td align="left" valign="middle">Human hepatoma HepG2</td>
                  <td align="center" valign="middle">1.76</td>
                  <td align="center" valign="middle">13.1</td>
                  <td align="center" valign="middle">7.44</td>
                </tr>
                <tr>
                  <td align="left" valign="middle">Human promyelocytic leukemia HL-60</td>
                  <td align="center" valign="middle">3.16</td>
                  <td align="center" valign="middle">4.80</td>
                  <td align="center" valign="middle">1.52</td>
                </tr>
                <tr>
                  <td align="left" valign="middle">Human lung cancer NCI-H460</td>
                  <td align="center" valign="middle">2.64</td>
                  <td align="center" valign="middle">5.96</td>
                  <td align="center" valign="middle">2.26</td>
                </tr>
                <tr>
                  <td align="left" valign="middle">Human colon cancer HCT-116</td>
                  <td align="center" valign="middle">1.71</td>
                  <td align="center" valign="middle">4.92</td>
                  <td align="center" valign="middle">2.88</td>
                </tr>
                <tr>
                  <td align="left" valign="middle">Human neuroblastoma CHP126</td>
                  <td align="center" valign="middle">0.31</td>
                  <td align="center" valign="middle">5.51</td>
                  <td align="center" valign="middle">17.8</td>
                </tr>
              </tbody>
            </table>
			<table-wrap-foot>
			<fn>
            <p><sup>a</sup> H = Hypoxia: 3% percentage of oxygen. <sup>b</sup> N = Normoxia: 20% percentage of oxygen. <sup>c</sup> HCR, hypoxic cytotoxicity ratio.</p>
			</fn>
			</table-wrap-foot>
          </table-wrap>
        </sec>
        <sec>
          <title>2.2.2. Mechanism Studies</title>
          <p>To investigate the mechanism of these newly synthesized quinoxaline derivatives, compound <bold>9h</bold> was further assayed for its effect on cell cycle progression and apoptosis-associated protein expression.</p>
          <p>As shown in <xref ref-type="fig" rid="molecules-17-09683-f002">Figure 2</xref>A, spontaneous apoptosis (control) was seen in 8.42% of SMMC-7721 cells in normoxia and 9.78% in hypoxia. In normoxia, <bold>9h</bold> (20 μM) did not induce obvious apoptosis (13.4%) relative to controls. However, in hypoxia, it caused apoptosis in 33.42% of SMMC-7721 cells at 48 h. These data clearly demonstrated that <bold>9h</bold> exhibited a hypoxic-selective anti-tumor activity. Given that caspase signaling plays a critical role in stress induced apoptosis, we were thus encouraged to explore its role in <bold>9h</bold>-induced SMMC-7721 cells apoptosis. As illustrated in <xref ref-type="fig" rid="molecules-17-09683-f002">Figure 2</xref>A when  SMMC-7721 cells were pretreated with pan-caspase inhibitor z-VAD-fmk (10.0 μM), <bold>9h</bold>-induced apoptosis was significantly reduced from 33.42% to 16.83% at 48 h (<xref ref-type="fig" rid="molecules-17-09683-f002">Figure 2</xref>A Collectively, these results indicated that <bold>9h</bold> serving as a potential hypoxic-selective compound and inducing apoptosis in a caspase-dependent pathway. In order to further validate our results, some proteins related to activation of caspase cascade were also detected. The expression of procaspase-3, and PARP and actin were measured in SMMC-7721 cells treated with <bold>9h</bold> (20.0 μM, 48 h). As shown in <xref ref-type="fig" rid="molecules-17-09683-f002">Figure 2</xref>B, <bold>9h</bold> decreased the protein levels of procaspase-3, and induce the cleavage of PARP in hypoxia. All these data further demonstrate the apoptosis triggered by <bold>9h</bold> in hypoxia is mediated by caspase signaling.</p>
          <fig id="molecules-17-09683-f002" position="anchor">
            <label>Figure 2</label>
            <caption>
              <p>Pharmacological mechanism study of <bold>9h</bold>. (<bold>A</bold>) SMMC-7721 cells were incubated in normoxia and in hypoxia, and were treated with 9h (10 μM) for 48 h. After treatment, cells were harvested and detected of apoptosis by flow cytometry using PI apoptosis detection kit. (<bold>B</bold>) SMMC-7721cells were harvested after the same treatment as A, cell extract were collected and immunoblotted with procaspase-3 and PARP antibodies.</p>
            </caption>
            <graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="molecules-17-09683-g002.tif"/>
          </fig>
        </sec>
      </sec>
    </sec>
    <sec sec-type="methods">
      <title>3. Experimental</title>
      <sec>
        <title>3.1. General</title>
        <p>Melting points were obtained on a B-540 Büchi melting-point apparatus and are uncorrected. IR spectra were performed on a Brüker VECTOR 22 FTIR spectrophotometer in KBr pellets (400–4000 cm<sup>−1</sup>). <sup>1</sup>H-NMR spectra were recorded on a Brüker AM 500 instrument at 500 MHz (chemical shifts are expressed as δ values relative to TMS as internal standard). Mass spectra (MS), ESI (positive) were recorded on an Esquire-LC-00075 spectrometer. HRMS spectra were measured with an Agilent 6224 TOF LC/MS.</p>
      </sec>
      <sec>
        <title>3.2. Chemistry</title>
        <sec>
          <title>3.2.1. General Procedure for the Synthesis of Benzoylacetonitriles <bold>11a</bold>–<bold>e</bold></title>
          <p>A mixture of ethyl benzoate <bold>10a</bold>–<bold>e</bold> (11.7 mmol), sodium methoxide (1.08 g, 20 mmol) and acetonitrile (15 mL) was refluxed for 3 h. After cooling to room temperature, the formed white precipitate was filtered and dissolved in water (50 mL). Three mol/L HCl (10 mL) was added to the solution and the mixture was extracted with CH<sub>2</sub>Cl<sub>2</sub> (50 mL × 2). The combined organic layer was washed with brine and dried over anhydrous Na<sub>2</sub>SO<sub>4</sub>. The solvent was removed under reduced pressure to give the crude product, which was recrystallized from CH<sub>2</sub>C1<sub>2</sub>-petroleum ether to provide pure benzoylacetonitrile.</p>
          <p><italic>Benzoylacetonitrile </italic>(<bold>11a</bold>) [<xref ref-type="bibr" rid="B20-molecules-17-09683">20</xref>]. White solid (83.1%), m.p.: 79–80 °C (lit. 80–81°C); ESI-MS: <italic>m/z</italic> = 146.3 [M + H]<sup>+</sup>.</p>
          <p><italic>3-Methybenzoylacetonitrile </italic>(<bold>11b</bold>) [<xref ref-type="bibr" rid="B21-molecules-17-09683">21</xref>]. White solid (82.9%), m.p.: 74–75 °C (lit. 74–75 °C); ESI-MS: <italic>m/z</italic> = 160.6 [M + H]<sup>+</sup>. </p>
          <p><italic>3-Chlorobenzoylacetonitrile </italic>(<bold>11c</bold>) [<xref ref-type="bibr" rid="B22-molecules-17-09683">22</xref>]. White solid (81.6%), m.p.: 72–73 °C (lit. 71–73 °C); ESI-MS: <italic>m/z</italic> = 180.3 [M + H]<sup>+</sup>.</p>
          <p><italic>4-Bromobenzoylacetonitrile </italic>(<bold>11d</bold>) [<xref ref-type="bibr" rid="B23-molecules-17-09683">23</xref>]. White solid (80.3%), m.p.: 160–161 °C (lit. 161–162 °C); ESI-MS: <italic>m/z</italic> = 225.2 [M + H]<sup>+</sup>.</p>
          <p><italic>4-Nitrobenzoylacetonitrile </italic>(<bold>11e</bold>) [<xref ref-type="bibr" rid="B23-molecules-17-09683">23</xref>]. White solid (78.6%), m.p.: 122–123 °C (lit. 121–122 °C); ESI-MS: <italic>m/z</italic> = 191.3 [M + H]<sup>+</sup>.</p>
        </sec>
        <sec>
          <title>3.2.2. General Procedure for the Synthesis of 3-Aryl-2-quinoxalinecarbonitrile-1,4-di-<italic>N</italic>-oxide Derivatives <bold>9a</bold>–<bold>t</bold></title>
          <p>The substituted benzofuroxans <bold>12a</bold>–<bold>d</bold> were synthesized according to a literature method and confirmed by melting point comparison [<xref ref-type="bibr" rid="B24-molecules-17-09683">24</xref>]. To a solution of benzoylacetonitrile <bold>11a</bold>–<bold>e</bold> (5.0 mmol) and benzofuroxan <bold>12a</bold>–<bold>d</bold> (5.0 mmol) in ethanol (40 mL), a 1% amount of potassium carbonate was added and the mixture was stirred at room temperature for 3 h. The precipitate was filtered and washed with ethanol to give a yellow solid, followed by recrystallization from ethanol to yield pure product.</p>
          <p><italic>3-Phenylquinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9a</bold>) [<xref ref-type="bibr" rid="B17-molecules-17-09683">17</xref>]. Yellow solid (46.5%), m.p.: 208–210 °C; (lit. 206–207 °C) IR (KBr): ν 3092, 2235, 1625, 1594, 1490, 1343, 1090, 971, 770 cm<sup>−1</sup>; <sup>1</sup>H-NMR (CDCl<sub>3</sub>) δ 8.69 (dd, 1H, <italic>J<sub>1</sub></italic> = 9.0 Hz, <italic>J<sub>2</sub></italic> = 1.0 Hz, H-5), 8.62 (dd, 1H, <italic>J<sub>1</sub></italic> = 9.0 Hz, <italic>J<sub>2</sub></italic> = 1.0 Hz, H-8), 7.99 (td, 1H, <italic>J<sub>1</sub></italic> = 7.8 Hz, <italic>J<sub>2</sub></italic> = 1.5 Hz, H-6), 7.94 (td, 1H, <italic>J<sub>1</sub></italic> = 7.8 Hz, <italic>J<sub>2</sub></italic> = 1.5 Hz, H-7), 7.72–7.74 (m, 2H, H-3′ and H-5′), 7.60–7.63 (m, 3H, H-2′, H-4′ and H-6′); ESI-MS: <italic>m/z</italic> = 264 [M + H]<sup>+</sup>.</p>
          <p><italic>3-(3-Methylphenyl)quinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9b</bold>). Yellow solid (48.0%); m.p.: 208–209 °C; IR (KBr): ν 3101, 2235, 1634, 1493, 1340, 1276, 773 cm<sup>−1</sup>; <sup>1</sup>H-NMR (CDCl<sub>3</sub>) δ 8.68 (dd, 1H, <italic>J<sub>1 </sub></italic> = 8.5 Hz, <italic>J<sub>2</sub></italic> = 1.0 Hz, H-5), 8.61 (dd, 1H, <italic>J<sub>1</sub></italic> = 8.5 Hz, <italic>J<sub>2</sub></italic> = 1.0 Hz, H-8), 7.99 (td, 1H, <italic>J<sub>1</sub></italic> = 8.0 Hz, <italic>J<sub>2</sub></italic> = 1.5 Hz, H-6), 7.93 (td, 1H, <italic>J<sub>1</sub></italic> = 8.0 Hz, <italic>J<sub>2</sub></italic> = 1.5 Hz, H-7), 7.49–7.53 (m, 3H, H-4′, H-5′ and H-6′), 7.41–7.43 (m, 1H, H-2´), 2.46 (s, 3H, CH<sub>3</sub>); HRMS (TOF) calc. for C<sub>16</sub>H<sub>12</sub>N<sub>3</sub>O<sub>2</sub> [M + H]<sup>+</sup>: 278.0924, found: 278.0927.</p>
          <p><italic>3-(3-Chlorophenyl)quinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9c</bold>). Yellow solid (53.3%); m.p.: 195–197 °C; IR (KBr): ν 3085, 2232, 1647, 1593, 1490, 1436, 1336, 1086, 976, 773 cm<sup>−1</sup>; <sup>1</sup>H-NMR (CDCl<sub>3</sub>) δ 8.67 (d, 1H, <italic>J</italic> = 8.4 Hz, H-5), 8.61 (d, 1H, <italic>J</italic> = 8.4 Hz, H-8), 7.94–8.03 (m, 2H, H-6 and H-7), 7.75 (s, 1H, H-2′), 7.55–7.61 (m, 3H, H-4′, H-5′ and H-6′); HRMS (TOF) calc. for C<sub>15</sub>H<sub>9</sub>ClN<sub>3</sub>O<sub>2</sub> [M + H]<sup>+</sup>: 298.0378, found: 298.0377.</p>
          <p><italic>3-(4-Bromophenyl)quinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9d</bold>). Yellow solid (47.2%); m.p<italic>.</italic>: 230–232 °C; IR (KBr): ν 3102, 2239, 1601, 1515, 1488, 1341, 1272, 1089, 978, 830, 772 cm<sup>−1</sup>; <sup>1</sup>H-NMR (DMSO-d<sub>6</sub>) δ 8.51–8.55 (m, 2H, H-5 and H-8), 8.07–8.12 (m, 2H, H-6 and H-7), 7.80–7.83 (m, 2H, H-3′ and H-5′), 7.46–7.49 (m, 2H, H-2′ and H-6′); HRMS (TOF) calc. for C<sub>15</sub>H<sub>9</sub>BrN<sub>3</sub>O<sub>2</sub> [M + H]<sup>+</sup>: 341.9873, found: 341.9868.</p>
          <p><italic>3-(4-Nitrophenyl)quinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9e</bold>). Yellow solid (48.5% yield); m.p.: 240–241 °C; IR (KBr): ν 3105, 2238, 1598, 1515, 1344, 1275, 1089, 979, 855 cm<sup>−1</sup>; <sup>1</sup>H-NMR (DMSO-d<sub>6</sub>) δ 8.54–8.56 (m, 2H, H-5 and H-8), 8.47–8.49 (m, 1H, H-3′ and H-5′), 8.11–8.15 (m, 2H, H-6 and H-7), 8.03–8.05 (m, 2H, H-2′ and H-6′); HRMS (TOF) calc. for C<sub>15</sub>H<sub>9</sub>N<sub>4</sub>O<sub>4</sub> [M + H]<sup>+</sup>: 309.0618, found: 309.0621.</p>
          <p><italic>7-Methyl-3-phenylquinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9f</bold>). [<xref ref-type="bibr" rid="B17-molecules-17-09683">17</xref>]. Yellow solid (48.3% yield); m.p.: 191–193 °C (lit. 190–191 °C); IR (KBr): ν 3089, 2237, 1650, 1612, 1332, 1276, 1093, 831, 699 cm<sup>–1</sup>; <sup>1</sup>H-NMR (CDCl<sub>3</sub>) δ 8.48–8.58 (m, 1H, H-5), 8.41 (s, 1H, H-8), 7.79–7.81 (m, 1H, H-6), 7.71–7.73 (m, 2H, H-3′ and H-5′), 7.62 (m, 3H, H-2′, H-4′ and H-6′), 2.67 (s, 3H, CH<sub>3</sub>); ESI-MS: <italic>m/z</italic> = 278.4 [M + H]<sup>+</sup>.</p>
          <p><italic>7-Methyl-3-(3-methylphenyl)quinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9g</bold>). Yellow solid (43.3% yield); m.p.: 216–217 °C; IR (KBr): ν 3109, 2236, 1613, 1484, 1328, 1275, 1091, 983, 828, 785 cm<sup>−1</sup>; <sup>1</sup>H-NMR (CDCl<sub>3</sub>) δ 8.40–8.58 (m, 2H, H-5 and H-8), 7.77–7.80 (m, 1H, H-6), 7.49–7.52 (m, 3H, H-4′, H-5′ and H-6′), 7.42–7.43 (m, 1H, H-2′), 2.67 (s, 3H, CH<sub>3</sub>), 2.47 (s, 3H, CH<sub>3</sub>); HRMS (TOF) calc. for C<sub>17</sub>H<sub>14</sub>N<sub>3</sub>O<sub>2</sub> [M + H]<sup>+</sup>: 292.1080, found: 292.1083.</p>
          <p><italic>7-Methyl-3-(3-chlorophenyl)quinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9h</bold>). Yellow solid (46.5% yield); m.p.: 221–222 °C; IR (KBr): ν 3096, 2233, 1593, 1491, 1333, 1088, 982, 830 cm<sup>−1</sup>; <sup>1</sup>H-NMR (CDCl<sub>3</sub>) δ 8.50–8.57 (m, 1H, H-5), 8.40 (s, 1H, H-8), 7.80–7.82 (m, 1H, H-6), 7.75 (s, 1H, H-2′), 7.55–7.60 (m, 3H, H-4′, H-5′ and H-6′), 2.67 (s, 3H, CH<sub>3</sub>); HRMS (TOF) calc. for C<sub>16</sub>H<sub>11</sub>ClN<sub>3</sub>O<sub>2</sub> [M + Na]<sup>+</sup>: 334.0354, found: 334.0352.</p>
          <p><italic>7-Methyl-3-(4-bromophenyl)quinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9i</bold>). Yellow solid (48.7%); m.p.: 222–223 °C; IR (KBr): ν 3076, 2239, 1602, 1501, 1330, 1231, 1088, 982, 836 cm<sup>−1</sup>; <sup>1</sup>H-NMR (CDCl<sub>3</sub>, 500 MHz) δ 8.39–8.56 (m, 2H, H-5 and H-8), 7.80 (dd, 1H, <italic>J<sub>1</sub></italic> = 8.5 Hz, <italic>J<sub>2</sub></italic> = 1.0 Hz, H-6), 7.74–7.77 (m, 2H, H-3′ and H-5′), 7.28–7.31 (m, 2H, H-2′ and H-6′), 2.67 (s, 3H, CH<sub>3</sub>); HRMS (TOF) calc. for C<sub>16</sub>H<sub>11</sub>BrN<sub>3</sub>O<sub>2</sub> [M + H]<sup>+</sup>: 356.0029, found: 356.0032.</p>
          <p><italic>7-Methyl-3-(4-nitrophenyl)quinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9j</bold>). Yellow solid (46.2%); m.p.: 240–241 °C; IR (KBr): ν 3106, 2237, 1602, 1519, 1341, 1092, 981, 936, 828 cm<sup>−1</sup>; <sup>1</sup>H-NMR (CDCl<sub>3</sub>, 500 MHz) δ 8.52–8.58 (m, 1H, H-5), 8.46 (d, 2H, <italic>J</italic> = 8.5 Hz, H-3′ and H-5′), 8.43 (s, 1H, H-8), 7.95 (d, 2H, <italic>J</italic> = 8.5 Hz, H-2′ and H-6′), 7.82–7.85 (m, 1H, H-6), 2.69 (s, 3H, CH<sub>3</sub>); HRMS (TOF) calc. for C<sub>16</sub>H<sub>10</sub>N<sub>4</sub>NaO<sub>4 </sub>[M + Na]<sup>+</sup>: 345.0594, found: 345.0597.</p>
          <p><italic>7-Methoxy-3-phenylquinoxaline-2-carbonitrile 1,4-dioxide </italic>(<bold>9k</bold>). [<xref ref-type="bibr" rid="B17-molecules-17-09683">17</xref>]. Yellow solid (45.1%); m.p.: 217–219 °C, (lit. 222–223 °C); IR (KBr): ν 3097, 2239, 1610, 1496, 1332, 1249, 1091, 845, 753 cm<sup>−1</sup>; <sup>1</sup>H-NMR (CDCl<sub>3</sub>, 500 MHz) δ 8.58 (d, 1H, J = 9.6 Hz, H-5), 7.88 (d, 1H, <italic>J</italic> = 2.8 Hz, H-8), 7.70–7.72 (m, 2H, H-3′ and H-5′), 7.60–7.61 (m, 3H, H-2′, H-4′ and H-6′), 7.55 (dd, 1H, <italic>J<sub>1</sub></italic> = 9.6 Hz, <italic>J<sub>2</sub></italic> = 2.8 Hz, H-6), 4.06 (s, 3H, OCH<sub>3</sub>); ESI-MS: <italic>m/z</italic> = 294.2 [M + H]<sup>+</sup>.</p>
          <p><italic>7-Methoxy-3-(3-methylphenyl)quinoxaline-2-carbonitrile 1,4-dioxide </italic>(<bold>9l</bold>). Yellow solid (44.5%); m.p.: 203–204 °C; IR (KBr): ν 3101, 2235, 1610, 1504, 1395, 1329, 1258, 1131, 1012, 945, 849 cm<sup>−1</sup>; <sup>1</sup>H-NMR (DMSO-d<sub>6</sub>, 500 MHz) δ 8.43 (d, 1H, <italic>J</italic> = 9.0 Hz, H-5), 7.79 (d, 1H, <italic>J</italic> = 3.0 Hz, H-8), 7.71 (dd, 1H, <italic>J<sub>1</sub></italic> = 9.0 Hz, <italic>J<sub>2</sub></italic> = 3.0 Hz, H-6), 7.47–7.53 (m, 3H, H-4′, H-5′ and H-6′), 7.41–7.43 (m, 1H, H-2′), 4.03 (s, 3H, OCH<sub>3</sub>), 2.40 (s, 3H, CH<sub>3</sub>); HRMS (TOF) calc. for C<sub>17</sub>H<sub>14</sub>N<sub>3</sub>O<sub>3</sub> [M + H]<sup>+</sup>: 308.1030, found: 308.1033</p>
          <p><italic>7-Methoxy-3-(3-chlorophenyl)quinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9m</bold>). Yellow solid (45.7%); m.p.: 160–162 °C; IR (KBr): ν 3106, 2238, 1616, 1591, 1535, 1494, 1422, 1333, 1250, 1001, 814 cm<sup>−1</sup>; <sup>1</sup>H-NMR (CDCl<sub>3</sub>) δ 8.56 (d, 1H, <italic>J</italic> = 9.6 Hz, H-5), 7.87 (d, 1H, <italic>J</italic> = 2.4 Hz, H-8), 7.74 (s, 1H, H-2′), 7.54–7.59 (m, 4H, H-6, H-4′, H-5′ and H-6′), 4.06 (s, 3H, CH<sub>3</sub>); HRMS (TOF) calc. for C<sub>16</sub>H<sub>11</sub>ClN<sub>3</sub>O<sub>3</sub> [M + H]<sup>+</sup>: 328.0483, found: 328.0485.</p>
          <p><italic>7-Methoxy-3-(4-bromophenyl)quinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9n</bold>). Yellow solid (45.3%); m.p.: 184–186 °C; IR (KBr): ν 3092, 2238, 1608, 1504, 1332, 1248, 1016, 933, 836 cm<sup>−1</sup>; <sup>1</sup>H-NMR (CDCl<sub>3</sub>) δ 8.56 (d, 1H, <italic>J</italic> = 9.5 Hz, H-8), 7.86 (d, 1H, <italic>J</italic> = 2.5 Hz, H-5), 7.73–7.76 (m, 2H, H-3′ and H-5′), 7.55 (dd, 1H, <italic>J<sub>1</sub></italic> = 9.5 Hz, <italic>J<sub>2</sub></italic> = 3.0 Hz, H-6), 7.27–7.31 (m, 2H, H-2′ and H-6′), 4.05 (s, 3H, OCH<sub>3</sub>); HRMS (TOF) calc. for C<sub>16</sub>H<sub>11</sub>BrN<sub>3</sub>O<sub>3</sub> [M + H]<sup>+</sup>: 371.9978, found: 371.9979.</p>
          <p><italic>7-Methoxy-3-(4-nitrophenyl)quinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9o</bold>). Yellow solid (45.6%); m.p.: 238–240 °C; IR (KBr): ν 3105, 2235, 1615, 1525, 1361, 1327, 1255, 1013, 939, 858 cm<sup>−1</sup>; <sup>1</sup>H-NMR (CDCl<sub>3</sub>) δ 8.57 (d, 1H, <italic>J</italic> = 9.0 Hz, H-5), 8.59 (d, 2H, <italic>J</italic> = 9.0 Hz, H-3′ and H-5′), 7.95 (d, 2H, <italic>J</italic> = 9.0 Hz, H-2′ and H-6′) , 7.90 (d, 1H, <italic>J</italic> = 2.5 Hz, H-8), 7.59 (dd, 1H, <italic>J<sub>1</sub></italic> = 9.0 Hz, <italic>J<sub>2</sub></italic> = 2.5 Hz, H-6), 4.08 (s, 3H, OCH<sub>3</sub>); HRMS (TOF) calc. for C<sub>16</sub>H<sub>11</sub>N<sub>4</sub>O<sub>5</sub> [M + H]<sup>+</sup>: 339.0724, found: 339.0729.</p>
          <p><italic>7-Chloro-3-phenylquinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9p</bold>). [<xref ref-type="bibr" rid="B17-molecules-17-09683">17</xref>]<italic>.</italic> Yellow solid (47.6%); m.p.: 221–223 °C (lit. 224–225 °C); IR (KBr): ν 3095, 2238, 1599, 1488, 1333, 1260, 1092, 984, 842, 770 cm<sup>−1</sup>; <sup>1</sup>H-NMR (DMSO-d<sub>6</sub>) δ 8.55 (d, 1H, <italic>J</italic> = 9.0 Hz, H-5), 8.53 (s, 1H, H-8), 8.15 (dd, 1H, <italic>J<sub>1</sub></italic> = 9.0 Hz, J<sub>2</sub> = 2.0 Hz, H-6), 7.72–7.73 (m, 2H, H-3′ and H-5′), 7.61–7.63 (m, 3H, H-2′, H-4′ and H-6′); ESI-MS: <italic>m/z</italic> = 298.4 [M + H]<sup>+</sup>.</p>
          <p><italic>7-Chloro-3-(3-methylphenyl)quinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9q</bold>). Yellow solid (46.0%); m.p.: 215–216 °C; IR (KBr): ν 3099, 2235, 1636, 1489, 1400, 1325, 1260, 1095, 893, 831, 787 cm<sup>−1</sup>; <sup>1</sup>H-NMR (DMSO-d<sub>6</sub>) δ 8.51–8.53 (m, 2H, H-5 and H-8), 8.14 (dd, 1H, <italic>J<sub>1</sub></italic> = 9.5 Hz, <italic>J<sub>2</sub></italic> = 2.5 Hz, H-6), 7.50–7.52 (m, 3H, H-4′, H-5′ and H-6′), 7.44–7.45 (m, 1H, H-2′), 2.40 (s, 3H, CH<sub>3</sub>); HRMS (TOF) calc. for C<sub>16</sub>H<sub>11</sub>ClN<sub>3</sub>O<sub>2</sub> [M + H]<sup>+</sup>: 312.0534, found: 312.0536.</p>
          <p><italic>7-Chloro-3-(3-chlorophenyl)quinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9r</bold>). Yellow solid (45.8%); m.p.: 225–226 °C; IR (KBr): ν 3103, 2234, 1595, 1487, 1401, 1332, 1088, 987, 829 cm<sup>−1</sup>; <sup>1</sup>H-NMR (CDCl<sub>3</sub>) δ 8.56–8.67 (m, 2H, H-5 and H-8), 7.88–7.94 (m, 1H, H-6), 7.74 (s, 1H, H-2′), 7.56–7.62 (m, 4H, H-6, H-4′, H-5′ and H-6′); HRMS (TOF) calc. for C<sub>15</sub>H<sub>8</sub>Cl<sub>2</sub>N<sub>3</sub>O<sub>2 </sub>[M + H]<sup>+</sup>: 331.9988, found: 331.9993.</p>
          <p><italic>7-Chloro-3-(4-bromophenyl)quinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9s</bold>). Yellow solid (49.4%); m.p.: 223–224 °C; IR (KBr): ν 3102, 2235, 1600, 1492, 1332, 1220, 1091, 989, 835 cm<sup>−1</sup>; <sup>1</sup>H-NMR (DMSO-d<sub>6</sub>) δ 8.52-8.55 (m, 2H, H-5 and H-8), 8.15 (dd, 1H, <italic>J<sub>1</sub></italic> = 9.5 Hz, <italic>J<sub>2</sub></italic> = 2.5 Hz, H-6), 7.79–7.82 (m, 2H, H-3′ and H-5′), 7.46–7.50 (m, 2H, H-2′ and H-6′); HRMS (TOF) calc. for C<sub>15</sub>H<sub>8</sub>BrClN<sub>3</sub>O<sub>2</sub> [M + H]<sup>+</sup>: 385.9483, found: 385.9489.</p>
          <p><italic>7-Chloro-3-(4-nitrophenyl)quinoxaline-2-carbonitrile-1,4-dioxide </italic>(<bold>9t</bold>). Yellow solid (47.9%); m.p.: 238–239 °C; IR (KBr): ν 3107, 2237, 1599, 1519, 1488, 1340, 1094, 987, 830 cm<sup>−1</sup>; <sup>1</sup>H-NMR (DMSO-d<sub>6</sub>) δ 8.54–8.58 (m, 1H, H-5 and H-8), 8.48–8.50 (m, 2H, H-3′ and H-5′), 8.17–8.19 (m, 1H, H-6), 8.02–8.04 (m, 2H, H-2′ and H-6′); HRMS (TOF) calc. for C<sub>15</sub>H<sub>8</sub>ClN<sub>4</sub>O<sub>4</sub> [M + H]<sup>+</sup>: 343.0229, found: 343.0234.</p>
        </sec>
      </sec>
      <sec>
        <title>3.3. Pharmacology</title>
        <p>The tested eleven human cancer cell lines (SMMC-7721, K562, KB, A549, PC-3, BEL-7402, HepG2, HL-60, NCI-H460, HCT-116 and CHP126) were purchased from the Cell Bank of China Science Academy (Shanghai, China). The above cells were cultured in RPMI-1640 (Invitrogen Corp., Carlsbad, CA, USA) medium with heat-inactivated 10% fetal bovine serum, penicillin (100 units/mL) and streptomycin (100 μg/mL) and incubated in normoxic atmosphere with 20% O<sub>2</sub>, 5% CO<sub>2</sub> at 37 °C or in hypoxic atmosphere with 3% O<sub>2</sub>, 5% CO<sub>2</sub> (established in a hypoxia incubator [Forma Scientific, Inc., Marietta, OH, USA] where N<sub>2</sub> was used to compensate for the reduced O<sub>2</sub> level).</p>
        <sec>
          <title>3.3.1. Cytotoxicity Assay [<xref ref-type="bibr" rid="B25-molecules-17-09683">25</xref>]</title>
          <p>Cancer cells were seeded in 96-well microtiter plates (4,000 cells/well), and were cultured in normoxia and hypoxia. The hypoxic cells were allowed to attach 1 day prior to the addition of these compounds (0–50 μM) in complete medium (to various final concentrations in 200 μL of complete medium) in replicates of 4 wells per condition. Plates were assayed at 72 h after initiation of drug exposure. Afterwards, 10 μL of stock 3-[4,5-dimethylthia-zol-2-yl]-2,5-diphenyltetrazolium bromide (MTT, Sigma) solution was added to each well (0.5 mg/mL) for another 4 h incubation (37 °C, 5% CO<sub>2</sub>). After 4 h incubation, 200 μL of DMSO was added to each well and optical density (OD) was read at 570 nm by Thermo Multiskan Spectrum (Thermo Electron Corporation). The IC<sub>50</sub> values were calculated using the PrismPad computer program (GraphPad Software, Inc., San Diego, CA, USA) and were defined as concentration of drug causing 50% inhibition in absorbance compared with control (vehicle) cells.</p>
        </sec>
        <sec>
          <title>3.3.2. Flow Cytometry Analysis [<xref ref-type="bibr" rid="B25-molecules-17-09683">25</xref>]</title>
          <p>The SMMC-7721 cells were treated with <bold>9h</bold> and/or the general caspase inhibitor, z-VAD-fmk (R&amp;D Systems, Inc., Minneapolis, MN, USA), <bold>9h</bold> (10 μM) alone for 24–48 h in 1% O<sub>2</sub> or 20% O<sub>2</sub> respectively; 9h (10 μM) +z-VAD-fmk (10.0 μM) for 48 h in hypoxia. Detection of apoptosis by FACS Calibur flow cytometer (Becton Dickinson, Lincoln Park, NJ, USA) was performed using the Propidium iodide (PI) apoptosis detection kit (BioVision, Mountain View, CA, USA).</p>
        </sec>
        <sec>
          <title>3.3.3. Western Blot Analysis [<xref ref-type="bibr" rid="B25-molecules-17-09683">25</xref>]</title>
          <p>Proteins of SMMC-7721 cells incubated with 10 μM <bold>9h</bold> both in hypoxia and normoxia were extracted in radio-immunoprecipitation assay buffer (150 mM NaCl, 50 mM Tris, 2 mM EGTA, 2 mM EDTA, 25 mM NaF, 25 mM glycerophosphate, 0.2% Triton X-100, 0.3% NONIDET P-40, 0.1 mM PMSF). Total protein concentrations of whole cell lysates were determined using BioRad BCA method (Pierce, Rockford, IL, USA). Equal amounts of protein sampled from whole cell lysates were subjected to electrophoresis on 8%–12% Tris-Glycine pre-cast gels (Novex, San Diego, CA, USA) and electroblottedonto Immobilon-P Transfer Membrane (Millipore Corporation, Billerica, MA, USA), and probed with primary antibodies and then incubated with a horseradish peroxidase (HRP) conjugated secondary antibodies. Proteins were visualized using enhanced chemiluminescent (ECL) Western Blotting detection reagents (Amersham Biosciences, Piscataway, NJ, USA).</p>
        </sec>
      </sec>
    </sec>
    <sec sec-type="conclusions">
      <title>4. Conclusions</title>
      <p>In summary, a series of 3-aryl-2-quinoxalinecarbonitrile-1,4-di-<italic>N</italic>-oxide derivatives <bold>9a</bold>–<bold>t</bold> have been synthesized and evaluated for their hypoxic and normoxic cytotoxic activity. Many of these 3-aryl-2-quinoxalinecarbonitrile-1,4-di-<italic>N</italic>-oxide derivatives showed better hypoxic cytotoxic activity and higher hypoxic selectivity than that of TPZCN and TPZ against most tested cancer cell lines, in particular for the SMMC-7721, K562 and KB cell lines. The preliminary SAR study revealed that the 3-(3-chlorophenyl) moiety was favorable for hypoxic cytotoxicity and the 7-methyl or 7-methoxy moiety improved the hypoxic selectivity. Compound <bold>9h</bold> decreased the protein levels of procaspase-3 and induced the cleavage of PARP in hypoxia, which suggested it induces apoptosis in a caspase-dependent pathway. </p>
    </sec>
  </body>
  <back>
    <ack>
      <title>Acknowledgements</title>
      <p>This study was financially supported by the National Natural Science Foundation of China (21072171, 81072575) and the National Key Tech Project for Major Creation of New Drugs (NO. 2009ZX09501-003).</p>
    </ack>
    <ref-list>
      <title>References</title>
      <ref id="B1-molecules-17-09683">
        <label>1.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Martin</surname>
              <given-names>B.</given-names>
            </name>
            <name>
              <surname>Wilson</surname>
              <given-names>W.R.</given-names>
            </name>
          </person-group>
          <article-title>Exploiting tumour hypoxia in cancer treatment</article-title>
          <source>Nat. Rev. Cancer</source>
          <year>2004</year>
          <volume>4</volume>
          <fpage>437</fpage>
          <lpage>447</lpage>
          <pub-id pub-id-type="doi">10.1038/nrc1367</pub-id>
        </citation>
      </ref>
      <ref id="B2-molecules-17-09683">
        <label>2.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Wardman</surname>
              <given-names>P.</given-names>
            </name>
          </person-group>
          <article-title>The importance of radiation chemistry to radiation and free radical biology (The 2008 silvanus thompson memorial lecture)</article-title>
          <source>Br. J. Radiol.</source>
          <year>2009</year>
          <volume>82</volume>
          <fpage>89</fpage>
          <lpage>104</lpage>
        <pub-id pub-id-type="pmid">19168690</pub-id></citation>
      </ref>
      <ref id="B3-molecules-17-09683">
        <label>3.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Wilson</surname>
              <given-names>W.R.</given-names>
            </name>
            <name>
              <surname>Hay</surname>
              <given-names>M.P.</given-names>
            </name>
          </person-group>
          <article-title>Targeting hypoxia in cancer therapy</article-title>
          <source>Nat. Rev. Cancer</source>
          <year>2011</year>
          <volume>11</volume>
          <fpage>393</fpage>
          <lpage>410</lpage>
          <pub-id pub-id-type="doi">10.1038/nrc3064</pub-id>
        </citation>
      </ref>
      <ref id="B4-molecules-17-09683">
        <label>4.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Rischin</surname>
              <given-names>D.</given-names>
            </name>
            <name>
              <surname>Peters</surname>
              <given-names>L.</given-names>
            </name>
            <name>
              <surname>Fisher</surname>
              <given-names>R.</given-names>
            </name>
            <name>
              <surname>Macann</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Denham</surname>
              <given-names>J.</given-names>
            </name>
            <name>
              <surname>Poulsen</surname>
              <given-names>M.</given-names>
            </name>
            <name>
              <surname>Jackson</surname>
              <given-names>M.</given-names>
            </name>
            <name>
              <surname>Kenny</surname>
              <given-names>L.</given-names>
            </name>
            <name>
              <surname>Penniment</surname>
              <given-names>M.</given-names>
            </name>
            <name>
              <surname>Corry</surname>
              <given-names>J.</given-names>
            </name>
            <etal/>
          </person-group>
          <article-title>Tirapazamine, cisplatin, and radiation versus fluorouracil, cisplatin, and radiation in patients with locally advanced head and neck cancer: A randomized phase II trial of the trans-tasman radiation oncology group (TROG 98.02)</article-title>
          <source>J. Clin. Oncol.</source>
          <year>2005</year>
          <volume>23</volume>
          <fpage>79</fpage>
          <lpage>87</lpage>
        <pub-id pub-id-type="pmid">15625362</pub-id></citation>
      </ref>
      <ref id="B5-molecules-17-09683">
        <label>5.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Rischin</surname>
              <given-names>D.</given-names>
            </name>
            <name>
              <surname>Peters</surname>
              <given-names>L.</given-names>
            </name>
            <name>
              <surname>ÓSullivan</surname>
              <given-names>B.O.</given-names>
            </name>
            <name>
              <surname>Giralt</surname>
              <given-names>J.</given-names>
            </name>
            <name>
              <surname>Fisher</surname>
              <given-names>R.</given-names>
            </name>
            <name>
              <surname>Yuen</surname>
              <given-names>K.</given-names>
            </name>
            <name>
              <surname>Trotti</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Bernier</surname>
              <given-names>J.</given-names>
            </name>
            <name>
              <surname>Bourhis</surname>
              <given-names>J.</given-names>
            </name>
            <name>
              <surname>Ringash</surname>
              <given-names>J.</given-names>
            </name>
            <etal/>
          </person-group>
          <article-title>Tirapazamine, cisplatin, and radiation versus cisplatin and radiation for advanced squamous cell carcinoma of the head and neck (TROG 02.02, HeadSTART): A phase III trial of the trans-tasman radiation oncology group</article-title>
          <source>J. Clin. Oncol.</source>
          <year>2010</year>
          <volume>28</volume>
          <fpage>2989</fpage>
          <lpage>2996</lpage>
        <pub-id pub-id-type="doi">10.1200/JCO.2009.27.4449</pub-id><pub-id pub-id-type="pmid">20479425</pub-id></citation>
      </ref>
      <ref id="B6-molecules-17-09683">
        <label>6.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Monge</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Martinez-Crespo</surname>
              <given-names>F.J.</given-names>
            </name>
            <name>
              <surname>Lopez</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Palop</surname>
              <given-names>J.A.</given-names>
            </name>
            <name>
              <surname>Narro</surname>
              <given-names>S.</given-names>
            </name>
            <name>
              <surname>Senador</surname>
              <given-names>V.</given-names>
            </name>
            <name>
              <surname>Marin</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Sainz</surname>
              <given-names>Y.</given-names>
            </name>
            <name>
              <surname>Gonzalez</surname>
              <given-names>M.</given-names>
            </name>
          </person-group>
          <article-title>Hypoxia-selective agents derived from 2-Quinoxalinecarbonitrile 1,4-Di-<italic>N</italic>-oxides. 2</article-title>
          <source>J. Med. Chem.</source>
          <year>1995</year>
          <volume>38</volume>
          <fpage>4488</fpage>
          <lpage>4494</lpage>
          <pub-id pub-id-type="doi">10.1021/jm00022a014</pub-id>
        </citation>
      </ref>
      <ref id="B7-molecules-17-09683">
        <label>7.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Hay</surname>
              <given-names>M.P.</given-names>
            </name>
            <name>
              <surname>Hicks</surname>
              <given-names>K.O.</given-names>
            </name>
            <name>
              <surname>Pchalek</surname>
              <given-names>P.</given-names>
            </name>
            <name>
              <surname>Lee</surname>
              <given-names>H.H.</given-names>
            </name>
            <name>
              <surname>Blaser</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Pruijn</surname>
              <given-names>F.B.</given-names>
            </name>
            <name>
              <surname>Anderson</surname>
              <given-names>R.F.</given-names>
            </name>
            <name>
              <surname>Shinde</surname>
              <given-names>S.S.</given-names>
            </name>
            <name>
              <surname>Wilson</surname>
              <given-names>W.R.</given-names>
            </name>
            <name>
              <surname>Denny</surname>
              <given-names>W.A.</given-names>
            </name>
          </person-group>
          <article-title>Tricyclic [1,2,4]triazine 1,4-dioxides as hypoxia selective cytotoxins</article-title>
          <source>J. Med. Chem.</source>
          <year>2008</year>
          <volume>51</volume>
          <fpage>6853</fpage>
          <lpage>6865</lpage>
          <pub-id pub-id-type="doi">10.1021/jm800967h</pub-id>
        </citation>
      </ref>
      <ref id="B8-molecules-17-09683">
        <label>8.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Solano</surname>
              <given-names>B.</given-names>
            </name>
            <name>
              <surname>Junnotula</surname>
              <given-names>V.</given-names>
            </name>
            <name>
              <surname>Marín</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Villar</surname>
              <given-names>R.</given-names>
            </name>
            <name>
              <surname>Burguete</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Vicente</surname>
              <given-names>E.</given-names>
            </name>
            <name>
              <surname>Pérez-Silanes</surname>
              <given-names>S.</given-names>
            </name>
            <name>
              <surname>Aldana</surname>
              <given-names>I.</given-names>
            </name>
            <name>
              <surname>Monge</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Dutta</surname>
              <given-names>S.</given-names>
            </name>
            <etal/>
          </person-group>
          <article-title>Synthesis and biological evaluation of new 2-arylcarbonyl-3-trifluoromethylquinoxaline 1,4-di-<italic>N</italic>-oxide derivatives and their reduced analogues</article-title>
          <source>J. Med. Chem.</source>
          <year>2007</year>
          <volume>50</volume>
          <fpage>5485</fpage>
          <lpage>5492</lpage>
        <pub-id pub-id-type="doi">10.1021/jm0703993</pub-id><pub-id pub-id-type="pmid">17910426</pub-id></citation>
      </ref>
      <ref id="B9-molecules-17-09683">
        <label>9.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Magda</surname>
              <given-names>M.F.I.</given-names>
            </name>
            <name>
              <surname>Kamelia</surname>
              <given-names>M.A.</given-names>
            </name>
            <name>
              <surname>Eman</surname>
              <given-names>N.</given-names>
            </name>
            <name>
              <surname>Dalia</surname>
              <given-names>H.S.</given-names>
            </name>
            <name>
              <surname>Yousry</surname>
              <given-names>A.A.</given-names>
            </name>
          </person-group>
          <article-title>New quinoxaline 1, 4-di-<italic>N</italic>-oxides: Anticancer and hypoxia-selective therapeutic agents</article-title>
          <source>Eur. J. Med. Chem.</source>
          <year>2010</year>
          <volume>45</volume>
          <fpage>2733</fpage>
          <lpage>2738</lpage>
        <pub-id pub-id-type="doi">10.1016/j.ejmech.2010.02.052</pub-id><pub-id pub-id-type="pmid">20236735</pub-id></citation>
      </ref>
      <ref id="B10-molecules-17-09683">
        <label>10.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Hicks</surname>
              <given-names>K.O.</given-names>
            </name>
            <name>
              <surname>Siim</surname>
              <given-names>B.G.</given-names>
            </name>
            <name>
              <surname>Jaiswal</surname>
              <given-names>J.K.</given-names>
            </name>
            <name>
              <surname>Pruijn</surname>
              <given-names>F.B.</given-names>
            </name>
            <name>
              <surname>Fraser</surname>
              <given-names>A.M.</given-names>
            </name>
            <name>
              <surname>Patel</surname>
              <given-names>R.</given-names>
            </name>
            <name>
              <surname>Hogg</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Liyanage</surname>
              <given-names>S.</given-names>
            </name>
            <name>
              <surname>Dorie</surname>
              <given-names>M.J.</given-names>
            </name>
            <name>
              <surname>Brown</surname>
              <given-names>M.</given-names>
            </name>
            <etal/>
          </person-group>
          <article-title>Pharmacokinetic/Pharmacodynamic modeling identifies SN30000 and SN29751 as tirapazamine analogues with improved tissue penetration and hypoxic cell killing in tumors</article-title>
          <source>Clin. Cancer Res.</source>
          <year>2010</year>
          <volume>16</volume>
          <fpage>4946</fpage>
          <lpage>4957</lpage>
        <pub-id pub-id-type="doi">10.1158/1078-0432.CCR-10-1439</pub-id><pub-id pub-id-type="pmid">20732963</pub-id></citation>
      </ref>
      <ref id="B11-molecules-17-09683">
        <label>11.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Jiang</surname>
              <given-names>F.Q.</given-names>
            </name>
            <name>
              <surname>Yang</surname>
              <given-names>B.</given-names>
            </name>
            <name>
              <surname>Fan</surname>
              <given-names>L.L.</given-names>
            </name>
            <name>
              <surname>He</surname>
              <given-names>Q.J.</given-names>
            </name>
            <name>
              <surname>Hu</surname>
              <given-names>Y.Z.</given-names>
            </name>
          </person-group>
          <article-title>Synthesis and hypoxic-cytotoxic activity of some 3-amino-1,2,4-benzotriazine-1,4-dioxide derivatives</article-title>
          <source>Bioorg. Med. Chem. Lett.</source>
          <year>2006</year>
          <volume>16</volume>
          <fpage>4209</fpage>
          <lpage>4213</lpage>
        <pub-id pub-id-type="doi">10.1016/j.bmcl.2006.05.095</pub-id><pub-id pub-id-type="pmid">16777409</pub-id></citation>
      </ref>
      <ref id="B12-molecules-17-09683">
        <label>12.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Xia</surname>
              <given-names>Q.</given-names>
            </name>
            <name>
              <surname>Zhang</surname>
              <given-names>L.</given-names>
            </name>
            <name>
              <surname>Zhang</surname>
              <given-names>J.</given-names>
            </name>
            <name>
              <surname>Sheng</surname>
              <given-names>R.</given-names>
            </name>
            <name>
              <surname>Yang</surname>
              <given-names>B.</given-names>
            </name>
            <name>
              <surname>He</surname>
              <given-names>Q.J.</given-names>
            </name>
            <name>
              <surname>Hu</surname>
              <given-names>Y.Z.</given-names>
            </name>
          </person-group>
          <article-title>Synthesis, hypoxia-selective cytotoxicity of new 3-amino-1,2,4-benzotriazine-1,4-dioxide derivatives</article-title>
          <source>Euro. J. Med. Chem.</source>
          <year>2011</year>
          <volume>46</volume>
          <fpage>919</fpage>
          <lpage>926</lpage>
        <pub-id pub-id-type="doi">10.1016/j.ejmech.2011.01.007</pub-id></citation>
      </ref>
      <ref id="B13-molecules-17-09683">
        <label>13.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Jiang</surname>
              <given-names>F.Q.</given-names>
            </name>
            <name>
              <surname>Weng</surname>
              <given-names>Q.J.</given-names>
            </name>
            <name>
              <surname>Sheng</surname>
              <given-names>R.</given-names>
            </name>
            <name>
              <surname>Xia</surname>
              <given-names>Q.</given-names>
            </name>
            <name>
              <surname>He</surname>
              <given-names>Q.J.</given-names>
            </name>
            <name>
              <surname>Yang</surname>
              <given-names>B.</given-names>
            </name>
            <name>
              <surname>Hu</surname>
              <given-names>Y.Z.</given-names>
            </name>
          </person-group>
          <article-title>Synthesis, structure and hypoxic cytotoxicity of 3-amino-1,2,4-benzotriazine-1,4-dioxide derivatives</article-title>
          <source>Arch. Der. Pharm.</source>
          <year>2007</year>
          <volume>340</volume>
          <fpage>258</fpage>
          <lpage>263</lpage>
          <pub-id pub-id-type="doi">10.1002/ardp.200600201</pub-id>
        </citation>
      </ref>
      <ref id="B14-molecules-17-09683">
        <label>14.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Sheng</surname>
              <given-names>R.</given-names>
            </name>
            <name>
              <surname>Xu</surname>
              <given-names>Y.</given-names>
            </name>
            <name>
              <surname>Weng</surname>
              <given-names>Q. J.</given-names>
            </name>
            <name>
              <surname>Xia</surname>
              <given-names>Q.</given-names>
            </name>
            <name>
              <surname>He</surname>
              <given-names>Q.J.</given-names>
            </name>
            <name>
              <surname>Yang</surname>
              <given-names>B.</given-names>
            </name>
            <name>
              <surname>Hu</surname>
              <given-names>Y.Z.</given-names>
            </name>
          </person-group>
          <article-title>Synthesis and cytotoxic activity of 3-phenyl-2-thio-quinoxaline1,4-dioxide derivatives in hypoxia and in normoxia</article-title>
          <source>Drug. Discov. Ther.</source>
          <year>2007</year>
          <volume>1</volume>
          <fpage>119</fpage>
          <lpage>123</lpage>
        <pub-id pub-id-type="pmid">22504397</pub-id></citation>
      </ref>
      <ref id="B15-molecules-17-09683">
        <label>15.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Weng</surname>
              <given-names>Q.J.</given-names>
            </name>
            <name>
              <surname>Wang</surname>
              <given-names>D.D.</given-names>
            </name>
            <name>
              <surname>Guo</surname>
              <given-names>P.</given-names>
            </name>
            <name>
              <surname>Fang</surname>
              <given-names>L.</given-names>
            </name>
            <name>
              <surname>Hu</surname>
              <given-names>Y.Z.</given-names>
            </name>
          </person-group>
          <article-title>Q39, a novel synthetic quinoxaline 1,4-di-<italic>N</italic>-oxide compound with anti-cancer activity in hypoxia</article-title>
          <source>Eur. J. Pharmacol.</source>
          <year>2008</year>
          <volume>581</volume>
          <fpage>262</fpage>
          <lpage>269</lpage>
          <pub-id pub-id-type="doi">10.1016/j.ejphar.2007.12.006</pub-id>
        </citation>
      </ref>
      <ref id="B16-molecules-17-09683">
        <label>16.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Weng</surname>
              <given-names>Q.J.</given-names>
            </name>
            <name>
              <surname>Zhang</surname>
              <given-names>J.</given-names>
            </name>
            <name>
              <surname>Cao</surname>
              <given-names>J.</given-names>
            </name>
            <name>
              <surname>Xia</surname>
              <given-names>Q.</given-names>
            </name>
            <name>
              <surname>Wang</surname>
              <given-names>D.D.</given-names>
            </name>
            <name>
              <surname>Hu</surname>
              <given-names>Y.Z.</given-names>
            </name>
            <name>
              <surname>Sheng</surname>
              <given-names>R.</given-names>
            </name>
            <name>
              <surname>Wu</surname>
              <given-names>H.H.</given-names>
            </name>
            <name>
              <surname>Zhu</surname>
              <given-names>D.F.</given-names>
            </name>
            <name>
              <surname>Zhu</surname>
              <given-names>H.</given-names>
            </name>
            <etal/>
          </person-group>
          <article-title>Q39, a quinoxaline 1,4-di-<italic>N</italic>-oxide derivative, inhibits hypoxia-inducible factor-1α expression and the Akt/mTOR/4E-BP1 signaling pathway in human hepatoma cells</article-title>
          <source>Invest New Drug.</source>
          <year>2011</year>
          <volume>29</volume>
          <fpage>1177</fpage>
          <lpage>1187</lpage>
        <pub-id pub-id-type="doi">10.1007/s10637-010-9462-y</pub-id></citation>
      </ref>
      <ref id="B17-molecules-17-09683">
        <label>17.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Zarranz</surname>
              <given-names>B.</given-names>
            </name>
            <name>
              <surname>Jaso</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Aldana</surname>
              <given-names>I.</given-names>
            </name>
            <name>
              <surname>Monge</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Maurel</surname>
              <given-names>S.</given-names>
            </name>
            <name>
              <surname>Deharo</surname>
              <given-names>E.</given-names>
            </name>
            <name>
              <surname>Jullian</surname>
              <given-names>V.</given-names>
            </name>
            <name>
              <surname>Sauvain</surname>
              <given-names>M.</given-names>
            </name>
          </person-group>
          <article-title>Synthesis and antimalarial activity of new 3-arylquinoxaline-2-carbonitrile derivatives</article-title>
          <source>Arzneim. Forsch.</source>
          <year>2005</year>
          <volume>55</volume>
          <fpage>754</fpage>
          <lpage>761</lpage>
        </citation>
      </ref>
      <ref id="B18-molecules-17-09683">
        <label>18.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Vicente</surname>
              <given-names>E.</given-names>
            </name>
            <name>
              <surname>Duchowicz</surname>
              <given-names>P.R.</given-names>
            </name>
            <name>
              <surname>Benitez</surname>
              <given-names>D.</given-names>
            </name>
            <name>
              <surname>Castro</surname>
              <given-names>E.A.</given-names>
            </name>
            <name>
              <surname>Cerecetto</surname>
              <given-names>H.</given-names>
            </name>
            <name>
              <surname>Gonzalez</surname>
              <given-names>M.</given-names>
            </name>
            <name>
              <surname>Monge</surname>
              <given-names>A.</given-names>
            </name>
          </person-group>
          <article-title>Anti-T. <italic>cruzi</italic> activities and QSAR studies of 3-arylquinoxaline-2-carbonitrile di-<italic>N</italic>-oxides</article-title>
          <source>Bioorg. Med. Chem. Lett.</source>
          <year>2010</year>
          <volume>20</volume>
          <fpage>4831</fpage>
          <lpage>4835</lpage>
        <pub-id pub-id-type="doi">10.1016/j.bmcl.2010.06.101</pub-id><pub-id pub-id-type="pmid">20634064</pub-id></citation>
      </ref>
      <ref id="B19-molecules-17-09683">
        <label>19.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Vicente</surname>
              <given-names>E.</given-names>
            </name>
            <name>
              <surname>Lima</surname>
              <given-names>L.M.</given-names>
            </name>
            <name>
              <surname>Bongard</surname>
              <given-names>E.</given-names>
            </name>
            <name>
              <surname>Charnaud</surname>
              <given-names>S.</given-names>
            </name>
            <name>
              <surname>Villar</surname>
              <given-names>R.</given-names>
            </name>
            <name>
              <surname>Solano</surname>
              <given-names>B.</given-names>
            </name>
            <name>
              <surname>Burguete</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Perez-Silanes</surname>
              <given-names>S.</given-names>
            </name>
            <name>
              <surname>Aldana</surname>
              <given-names>I.</given-names>
            </name>
            <name>
              <surname>Vivas</surname>
              <given-names>L.</given-names>
            </name>
            <name>
              <surname>Monge</surname>
              <given-names>A.</given-names>
            </name>
          </person-group>
          <article-title>Synthesis and structure-activity relationship of 3-phenylquinoxaline 1,4-di-<italic>N</italic>-oxide derivatives as antimalarial agents</article-title>
          <source>Eur. J. Med. Chem.</source>
          <year>2008</year>
          <volume>43</volume>
          <fpage>1903</fpage>
          <lpage>1910</lpage>
          <pub-id pub-id-type="doi">10.1016/j.ejmech.2007.11.024</pub-id>
        </citation>
      </ref>
      <ref id="B20-molecules-17-09683">
        <label>20.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Puterová</surname>
              <given-names>Z.</given-names>
            </name>
            <name>
              <surname>Andicsová</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Végh</surname>
              <given-names>D.</given-names>
            </name>
          </person-group>
          <article-title>Synthesis of π-conjugated thiophenes starting from substituted 3-oxopropanenitriles via gewald reaction</article-title>
          <source>Tetrahedron</source>
          <year>2008</year>
          <volume>64</volume>
          <fpage>11262</fpage>
          <lpage>11269</lpage>
        <pub-id pub-id-type="doi">10.1016/j.tet.2008.09.032</pub-id></citation>
      </ref>
      <ref id="B21-molecules-17-09683">
        <label>21.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Dornow</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Kuhlcke</surname>
              <given-names>I.</given-names>
            </name>
            <name>
              <surname>Baxmann</surname>
              <given-names>F.</given-names>
            </name>
          </person-group>
          <article-title>Über einige derivate der benzoylessigsäure</article-title>
          <source>Chem. Ber.</source>
          <year>1949</year>
          <volume>82</volume>
          <fpage>254</fpage>
          <lpage>257</lpage>
          <pub-id pub-id-type="doi">10.1002/cber.19490820318</pub-id>
        </citation>
      </ref>
      <ref id="B22-molecules-17-09683">
        <label>22.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Alon</surname>
              <given-names>H.</given-names>
            </name>
            <name>
              <surname>Lena</surname>
              <given-names>L.</given-names>
            </name>
            <name>
              <surname>Michal</surname>
              <given-names>W.</given-names>
            </name>
            <name>
              <surname>Iris</surname>
              <given-names>O.G.</given-names>
            </name>
            <name>
              <surname>Abraham</surname>
              <given-names>N.</given-names>
            </name>
            <name>
              <surname>Amnon</surname>
              <given-names>H.</given-names>
            </name>
          </person-group>
          <article-title>De Novo parallel design, synthesis and evaluation of inhibitors against the reverse transcriptase of human immunodeficiency virus type-1 and drug-resistant variants</article-title>
          <source>J. Med. Chem.</source>
          <year>2007</year>
          <volume>50</volume>
          <fpage>2370</fpage>
          <lpage>2383</lpage>
        <pub-id pub-id-type="doi">10.1021/jm0613121</pub-id><pub-id pub-id-type="pmid">17458947</pub-id></citation>
      </ref>
      <ref id="B23-molecules-17-09683">
        <label>23.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Ridge</surname>
              <given-names>D.N.</given-names>
            </name>
            <name>
              <surname>Hanifin</surname>
              <given-names>J.W.</given-names>
            </name>
            <name>
              <surname>Harten</surname>
              <given-names>L.A.</given-names>
            </name>
            <name>
              <surname>Johnson</surname>
              <given-names>B.D.</given-names>
            </name>
            <name>
              <surname>Menschik</surname>
              <given-names>J.</given-names>
            </name>
            <name>
              <surname>Nicolau</surname>
              <given-names>G.</given-names>
            </name>
            <name>
              <surname>Sloboda</surname>
              <given-names>A.E.</given-names>
            </name>
            <name>
              <surname>Watts</surname>
              <given-names>D.E.</given-names>
            </name>
          </person-group>
          <article-title>Potential antiarthritic agents. 2. Benzoylacetonitriles and .beta.-aminocinnamonitriles</article-title>
          <source>J. Med. Chem.</source>
          <year>1979</year>
          <volume>22</volume>
          <fpage>1385</fpage>
          <lpage>1389</lpage>
          <pub-id pub-id-type="doi">10.1021/jm00197a020</pub-id>
        </citation>
      </ref>
      <ref id="B24-molecules-17-09683">
        <label>24.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Gaughran</surname>
              <given-names>R.J.</given-names>
            </name>
            <name>
              <surname>Picard</surname>
              <given-names>J.P.</given-names>
            </name>
            <name>
              <surname>Kaufman</surname>
              <given-names>J.V.R.</given-names>
            </name>
          </person-group>
          <article-title>Contribution to the chemistry of benzfuroxan and benzfurazan derivatives</article-title>
          <source>J. Am. Chem. Soc.</source>
          <year>1954</year>
          <volume>76</volume>
          <fpage>2233</fpage>
          <lpage>2236</lpage>
          <pub-id pub-id-type="doi">10.1021/ja01637a063</pub-id>
        </citation>
      </ref>
      <ref id="B25-molecules-17-09683">
        <label>25.</label>
        <citation citation-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Yang</surname>
              <given-names>B.</given-names>
            </name>
            <name>
              <surname>Patrick</surname>
              <given-names>R.C.</given-names>
            </name>
          </person-group>
          <article-title>Tirapazamine cytotoxicity for neuroblastoma is p53 Dependent</article-title>
          <source>Clin. Cancer. Res.</source>
          <year>2005</year>
          <volume>11</volume>
          <fpage>2774</fpage>
          <lpage>2780</lpage>
        <pub-id pub-id-type="doi">10.1158/1078-0432.CCR-04-2382</pub-id><pub-id pub-id-type="pmid">15814660</pub-id></citation>
      </ref>
    </ref-list>
	<fn-group>
	<fn>
      <p><italic>Sample Availability</italic>: Samples of the compounds are available from the authors.</p>
	</fn>
	</fn-group>
  </back>
</article>
