From Synthesis to Mechanism: Biological Evaluation of a p-Toluidine-Based Thiazolidinone-Quinoline VEGFR-2 Candidate Supported by CADD
Abstract
1. Introduction
1.1. Role of Thiazolidin-4-one and Morpholine Moieties in VEGFR-2 Inhibitor Design
1.2. Rational and Study Outline
2. Results and Discussion
2.1. Chemistry
2.2. Biological Evaluation
2.2.1. Antiproliferative In Vitro Potency
Mechanistic Insight and Perspectives
Structure-Activity Relationship (SAR) of Anticancer Activity
2.2.2. VEGFR-2 Inhibitory Activity of Compound 14
2.2.3. Wound-Healing (Cell Migration) Assay of 14
2.2.4. Cell Cycle Arrest and Apoptosis Induced by Compound 14 in HepG-2 Cells
2.2.5. Caspase-3-Mediated Apoptotic Pathway Activation Induced by Compound 14
2.3. Computational Studies
2.3.1. In Silico Elucidation of ADMET
BOILED-EGG Model Interpretation (Absorption and Brain Penetration)
2.3.2. Molecular Docking Study
2.3.3. Molecular Dynamics Simulations
2.3.4. Quantum Chemical Calculations
Electrostatic Potential (ESP) Maps
Integrated DFT of the Most Potent Compound (14)
3. Materials and Methods
3.1. Chemistry
- (E)-2-Methoxy-4-[(p-tolylimino)methyl]phenol (1)
- Ethyl (E)-3-(p-tolylimino)butanoate (2)
- Ethyl 4-amino-6-methyl-2-(thiophen-2-yl)quinoline-3-carboxylate (3)
- (E)-1-[3-Methoxy-4-(prop-2-yn-1-yloxy)phenyl]-N-(p-tolyl)methanimine (4)
- (E)-1-{3-Methoxy-4-[(1-(p-tolyl)-1H-1,2,3-triazol-4-yl)methoxy]phenyl}-N-(p-tolyl)methanimine (5)
- (E)-4-{{{4-{{{2-Methoxy-4-[(p-tolylimino)methyl]phenoxy}methyl}}-1H-1,2,3-triazol-1-yl}}}benzoic acid (6)
- (E)-5-{{{{4-{{{4-{{{2-Methoxy-4-[(p-tolylimino)methyl]phenoxy}methyl}}-1H-1,2,3-triazol-1-yl}}}phenyl}}}}-1,3,4-thiadiazol-2-amine (7)
- (E)-1-{{{{{5-{{{{4-{{{4-{{{2-Methoxy-4-[(p-tolylimino)methyl]phenoxy}methyl}}-1H-1,2,3-triazol-1-yl}}phenyl}}}}-1,3,4-thiadiazol-2-yl}}}}}pyrrolidine-2,5-dione (8)
- (E)-3-(p-Tolylimino)butanehydrazide (9)
- Ethyl (Z)-4-(ethylideneamino)-6-methyl-2-(thiophen-2-yl)quinoline-3-carboxylate (10)
- Ethyl 6-methyl-4-(2-methyl-4-oxothiazolidin-3-yl)-2-(thiophen-2-yl)quinoline-3-carboxylate (11)
- Ethyl 4-(5-acetyl-2-methyl-4-oxothiazolidin-3-yl)-6-methyl-2-(thiophen-2-yl)quinoline-3-carboxylate (12)
- Ethyl 4-[5-(3-chloropropyl)-2-methyl-4-oxothiazolidin-3-yl]-6-methyl-2-(thiophen-2-yl)quinoline-3-carboxylate (13)
- Ethyl 6-methyl-4-[2-methyl-5-(3-morpholinopropyl)-4-oxothiazolidin-3-yl]-2-(thiophen-2-yl)quinoline-3-carboxylate (14)
3.2. Biological Activity
3.2.1. Assessment of Antiproliferative Activity
3.2.2. Evaluation of VEGFR-2 Enzyme Inhibitory Activity In Vitro
3.2.3. Wound-Healing Assay
3.2.4. Cell Cycle Arrest and Apoptosis
3.2.5. Caspase-3 Mediated Apoptotic Pathway Activation
3.3. In Silico Analyses
3.3.1. ADMET Prediction
3.3.2. Molecular Docking Study
3.3.3. Molecular Dynamics Simulation
3.3.4. Quantum Chemical Calculations
4. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
| ADMET | Absorption, Distribution, Metabolism, Excretion, and Toxicity |
| Akt | Protein Kinase B |
| ATP | Adenosine Triphosphate |
| BBB | Blood–Brain Barrier |
| CADD | Computer-Aided Drug Design |
| CNS | Central Nervous System |
| CYP | Cytochrome P450 |
| DFG | Asp–Phe–Gly Motif |
| DFT | Density Functional Theory |
| DOS | Density of States |
| DUD-E | Database of Useful Decoys: Enhanced |
| ELISA | Enzyme-Linked Immunosorbent Assay |
| ELF | Electron Localization Function |
| ERK | Extracellular Signal-Regulated Kinase |
| ESP | Electrostatic Potential |
| FDA | Food and Drug Administration |
| FITC | Fluorescein Isothiocyanate |
| FMO | Frontier Molecular Orbitals |
| FGFR | Fibroblast Growth Factor Receptor |
| GE | Group Efficiency |
| GI | Gastrointestinal |
| HBD | Hydrogen Bond Donor |
| HCC | Hepatocellular Carcinoma |
| HIV | Human Immunodeficiency Virus |
| HOMO | Highest Occupied Molecular Orbital |
| IC50 | Half Maximal Inhibitory Concentration |
| IR | Infrared Spectroscopy |
| k_off | Dissociation Rate Constant |
| LogP | Partition Coefficient |
| logD | Distribution Coefficient |
| logS | Logarithm of Aqueous Solubility |
| LUMO | Lowest Unoccupied Molecular Orbital |
| MD | Molecular Dynamics |
| Mpro | Main Protease |
| MS | Mass Spectrometry |
| MTT | 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide |
| MW | Molecular Weight |
| NCI | Non-Covalent Interaction |
| nHA | Number of Hydrogen Bond Acceptors |
| nHD | Number of Hydrogen Bond Donors |
| nRot | Number of Rotatable Bonds |
| PBS | Phosphate-Buffered Saline |
| PDB | Protein Data Bank |
| PI | Propidium Iodide |
| RDG | Reduced Density Gradient |
| RMSD | Root Mean Square Deviation |
| RMSF | Root Mean Square Fluctuation |
| Rg | Radius of Gyration |
| R2 | Coefficient of Determination |
| SAR | Structure-Activity Relationship |
| SARS-CoV-2 | Severe Acute Respiratory Syndrome Coronavirus 2 |
| SASA | Solvent-Accessible Surface Area |
| SD | Standard Deviation |
| SI | Selectivity Index |
| TPSA | Topological Polar Surface Area |
| VEGF | Vascular Endothelial Growth Factor |
| VEGFR | Vascular Endothelial Growth Factor Receptor |
| VEGFR-2 | Vascular Endothelial Growth Factor Receptor-2 |
| ΔE | HOMO–LUMO Energy Gap |
| ΔG | Gibbs Free Energy |
| ΔNmax | Maximum Charge Transfer |
| ΔpIC50 | Change in the negative logarithm of IC50 |
| χ | Electronegativity |
| η | Chemical Hardness |
| σ | Chemical Softness |
| ω | Electrophilicity Index |
| λ2 | Second Eigenvalue of the Electron Density Hessian Matrix |
| 1H NMR | Proton Nuclear Magnetic Resonance |
| 13C NMR | Carbon-13 Nuclear Magnetic Resonance |
References
- Bray, F.; Laversanne, M.; Sung, H.; Ferlay, J.; Siegel, R.L.; Soerjomataram, I.; Jemal, A. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J. Clin. 2024, 74, 229–263. [Google Scholar] [CrossRef] [PubMed]
- Luo, Q.; Smith, D.P. Global cancer burden: Progress, projections, and challenges. Lancet 2025, 406, 1536–1537. [Google Scholar] [CrossRef] [PubMed]
- Siegel, R.L.; Kratzer, T.B.; Giaquinto, A.N.; Sung, H.; Jemal, A. Cancer statistics, 2025. CA Cancer J. Clin. 2025, 75, 10–45. [Google Scholar] [CrossRef]
- Roshandel, G.; Ferlay, J.; Ghanbari-Motlagh, A.; Partovipour, E.; Salavati, F.; Aryan, K.; Mohammadi, G.; Khoshaabi, M.; Sadjadi, A.; Davanlou, M.; et al. Cancer in Iran 2008 to 2025: Recent incidence trends and short-term predictions of the future burden. Int. J. Cancer 2021, 149, 594–605. [Google Scholar] [PubMed]
- Wang, X.; Zhang, H.; Chen, X. Drug resistance and combating drug resistance in cancer. Cancer Drug Resist. 2019, 2, 141–160. [Google Scholar] [CrossRef]
- Lei, Z.N.; Tian, Q.; Teng, Q.X.; Wurpel, J.N.D.; Zeng, L.; Pan, Y.; Chen, Z.S. Understanding and targeting resistance mechanisms in cancer. MedComm 2023, 4, e265. [Google Scholar] [CrossRef]
- Bizuayehu, H.M.; Ahmed, K.Y.; Kibret, G.D.; Dadi, A.F.; Belachew, S.A.; Bagade, T.; Tegegne, T.K.; Venchiarutti, R.L.; Kibret, K.T.; Hailegebreal, A.H.; et al. Global disparities of cancer and its projected burden in 2050. JAMA Netw. Open 2024, 7, e2443198. [Google Scholar] [CrossRef]
- Stubbs, N.M.; Roady, T.J.; Schwermann, M.P.; Eteshola, E.O.; MacDonald, W.J.; Purcell, C.; Ryspayeva, D.; Verovkina, N.; Tajiknia, V.; Ghandali, M.; et al. Acquired resistance to molecularly targeted therapies for cancer. Cancer Drug Resist. 2025, 8, 27. [Google Scholar] [CrossRef]
- Li, J.; Hu, J.; Yang, Y.; Zhang, H.; Liu, Y.; Fang, Y.; Qu, L.; Lin, A.; Luo, P.; Jiang, A.; et al. Drug resistance in cancer: Molecular mechanisms and emerging treatment strategies. Mol. Biomed. 2025, 6, 111. [Google Scholar] [CrossRef]
- Hoffmann, M.E.; Kühn, F.E. Au NHC complexes as anticancer agents: Milestones, strategies and future developments. Chem. Soc. Rev. 2025; in press. [CrossRef]
- Soragni, A.; Knudsen, E.S.; O’Connor, T.N.; Tognon, C.E.; Tyner, J.W.; Gini, B.; Kim, D.; Bivona, T.G.; Zang, X.; Witkiewicz, A.K.; et al. Acquired resistance in cancer: Towards targeted therapeutic strategies. Nat. Rev. Cancer 2025, 25, 613–633. [Google Scholar] [CrossRef]
- Zhou, J.; Sun, H.; Wang, Z.; Cong, W.; Zeng, M.; Zhou, W.; Bie, P.; Liu, L.; Wen, T.; Kuang, M.; et al. Guidelines for the diagnosis and treatment of primary liver cancer (2022 edition). Liver Cancer 2023, 12, 405–444. [Google Scholar] [CrossRef] [PubMed]
- Rumgay, H.; Arnold, M.; Ferlay, J.; Lesi, O.; Cabasag, C.J.; Vignat, J.; Laversanne, M.; McGlynn, K.A.; Soerjomataram, I. Global burden of primary liver cancer in 2020 and predictions to 2040. J. Hepatol. 2022, 77, 1598–1606. [Google Scholar] [CrossRef]
- Llovet, J.M.; Pinyol, R.; Yarchoan, M.; Singal, A.G.; Marron, T.U.; Schwartz, M.; Pikarsky, E.; Kudo, M.; Finn, R.S. Adjuvant and neoadjuvant immunotherapies in hepatocellular carcinoma. Nat. Rev. Clin. Oncol. 2024, 21, 294–311. [Google Scholar] [CrossRef]
- Cano, L.; Foucher, F.; Musso, O. Geographic diversity of human liver cancers mirrors global social inequalities. Front. Oncol. 2025, 15, 1565692. [Google Scholar] [CrossRef]
- Singh, S.P.; Madke, T.; Chand, P. Global epidemiology of hepatocellular carcinoma. J. Clin. Exp. Hepatol. 2025, 15, 102446. [Google Scholar] [CrossRef]
- Bhanushali, C.; Babu, K.; Rajarajan, S.; Bhanushali, V.; Seetharaman, K. Hepatocellular carcinoma: A 30-year trend analysis of global burden stratified by risk factors and sociodemographic indexes. J. Clin. Oncol. 2025, 43, 529. [Google Scholar] [CrossRef]
- Chan, S.L.; Sun, H.C.; Xu, Y.; Zeng, H.; El-Serag, H.B.; Lee, J.M.; Schwartz, M.; Finn, R.S.; Song, J.; Wang, X.; et al. The Lancet Commission on addressing the global hepatocellular carcinoma burden: Comprehensive strategies from prevention to treatment. Lancet 2025, 406, 731–778. [Google Scholar] [CrossRef] [PubMed]
- Bowie, K. Majority of global liver cancer cases “preventable,” Lancet commission finds. Lancet 2025, 390, r1587. [Google Scholar] [CrossRef] [PubMed]
- Elgazzar, M.F.; Rady, M.A.; Elgazzar, F.A.; Morshedy, S. The Egyptian liver and schistosomiasis in 5000 years: The liver and river story. Egypt. J. Hist. Philos. Sci. 2024, 1, 40–43. [Google Scholar] [CrossRef]
- Zhan, Z.; Chen, B.; Huang, R.; Lin, W.; Lan, S.; Yao, X.; Jia, F.; Zhou, J.; Sun, H.; Xu, Y.; et al. Long-term trends and future projections of liver cancer burden in China from 1990 to 2030. Sci. Rep. 2025, 15, 13120. [Google Scholar] [CrossRef] [PubMed]
- Mauro, E.; de Castro, T.; Zeitlhoefler, M.; Sung, M.W.; Villanueva, A.; Mazzaferro, V.; Llovet, J.M. Hepatocellular carcinoma: Epidemiology, diagnosis and treatment. JHEP Rep. 2025, 7, 101571. [Google Scholar] [CrossRef]
- Li, Q.; Ding, C.; Cao, M.; Yang, F.; Yan, X.; He, S.; Cao, M.; Zhang, S.; Teng, Y.; Tan, N.; et al. Global epidemiology of liver cancer 2022: An emphasis on geographic disparities. Chin. Med. J. 2024, 137, 2334–2342. [Google Scholar] [CrossRef]
- Oh, J.H.; Jun, D.W. The latest global burden of liver cancer: A past and present threat. Clin. Mol. Hepatol. 2023, 29, 355–357. [Google Scholar] [CrossRef] [PubMed]
- Jiang, Z.; Zeng, G.; Dai, H.; Bian, Y.; Wang, L.; Cao, W.; Yang, J. Global, regional and national burden of liver cancer 1990–2021: A systematic analysis of the global burden of disease study 2021. BMC Public Health 2025, 25, 931. [Google Scholar] [CrossRef]
- El-Zayadi, A.R. Curse of schistosomiasis on Egyptian liver. World J. Gastroenterol. 2004, 10, 1079–1081. [Google Scholar] [CrossRef] [PubMed]
- Sarant, L. Egypt: The flatworm’s revenge. Nature 2017, 551, S46–S47. [Google Scholar] [CrossRef]
- Van Tong, H.; Brindley, P.J.; Meyer, C.G.; Velavan, T.P. Parasite infection, carcinogenesis and human malignancy. EBioMedicine 2017, 15, 12–23. [Google Scholar] [CrossRef]
- Sheng, S.; Chen, B.; Xu, R.; Han, Y.; Mao, D.; Chen, Y.; Li, C.; Su, W.; Hu, X.; Zhao, Q.; et al. A prognostic model for Schistosoma japonicum infection-associated liver hepatocellular carcinoma: Strengthening the connection through initial biological experiments. Infect. Agents Cancer 2024, 19, 10. [Google Scholar] [CrossRef]
- Filgueira, N.A.; de Alencar Saraiva, C.M.; Jucá, N.T.; Bezerra, M.F.; Lacerda, C.M. Schistosomal liver fibrosis and hepatocellular carcinoma—Case series of patients submitted to liver transplantation. Braz. J. Infect. Dis. 2018, 22, 352–354. [Google Scholar] [CrossRef]
- Toda, K.S.; Kikuchi, L.; Chagas, A.L.; Tanigawa, R.Y.; Paranaguá-Vezozzo, D.C.; Pfiffer, T.; Rocha, M.S.; Alves, V.A.; Carrilho, F.J. Hepatocellular carcinoma related to Schistosoma mansoni infection: Case series and literature review. J. Clin. Transl. Hepatol. 2015, 3, 260–264. [Google Scholar] [CrossRef]
- von Buelow, V.; Lichtenberger, J.; Grevelding, C.G.; Falcone, F.H.; Roeb, E.; Roderfeld, M. Does Schistosoma mansoni facilitate carcinogenesis? Cells 2021, 10, 1982. [Google Scholar] [CrossRef] [PubMed]
- Qiu, S.; Cai, J.; Yang, Z.; He, X.; Xing, Z.; Zu, J.; Henry, L.; Chong, C.R.; John, E.M.; Cheung, R.; et al. Trends in hepatocellular carcinoma mortality rates in the US and projections through 2040. JAMA Netw. Open 2024, 7, e2445525. [Google Scholar] [CrossRef] [PubMed]
- Tapper, E.B.; Parikh, N.D. Mortality due to cirrhosis and liver cancer in the United States, 1999–2016: Observational study. BMJ 2018, 362, k2817. [Google Scholar]
- Lee, Y.T.; Wang, J.J.; Danpanichkul, P.; Kim, H.S.; Kuo, A.; Ayoub, W.S.; Trivedi, H.D.; Wang, Y.; Vipani, A.; Martin, P.; et al. Recent trends of incidence, mortality, treatment, and overall survival of hepatocellular carcinoma in the United States. Clin. Gastroenterol. Hepatol. 2025; in press. [CrossRef]
- Mathew, S.; Cussens, C.; Pericleous, M. Hepatocellular carcinoma (HCC): An update on risk factors, surveillance, diagnosis and treatment strategies. Clin. Med. 2025, 25, 100532. [Google Scholar] [CrossRef] [PubMed]
- Cabral, L.K.D.; Tiribelli, C.; Sukowati, C.H.C. Sorafenib resistance in hepatocellular carcinoma: The relevance of genetic heterogeneity. Cancers 2020, 12, 1576. [Google Scholar] [CrossRef]
- Tan, D.J.H.; Tang, A.S.P.; Lim, W.H.; Ng, C.H.; Nah, B.; Fu, C.; Xiao, J.; Koh, B.; Tay, P.W.L.; Tan, E.X.; et al. Survival trends in sorafenib for advanced hepatocellular carcinoma: A reconstructed individual patient data meta-analysis of randomized trials. Liver Cancer 2023, 12, 445–456. [Google Scholar] [CrossRef]
- Addissouky, T.A.; Sayed, I.E.T.E.; Ali, M.M.; Wang, Y.; Baz, A.E.; Khalil, A.A.; Elarabany, N. Latest advances in hepatocellular carcinoma management and prevention through advanced technologies. Egypt. Liver J. 2024, 14, 2. [Google Scholar] [CrossRef]
- Gomaa, A.; Waked, I. Management of advanced hepatocellular carcinoma: Review of current and potential therapies. Hepatoma Res. 2017, 3, 112–122. [Google Scholar] [CrossRef][Green Version]
- Zheng, J.; Wang, S.; Xia, L.; Sun, Z.; Chan, K.M.; Bernards, R.; Qin, W.; Chen, J.; Xia, Q.; Jin, H. Hepatocellular carcinoma: Signaling pathways and therapeutic advances. Signal Transduct. Target. Ther. 2025, 10, 35. [Google Scholar] [CrossRef]
- Guo, L.; Hu, C.; Yao, M.; Han, G. Mechanism of sorafenib resistance associated with ferroptosis in HCC. Front. Pharmacol. 2023, 14, 1207496. [Google Scholar] [CrossRef]
- Guiu, B.; Assenat, E. Doxorubicin for the treatment of hepatocellular carcinoma: GAME OVER! Ann. Transl. Med. 2020, 8, 1693. [Google Scholar] [CrossRef]
- Merle, P.; Camus, P.; Abergel, A.; Pageaux, G.P.; Masliah, C.; Bronowicki, J.P.; Zarski, J.P.; Pelletier, G.; Bouttout, M.; Fartoux, L.; et al. Safety and efficacy of intra-arterial hepatic chemotherapy with doxorubicin-loaded nanoparticles in hepatocellular carcinoma. ESMO Open 2017, 2, e000238. [Google Scholar] [CrossRef] [PubMed]
- Philippi, Z.; Reddy, K.D.; Malik, S.; Al-Khalil, Z.; Dbouk, N. Systemic therapy for unresectable hepatocellular carcinoma: Current landscape and future directions. Int. J. Mol. Sci. 2025, 26, 5994. [Google Scholar] [CrossRef]
- Yao, C.; Wu, S.; Kong, J.; Sun, Y.; Bai, Y.; Zhu, R.; Li, Z.; Sun, W.; Zheng, L. Angiogenesis in hepatocellular carcinoma: Mechanisms and anti-angiogenic therapies. Cancer Biol. Med. 2023, 20, 25–43. [Google Scholar] [CrossRef]
- Moawad, A.W.; Szklaruk, J.; Lall, C.; Blair, K.J.; Kaseb, A.O.; Kamath, A.; Rohren, S.A.; Elsayes, K.M. Angiogenesis in hepatocellular carcinoma: Pathophysiology, targeted therapy, and role of imaging. J. Hepatocell. Carcinoma 2020, 7, 77–89. [Google Scholar] [CrossRef]
- Morse, M.A.; Sun, W.; Kim, R.; He, A.R.; Abada, P.B.; Mynderse, M.; Finn, R.S. The role of angiogenesis in hepatocellular carcinoma. Clin. Cancer Res. 2019, 25, 912–920. [Google Scholar] [CrossRef] [PubMed]
- Pinto, E.; Pelizzaro, F.; Farinati, F.; Russo, F.P. Angiogenesis and hepatocellular carcinoma: From molecular mechanisms to systemic therapies. Medicina 2023, 59, 1115. [Google Scholar] [CrossRef] [PubMed]
- Wang, L.; Liu, W.Q.; Broussy, S.; Han, B.; Fang, H. Recent advances of anti-angiogenic inhibitors targeting VEGF/VEGFR axis. Front. Pharmacol. 2023, 14, 1307860. [Google Scholar] [CrossRef]
- Wang, X.; Bove, A.M.; Simone, G.; Ma, B. Molecular bases of VEGFR-2-mediated physiological function and pathological role. Front. Cell Dev. Biol. 2020, 8, 599281. [Google Scholar] [CrossRef]
- Abhinand, C.S.; Raju, R.; Soumya, S.J.; Arya, P.S.; Sudhakaran, P.R. VEGF-A/VEGFR2 signaling network in endothelial cells relevant to angiogenesis. J. Cell Commun. Signal. 2016, 10, 347–354. [Google Scholar] [CrossRef]
- Aykaç, O.; Merde, İ.B. The vascular endothelial growth factor receptor (VEGFR) and cancer. Anatol. J. Pharm. Sci. 2018, 4, 63–75. [Google Scholar] [CrossRef]
- Yu, E.; Kim, H.; Park, H.; Hong, J.H.; Jin, J.; Song, Y.; Woo, J.M.; Min, J.K.; Yun, J. Targeting the VEGFR2 signaling pathway for angiogenesis and fibrosis regulation in neovascular age-related macular degeneration. Sci. Rep. 2024, 14, 25682. [Google Scholar] [CrossRef]
- Shah, F.H.; Nam, Y.S.; Bang, J.Y.; Hwang, I.S.; Kim, D.H.; Ki, M.; Lee, H.W. Targeting vascular endothelial growth factor receptor-2 (VEGFR-2): Structural biology, functional insights, and therapeutic resistance. Arch. Pharm. Res. 2025, 48, 404–425. [Google Scholar] [CrossRef] [PubMed]
- Modi, S.J.; Kulkarni, V.M. Vascular endothelial growth factor receptor (VEGFR-2)/KDR inhibitors: Medicinal chemistry perspective. Med. Drug Discov. 2019, 2, 100009. [Google Scholar] [CrossRef]
- Marques, C.S.; Brandão, P.; Burke, A.J. Targeting vascular endothelial growth factor receptor 2 (VEGFR-2): Latest insights on synthetic strategies. Molecules 2024, 29, 5341. [Google Scholar] [CrossRef]
- Pradhan, V.; Kumar, R.; Mazumder, A.; Abdullah, M.M.; Yar, M.S.; Ahsan, M.J.; Ullah, Z. Molecular target interactions of quinoline derivatives as anticancer agents: A review. Chem. Biol. Drug Des. 2023, 101, 977–997. [Google Scholar] [CrossRef]
- El-Hema, H.S.; El Fekey, H.M.; Abdel-Rahman, A.A.-H.; Morsy, A.R.I.; Radwan, A.A.; Nossier, E.S.; Alshabani, L.A.; Saleh, A.; Hussein, M.F.; Hawata, M.A. Design and Multi-Level Biological Evaluation of Naphthyridine-Based Derivatives as Topoisomerase I/II-Targeted Anticancer Agents with Anti-Fowlpox Virus Activity Supported by In Silico Analysis. Int. J. Mol. Sci. 2026, 27, 2445. [Google Scholar] [CrossRef] [PubMed]
- Bassissi, F.; Gifu, E.P.; Brun, S.; Courcambeck, J.; Beret, A.; Pascussi, J.M.; Pannequin, J.; Raymond, E.; Halfon, P.; Merle, P.; et al. GNS561 is a new quinoline derivative with high efficacy on cancer stem cells from colorectal liver metastasis and hepatocellular carcinoma. Cancer Res. 2017, 77, 1914. [Google Scholar] [CrossRef]
- Abd Elrahman, S.F.; Ahmed, A.A.S.; Abd Elsatar, D.; Elkady, S.; Elgendy, A.; Alnakeeb, F.; Elmongy, E.I.; Henidi, H.A.; El-Gendy, S.M.; El Sayed, I.E.T.; et al. Cytotoxic potential of a novel quinoline derivative: 11-(1,4-bisaminopropylpiperazinyl)-5-methyl-5H-indolo [2,3-b]quinoline against different cancer cell lines via modulation of protein expression. Int. J. Mol. Sci. 2023, 24, 14336. [Google Scholar] [CrossRef]
- Liu, C.Y.; Hsieh, C.H.; Kim, S.H.; Wang, J.P.; Ni, Y.L.; Su, C.L.; Yao, C.F.; Fang, K. An indolylquinoline derivative activates DNA damage response and apoptosis in human hepatocellular carcinoma cells. Int. J. Oncol. 2016, 49, 2431–2441. [Google Scholar] [CrossRef]
- Jain, S.; Chandra, V.; Jain, P.K.; Pathak, K.; Pathak, D.; Vaidya, A. Comprehensive review on current developments of quinoline-based anticancer agents. Arab. J. Chem. 2019, 12, 4920–4946. [Google Scholar] [CrossRef]
- Sharma, R.; Sharma, A.; Borah, A.; Chandra, R.; Singh, S. Synthesis of 8-hydroxyquinoline derivatives: A revolutionary target in medicinal chemistry (2020–2025). ChemistrySelect 2025, 10, e03182. [Google Scholar] [CrossRef]
- Saxena, A.; Majee, S.; Ray, D.; Saha, B. Inhibition of cancer cells by quinoline-based compounds: A review with mechanistic insights. Bioorg. Med. Chem. 2024, 103, 117681. [Google Scholar] [CrossRef]
- El-Mernissi, R.; El Khatabi, K.; Khaldan, A.; Bouamrane, S.; El Mchichi, L.; Ajana, M.A.; Lakhlifi, T.; Bouachrine, M. Designing of novel quinoline derivatives as hepatocellular carcinoma inhibitors using in silico approaches. Biointerface Res. Appl. Chem. 2023, 13, 217. [Google Scholar]
- Man, R.J.; Jeelani, N.; Zhou, C.; Yang, Y.S. Recent progress in the development of quinoline derivatives for exploitation as anticancer agents. Anticancer Agents Med. Chem. 2021, 21, 825–838. [Google Scholar] [CrossRef] [PubMed]
- Aref, M.M.; Mohamed, A.A.; Dahab, M.A.; El-Zahabi, M.A.A. An overview of quinoline derivatives as anticancer agents. Al-Azhar J. Pharm. Sci. 2023, 68, 130–158. [Google Scholar] [CrossRef]
- Martorana, A.; La Monica, G.; Lauria, A. Quinoline-based molecules targeting c-Met, EGF, and VEGF receptors and proteins involved in related carcinogenic pathways. Molecules 2020, 25, 4279. [Google Scholar] [CrossRef]
- Alsaif, N.A.; Mahdy, H.A.; Alanazi, M.M.; Obaidullah, A.J.; Alkahtani, H.M.; Al-Hossaini, A.M.; Al-Mehizi, A.A.; Elwan, A.; Taghour, M.S. Targeting VEGFR-2 by new quinoxaline derivatives: Design, synthesis, antiproliferative assay, apoptosis induction, and in silico studies. Arch. Pharm. 2022, 355, 2100359. [Google Scholar] [CrossRef]
- Elebiju, O.F.; Ajani, O.O.; Oduselu, G.O.; Ogunnupebi, T.A.; Adebiyi, E. Recent advances in functionalized quinoline scaffolds and hybrids—Exceptional pharmacophores in therapeutic medicine. Front. Chem. 2023, 10, 1074331. [Google Scholar] [CrossRef]
- El Bakkali, M.; Ismaili, L.; Tomassoli, I.; Nicod, L.; Pudlo, M.; Refouvelet, B. Pharmacophore modelling and synthesis of quinoline-3-carbohydrazides as antioxidants. Int. J. Med. Chem. 2011, 2011, 592879. [Google Scholar] [CrossRef][Green Version]
- Sultan, S.; Zenati, R.A.; Anbar, H.S.; El-Gamal, M.I.; Semreen, M.H. Recent advances of quinoline-based small molecules as kinase inhibitors (2020–2024). ChemMedChem 2025, 20, e202500279. [Google Scholar] [CrossRef]
- Czyżnikowska, Ż.; Mysłek, M.; Marciniak, A.; Płaczek, R.; Kotynia, A.; Krzyżak, E. In silico approach to design of new multi-targeted inhibitors based on a quinoline ring with potential anticancer properties. Int. J. Mol. Sci. 2025, 26, 4620. [Google Scholar] [CrossRef]
- Yadav, P.; Shah, K. Quinolines, a perpetual, multipurpose scaffold in medicinal chemistry. Bioorg. Chem. 2021, 109, 104639. [Google Scholar] [CrossRef]
- Chavan, N.D.; Sarveswari, S.; Vijayakumar, V. Quinoline derivatives’ biological interest for anti-malarial and anti-cancer activities: An overview. RSC Adv. 2025, 15, 30576–30604. [Google Scholar] [CrossRef] [PubMed]
- El-Hema, H.S.; El-Shazly, H.A.; Hawata, M.A.; Yousif, N.M.; Hussein, M.F.; Said, M.A.; Aidy, E.A.; Shehata, H.E.; Abdel-Rahman, A.A.H. Expanding the chemical and therapeutic landscape of 5H-indeno[1,2-b]pyridin-5-one derivatives: Novel anticancer activity, EGFR inhibition, and modulation of HIF–VEGF and PI3K/AKT/mTOR pathways supported by computational insights. Bioorg. Chem. 2026, 170, 109476. [Google Scholar] [CrossRef] [PubMed]
- U.S. Food and Drug Administration. FDA Approves Lenvatinib for Unresectable Hepatocellular Carcinoma; U.S. Department of Health and Human Services: Silver Spring, MD, USA, 2018.
- Nair, A.; Reece, K.; Donoghue, M.B.; Yuan, W.V.; Rodriguez, L.; Keegan, P.; Pazdur, R. FDA supplemental approval summary: Lenvatinib for the treatment of unresectable hepatocellular carcinoma. Oncologist 2021, 26, e484–e491. [Google Scholar] [CrossRef]
- Patwala, K.; Prince, D.S.; Celermajer, Y.; Alam, W.; Paul, E.; Strasser, S.I.; McCaughan, G.W.; Gow, P.; Sood, S.; Murphy, E.; et al. Lenvatinib for the treatment of hepatocellular carcinoma—A real-world multicenter Australian cohort study. Hepatol. Int. 2022, 16, 1170–1178. [Google Scholar] [CrossRef]
- Nakahara, M.; Fujihara, S.; Iwama, H.; Takuma, K.; Oura, K.; Tadokoro, T.; Fujita, K.; Tani, J.; Morishita, A.; Kobara, H.; et al. Effect of lenvatinib treatment on the cell cycle and microRNA profile in hepatocellular carcinoma cells. Biomed. Rep. 2022, 17, 78. [Google Scholar] [CrossRef] [PubMed]
- Sacco, R.; Giannini, E.G.; Tortora, R.; Di Costanzo, G.G.; Mega, A.; Marzi, L.; Pieri, G.; Pasta, A.; Daniele, B.; Federico, P.; et al. Lenvatinib is highly effective in patients with hepatocellular carcinoma related to both metabolic dysfunction-associated steatohepatitis and alcoholic etiology: A propensity score analysis. Cancers 2025, 17, 1808. [Google Scholar] [CrossRef]
- Hatanaka, T.; Naganuma, A.; Kakizaki, S. Lenvatinib for hepatocellular carcinoma: A literature review. Pharmaceuticals 2021, 14, 36. [Google Scholar] [CrossRef]
- Sho, T.; Morikawa, K.; Kubo, A.; Tokuchi, Y.; Kitagataya, T.; Yamada, R.; Shigesawa, T.; Kimura, M.; Nakai, M.; Suda, G.; et al. Prospect of lenvatinib for unresectable hepatocellular carcinoma in the new era of systemic chemotherapy. World J. Gastrointest. Oncol. 2021, 13, 2076–2087. [Google Scholar] [CrossRef]
- Tao, M.; Han, J.; Shi, J.; Liao, H.; Wen, K.; Wang, W.; Mui, S.; Li, H.; Nan, Y.; Xia, Z. Application and resistance mechanisms of lenvatinib in patients with advanced hepatocellular carcinoma. J. Hepatocell. Carcinoma 2023, 10, 1069–1083. [Google Scholar] [CrossRef] [PubMed]
- Chen, Y.; Dai, S.; Cheng, C.S.; Chen, L. Lenvatinib and immune-checkpoint inhibitors in hepatocellular carcinoma: Mechanistic insights, clinical efficacy, and future perspectives. J. Hematol. Oncol. 2024, 17, 130. [Google Scholar] [CrossRef]
- Fernandez-Palanca, P.; Payo-Serafin, T.; San-Miguel, B.; Mendez-Blanco, C.; Tuñón, M.J.; González-Gallego, J.; Mauriz, J.L. Hepatocellular carcinoma cells lose lenvatinib efficacy in vitro through autophagy and hypoxia response-derived neuropilin-1 degradation. Acta Pharmacol. Sin. 2023, 44, 1066–1082. [Google Scholar]
- Zhao, Y.; Zhang, Y.N.; Wang, K.T.; Chen, L. Lenvatinib for hepatocellular carcinoma: From preclinical mechanisms to anti-cancer therapy. Biochim. Biophys. Acta Rev. Cancer 2020, 1874, 188391. [Google Scholar] [CrossRef]
- Personeni, N.; Pressiani, T.; Rimassa, L. Lenvatinib for the treatment of unresectable hepatocellular carcinoma: Evidence to date. J. Hepatocell. Carcinoma 2019, 6, 31–39. [Google Scholar] [CrossRef]
- Gawi Ermi, A.; Sarkar, D. Resistance to tyrosine kinase inhibitors in hepatocellular carcinoma (HCC): Clinical implications and potential strategies to overcome the resistance. Cancers 2024, 16, 3944. [Google Scholar] [CrossRef] [PubMed]
- Fountzilas, C.; Gupta, M.; Lee, S.; Krishnamurthi, S.; Estfan, B.; Wang, K.; Attwood, K.; Wilton, J.; Bies, R.; Bshara, W.; et al. A multicentre phase 1b/2 study of tivozanib in patients with advanced inoperable hepatocellular carcinoma. Br. J. Cancer 2020, 122, 963–970. [Google Scholar] [CrossRef] [PubMed]
- U.S. Food and Drug Administration. FDA Approves Tivozanib for Relapsed or Refractory Advanced Renal Cell Carcinoma; U.S. Department of Health and Human Services: Silver Spring, MD, USA, 2021.
- Oh, H.; Lee, J.H. Tivozanib in advanced inoperable hepatocellular carcinoma: Considerations for patients with liver cirrhosis. Ann. Transl. Med. 2020, 8, 1530. [Google Scholar] [CrossRef]
- Iyer, R.V.; Li, D.; Dayyani, F.; Rowe, J.H.; Beg, M.S.; Kasturi, V.; Abrams, T.A. Phase 1b/2 study of tivozanib in combination with durvalumab in subjects with advanced hepatocellular carcinoma (Deductive): Efficacy results in previously untreated patients. J. Clin. Oncol. 2022, 40, 462. [Google Scholar] [CrossRef]
- Abou-Alfa, G.K.; Meyer, T.; Cheng, A.L.; El-Khoueiry, A.B.; Rimassa, L.; Ryoo, B.Y.; Cicin, I.; Merle, P.; Chen, Y.H.; Park, J.W.; et al. Cabozantinib in patients with advanced and progressing hepatocellular carcinoma. N. Engl. J. Med. 2018, 379, 54–63. [Google Scholar] [PubMed]
- Bentzien, F.; Zuzow, M.; Heald, N.; Gibson, A.; Shi, Y.; Goon, L.; Yu, P.; Ernst, S.; Zhang, W.; Huang, D.; et al. In vitro and in vivo activity of cabozantinib (XL184), an inhibitor of RET, MET, and VEGFR2, in a model of medullary thyroid cancer. Thyroid 2013, 23, 1569–1577. [Google Scholar] [PubMed]
- Zhang, Y.; Luo, F.; Ma, Y.X.; Liu, Q.W.; Yang, Y.P.; Fang, W.F.; Huang, X.; Zhou, T.; Li, J.; Pan, H.M.; et al. A phase Ib study of lucitanib (AL3810) in a cohort of patients with recurrent and metastatic nasopharyngeal carcinoma. Oncologist 2022, 27, e453–e462. [Google Scholar] [CrossRef] [PubMed]
- Modather, F.H.; Said, M.A.; Abuessawy, A.; Alsahli, S.A.; Al-Sirhani, A.M.; Manni, E.; El-Hema, H.S. Thienyl-based pyrimidine hybrids as multi-target anticancer agents: Design, synthesis, and integrated experimental–computational insights into CDK4 inhibition and apoptosis. J. Mol. Struct. 2026, 1361, 145685. [Google Scholar] [CrossRef]
- Gebhart, F.T.; Brogdon, B.G.; Zech, W.D.; Thali, M.J.; Germerott, T. Gas at postmortem computed tomography—An evaluation of 73 non-putrefied trauma and non-trauma cases. Forensic Sci. Int. 2012, 222, 162–169. [Google Scholar] [CrossRef]
- Grendar, J.; Shaheen, A.A.; Myers, R.P.; Parker, R.; Vollmer, C.M., Jr.; Ball, C.G.; Quan, M.L.; Kaplan, G.G.; Al-Manasra, T.; Dixon, E. Predicting in-hospital mortality in patients undergoing complex gastrointestinal surgery: Determining the optimal risk adjustment method. Arch. Surg. 2012, 147, 126–135. [Google Scholar] [CrossRef]
- Aldrighetti, L.; Cipriani, F.; Fiorentini, G.; Catena, M.; Paganelli, M.; Ratti, F. A stepwise learning curve to define the standard for technical improvement in laparoscopic liver resections: Complexity-based analysis in 1032 procedures. Updates Surg. 2019, 71, 273–283. [Google Scholar] [CrossRef]
- Saoudi Gonzalez, N.; Castet, F.; Elez, E.; Macarulla, T.; Tabernero, J. Current and emerging anti-angiogenic therapies in gastrointestinal and hepatobiliary cancers. Front. Oncol. 2022, 12, 1021772. [Google Scholar] [CrossRef]
- Llovet, J.M.; Ricci, S.; Mazzaferro, V.; Hilgard, P.; Gane, E.; Blanc, J.F.; de Oliveira, A.C.; Santoro, A.; Raoul, J.L.; Forner, A.; et al. Sorafenib in advanced hepatocellular carcinoma. N. Engl. J. Med. 2008, 359, 378–390. [Google Scholar] [CrossRef] [PubMed]
- Bruix, J.; Qin, S.; Merle, P.; Granito, A.; Huang, Y.H.; Bodoky, G.; Pracht, M.; Yokosuka, O.; Rosmorduc, O.; Breder, V.; et al. Regorafenib for patients with hepatocellular carcinoma who progressed on sorafenib treatment (RESORCE): A randomised, double-blind, placebo-controlled, phase 3 trial. Lancet 2017, 389, 56–66, Erratum in Lancet 2017, 389, 36. https://doi.org/10.1016/S0140-6736(16)32615-0. [Google Scholar] [CrossRef]
- Couch, M.J.; Thomen, R.; Kanhere, N.; Hu, R.; Ratjen, F.; Woods, J.; Santyr, G. A two-center analysis of hyperpolarized 129Xe lung MRI in stable pediatric cystic fibrosis: Potential as a biomarker for multi-site trials. J. Cyst. Fibros. 2019, 18, 728–733. [Google Scholar] [CrossRef] [PubMed]
- Vokes, E.E. Competing roads to larynx preservation. J. Clin. Oncol. 2013, 31, 833–835. [Google Scholar] [CrossRef]
- Li, J.; Wang, Z.; Zhong, H.; He, Y.; Zhang, C.; Niu, Z.; Yang, S.; Zhang, T.; Zhu, L.; Shu, Y.; et al. A phase IV study to evaluate the safety of fruquintinib in Chinese patients in real-world clinical practice. Oncologist 2024, 29, e1012–e1019. [Google Scholar] [CrossRef]
- Yao, X.; Du, N.; Hu, S.; Wang, L.; Gao, J. Rapid advances in research on and development of anticancer drugs in China. Biosci. Trends 2019, 13, 461–463. [Google Scholar] [CrossRef]
- Elkaeed, E.B.; Taghour, M.S.; Mahdy, H.A.; Eldehna, W.M.; El-Deeb, N.M.; Kenawy, A.M.; Alsfouk, B.A.; Dahab, M.A.; Metwaly, A.M.; Eissa, I.H.; et al. New quinoline and isatin derivatives as apoptotic VEGFR-2 inhibitors: Design, synthesis, anti-proliferative activity, docking, ADMET, toxicity, and MD simulation studies. J. Enzym. Inhib. Med. Chem. 2022, 37, 2191–2205. [Google Scholar] [CrossRef]
- Zillhardt, M.; Park, S.M.; Romero, I.L.; Sawada, K.; Montag, A.; Krausz, T.; Yamada, S.D.; Peter, M.E.; Lengyel, E. Foretinib (GSK1363089), an orally available multikinase inhibitor of c-Met and VEGFR-2, blocks proliferation, induces anoikis, and impairs ovarian cancer metastasis. Clin. Cancer Res. 2011, 17, 4042–4051. [Google Scholar] [CrossRef]
- Wilhelm, S.M.; Carter, C.; Tang, L.; Wilkie, D.; McNabola, A.; Rong, H.; Chen, C.; Zhang, X.; Vincent, P.; McHugh, M.; et al. BAY 43-9006 exhibits broad spectrum oral antitumor activity and targets the RAF/MEK/ERK pathway and receptor tyrosine kinases involved in tumor progression and angiogenesis. Cancer Res. 2004, 64, 7099–7109. [Google Scholar] [CrossRef] [PubMed]
- El-Fakharany, Z.S.; Nissan, Y.M.; Sedky, N.K.; Arafa, R.K.; Abou-Seri, S.M. New proapoptotic chemotherapeutic agents based on the quinolone-3-carboxamide scaffold acting by VEGFR-2 inhibition. Sci. Rep. 2023, 13, 11346. [Google Scholar] [CrossRef]
- Yang, Y.; Shi, L.; Zhou, Y.; Li, H.Q.; Zhu, Z.W.; Zhu, H.L. Design, synthesis and biological evaluation of quinoline amide derivatives as novel VEGFR-2 inhibitors. Bioorg. Med. Chem. Lett. 2010, 20, 6653–6656. [Google Scholar]
- Eissa, I.H.; Elkady, H.; Rashed, M.; Elwan, A.; Hagras, M.; Dahab, M.A.; Taghour, M.S.; Ibrahim, I.M.; Husein, D.Z.; Elkaeed, E.B.; et al. Discovery of new thiazolidine-2,4-dione derivatives as potential VEGFR-2 inhibitors: In vitro and in silico studies. Heliyon 2024, 10, e24005. [Google Scholar] [CrossRef] [PubMed]
- Taghour, M.S.; Elkady, H.; Eldehna, W.M.; El-Deeb, N.M.; Kenawy, A.M.; Elkaeed, E.B.; Alsfouk, A.A.; Alesawy, M.S.; Metwaly, A.M.; Eissa, I.H. Design and synthesis of thiazolidine-2,4-diones hybrids with 1,2-dihydroquinolones and 2-oxindoles as potential VEGFR-2 inhibitors: In vitro anticancer evaluation and in silico studies. J. Enzym. Inhib. Med. Chem. 2022, 37, 1903–1917. [Google Scholar]
- Elkady, H.; El-Dardir, O.A.; Elwan, A.; Taghour, M.S.; Mahdy, H.A.; Dahab, M.A.; Elkaeed, E.B.; Alsfouk, B.A.; Ibrahim, I.M.; Husein, D.Z.; et al. Synthesis, biological evaluation and computer-aided discovery of new thiazolidine-2,4-dione derivatives as potential antitumor VEGFR-2 inhibitors. RSC Adv. 2023, 13, 27801–27827. [Google Scholar] [CrossRef]
- Halimi Syla, G.; Osmaniye, D.; Korkut Çelikateş, B.; Ozkay, Y.; Kaplancıklı, Z.A. Targeting cancer with new morpholine-benzimidazole-oxadiazole derivatives: Synthesis, biological evaluation, and computational insights. ACS Omega 2025, 10, 36134–36153. [Google Scholar]
- El-Hema, H.S.; El Fekey, H.M.; Hawata, M.A.; Hussein, M.F.; Elhendawy, A.T.; Abdel-Rahman, A.A.H. From benzo[g]quinoline multitargeted anticancer scaffold to a potent benzo[g]pyrimido[4,5-b]quinoline lead targeting wild-type and mutant EGFR: Insights from integrated computational studies, molecular signaling modulation, and gene expression networks. J. Mol. Struct. 2026, 1395, 145461. [Google Scholar] [CrossRef]
- Duan, M.; Mahal, A.; Alkouri, A.; Wang, C.; Zhang, Z.; Ren, J.; Obaidullah, A.J. Synthesis, anticancer activity, and molecular docking of new 1,2,3-triazole linked tetrahydrocurcumin derivatives. Molecules 2024, 29, 3010. [Google Scholar] [CrossRef]
- Zelisko, N.; Lesyk, R. Molecules with alkyne fragment in medicinal chemistry: The path from neurotoxins to drugs. Eur. J. Med. Chem. Rep. 2025, 15, 100294. [Google Scholar] [CrossRef]
- Janowska, S.; Paneth, A.; Wujec, M. Cytotoxic properties of 1,3,4-thiadiazole derivatives—A review. Molecules 2020, 25, 4309. [Google Scholar] [CrossRef] [PubMed]
- Alsalim, T.A.Q.; Nasir, N.M.; El-Arabey, A.A.; Abdalla, M. Anticancer and antioxidant activities and molecular docking study of thiazolidine-4-one and thiadiazole derivatives. Molecules 2022, 27, 4817. [Google Scholar]
- Kourounakis, A.P.; Xanthopoulos, D.; Tzara, A. Morpholine as a privileged structure: A review on the medicinal chemistry and pharmacological activity of morpholine-containing bioactive molecules. Med. Res. Rev. 2020, 40, 709–752. [Google Scholar] [CrossRef]
- Dwivedi, A.R.; Kumar, V.; Prashar, V.; Verma, A.; Kumar, N.; Parkash, J.; Kumar, V. Morpholine substituted quinazoline derivatives as anticancer agents against MCF-7, A549 and SHSY-5Y cancer cell lines and mechanistic studies. RSC Med. Chem. 2022, 13, 599–609. [Google Scholar] [CrossRef]
- Arshad, F.; Khan, M.F.; Akhtar, W.; Alam, M.M.; Nainwal, L.M.; Kaushik, S.K.; Shaquiquzzaman, M. Revealing quinquennial anticancer journey of morpholine: A SAR-based review. Eur. J. Med. Chem. 2019, 167, 324–356. [Google Scholar] [CrossRef] [PubMed]
- Ilakiyalakshmi, M.; Napoleon, A.A. Review on recent development of quinoline for anticancer activities. Arab. J. Chem. 2022, 15, 104168. [Google Scholar] [CrossRef]
- Shulga, D.A.; Ivanov, N.N.; Palyulin, V.A. In Silico Structure-Based Approach for Group Efficiency Estimation in Fragment-Based Drug Design Using Evaluation of Fragment Contributions. Molecules 2022, 27, 1985. [Google Scholar] [PubMed]
- Kenny, P.W. The Nature of Ligand Efficiency. J. Cheminform. 2019, 11, 8. [Google Scholar] [CrossRef]
- Verdonk, M.L.; Rees, D.C. Group Efficiency: A Guideline for Hits-to-Leads Chemistry. ChemMedChem 2008, 3, 1179–1180. [Google Scholar]
- Ali, B.S.; Mohammed, A.F.; Kariuki, B.M.; El-Awady, R.; Abdu-Allah, H.H. Tetrahydrocarbazoles incorporating 5-arylidene-4-thiazolinones as potential antileukemia and antilymphoma targeting tyrosine kinase and tubulin polymerase enzymes: Design, synthesis, structural, biological and molecular docking studies. Bioorg. Chem. 2024, 153, 107817. [Google Scholar] [CrossRef]
- Ugale, V.G.; Patel, H.M.; Surana, S.J. Molecular modeling studies of quinoline derivatives as VEGFR-2 tyrosine kinase inhibitors using pharmacophore-based 3D-QSAR and docking approach. Arab. J. Chem. 2017, 10, S1980–S2003. [Google Scholar] [CrossRef]
- Veselá, K.; Tatar, A.; Kejík, Z.; Abramenko, N.; Čejka, J.; Kaplánek, R.; Jakubek, M. Targeting tumors and inflammation: A quinoline–chalcone ruthenium complex with therapeutic promise. Biomed. Pharmacother. 2026, 194, 118930. [Google Scholar]
- Ibrahim, T.S.; Hawwas, M.M.; Malebari, A.M.; Taher, E.S.; Omar, A.M.; Neamatallah, T.; Abdel-Samii, Z.K.; Safo, M.K.; Elshaier, Y.A.M.M. Discovery of novel quinoline-based analogues of combretastatin A-4 as tubulin polymerisation inhibitors with apoptosis-inducing activity and potent anticancer effect. J. Enzym. Inhib. Med. Chem. 2021, 36, 802–818. [Google Scholar] [CrossRef] [PubMed]
- Sankhe, N.M.; Durgashivaprasad, E.; Kutty, N.G.; Rao, J.V.; Narayanan, K.; Kumar, N.; Raj, P.V. Novel 2,5-disubstituted-1,3,4-oxadiazole derivatives induce apoptosis in HepG2 cells through p53-mediated intrinsic pathway. Arab. J. Chem. 2019, 12, 2548–2555. [Google Scholar]
- Brattain, M.G.; Fine, W.D.; Khaled, F.M.; Thompson, J.; Brattain, D.E. Heterogeneity of malignant cells from a human colonic carcinoma. Cancer Res. 1981, 41, 1751–1756. [Google Scholar]
- Aden, D.P.; Fogel, A.; Plotkin, S.; Damjanov, I.; Knowles, B.B. Controlled synthesis of HBsAg in a differentiated human liver carcinoma-derived cell line. Nature 1979, 282, 615–616. [Google Scholar] [CrossRef]
- Soule, H.D.; Vazquez, J.; Long, A.; Albert, S.; Brennan, M.J. A human cell line from a pleural effusion derived from a breast carcinoma. J. Natl. Cancer Inst. 1973, 51, 1409–1416. [Google Scholar] [CrossRef] [PubMed]
- El-Hema, H.S.; Mady, M.F.; Adel, A.H.; Nossier, E.S.; El-Sayed, A.F.; Sabry, A.; Hawata, M.A. Novel pyrimidopyridothiazine-based derivatives as potential anticancer and antibacterial agents: A step towards design and synthesis of multi-targeted therapeutics. J. Mol. Struct. 2026, 1349, 143790. [Google Scholar] [CrossRef]
- Hayflick, L.; Moorhead, P.S. The serial cultivation of human diploid cell strains. Exp. Cell Res. 1961, 25, 585–621. [Google Scholar] [CrossRef]
- Mosmann, T. Rapid colorimetric assay for cellular growth and survival: Application to proliferation and cytotoxicity assays. J. Immunol. Methods 1983, 65, 55–63. [Google Scholar] [CrossRef] [PubMed]
- Carmichael, J.; DeGraff, W.G.; Gazdar, A.F.; Minna, J.D.; Mitchell, J.B. Evaluation of a tetrazolium-based semiautomated colorimetric assay: Assessment of chemosensitivity testing. Cancer Res. 1987, 47, 936–942. [Google Scholar]
- Zegzouti, H.; Zdanovskaia, M.; Hsiao, K.; Goueli, S.A. ADP-Glo: A bioluminescent and homogeneous ADP monitoring assay for kinases. Assay Drug Dev. Technol. 2009, 7, 560–572. [Google Scholar] [CrossRef]
- Soliman, S.M.; Abdel-Rahman, A.A.H.; Nossier, E.S.; Hussein, M.F.; Sabry, A.; El-Hema, H.S. Design, antiproliferative potency, and in silico studies of novel 5-(methylfuran-3-ylthio)-3-phenylquinazolin-4(3H)-one derivatives as potential EGFR inhibitors. Sci. Rep. 2025, 15, 27992. [Google Scholar] [CrossRef]
- Liang, C.C.; Park, A.Y.; Guan, J.L. In vitro scratch assay: A convenient and inexpensive method for analysis of cell migration in vitro. Nat. Protoc. 2007, 2, 329–333. [Google Scholar] [CrossRef]
- El-Hema, H.S.; Shehata, H.E.; Hawata, M.A.; Nossier, E.S.; El-Sayed, A.F.; Altwaijry, N.A.; Abdel-Rahman, A.A.H. Innovative amino-functionalization of pyrido[2,3-d]pyrimidine scaffolds for broad therapeutic applications supported by computational analyses. Pharmaceuticals 2025, 18, 1472. [Google Scholar] [CrossRef]
- Wang, H.; Zhang, S.; Li, T.; Wang, L.; Lv, W.; Wang, S.; Wei, W. MicroRNA-146a promotes proliferation, migration, and invasion of HepG2 via regulating FLAP. Cancer Cell Int. 2022, 22, 149. [Google Scholar] [CrossRef]
- Riccardi, C.; Nicoletti, I. Analysis of apoptosis by propidium iodide staining and flow cytometry. Nat. Protoc. 2006, 1, 1458–1461. [Google Scholar] [CrossRef] [PubMed]
- Vermes, I.; Haanen, C.; Steffens-Nakken, H.; Reutelingsperger, C. A novel assay for apoptosis: Flow cytometric detection of phosphatidylserine expression on early apoptotic cells using fluorescein-labelled annexin V. J. Immunol. Methods 1995, 184, 39–51. [Google Scholar] [CrossRef] [PubMed]
- Porter, A.; Jänicke, R. Emerging roles of caspase-3 in apoptosis. Cell Death Differ. 1999, 6, 99–104. [Google Scholar] [CrossRef] [PubMed]
- Gurtu, V.; Kain, S.R.; Zhang, G. Fluorometric and colorimetric detection of caspase activity associated with apoptosis. Anal. Biochem. 1997, 251, 98–102. [Google Scholar] [CrossRef]
- Xiong, G.; Wu, Z.; Yi, J.; Fu, L.; Yang, Z.; Hsieh, C.; Cao, D. ADMETlab 2.0: An integrated online platform for accurate and comprehensive predictions of ADMET properties. Nucleic Acids Res. 2021, 49, W5–W14. [Google Scholar] [CrossRef]
- Schrödinger LLC. The PyMOL Molecular Graphics System, Version 1.8; Schrödinger: New York, NY, USA, 2015.
- Morris, G.M.; Huey, R.; Lindstrom, W.; Sanner, M.F.; Belew, R.K.; Goodsell, D.S.; Olson, A.J. AutoDock4 and AutoDockTools4: Automated docking with selective receptor flexibility. J. Comput. Chem. 2009, 30, 2785–2791. [Google Scholar] [CrossRef]
- Trott, O.; Olson, A.J. AutoDock Vina: Improving the speed and accuracy of docking with a new scoring function, efficient optimization, and multithreading. J. Comput. Chem. 2010, 31, 455–461. [Google Scholar] [CrossRef]
- Dassault Systèmes BIOVIA. Discovery Studio Modeling Environment, Release 4; Dassault Systèmes: San Diego, CA, USA, 2017.
- Páll, S.; Abraham, M.J.; Kutzner, C.; Hess, B.; Lindahl, E. Tackling exascale software challenges in molecular dynamics simulations. In Proceedings of the International Conference on Exascale Applications and Software; Springer: Cham, Switzerland, 2014; pp. 3–27. [Google Scholar]
- Abraham, M.J.; Murtola, T.; Schulz, R.; Páll, S.; Smith, J.C.; Hess, B.; Lindahl, E. GROMACS: High performance molecular simulations through multi-level parallelism from laptops to supercomputers. SoftwareX 2015, 1–2, 19–25. [Google Scholar] [CrossRef]
- Huang, J.; MacKerell, A.D., Jr. CHARMM36 all-atom additive protein force field: Validation based on comparison to NMR data. J. Comput. Chem. 2013, 34, 2135–2145. [Google Scholar] [CrossRef] [PubMed]
- Frisch, M.J.; Trucks, G.W.; Schlegel, H.B.; Scuseria, G.E.; Robb, M.A.; Cheeseman, J.R.; Scalmani, G.; Barone, V.; Mennucci, B.; Petersson, G.A.; et al. Gaussian 09, Revision D.01; Gaussian Inc.: Wallingford, CT, USA, 2009.
- Becke, A.D. Density-functional thermochemistry. III. The role of exact exchange. J. Chem. Phys. 1993, 98, 5648–5652. [Google Scholar] [CrossRef]
- Lee, C.; Yang, W.; Parr, R.G. Development of the Colle–Salvetti correlation-energy formula into a functional of the electron density. Phys. Rev. B 1988, 37, 785–790. [Google Scholar] [CrossRef] [PubMed]


















| Structural Class | Compound | IC50 (µM) | Reference |
|---|---|---|---|
| Quinoline-based | V | 0.0985 | [109] |
| Foretinib (VI) | 0.0009 | [110,111] | |
| VII | 0.036 | [112] | |
| VIII | 0.0038 | [113] | |
| Thiazolidin-4-one | IX | 0.079 | [114] |
| X | 0.0841 | [115] | |
| XI | 0.081 | [116] | |
| Morpholine-containing | XII | 0.049 | [117] |
| XIII | 1.52 | [118] | |
| Reference drugs | Sorafenib | 0.0370–1.4600 | [109,112,113,114,115,116,117] |
| Sunitinib | 1.2 | [118] |
| Comp. | In Vitro Cytotoxicity IC50 (µM) | ||||||
|---|---|---|---|---|---|---|---|
| WI-38 | HCT-116 | SI (HCT-116) | HePG-2 | SI (HePG-2) | MCF-7 | SI (MCF-7) | |
| DOX | 6.72 ± 0.5 | 5.23 ± 0.3 | 1.28 | 4.50 ± 0.2 | 1.49 | 4.17 ± 0.2 | 1.61 |
| SOR | 10.65 ± 0.8 | 5.47 ± 0.3 | 1.95 | 9.18 ± 0.6 | 1.16 | 7.26 ± 0.3 | 1.47 |
| 1 | 34.76 ± 2.3 | 60.45 ± 3.4 | 0.57 | 56.16 ± 3.3 | 0.62 | 52.68 ± 3.1 | 0.66 |
| 2 | 49.53 ± 3.0 | 9.61 ± 0.8 | 5.15 | 11.63 ± 0.9 | 4.26 | 6.31 ± 0.4 | 7.85 |
| 3 | >100 | 94.20 ± 5.1 | - | 87.05 ± 4.3 | - | 81.63 ± 4.0 | - |
| 4 | 55.48 ± 3.2 | 13.42 ± 1.1 | 4.13 | 19.53 ± 1.4 | 2.84 | 8.72 ± 0.7 | 6.36 |
| 5 | 64.26 ± 3.6 | 45.70 ± 2.6 | 1.41 | 42.85 ± 2.6 | 1.50 | 33.45 ± 2.2 | 1.92 |
| 6 | 47.52 ± 2.8 | 39.82 ± 2.4 | 1.19 | 36.15 ± 2.3 | 1.31 | 29.71 ± 1.9 | 1.60 |
| 7 | 73.38 ± 3.8 | >100 | - | 92.27 ± 4.8 | 0.80 | >100 | - |
| 8 | 32.74 ± 2.1 | 83.54 ± 4.2 | 0.39 | 78.16 ± 3.9 | 0.42 | 75.42 ± 3.9 | 0.43 |
| 9 | 18.17 ± 1.3 | 53.24 ± 3.1 | 0.34 | 59.44 ± 3.4 | 0.31 | 48.97 ± 2.8 | 0.37 |
| 10 | >100 | 51.63 ± 2.9 | - | 46.59 ± 2.8 | - | 40.84 ± 2.5 | - |
| 11 | 27.63 ± 1.8 | 76.19 ± 3.9 | 0.36 | 68.75 ± 3.7 | 0.40 | 57.43 ± 3.4 | 0.48 |
| 12 | 85.26 ± 4.4 | 72.54 ± 3.8 | 1.18 | 61.78 ± 3.5 | 1.38 | 63.57 ± 3.5 | 1.34 |
| 13 | 58.84 ± 3.4 | 31.04 ± 1.9 | 1.89 | 20.02 ± 1.5 | 2.94 | 26.13 ± 1.7 | 2.25 |
| 14 | 67.75 ± 3.6 | 22.56 ± 1.4 | 3.00 | 7.84 ± 0.5 | 8.64 | 17.80 ± 1.4 | 3.81 |
| Transformation | IC50 Start (µM) | IC50 Final (µM) | pIC50 Start | pIC50 Final | ΔpIC50 | Heavy Atoms Added | GE |
|---|---|---|---|---|---|---|---|
| 1→4 | 56.16 | 19.53 | 4.25 | 4.71 | 0.46 | 10 | 0.05 |
| 4→5 | 19.53 | 42.85 | 4.71 | 4.37 | −0.34 | 9 | −0.04 |
| 5→6 | 42.85 | 36.15 | 4.37 | 4.44 | 0.07 | 2 | 0.04 |
| 6→7 | 36.15 | 92.27 | 4.44 | 4.03 | −0.41 | 5 | −0.08 |
| 7→8 | 92.27 | 78.16 | 4.03 | 4.11 | 0.08 | 6 | 0.01 |
| 2→9 | 11.63 | 59.44 | 4.93 | 4.23 | −0.70 | 2 | −0.35 |
| 3→10 | 87.05 | 46.59 | 4.06 | 4.33 | 0.27 | 3 | 0.09 |
| 10→11 | 46.59 | 68.75 | 4.33 | 4.16 | −0.17 | 6 | −0.03 |
| 11→12 | 68.75 | 61.78 | 4.16 | 4.21 | 0.05 | 3 | 0.02 |
| 11→13 | 68.75 | 20.02 | 4.16 | 4.7 | 0.54 | 4 | 0.14 |
| 13→14 | 20.02 | 7.84 | 4.7 | 5.11 | 0.41 | 6 | 0.07 |
| Compd. No. | IC50 (Mean ± SD) (µM) |
|---|---|
| 14 | 0.55 ± 0.02 |
| Sorafenib | 0.17 ± 0.01 |
| Compound No. | % Closure 72 h |
|---|---|
| 14/HePG-2 | 63.704 ± 2.35 |
| Cont./HePG-2 | 97.037 ± 3.58 |
| Compound No. | Caspase 3-Pg/mL | Fold |
|---|---|---|
| 14/HePG-2 | 530.21 ± 20.6 | 5.319 |
| Cont./HePG2 | 99.69 ± 3.87 | 1.000 |
| File Name | LUMO | HOMO | ΔE | A | I | X | η | S or σ | ω | ΔNmax | ΔN |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | −0.16384 | −0.27031 | 0.10647 | 0.16384 | 0.27031 | 0.217075 | 0.053235 | 18.78463417 | 0.885161184 | 2.038837231 | 63.70738236 |
| 2 | −0.15594 | −0.30892 | 0.15298 | 0.15594 | 0.30892 | 0.23243 | 0.07649 | 13.07360439 | 0.706284546 | 1.519348935 | 44.23826644 |
| 3 | −0.18792 | −0.26223 | 0.07431 | 0.18792 | 0.26223 | 0.225075 | 0.037155 | 26.91427802 | 1.363443833 | 3.028865563 | 91.17110752 |
| 4 | −0.17998 | −0.28017 | 0.10019 | 0.17998 | 0.28017 | 0.230075 | 0.050095 | 19.96207206 | 1.056682416 | 2.296386865 | 67.57086536 |
| 5 | −0.17693 | −0.28746 | 0.11053 | 0.17693 | 0.28746 | 0.232195 | 0.055265 | 18.09463494 | 0.975563522 | 2.10074188 | 61.23048041 |
| 6 | −0.17698 | −0.2861 | 0.10912 | 0.17698 | 0.2861 | 0.23154 | 0.05456 | 18.32844575 | 0.982602119 | 2.121884164 | 62.02767595 |
| 7 | −0.18356 | −0.2271 | 0.04354 | 0.18356 | 0.2271 | 0.20533 | 0.02177 | 45.93477262 | 1.936628797 | 4.715893431 | 156.0558107 |
| 8 | −0.17906 | −0.22860 | 0.04954 | 0.17906 | 0.2286 | 0.20383 | 0.02477 | 40.37141704 | 1.677297897 | 4.114452967 | 137.1855067 |
| 9 | −0.15731 | −0.27163 | 0.11432 | 0.15731 | 0.27163 | 0.21447 | 0.05716 | 17.49475157 | 0.804712752 | 1.876049685 | 59.35558083 |
| 10 | −0.16424 | −0.1998 | 0.03556 | 0.16424 | 0.1998 | 0.18202 | 0.01778 | 56.24296963 | 1.863401597 | 5.118672666 | 191.731721 |
| 11 | −0.18684 | −0.23087 | 0.04403 | 0.18684 | 0.23087 | 0.208855 | 0.022015 | 45.42357484 | 1.981395005 | 4.743470361 | 154.2390416 |
| 12 | −0.2262 | −0.26118 | 0.03498 | 0.2262 | 0.26118 | 0.24369 | 0.01749 | 57.17552887 | 3.395358268 | 6.966552316 | 193.1477987 |
| 13 | −0.19017 | −0.21831 | 0.02814 | 0.19017 | 0.21831 | 0.20424 | 0.01407 | 71.0732054 | 2.964746098 | 7.257995736 | 241.4982232 |
| 14 | −0.17391 | −0.18414 | 0.01023 | 0.17391 | 0.18414 | 0.179025 | 0.005115 | 195.5034213 | 6.265875 | 17.5 | 666.7619746 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2026 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
Share and Cite
Manni, E.; Hussein, M.F.; Elkady, S.; Abdel-Rahman, A.A.-H.; Hawata, M.A.; El-Sayed, W.A.; El-Sayed, A.F.; El-Hema, H.S. From Synthesis to Mechanism: Biological Evaluation of a p-Toluidine-Based Thiazolidinone-Quinoline VEGFR-2 Candidate Supported by CADD. Int. J. Mol. Sci. 2026, 27, 3018. https://doi.org/10.3390/ijms27073018
Manni E, Hussein MF, Elkady S, Abdel-Rahman AA-H, Hawata MA, El-Sayed WA, El-Sayed AF, El-Hema HS. From Synthesis to Mechanism: Biological Evaluation of a p-Toluidine-Based Thiazolidinone-Quinoline VEGFR-2 Candidate Supported by CADD. International Journal of Molecular Sciences. 2026; 27(7):3018. https://doi.org/10.3390/ijms27073018
Chicago/Turabian StyleManni, Emad, Modather F. Hussein, Sara Elkady, Adel A.-H. Abdel-Rahman, Mohamed A. Hawata, Wael A. El-Sayed, Ahmed F. El-Sayed, and Hagar S. El-Hema. 2026. "From Synthesis to Mechanism: Biological Evaluation of a p-Toluidine-Based Thiazolidinone-Quinoline VEGFR-2 Candidate Supported by CADD" International Journal of Molecular Sciences 27, no. 7: 3018. https://doi.org/10.3390/ijms27073018
APA StyleManni, E., Hussein, M. F., Elkady, S., Abdel-Rahman, A. A.-H., Hawata, M. A., El-Sayed, W. A., El-Sayed, A. F., & El-Hema, H. S. (2026). From Synthesis to Mechanism: Biological Evaluation of a p-Toluidine-Based Thiazolidinone-Quinoline VEGFR-2 Candidate Supported by CADD. International Journal of Molecular Sciences, 27(7), 3018. https://doi.org/10.3390/ijms27073018

