Three-Carbon Linked Dihydroartemisinin-Isatin Hybrids: Design, Synthesis and Their Antiproliferative Anticancer Activity.

Fifteen dihydroartemisinin-isatin hybrids ( and linked with three-carbon were designed, synthesized. The antiproliferative activity against lung cancer cell lines including drug-sensitive A549, doxorubicin-resistant A549 (A549/DOX) and cisplatin-resistant A549 (A549/DDP) lung cancer cell lines was tested. The cytotocivity towards normal lung epithelial BEAS-2B cell line was also investigated. From the structure-activity relationship (SAR), it was found that hydrogen bond donors (especially hydroxime and thiosemicarbazide) at C-3 position and electron-withdrawing groups (fluoro and chloro) at C-5 position of isatin moiety were beneficial for the activity. A significant part of them (half maximal inhibitory concentration/IC: 5.72-55.52 M) demonstrated considerable antiproliferative activity, and the activity was superior to that of dihydroartemisinin (IC: 69.42-88.03 M) and artemisinin (IC: >100 M). In particular, two hybrids (IC: 5.72-9.84 M) were not inferior to doxorubicin (IC: 4.06 M) and cisplatin (IC: 9.38 M) against drug-sensitive A549 cells and were more potent than doxorubicin (IC: 54.32 and 15.10 M) and cisplatin (IC: 19.74 and 66.89 M) against multidrug-resistant A549/DOX and A549/DDP lung cancer cell lines. In addition, hybrids (IC: >100 M) showed no toxicity towards BEAS-2B cells, proving their excellent selectivity profile. Furthermore, hybrid also possessed good stability in mouse and human microsomes, as well as excellent pharmacokinetic properties. Accordingly, hybrid could serve as a promising anti-lung cancer chemotherapeutic candidate for further preclinical evaluations.