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Structure-Activity Relationship Studies of Novel Heteroretinoids: Induction of
Apoptosis in the HL-60 Cell Line by a Novel Isoxazole-Containing
Heteroretinoid
Daniele Simoni,*,† Francesco Paolo Invidiata,‡ Riccardo Rondanin,† Stefania Grimaudo,‡ Giuliana Cannizzo,§
Eleonora Barbusca,§ Ferdinando Porretto,§ Nicola D’Alessandro,§ and Manlio Tolomeo§
Dipartimento di Scienze Farmaceutiche, Universita di Ferrara, Via Fossato di Mortara 17-19, 44100 Ferrara, Italy, and`
Istituto Farmacochimico and Divisione di Ematologia e Servizio A.I.D.S., Policlinico, Universita di Palermo,`
90123 Palermo, Italy
Received April 12, 1999
In a search for retinoic acid receptor (RAR and RXR)-selective ligands, a series of isoxazole
retinoids was synthesized and evaluated in vitro in transcriptional activation and competition
binding assays for RARs and RXRs. In addition, these compounds were evaluated for their
differentiating, cytotoxic, and apoptotic activities. In general, these derivatives showed scarcely
any binding affinity and were not active in the transcriptional assay. However, among these
isoxazole derivatives, the cis-isomer 14b was identified as a potent inducer of apoptosis, and
its activity was found to be 6.5 and 4 times superior than that of 13-cis- and 9-cis-retinoic
acids, respectively. On the other hand, compound 13b, which has the trans stereochemistry at
the double bond, was found not to be active in the apoptotic assay, but it was endowed with
appreciable differentiating activity. Therefore, it seems that the different stereochemistry of
the double bond may be associated with a different biological activity: potent apoptotic activity
for the cis-isomer but differentiating activity for the trans structure. This biological behavior
was found, at least in part, for the 9-cis- and 13-cis-retinoic acids with respect to the all-trans-
retinoic acid. Thus, structure 14b could offer an interesting model for the design of new
compounds endowed with apoptotic activity.
Introduction
   Programmed cell death, or apoptosis, is a genetically
encoded process involved in the homeostasis of multi-
cellular organisms and in carcinogenesis.1,2 Several
cytotoxic drugs employed in the chemotherapy of ma-
lignancies cause apoptosis in neoplastic cells,3 but the
mechanisms by which these drugs induce apoptosis are
not well-understood at the molecular level, although
several studies indicate that wild-type p53 oncosup-
pressor gene, the Fas/Fas ligand system, and the
caspases activation can play a role in drug-induced
apoptosis.4-6 Recently, it has been shown that some
natural and synthetic retinoids are capable of inducing
apoptosis in cancer cell lines, but the mechanism by
which retinoids induce apoptosis is still unknown.7-9
The retinoid signal is mediated by two classes of nuclear
receptors: the retinoic acid receptors (RARR, -β, and -γ)
and the retinoic X receptors (RXRR, -β, and -γ).10 These
receptors usually bind as heterodimers to specific DNA
sequences and/or interact with other transcriptional
regulators, such as AP-1, to regulate gene transcription.
The implication of RARs and RXRs in retinoid-induced
apoptosis is still unclear; some observations suggest that
cell differentiation mediated by retinoic acid is induced
by the activation of RAR, whereas activation of RXR
seems to be essential for driving cells into apoptosis;11
on the contrary, other authors have demonstrated the
involvement of the RAR in apoptosis induced by reti-
noids as shown by the inibition of apoptosis after
treatment of HL-60 cells with an RARR antagonist.12,13
Moreover, a novel retinoid has been recently described
that induces apoptosis with mechanism(s) not involving
the nuclear RAR.14
   Thus, as a result of the multiplicity of receptors,
hormones, and dimerization pathways, it is likely that
the many biological effects associated with retinoids are
in fact mediated by several distinct pathways. However,
the wider use of retinoids in dermatology (principally
in the therapy of psoriasis and acne)10,15,16 and in other
diseases such as oncology (treatment of carcinomas and
for cancer chemoprevention)17,18 has been precluded by
unacceptable side effects19 including skin irritation, lipid
and bone toxicity, visual effects, and teratogenicity.7,19
   To increase the selectivity to the retinoid receptors
and to obtain compounds of pharmacological interest,
the relationships between structure and retinoid activity
have been extensively studied by preparing a large
number of geometric isomers as well as conformationally
locked and/or restricted analogues, resulting in specific,
rigid, three-dimensional configurations.10,19
   Taking these considerations into account, we have
recently started a study aimed at evaluating the sub-
stitution of the benzene ring portion of potent retinoids,
such as the so-called “short retinoids” TTNPB and
AM580, with a more hydrophilic isosteric heterocycle
(i.e. isoxazole or thiophene). This study has identified
a new class of interesting isoxazole-containing heter-

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