Introduction
Cancer remains a leading global health challenge, claiming approximately 8 million lives annually. Alarmingly, projections suggest a rise of over 50% in new cancer cases in the coming years. 1 By 2030, the annual global burden of cancer is expected to reach a staggering 22 million cases. 2 This represents a significant increase from the current 8 million cases per year, underlining the urgent need for advancements in cancer prevention, diagnosis, and treatment. A growing concern in cancer treatment is the emergence of acquired resistance to chemotherapy in various cancer types. 3,4 Unfortunately, many chemotherapeutic drugs can also affect healthy dividing cells, causing side effects such as nausea, a weakened immune system, anemia, and hair loss. This is because these drugs are not specific in targeting only cancer cells. 5,6
This critical need for improved cancer treatments underscores the urgency of developing new anticancer agents with a superior therapeutic index. Many successful anticancer drugs work by causing DNA damage in cancer cells, ultimately leading to programmed cell death (apoptosis). 7,8 Some anticancer drugs, called DNA intercalators, work by embedding themselves between the strands of DNA. This disrupts the normal function of DNA, leading to cell cycle disruptions and eventually cell death. 9,10 By imagining the DNA molecule as a twisted ladder, DNA intercalators are similar to tiny wedges that can squeeze between the rungs of the ladder (base pairs). These wedges disrupt the normal functioning of the DNA, ultimately leading to cell death. Intercalation is stabilized by a combination of forces, including π-electron interactions, electrostatic attractions, and hydrophobic/polar interactions. 11 Acridine derivatives ( e.g. amsacrine), 12 anthracyclines ( e.g. , mitoxantrone, doxorubicin (Dox), and nogalamycin), 13,14 are examples of FDA-approved DNA intercalators, as shown in Fig. 1 .

Compounds can interact with DNA through either non-covalent or covalent interactions, with the non-covalent pattern typically being more prevalent. Non-covalent binding can be categorized into three types: intercalation, electrostatic, and groove binding. 15 The molecule can undergo binding at several sites, including the minor groove and major groove, between two base pairs (full intercalation), on the exterior of the helix, and through electrostatic binding. 15,16 Typically, there is no singular method that can offer a definitive understanding of the interaction between drugs and DNA. Therefore, it is crucial to provide effective, rapid, and economical experimental and computational methods to evaluate the interaction between DNA and other substances, with the purpose of assisting in drug design and discovery.
DNA topoisomerases are like tiny cellular machines (enzymes) that help manage the complex structure of DNA. DNA topoisomerases use energy from ATP to manipulate the molecular motion of DNA, preventing it from getting tangled. 17 There are two main types of DNA topoisomerases: Type I and Type II. Notably, Type I enzymes (topoisomerase I) can make changes to the structure of a single strand of DNA, while Type II (topoisomerase II) enzymes can modify the structure involving both strands of DNA. 17
Topoisomerase II (Topo-II) is regarded as a prominent enzyme in our cells that helps manage the complex structure of DNA. It temporarily aids in cutting both strands of the DNA molecule and then sealing the cuts back up. This allows DNA to unwind and be used in important cellular processes like copying chromosomes, cell division, and making proteins. 18 Topoisomerase II inhibitors can be categorized into two major classes: Topo-II poisons and Topo-II catalytic inhibitors. Topo-II poisons are characterized by their ability to enhance the rate of Topo-II/DNA complex cleavage, ultimately leading to the formation of DNA strand lesions. 19 Examples of Topo-II poisons are anthracyclines ( e.g. , Dox 13 and mitoxantrone 14 ). However, Topo-II catalytic inhibitors work by specifically inhibiting the catalytic activity of Topo-II and do not change the rate of Topo-II/DNA complex cleavage. 20 An example of a Topo-II catalytic inhibitor is Etoposide. 21 Hence, DNA intercalation and Topo-II inhibition are emerging as attractive and efficient tools in the fight against cancer. Their ability to target DNA makes them valuable approaches for cancer therapy.
Additionally, the pyrimidine derivatives are privileged scaffolds in medicinal chemistry with various biological activities, such as anti-microbial, 22–24 anti-hypertensive, 25 anti-diabetic, 26–28 and anticancer agents. 29–32 Hence, in this current work, our main aim is to design and synthesize novel ethyl 6-(chloromethyl)-1-methyl-2-oxo-4-phenyl-1,2,3,4-tetrahydropyrimidine-5-carboxylate derivatives as DNA intercalators and Topo-II inhibitors.
Rationale of the design
Herein, many DNA intercalators and Topo-II inhibitors, such as Dox, share key pharmacophores that are essential for their function. These pharmacophores include a planar polyaromatic chromophore, a groove binder (a component that fits into a specific area of the DNA molecule), and a positively charged region (cationic center). 10,33 These structural features underpin the efficacy of DNA intercalators and Topo-II inhibitors by facilitating their interaction with designated regions of the DNA molecule. This interaction disrupts the enzyme's activity and consequently interferes with the maintenance of proper DNA topology, as the rational design is based on maintaining the main essential pharmacophores with the possibility of slight molecular modifications to pursue activity change. In this current work, we retained the main essential pharmacophores of Topo-II inhibitors and DNA intercalators with some molecular modifications for SAR studies. Moreover, we have considered the pharmacophoric nature of the parent compounds, not their exact chemical entities. Replacing the anthracene nucleus of Doxorubicin (Dox) with a tetrahydropyrimidine scaffold is a strategy rooted in medicinal chemistry and drug design, aiming to improve certain pharmacological properties, while retaining or modifying the therapeutic activity. For example, the quinone and aromatic rings in the anthracene nucleus are involved in redox cycling, generating reactive oxygen species (ROS) that damage cardiac tissue. 34 Replacing this core with a less redox-active scaffold-like tetrahydropyrimidine could help minimize ROS generation and reduce cardiotoxic effects. So, the anthracene nucleus of Dox was replaced by a tetrahydropyrimidine scaffold (to be inserted in between the DNA base pairs, where both act as intercalators between the DNA nucleobases regardless of the difference in size between pyrimidine and anthracene scaffolds), the –NH 2 group of Dox was kept in our designed compounds (to act as a cationic center that can be protonated at physiological pH to interact with the phosphate group of the DNA sugar moiety), and the groove binder of Dox was replaced by similarly acting diverse substituted phenyl motifs to be directed towards the minor groove of DNA ( Fig. 2 ). It is worth noting that the 3,4,5-trimethoxy phenyl side chain as a groove binder can contribute to superior stability, lower RMSD, and better Δ G binding energy compared to Dox. Regarding stability, the 3,4,5-trimethoxyphenyl group can fit particularly well into the DNA minor groove, owing to the 1-steric compatibility (the narrow groove accommodates small, hydrophobic, and electron-rich aromatic rings), 2-hydrogen bonding potential (the methoxy groups can act as hydrogen bond acceptors), and the 3-hydrophobic interactions (groove interiors are relatively hydrophobic and the 3,4,5-trimethoxyphenyl non-polar surface matches this environment). Regarding RMSD, the 3,4,5-trimethoxyphenyl group side chain contributes to low RMSD because it locks into the groove via different interactions. Moreover, unlike Dox's intercalation, which can disturb the DNA geometry or flip out the bases, the groove binding of 3,4,5-trimethoxyphenyl is less invasive, so the ligand can stay more stable with lower RMSD values. The binding free energy (Δ G ) may be more favorable in 3,4,5-trimethoxyphenyl-based groove binders since methoxy groups at positions 3, 4, and 5 can interact with DNA bases and sugar-phosphate backbone oxygens via hydrogen bonds. The phenyl ring can make tight van der Waals contacts with the groove wall, in addition to groove environments that favor non-polar interactions. The 3,4,5-trimethoxyphenyl group can achieve this type of interaction, affording favorable binding free energy (Δ G ). In conclusion, our designed compounds retained the main pharmacophores of Dox required for DNA intercalation and Topo-II inhibition.

Results and discussion
In silico studies
Molecular docking
Based on the aforementioned rational design of DNA intercalators and Topo-II inhibitors, taking into consideration the main pharmacophoric features of Dox as a reference standard, our research team theoretically designed novel substituted tetrahydropyrimidine analogues (T 1–35 ), as shown in Scheme 1 .

These analogues were designed based on their novelty in synthesis and diversity. Afterward, all of the designed analogues (T 1–35 ) were investigated for their inhibitory potential towards the hybrid DNA and Topo-II target receptor (PDB ID: 3QX3 ) using molecular docking. This was done to select the most promising analogue to be synthesized, and accordingly save effort, time, and cost in the drug discovery process. First, the active site residues were identified to be Met782, Gln778, Asp479, Lys456, Glu477, Gly478, Gly504, Leu502, Arg503, Ala817, DA12, DC11, DC14, and DG13. Moreover, both Dox and the co-crystallized inhibitor of the target receptor (EVP) were utilized as two reference standards.
Interestingly, the theoretically designed tetrahydropyrimidine analogue (T 30 ) with a 3,4,5-trimethoxy phenyl side chain was found to be the superior candidate, achieving a binding score of −7.06 kcal mol −1 (RMSD = 1.56 Å). This binding score was comparable to both reference standards (Dox and EVP), which exhibited binding scores of −7.44 kcal mol −1 (RMSD = 1.58 Å) and −7.45 kcal mol −1 (RMSD = 1.57 Å), respectively. Additionally, the docking scores, RMSD, and binding interactions of the target novel substituted tetrahydropyrimidine analogues (T 1–35 ) are summarized in the ESI data (Table S1 † ).
The binding mode of the designed analogue (T 30 ) was highly similar to both reference standards (Dox and EVP), as shown in Fig. 3 , illustrating the formation of one hydrogen bond with Met782 and one pi-hydrogen bond with DA12 through its trimethoxy phenyl side chain. Moreover, it formed two hydrogen bonds with DC11 and Ala817 through its tetrahydropyrimidine moiety extensions at C2 and C6. Accordingly, both hydrogen and pi-hydrogen bonds were clarified to be crucial types of interactions to stabilize analogue (T 30 ) inside the binding pocket of DNA and the Topo-II target receptor. Moreover, Dox showed the formation of two hydrogen bonds with DA12 and Gln778. However, the docked co-crystallized EVP bound both DA12 and Met782 with two hydrogen bonds. These findings indicate the antagonistic potential of the designed analogue (T 30 ) towards the hybrid DNA and Topo-II target receptor (PDB ID: 3QX3 ).

Molecular dynamics simulation
Since the docking approach does not take into account the protein's flexibility, the docked candidates (T 30 , Dox, and EVP) were further subjected to molecular dynamics simulation for 500 ns to validate their stabilities within the active site of the hybrid DNA and Topo-II target receptor (PDB ID: 3QX3 ).
RMSD analysis
RMSD was performed to judge the system's stability. The RMSD describes the deviation degree of the complex protein with respect to its initial position in a quantitative way. The three examined complexes showed moderate stability with RMSD values <5.4 Å ( Fig. 4A ). Moreover, the ligand RMSD (L-RMSD) was studied to evaluate the exact behaviour of each ligand within the hybrid DNA and Topo-II target receptor (PDB ID: 3QX3 ) binding domain ( Fig. 4B ). Interestingly, compound T 30 showed the most stable behaviour with an RMSD value of 6.3 Å as the maximum fluctuation level. However, Dox and EVP fluctuated to 8 and 9 Å, respectively, indicating their less stable behaviours compared to T 30 .

Binding interactions histogram and heat map analysis
To completely describe the hybrid DNA and Topo-II target receptor (PDB ID: 3QX3 )-ligand interactions, both histograms and heat maps were analyzed in detail ( Fig. 5 and ESI Fig. S1 † ), respectively.

The histogram of the hybrid DNA and Topo-II target receptor in complex with compound T 30 showed that Gln778 contributed the most to the interactions with about 58%. The types of interactions included hydrogen bonds and water bridges ( Fig. 5A ). However, Dox, Ala817, Gln789, and Asn786 contributed the most to the interactions at 80%, 70%, and 65%, respectively, with hydrogen bonds and water bridge interactions for the three amino acids ( Fig. 5B ). Moreover, the hybrid DNA and Topo-II receptor-EVP histogram showed that Asn520 and Gln778 were the superior amino acids with 52% and 45% contributions, respectively, through hydrogen bonds and water bridge interactions ( Fig. 5C ).
Briefly, it can be concluded that T 30 shared the co-crystal (EVP) interactions with Gln778 amino acid, which may be considered the most crucial residue to produce the antagonistic activity towards the hybrid DNA and Topo-II receptor.
Furthermore, the exact time of the binding interactions for the hybrid DNA and Topo-II target receptor residues with T 30 , Dox, and EVP candidates were represented by heat map output (ESI Fig. S1 † ).
The heat map of the hybrid DNA and Topo-II target receptor-T 30 complex showed that the interactions of Gln778 were more prominent after 100 ns of the simulation time, and were preserved until the end of the simulation (Fig. S1, † A). Conversely, more intense behaviours were observed for Ala817, Gln789, and Asn786 interactions with Dox (Fig. S1B † ). The interactions of Ala817 were more intense in the first half of the simulation time. In contrast, the interactions of Gln789 and Asn786 were more intense in the second half of the simulation time. Additionally, the hybrid DNA and Topo-II target receptor-EVP complex heat map showed that Asn520 and Gln778 continually contributed to the binding interactions throughout most of the simulation time (Fig. S1C † ).
MM-GBSA calculations
MM-GBSA calculations using the thermal_mmgbsa.py python script of Schrodinger 35 were carried out for all complexes (T 30 , Dox, and EVP)- 3QX3 , and are summarized in Table 1 . Notably, the target candidate (T 30 ) achieved superior Δ G binding energy (−33.86 kcal mol −1 ) compared with Dox and EVP (−33.80 and −27.94 kcal mol −1 , respectively), indicating the more favorable binding affinity of the tetrahydropyrimidine scaffold of T 30 than that of the anthracene core of Dox.
Table 1
MM-GBSA energies for the complexes (T 30 , Dox, and EVP) of the hybrid DNA and Topo-II target receptor a
a Coulomb: Coulomb energy; covalent: covalent binding energy; H-bond: hydrogen-bonding energy; lipo: lipophilic energy; Solv_GB: generalized born electrostatic solvation energy; VdW: van der Waals energy; and St. Dev.: standard deviation.
| Complex | Δ G binding | Coulomb | Covalent | H-bond | Lipo | Bind packing | Solv_GB | VdW |
| T 30 | −33.86 | −963.07 | 6.41 | −0.43 | −10.79 | −0.39 | 1024.80 | −90.38 |
| Dox | −33.80 | −1046.22 | 5.18 | −0.50 | −13.04 | −0.51 | 1133.57 | −112.27 |
| EVP | −27.94 | −930.40 | 6.02 | −0.26 | −10.52 | −0.06 | 998.07 | −90.79 |
Chemistry
As presented in Scheme 2 , the most promising candidate (T 30 ) was conveniently synthesized through Biginelli multicomponent reaction (MCR). 36,37 It involves the cyclocondensation of 3,4,5-trimethoxybenzaldehyde 1 with ethyl 4-chloroacetoacetate 2 and N -methylurea 3 in reflux with absolute ethanol, in addition to citric acid and triethylorthoformate (TEOF) to remove the water molecule and the formation of the tetrahydropyrimidine (THPM) analogue T 30 with high yield (93%).

Elemental analysis and spectroscopic data ( 1 H NMR, 13 C NMR, DEPTQ, HMQC, mass spectroscopy, and HPLC) of the newly synthesized compound were in agreement with the expected chemical structure, as reported in the experimental section. Generally, the 1 H NMR spectral data of the target compound showed a pair of doublet signals at δ 5.08 and 8.06 ppm, representing 4-H and 3-NH, respectively, at the THPM ring, and the disappearance of the singlet signals of proton of the starting aldehyde and the two protons of the active methylene (–CH 2 ) of ethyl 4-chloroacetoacetate 2 at around δ 9.82 and 3.41 ppm, respectively. 13 C NMR spectra showed the presence of 4-C at the THPM ring at δ 52.59 ppm, the disappearance of the carbonyl group of the starting aldehyde, and one of the two carbonyl groups of ethyl 4-chloroacetoacetate 2 in the expected range of δ 190–210 ppm. The conducted HRMS further assured the chemical structure of compound T 30 (cald./found 399.13174/399.13194 m/z ).
The 13 C NMR-DEPTQ approach was used to discriminate between carbons that carried an odd number of protons (CH and CH 3 ) and those bearing an even number of protons or without protons (CH 2 and C Q ) by revealing signals upfield (positive) and downfield (negative), respectively, to the baseline. Compound T 30 showed two aliphatic peaks downfield to the baseline at 38.50 and 60.91 ppm, respectively, for the CH 2 Cl and CH 2 O groups, in addition to all quaternary carbons. In addition, it showed peaks above the baselines related to all CH 3 groups (three OCH 3 , NCH 3 , and OCH 2 CH 3 ) and all CH groups (two benzene CH at positions 2/6 and one THPM CH at position 4).
Furthermore, the two-dimensional 1 H– 13 C HMQC (Heteronuclear Multiple Quantum Coherence) technique was used to correct and complete the 13 C NMR peak assignments. From the 1 H– 13 C HMQC spectrum shown in Fig. 6 , two separate cross-peaks can easily be seen by correlation of proton H A at 4.99 ppm with the carbon signal at 38.49 ppm, and that of proton H B at 5.11 ppm with the carbon signal at the same chemical shift (38.49 ppm). Based on this, the signal at 38.49 ppm could easily be assigned to the carbon atom attached to both protons (H A and H B ) of compound T 30 . The previous conclusion was supported by the same coupling constant of both doublet signals at 4.99 and 5.11 ppm ( J = 10.0 Hz). Although there is a third doublet signal for a proton in that region (5.08 ppm), it was possible to conclude that it couples with the doublet signal of the NH group (8.06 ppm) because of the same coupling constant value ( J = 5.0 Hz). Thus, we can conclude that it is the proton belonging to the carbon number four at the THPM ring.

The mass spectra of the synthesized compound showed a peak corresponding to the molecular ion and its isotope. According to HPLC analysis, compound T 30 has a purity level greater than 98.9% (see the purity value listed for the lead compound in the experimental section and Fig. S7 † ).
Biological evaluation
Evaluation of in vitro antiproliferative activity by NCI
In order to determine the inhibitory effect and range of compound T 30 , we submitted a request to the National Cancer Institute (NCI) to evaluate its efficacy against a selection of nine different types of cancer cells. NCI employs a total protein assay using sulforhodamine B (SRB), a widely recognized method noted for its high sensitivity, accuracy, and reduced vulnerability to interferences generated by the tested chemical. This is due to its independence from cellular metabolic activities. 3,38,39 Compound T 30 was tested against various cancers, including blood, lung, colon, CNS, skin, ovary, renal, prostate, and breast, using a single dose (10 μM) and five doses (GI 50 ) (0.01, 0.1, 1, 10, and 100 μM).
Compound T 30 exhibited significant antiproliferative activity, with mean GI% = 122% and mean GI 50 = 4.10 μM. It had the highest level of effectiveness against all 59 cell lines in terms of inhibiting cancer growth. Compound T 30 demonstrated deadly effects in 39 instances of cancer cells, with growth inhibition percentages ranging from 101% to 196% (Fig. S8 † ). In addition, it exhibited remarkable activity with GI 50 values ranging from 1.43 to 13.5 μM (6 of them being less than 2.00 μM) and LC 50 values ranging from 7.16 to greater than 100.0 μM (Fig. S9 † ).
In vitro assessment of the effectiveness against blood malignancies
Haematologic malignancies, although classified as a single cancer group, exhibit diversity and can be classified into three subtypes based on their origins: leukaemia, lymphoma, and multiple myeloma. A recent study has uncovered that haematologic cancer patients experience a decline in their quality of life due to both the blood cancer itself and the adverse effects of current medications. Consequently, there is a need for improved treatments to meet these unresolved challenges. 40 Considering this, we investigated the effectiveness of the synthesized compound T 30 on several cell lines associated with leukaemia (HL60 and K562), lymphoma (CCRF-CEM, MOLT-4, and SR), and multiple myeloma (RPMI8226) using one-dose and five-dose treatments. The findings are presented in Fig. 7A . Compound T 30 exhibited deadly effects on HL-60, MOLT-4, and SR, with growth inhibition percentages (GI%) of 121, 127, and 122, respectively. All blood cancer cell lines displayed a GI 50 range of 2.24–2.59 μM. The RPMI-8226 cell line exhibited the highest sensitivity to T 30 among the investigated cell lines.

In vitro assessment of the effectiveness against non-small cell lung malignancies
Lung cancer is the leading cause of mortality worldwide among all types of cancer. It is categorized into two main types: small-cell lung cancer (SCLC) and non-small-cell lung cancer (NSCLC). SCLC, which constitutes more than 85% of lung cancers, is less responsive to chemotherapy compared to the former. NSCLCs are categorized into adenocarcinoma, squamous cell carcinoma, or large-cell carcinoma. The synthesized hybrid compounds were subsequently evaluated against a panel of nine non-small cell lung cancers (NSCLCs), encompassing lung adenocarcinoma cells (A549, EKVX, HOP62, HOP92, H23, and H522), metastatic lung adenocarcinoma (H322 cell line), large cell lung carcinoma (H460 cell line), and squamous carcinoma (H226 cell line). The findings are succinctly presented in Fig. 7B . Compound T 30 exhibited a wide range of effectiveness, with a growth inhibition percentage (GI%) ranging from 54 to 176 and a GI 50 (concentration required for 50% growth inhibition) ranging from 1.55 to 12.7 μM. The lung cancer cell that exhibits the highest sensitivity is H522, which is classified as adenocarcinoma and has a GI% of 176 (indicating deadly activity) and a GI 50 of 1.55 μM. Conversely, the two cells that are least affected are HOP-62 and H322M. The NCI-H522 cell line was most sensitive to T 30 among the investigated cell lines.
In vitro assessing the effectiveness against colorectal malignancies
Colon cancer is quite prevalent, with adenocarcinomas comprising around 95% of all instances. Although originating from the same histology source, each colon cancer cell line has individual and distinguishable molecular and genetic alterations. 41 Consequently, we tested our drug on a group of seven colon cancer cell lines, and the outcomes are displayed in Fig. 7C . Compound T 30 showed high effectiveness and deadly activity against all tested colon cancer cell lines, with GI% values ranging from 107 to 196 (except for KM12 with a GI% of 92). Additionally, the compound exhibited a single-digit GI 50 value of less than 5 μM, ranging from 1.72 to 4.87. The HCT-15 cell line was the most sensitive to T 30 among the investigated cell lines.
In vitro assessment of the effectiveness against CNS malignancies
CNS tumours are categorized into two groups: gliomas and non-gliomas. Among them, glioblastoma multiforme (GBM) brain malignancies are the most prevalent and exhibit high resistance to treatment. The resistance is associated with the diversity of the cancer cells, the repeated occurrence of resistant forms, and the strict criteria that the chemotherapy drug must fulfill to effectively penetrate the blood–brain barrier. 42 The effectiveness and range of activity of the synthesized compound were evaluated against a group of six GBM cell lines. The results of this evaluation can be found in Fig. 7D . Compound T 30 demonstrated significant growth inhibition (GI) against the majority of the examined glioblastoma multiforme (GBM) cell lines. The GI percentage ranged from 66% to 157%, while the GI 50 values ranged from 2.78 to 10.9 μM. The CNS cancer cell line that is most vulnerable to compound T 30 is SF-539, with a GI% of 157 and a GI 50 of 2.78 μM. On the other hand, the least sensitive cell line is SNB-19, with a GI% of 66 and a GI 50 of 10.9 μM. The SF-539 cell line was most sensitive to T 30 among the investigated cell lines.
In vitro assessment of the effectiveness against melanoma malignancies
Melanoma is the predominant form of skin cancer and is notoriously challenging to treat. 43 The inefficiency of existing chemotherapeutics is caused by the presence of intratumoral and intertumoral heterogeneity in melanomas. 44 To further advance the development of new treatments for melanoma, the synthesized molecule's effectiveness and range of activity were assessed by testing it on a group of nine melanoma cell lines. The outcomes of this experiment are presented in Fig. 7E . Compound T 30 exhibited significant growth inhibition percentages (GI%) ranging from 97 to 184, as well as GI 50 values ranging from 1.43 to 4.02 μM, against nearly all of the nine melanoma cell lines used in the study. Notably, it showed particularly strong activity against the LOXIMVI cell line, with a GI% of 177 and a GI 50 of 1.43 μM, as well as the MALME-3M cell line, with a GI% of 181 and a GI 50 of 1.57 μM. The LOX IMVI cell line was the most sensitive one to T 30 among the investigated cell lines.
In vitro assessing the effectiveness against ovarian malignancies
Ovarian cancers are known for their high mortality rates, with just 30% of patients surviving for five years and 70% experiencing a recurrence. The average duration of progression-free survival is approximately one to one and a half years. 45 Epithelial ovarian malignancies constitute around 95% of all cases of ovarian cancer, 46 despite the existence of several other kinds. Regrettably, platinum-based chemotherapeutics, known for their harshness and resistance, continue to be the standard post-operative treatment. 47 Several targeted medications are available for the treatment of ovarian cancer, such as antiangiogenic and PARP inhibitors. 48 Consequently, there is a pressing necessity to uncover novel therapies for ovarian cancer. We conducted an experiment where we evaluated the effectiveness of our synthesized compound on a group of seven ovarian cancer cells. The results of this experiment can be observed in Fig. 7F . Compound T 30 inhibited the growth of six out of the seven ovarian cancer cell lines tested, reducing their growth by 95 to 190 percent and with a GI 50 range of 2.88 to 13.5 μM. Notably, it was particularly effective against the OVCAR-3 cell line, with a growth inhibition of 190 percent and a GI 50 of 2.88 μM. The SK-OV-3 cell line is relatively resistant to ovarian cancer, as indicated by its low susceptibility with a growth inhibition percentage (GI%) of 38. Furthermore, the GI 50 value for this cell line is greater than 10 μM, suggesting that a higher concentration of a particular substance is required to inhibit its growth. The OVCAR-3 cell line was most sensitive to T 30 among the investigated cell lines.
In vitro assessment of the effectiveness against renal malignancies
Renal cell carcinomas account for the majority (92%) of kidney cancer cases. 49 The prevalence of renal cell carcinoma is continuously rising. Moreover, the diverse nature of renal cell carcinomas limits the effectiveness of therapy and results in the development of resistant tumours. 50 Consequently, there is a need for novel compounds to offer alternate options to the existing anticancer drugs for the treatment of kidney cancer. The hybrid compounds that were developed were evaluated against a panel of eight renal cell carcinomas to assess their effectiveness and range. The results of this testing are shown in Fig. 7G . Compound T 30 demonstrated fatal action ranging from 119% to 183% against four renal cancer cell lines, and exhibited excellent growth inhibition percentages (GI%) ranging from 80% to 93% against three other renal cancer cell lines. Furthermore, it exhibited encouraging single-digit GI 50 readings ranging from 1.78 to 7.20 μM. The CAKI-1 cell line was most sensitive to T 30 among the investigated cell lines.
In vitro assessment of the effectiveness against prostate malignancies
Small cell prostate carcinomas (SCPC) are the most lethal and refractory to antihormonal therapy targeting androgen deprivation. Usually, their reaction to chemotherapy is short-lived, and the typical survival duration is as little as one year. 51 Fig. 7H demonstrates the effectiveness of the synthesized medication against two highly aggressive cell lines, PC3 and DU145. The findings demonstrated that compound T 30 significantly suppressed the proliferation of DU-145 cells to a greater extent than PC-3 cells, as indicated by the GI% and GI 50 values, which were more than four times higher. The DU-145 cell line was the most sensitive one to T 30 among the investigated cell lines.
In vitro assessment of the effectiveness against breast malignancies
Among adult females under the age of 60, breast cancer is responsible for a considerable number of cancer-related deaths. 52 Certain types of breast cancers exhibit positive expression of estrogen, progesterone, or Her2, whereas others do not, known as triple-negative breast cancers (TNBCs). The distinctive characteristics of TNBC render targeted and hormonal therapies ineffectual. 53 Moreover, TNBCs often have a high level of aggressiveness and invasiveness. Consequently, our series underwent testing using an NCI panel of breast cancer cells, which consisted of two estrogen receptor-positive breast cancer cell lines (MCF7 and T47D) and four TNBC cell lines (MDA-MB-231, HS578T, BT549, and MDAMB468). The findings are presented in Fig. 7I . Compound T 30 demonstrated fatal action against all kidney cancer cell lines, increasing their activity by 101–188%. Additionally, it showed outstanding GI 50 findings ranging from 2.34–3.40 μM, with the MCF7 cell line being particularly responsive (GI% = 188 and GI 50 = 2.34 μM). The MCF-7 cell line was the most sensitive one to T 30 among the investigated cell lines.
Spectroscopic approaches
DNA-binding study
The objective of this work was to obtain a comprehensive overview of how compound T 30 binds to ctDNA to confirm its potential as an anticancer agent, as indicated by the results of in vitro cytotoxic tests.
Study of the binding manner
UV spectrophotometric study
This study relies on the addition of increasing concentrations of compound T 30 to ctDNA and observing the alterations in the intensity and position of the DNA's distinctive peak at 260 nm, which is associated with the π–π* transition of the base pairs of DNA. 54 The study revealed that the intensity of the ctDNA peak increased as the concentration of compound T 30 increased, as depicted in Fig. 8 . Furthermore, the peak position exhibited a red shift towards a shorter wavelength. Consequently, based on the shift rule of the DNA distinctive absorption peak, the binding process is anticipated to occur through intercalation mode rather than groove. 55

Viscosity studies
Viscosity studies are crucial for investigating alterations in the DNA length and how it binds. 56 The traditional intercalative binding process significantly affects the viscosity of the DNA solution due to its requirement for ample space between adjacent base pairs to elongate the double helix and accommodate micro-molecules. 57 Conversely, the impact of the electrostatic and groove binding processes on the DNA viscosity is minimal or nonexistent, as supported by many studies. 58,59 The data presented in Fig. 9 demonstrates that the relative specific viscosity of ctDNA ( η/η 0 ) 1/3 varies on subsequent addition of compound T 30 , providing evidence for the intercalation binding mode of compound T 30 with ctDNA. This finding is in line with the results obtained from the spectrophotometric investigation.

Spectrofluorimetric competitive binding interactions
Competitive binding studies were carried out utilizing Rhodamine B (RB) and Ethidium bromide (EB) fluorescent probes to investigate the binding of compound T 30 to ctDNA. According to reports, RB binds to the DNA's minor groove, particularly in areas rich in AT base pairs. In contrast, EB binds to DNA by intercalation. 60,61 The fluorescence intensities of EB and RB increase when they attach to DNA. 62 The analysis revealed that the fluorescence intensity of the EB-DNA complex decreased as the concentration of compound T 30 increased. However, there was no impact on the fluorescence intensity of the RB-DNA complex, which further supports the intercalation binding process ( Fig. 10 ).

Ionic strength evaluation
The degree of electrostatic contact is substantially influenced by the ionic strength of the reaction media. 63 Thus, in order to assess the potential for electrostatic interaction between ctDNA and compound T 30 , the impact of different NaCl concentrations on their binding relationship was examined. The data presented in Fig. 11 demonstrate that the absorbance of the complex with ctDNA remains constant as the concentration of NaCl increases from 0 to 0.07 M. This suggests the absence of any electrostatic interaction. Briefly, the previously revealed experimental data demonstrate an intercalation binding interaction between compound T 30 and ct-DNA.

Estimation of binding affinity between compound T 30 and ctDNA
Establishing the binding affinity of a drug to a biomacromolecule is crucial because the drug's effectiveness is directly linked to its binding affinity. The dissociation constant ( K d ) or binding constant ( K b ) can be utilized to approximate the strength of binding. The Benesi-Hildebrand eqn (1) can be used to calculate the binding constant ( K b ) of the 1 : 1 complex formed between compound T 30 and ctDNA: 64 1 where: A and A 0 are the ctDNA absorbance with or without compound T 30 , respectively. ε DNA and ε Comp. − DNA signify the molar extinction coefficients of ctDNA and the ctDNA-compound T 30 complex, respectively. C compound T 30 is the concentration of compound T 30 .
A linear relationship was observed when plotting 1/ C compound 4 versus A 0 /( A − A 0 ) at various temperatures (298, 303, 308 K), as shown in Fig. 12 . This outcome indicates that the resultant complex exhibits a stoichiometry of 1 : 1. Table 2 displays the various K b values acquired for the resultant complex utilizing eqn (1) . The K b values were in the order of 10 6 M −1 , indicating that compound T 30 has a significant affinity for binding to ctDNA. In addition, the values seem to be comparable to those of the intercalators, with a K b of 1.4 × 10 6 M −1 (ref. 65 ) and higher than groove binders, 61 demonstrating the involvement of the intercalation binding process in the binding of ctDNA-compound T 30 . Furthermore, when the temperature increases, the binding affinity between ctDNA and compound T 30 increases, suggesting that the interaction between compound T 30 and ctDNA is an endothermic process. 54

Table 2
Assessment of the binding constants ( K b ) of the ctDNA-compound T 30 complex and thermodynamic parameters at the studied temperatures
a Δ G ° = RT ln K b . in (kJ mol −1 ) b Δ G ° = Δ H ° – T Δ S ° in (kJ mol −1 )
| T (K) | K b (M −1 ) | Δ S ° (J mol −1 K −1 ) | Δ H ° (kJ mol −1 ) | Δ G ° a (kJ mol −1 ) | Δ G ° b (kJ mol −1 ) |
| 298 | 1.45 × 10 6 | 182.97 | 19.40 | −35.157 | −35.125 |
| 303 | 1.60 × 10 6 | −35.998 | −36.04 | ||
| 308 | 2.10 × 10 6 | −37.284 | −36.95 |
Estimation of thermodynamic factors and key binding forces
The contact between small molecules and biomacromolecules involves four non-covalent binding forces: hydrogen bonding, hydrophobic, electrostatic forces, and van der Waals. Additionally, the nature of binding forces can be deduced by examining the sign and amount of entropy (Δ S °) and enthalpy (Δ H °) changes. When the values of Δ S ° and Δ H ° are positive, hydrophobic interaction becomes the prevailing force. However, when Δ S ° is positive and Δ H ° is nearly zero, electrostatic interaction becomes the primary force. Hydrogen bonding and/or van der Waals interactions are the main interaction attractions when both Δ S ° and Δ H ° are negative. 66,67 The van't Hoff eqn (2) and (3) were utilized to compute the thermodynamic parameters for the binding of compound T 30 with ctDNA, which comprised the Gibbs free energy change (Δ G °), Δ H °, and Δ S °: 67 2 3 Δ G ° = Δ H ° − T Δ S ° where R represents a gas constant.
The graph depicted in Fig. 13 illustrates the relationship between ln K b and 1/ T , according to Van't Hoff's equation. The plot's slope and intercept were utilized to estimate Δ H ° and Δ S °, correspondingly, which are shown in Table 2 . The presence of hydrophobic contacts typically leads to positive values of Δ H ° and Δ S °. Since the result of Δ H ° was greater than zero, it provided further confirmation that the binding process was endothermic. Furthermore, it was found that Δ G ° is negative, indicating a spontaneous binding association. Therefore, the process of compound T 30 binding with ctDNA is both endothermic and spontaneous. The main binding forces in this interaction appear to be hydrophobic interactions.

Conclusion
In this study, the theoretically designed novel substituted tetrahydropyrimidine analogues (T 1–35 ) were designed as promising DNA intercalators and Topo-II inhibitors. Notably, the theoretically designed analogue (T 30 ) with a 3,4,5-trimethoxy phenyl side chain was found to be the superior candidate among the investigated compounds in comparison to both reference standards, Dox and EVP. Molecular dynamics simulation revealed that compound T 30 showed the most stable behaviour with an L-RMSD value of 6.3 Å, as a maximum fluctuation level. However, Dox and EVP fluctuated to 8 and 9 Å, respectively, indicating their less stable behaviours compared to T 30 . Moreover, the target candidate (T 30 ) achieved superior Δ G binding energy (−33.86 kcal mol −1 ), which was better than that of both Dox and EVP. Furthermore, the most promising candidate (T 30 ) was synthesized and denoted as compound T 30 . Compound T 30 revealed very strong antiproliferative activity with mean growth = −22% and mean GI% = 122%, and showed the greatest anticancer activity towards all 59 cell lines. We conclude that compound T 30 is remarkably effective against non-small cell lung cancer (NCI–H522) and melanoma (LOX IMVI). Moreover, the binding interaction was investigated using several spectroscopic techniques, ionic strength studies, viscosity tests, and in silico investigations. The data demonstrated a strong affinity between compound T 30 and ctDNA, indicating an intercalation binding relationship. Furthermore, the binding between compound T 30 and ctDNA was spontaneous, and the resulting complex was mostly held together by hydrophobic interactions. In summary, this study presented comprehensive data on the characteristics of this interaction, including how the molecules connect, the strength of the binding, the specific location of the binding site, and the forces involved in the interaction. This information is highly significant for rationally designing anticancer candidates, intending to enhance their activity and selectivity.
Experimental
In silico studies
Molecular docking
The theoretically designed substituted tetrahydropyrimidine analogues (T 1–35 ) were subjected to a molecular docking process towards the hybrid DNA and Topo-II target receptor (PDB ID: 3QX3 ) to investigate their inhibitory potential. This was done using the MOE 2022.02 software, 68,69 which was validated by redocking the co-crystallized EVP inhibitor inside its binding pocket. The obtained RMSD value (<2 Å) and the similar binding interactions confirmed the valid performance. 70 All designed analogues ( T 1–35 ) were sketched in the working window of the MOE, and energy was minimized after partial charges optimization. 71 Moreover, the target receptor (PDB ID: 3QX3 ) was downloaded and subjected to the preparation process by correction, 3D hydrogenation, and energy minimization steps. 72 Then, a general docking process was carried out using a database containing the prepared designed analogues ( T 1–35 ), Dox, and EVP. Finally, the docked candidates were ranked according to their binding scores and RMSD values.
Molecular dynamics simulation
The Desmond package of Schrödinger LLC 35 was used to perform the molecular dynamics simulation at 500 ns 73 for the superior designed analogue (T 30 ), together with the two reference standards (Dox and EVP). The full compound methodology was described in the ESI data (ESI1). †
MM-GBSA calculations
The thermal_mmgbsa.py python script of Schrödinger LLC was applied to calculate the Molecular Mechanics Generalized Born Surface Area (MM-GBSA) energies. 74 The full compound methodology was described in the ESI data (SI2). †
Chemistry
The initial chemicals and reagents were acquired from Sigma-Aldrich and Merck Millipore, and were utilized without additional purification. The progression of the reactions was tracked using a pre-coated sheet of thin-layer chromatography obtained from Eastman Kodak Co. The mobile phase was a mixture of n -hexane and ethyl acetate at a ratio of 2 : 3. The melting point was determined using a Stuart SMP10 instrument and was not adjusted for any corrections. The PerkinElmer 2400 CHNS analyzer was used to conduct elemental analysis, and the results were found to be within ±0.40 of the theoretical values. 1D and 2D NMR spectra were recorded on a JEOL spectrometer using DMSO- d 6 . The HRMS were recorded on LC/Q-TOF, 6530 (Agilent Technologies, Santa Clara, CA, USA) at the Faculty of Pharmacy, Fayoum University. Compound T 30 is 98.96% pure by HPLC analysis. The column used in HPLC was ZORBAX Eclipse plus C18 (150 × 4.6 mm, 3.5 μm). The mobile phase consisted of acetonitrile (ACN)/0.05 M KH 2 PO 4 buffer pH 3.7 (30 : 70), with a flow rate of 1.5 mL min −1 , and the run time was set as double the elution time. The ESI file † contains the spectrum data, as well as their interpretation.
The preparation of ethyl 6-(chloromethyl)-1-methyl-2-oxo-4-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydropyrimidine-5-carboxylate (T 30 )
A mixture of ethyl 4-chloroacetoacetate 2 (4 mmol, 658 mg), 3,4,5-trimethoxybenzaldehyde 1 (2 mmol 392 mg), N -methyl urea 3 (4 mmol 412 mg), citric acid (2 mmol 384 mg), and TEOF (4 mmol 593 mg) was heated under reflux for 10 h in absolute ethanol. The reaction was stopped by adding 20 mL of distilled water, and the resulting liquid was subsequently chilled in an ice bath. The solid that formed was separated by filtration, and then purified through recrystallization using acetone. This process yielded the desired product, which is denoted as T 30 . Yield (370 mg, 93%) as yellow crystal with M.p. 245 °C. HPLC: R T 8.21 min (purity: 98.96%). 1 H NMR (500 MHz, DMSO- d 6 ) δ (ppm): 1.11 (3H, t, J = 5.0 Hz, OCH 2 CH 3 ), 3.17 (3H, s, NCH 3 ), 3.57 (3H, s, 4-OCH 3 ), 3.67 (6H, s, 3,5-diOCH 3 ), 4.06 (2H, q, J = 5.0 Hz, OCH 2 CH 3 ), 4.99 (1H, d, J = 10.0 Hz, CHCl), 5.08 (1H, d, J = 5.0 Hz, THPM 4-H), 5.11 (1H, d, J = 10.0 Hz, CHCl), 6.47 (2H, s, 2-H and 6-H), 8.06 (1H, d, J = 5.0 Hz, 3-NH). 13 C NMR (126 MHz, DMSO) δ (ppm): 14.48 (OCH 2 CH 3 ), 29.38 (NCH 3 ), 38.49 (CH 2 Cl), 52.59 (4-C of THPM), 56.23 (3,5-diOCH 3 ), 60.48 (4-OCH 3 ), 60.92 (OCH 2 CH 3 ), 103.59 (2-C and 6-C of benzene ring), 105.71 (5-C of THPM), 137.32 (1-C of benzene ring), 138.94 (4-C of benzene ring), 148.14 (6-C of THPM), 153.38 (3-C and 5-C of benzene ring), 153.56 (2-C of THPM), 164.98 (C <svg xmlns="http://www.w3.org/2000/svg" version="1.0" width="13.200000pt" height="16.000000pt" viewBox="0 0 13.200000 16.000000" preserveAspectRatio="xMidYMid meet"><metadata> Created by potrace 1.16, written by Peter Selinger 2001-2019 </metadata><g transform="translate(1.000000,15.000000) scale(0.017500,-0.017500)" fill="currentColor" stroke="none"><path d="M0 440 l0 -40 320 0 320 0 0 40 0 40 -320 0 -320 0 0 -40z M0 280 l0 -40 320 0 320 0 0 40 0 40 -320 0 -320 0 0 -40z"/></g></svg> OOCH 2 ). 13 C NMR-DEPTQ spectrum, CH and CH 3 [positive (up)], C Q and CH 2 [negative (down)], revealed the following signals at δ : 14.49 (OCH 2 CH 3 ↑), 29.39 (NCH 3 ↑), 38.50 (CH 2 Cl ↓), 52.59 (THPM 4-CH ↑), 56.24 (3,5-diOCH 3 ↑), 60.48 (4-OCH 3 ↑), 60.91 (OCH 2 CH 3 ↓), 103.59 (2-CH and 6-CH of benzene ring ↑), 105.70 (5-C Q of THPM ↓), 137.32 (1-C Q of benzene ring ↓), 138.95 (4-C Q of benzene ring ↓), 148.15 (6-C Q of THPM ↓), 153.38 (3-C Q and 5-C Q of benzene ring ↓), 153.55 (C O of THPM ↓), 164.99 (C OOCH 2 ↓). HRMS (ESI): m/z : Cald./Found 399.13174/399.13194 (C18H 24 35 ClN 2 O 6 , [M + H] + ), 401.12879/401.12784 (C18H 24 37 ClN 2 O 6 , [M + H+2] + ). Anal. Calcd. for C 18 H 23 ClN 2 O 6 : C, 54.21; H, 5.81; N, 7.02. Found: C, 53.99; H, 5.80; N, 6.97.
Biological evaluation
In vitro antitumor screening against 59 cancer cell lines
The anticancer test was conducted on 59 human tumour cell lines derived from nine different tissues under the compound methodology of the Drug Evaluation Branch, National Cancer Institute, Bethesda, MD. 3,38,39 All methods were carried out in accordance with relevant guidelines and regulations. The SRB assay protocol at 10 μM was employed and approved by the United States NCI to distinguish cell lethality from cell GI.
DNA-binding study
Reagents and materials
Tris HCl, RB, EB, and ctDNA were obtained from Sigma Aldrich (St. Louis, MO, USA). A tris–HCl buffer solution (0.05 M) was made by dissolving 0.78 grams of tris–HCl in 100.0 mL of distilled water to get the desired final volume. The pH of the solution was adjusted to 7.4 using HCl solution (1 M). The ctDNA stock solution was obtained by dissolving 0.01 grams of ctDNA in Tris–HCl buffer, and bringing the total volume with the buffer to 50.0 mL. The solution was subsequently stored at a temperature of 4 °C, away from light, for a maximum duration of 5 days. Prior to conducting the studies, the ctDNA solution was subjected to sonication to confirm the uniformity of the solution. The ctDNA solution exhibited an absorbance ratio ( A 260 / A 280 ) of 1.92 (above 1.8), 67 suggesting that the ctDNA was devoid of proteins. The concentration of the final ctDNA solution was determined using the extinction coefficient (6600 M −1 cm −1 ) of a single nucleotide at 260 nm ( T = 298 K). 4,75
A stock solution of compound T 30 with a conc. of 1.0 × 10 −3 M was obtained by dissolving it in a solution of DMSO/methanol. Additionally, RB with a concentration of 2.0 × 10 −3 M and EB with a concentration of 1.2 × 10 −3 M were prepared in ethanol, and stored in a dark environment at a temperature of 4 °C.
UV spectrophotometric measurements
The UV spectra were obtained by varying the concentrations of compound T 30 in the range of 0 to 40.0 μM, while maintaining a constant ctDNA concentration of 97.0 μM. The experiments were conducted at 3 various temperature settings (298, 303, and 313 K) to investigate the binding constants, and the temperature effect on the interaction between compound T 30 and ctDNA. In addition, the investigation of ionic strength involved determining the values of absorbance of the ctDNA-compound T 30 mixture. The mixture consisted of 97.0 μM of ctDNA, 2.0 μM of compound T 30 , and NaCl solution with concentrations ranging from 0 to 0.07 M. The measurements were taken at a temperature of 298 K.
Competitive binding spectrofluorimetric studies
The spectra of various mixture solutions containing ctDNA (97.0 μM) and fluorescent probes, specifically RB (1.27 μM) and EB (7.0 μM), acting as groove and intercalation binding probes respectively, were obtained using an Agilent Technologies Cary Eclipse Fluorescence Spectrometer equipped with a Xenon flash lamp. The measurements were conducted both in the absence and presence of compound T 30 . The emission fluorescence spectra for EB and RB were measured at 603 nm and 576 nm, after being excited at 525 nm and 465 nm, respectively.
Viscosity measurements
Oswald's viscometer was employed to measure viscosity at a constant temperature of 298 K. The concentration of ctDNA in the Tris–HCl buffer solution (pH = 7.4) was 97.0 μM, while the concentrations of compound T 30 ranged from 0 to 40.0 μM. The flow times of the ctDNA solutions, both alone and when mixed with compound T 30 solutions, were examined in triplicate utilizing a digital timer. The equation ( η = ( t – t 0 )/ t 0 ) was employed to compute the viscosity values. In this equation, ( t ) signifies the ctDNA solutions' flow time, and ( t 0 ) symbolizes the Tris–HCl buffer flow time. 67 The data were used to compute the relative specific viscosity ( η / η 0 ) 1/3 , where η and η 0 represent the specific viscosities of ctDNA with or without compound T 30 , respectively.
Data availability
All data generated or analyzed during this study are included in this published article and its ESI material. †
Author contributions
Conceptualization and supervision: Ahmed A. Al-Karmalawy; data curation and visualization: Haytham O. Tawfik, Ayman Abo Elmaaty, Galal Magdy, Aya Saad Radwan, Radwan Alnajjar, Moataz A. Shaldam, and Ahmed A. Al-Karmalawy; methodology: Haytham O. Tawfik, Galal Magdy, Aya Saad Radwan, Radwan Alnajjar, Moataz A. Shaldam, Salem Salman Almujri, Abdullah Yahya Abdullah Alzahrani, and Ahmed A. Al-Karmalawy; Writing–review & editing: Haytham O. Tawfik, Ayman Abo Elmaaty, Galal Magdy, Aya Saad Radwan, Radwan Alnajjar, Moataz A. Shaldam, Arwa Omar Al Khatib, Salem Salman Almujri, Abdullah Yahya Abdullah Alzahrani, Ahmed A. Al-Karmalawy. All authors revised and approved the final submitted version of the manuscript.
Conflicts of interest
The authors declared no conflict of interest.
Supplementary Material
The authors extend their appreciation to the Deanship of Scientific Research at King Khalid University for funding this work through the large Group Research Project under grant number (RGP2/630/46).
References
Bray F. et al. , The ever-increasing importance of cancer as a leading cause of premature death worldwide Cancer 2021 127 16 3029 3030 34086348 10.1002/cncr.33587
Bray F. et al. , Global cancer transitions according to the Human Development Index (2008–2030): a population-based study Lancet Oncol. 2012 13 8 790 801 22658655 10.1016/S1470-2045(12)70211-5
Tawfik H. O. et al. , Rationale design of novel substituted 1,3,5-triazine candidates as dual IDH1(R132H)/IDH2(R140Q) inhibitors with high selectivity against acute myeloid leukemia: In vitro and in vivo preclinical investigations Bioorg. Chem. 2024 149 107483 38805913 10.1016/j.bioorg.2024.107483
Al Taher R. S. et al. , Correlation Between ImageJ and Conventional Manual Scoring Methods for Programmed Death-Ligand 1 Immuno-Histochemically Stained Sections Technol. Cancer Res. Treat. 2024 23 15330338241242635 38562094 10.1177/15330338241242635 PMC10989033
Shaaban S. et al. , Repurposed organoselenium tethered amidic acids as apoptosis inducers in melanoma cancer via P53, BAX, caspases-3, 6, 8, 9, BCL-2, MMP2, and MMP9 modulations RSC Adv. 2024 14 26 18576 18587 38860260 10.1039/d4ra02944e PMC11164031
Gaber A. A. et al. , Multi-target rational design and synthesis of novel diphenyl-tethered pyrazolopyrimidines targeting EGFR and topoisomerase II with potential DNA intercalation and apoptosis induction Bioorg. Chem. 2024 145 107223 38387399 10.1016/j.bioorg.2024.107223
Helleday T. et al. , DNA repair pathways as targets for cancer therapy Nat. Rev. Cancer 2008 8 3 193 204 18256616 10.1038/nrc2342
El-Masry T. A. et al. , Therapeutic efficiency of Tamoxifen/Orlistat nanocrystals against solid ehrlich carcinoma via targeting TXNIP/HIF1-α/MMP-9/P27 and BAX/Bcl2/P53 signaling pathways Biomed. Pharmacother. 2024 180 117429 39293373 10.1016/j.biopha.2024.117429
Ducray R. et al. , Novel 3-alkoxy-1H-pyrazolo [3, 4-d] pyrimidines as EGFR and erbB2 receptor tyrosine kinase inhibitors Bioorg. Med. Chem. Lett. 2008 18 3 959 962 18182285 10.1016/j.bmcl.2007.12.035
Khalifa M. M. et al. , Topo II inhibition and DNA intercalation by new phthalazine-based derivatives as potent anticancer agents: design, synthesis, anti-proliferative, docking, and in vivo studies J. Enzyme Inhib. Med. Chem. 2022 37 1 299 314 34894955 10.1080/14756366.2021.2007905 PMC8667898
Wheate N. J. et al. , DNA intercalators in cancer therapy: organic and inorganic drugs and their spectroscopic tools of analysis Mini-Rev. Med. Chem. 2007 7 6 627 648 17584161 10.2174/138955707780859413
Eissa I. H. et al. , Diphenylurea derivatives for combating methicillin-and vancomycin-resistant Staphylococcus aureus Eur. J. Med. Chem. 2017 130 73 85 28249208 10.1016/j.ejmech.2017.02.044
Liu L. F. DNA topoisomerase poisons as antitumor drugs Annu. Rev. Biochem. 1989 58 1 351 375 2549853 10.1146/annurev.bi.58.070189.002031
Shenkenberg T. D. Von Hoff D. D. Mitoxantrone: a new anticancer drug with significant clinical activity Ann. Intern. Med. 1986 105 1 67 81 3521429 10.7326/0003-4819-105-1-67
Nawaz H. et al. , Electrochemical DNA biosensor for the study of ciprofloxacin–DNA interaction Anal. Biochem. 2006 354 1 28 34 16707087 10.1016/j.ab.2006.04.004
Alqaraleha M. et al. , Evaluation of the antiproliferative activity and molecular docking of selected branched fatty acids J. Med. Pharm. Chem. Res. 2024 6 1340 1353
Loboda K. B. et al. , Design and synthesis of 3, 5-substituted 1, 2, 4-oxadiazoles as catalytic inhibitors of human DNA topoisomerase IIα Bioorg. Chem. 2020 99 103828 32315896 10.1016/j.bioorg.2020.103828
Abbass E. M. et al. , Design, efficient synthesis, docking studies, and anticancer evaluation of new quinoxalines as potential intercalative Topo II inhibitors and apoptosis inducers Bioorg. Chem. 2020 104 104255 32927130 10.1016/j.bioorg.2020.104255
Eissa I. H. El-Naggar A. M. El-Hashash M. A. Design, synthesis, molecular modeling and biological evaluation of novel 1H-pyrazolo [3, 4- b ] pyridine derivatives as potential anticancer agents Bioorg. Chem. 2016 67 43 56 27253830 10.1016/j.bioorg.2016.05.006
Alesawy M. S. et al. , Design and discovery of new 1, 2, 4-triazolo [4, 3- c ] quinazolines as potential DNA intercalators and topoisomerase II inhibitors Arch. Pharm. 2021 354 3 2000237 10.1002/ardp.202000237 33226150
Baldwin E. Osheroff N. Etoposide, topoisomerase II and cancer Curr. Med. Chem.:Anti-Cancer Agents 2005 5 4 363 372 16101488 10.2174/1568011054222364
Mohamed M. M. et al. , Design, synthesis of new pyrimidine derivatives as anticancer and antimicrobial agents Synth. Commun. 2017 47 16 1441 1457
Suryawanshi S. et al. , Design, synthesis and biological evaluation of aryl pyrimidine derivatives as potential leishmanicidal agents Bioorg. Med. Chem. Lett. 2013 23 18 5235 5238 23910597 10.1016/j.bmcl.2013.06.060
Liu P. et al. , Design and synthesis of novel pyrimidine derivatives as potent antitubercular agents Eur. J. Med. Chem. 2019 163 169 182 30508666 10.1016/j.ejmech.2018.11.054
Farghaly A. M. et al. , Design, synthesis, and antihypertensive activity of new pyrimidine derivatives endowing new pharmacophores Med. Chem. Res. 2019 28 360 379
Lee H. W. et al. , Molecular design, synthesis, and hypoglycemic and hypolipidemic activities of novel pyrimidine derivatives having thiazolidinedione Eur. J. Med. Chem. 2005 40 9 862 874 15908051 10.1016/j.ejmech.2005.03.019
Fang Y. et al. , Design and synthesis of novel pyrimido [5, 4- d ] pyrimidine derivatives as GPR119 agonist for treatment of type 2 diabetes Bioorg. Med. Chem. 2018 26 14 4080 4087 30100020 10.1016/j.bmc.2018.06.035
Mobinikhaledi A. Asghari B. Jabbarpour M. Design and synthesis of new benzimidazole and pyrimidine derivatives as α-glucosidase inhibitor J. Pharm. Res. 2015 14 3 723 PMC4518100 26330860
Madia V. N. et al. , Design, synthesis and biological evaluation of new pyrimidine derivatives as anticancer agents Molecules 2021 26 3 771 33540875 10.3390/molecules26030771 PMC7867324
Ibrahim D. A. El-Metwally A. M. Design, synthesis, and biological evaluation of novel pyrimidine derivatives as CDK2 inhibitors Eur. J. Med. Chem. 2010 45 3 1158 1166 20045222 10.1016/j.ejmech.2009.12.026
Amin L. H. et al. , Design, synthesis, anticancer evaluation and docking studies of new pyrimidine derivatives as potent thymidylate synthase inhibitors Bioorg. Chem. 2019 91 103159 31382056 10.1016/j.bioorg.2019.103159
Mohi El-Deen E. M. et al. , Novel pyridothienopyrimidine derivatives: design, synthesis and biological evaluation as antimicrobial and anticancer agents Molecules 2022 27 3 803 35164067 10.3390/molecules27030803 PMC8839448
Hammoud M. M. et al. , Design, synthesis, biological evaluation, and SAR studies of novel cyclopentaquinoline derivatives as DNA intercalators, topoisomerase II inhibitors, and apoptotic inducers New J. Chem. 2022 46 23 11422 11436
Narezkina A. Narayan H. K. Zemljic-Harpf A. E. Molecular mechanisms of anthracycline cardiovascular toxicity Clin. Sci. 2021 135 10 1311 1332 10.1042/CS20200301 PMC10866014 34047339
Tools M.-D. I. , Schrödinger , New York, NY, USA , 2017
El-Hamamsy M. H. et al. , Design, synthesis, and molecular docking study of new monastrol analogues as kinesin spindle protein inhibitors Arch. Pharm. 2020 353 8 2000060 10.1002/ardp.202000060 32452567
Tawfik H. O. et al. , Design, synthesis, and bioactivity of dihydropyrimidine derivatives as kinesin spindle protein inhibitors Bioorg. Med. Chem. 2019 27 23 115126 31648875 10.1016/j.bmc.2019.115126
Elsebaie H. A. et al. , Novel 4-(2-arylidenehydrazineyl)thienopyrimidine derivatives as anticancer EGFR inhibitors: design, synthesis, biological evaluation, kinome selectivity and in silico insights Bioorg. Chem. 2023 140 106799 37625210 10.1016/j.bioorg.2023.106799
Tawfik H. O. et al. , Discovery of new carbonic anhydrase IX inhibitors as anticancer agents by toning the hydrophobic and hydrophilic rims of the active site to encounter the dual-tail approach Eur. J. Med. Chem. 2022 232 114190 35182815 10.1016/j.ejmech.2022.114190
Allart-Vorelli P. et al. , Haematological cancer and quality of life: a systematic literature review Blood cancer J. 2015 5 4 e305 25909835 10.1038/bcj.2015.29 PMC4450328
Kudryavtseva A. V. et al. , Important molecular genetic markers of colorectal cancer Oncotarget 2016 7 33 53959 27276710 10.18632/oncotarget.9796 PMC5288236
Shergalis A. et al. , Current challenges and opportunities in treating glioblastoma Pharmacol. Rev. 2018 70 3 412 445 29669750 10.1124/pr.117.014944 PMC5907910
Tsao H. et al. , Melanoma: from mutations to medicine Genes Dev. 2012 26 11 1131 1155 22661227 10.1101/gad.191999.112 PMC3371404
Grzywa T. M. Paskal W. Włodarski P. K. Intratumor and intertumor heterogeneity in melanoma Transl. Oncol. 2017 10 6 956 975 29078205 10.1016/j.tranon.2017.09.007 PMC5671412
Goff B. A. Advanced ovarian cancer: what should be the standard of care? J. Gynecol. Oncol. 2013 24 1 83 91 23346317 10.3802/jgo.2013.24.1.83 PMC3549512
Desai A. et al. , Epithelial ovarian cancer: An overview World J. Transl. Med. 2014 3 1 1 25525571 10.5528/wjtm.v3.i1.1 PMC4267287
Lim H. J. Ledger W. Targeted therapy in ovarian cancer Women’s Health 2016 12 3 363 378 10.2217/whe.16.4 PMC5384518 27215391
Grunewald T. Ledermann J. A. Targeted therapies for ovarian cancer Best Pract. Res. Clin. Obstet. Gynaecol. 2017 41 139 152 28111228 10.1016/j.bpobgyn.2016.12.001
Dirven L. and Taphoorn M. J. , Epidemiology of Central Nervous System Metastases , Central nervous system metastases , 2020 : pp. 3–14
Beksac A. T. , et al. , Heterogeneity in renal cell carcinoma , in Urologic Oncology: Seminars and Original Investigations , Elsevier , 2017
Tzelepi V. et al. , Modeling a lethal prostate cancer variant with small-cell carcinoma features Clin. Cancer Res. 2012 18 3 666 677 22156612 10.1158/1078-0432.CCR-11-1867 PMC3923417
Key T. J. Verkasalo P. K. Banks E. Epidemiology of breast cancer Lancet Oncol. 2001 2 3 133 140 11902563 10.1016/S1470-2045(00)00254-0
Chavez K. J. Garimella S. V. Lipkowitz S. Triple negative breast cancer cell lines: one tool in the search for better treatment of triple negative breast cancer Breast Dis. 2010 32 1–2 35 21778573 10.3233/BD-2010-0307 PMC3532890
Chen K.-Y. et al. , Exploring the binding interaction of calf thymus DNA with lapatinib, a tyrosine kinase inhibitor: multi-spectroscopic techniques combined with molecular docking J. Biomol. Struct. Dyn. 2019 37 3 576 583 29375016 10.1080/07391102.2018.1433067
Sirajuddin M. Ali S. Badshah A. Drug–DNA interactions and their study by UV-Visible, fluorescence spectroscopies and cyclic voltametry J. Photochem. Photobiol., B 2013 124 1 19 23648795 10.1016/j.jphotobiol.2013.03.013
Palchaudhuri R. Hergenrother P. J. DNA as a target for anticancer compounds: methods to determine the mode of binding and the mechanism of action Curr. Opin. Biotechnol. 2007 18 6 497 503 17988854 10.1016/j.copbio.2007.09.006
Saucier J. Festy B. Le Pecq J.-B. The change of the torsion of the DNA helix caused by intercalation: II—measurement of the relative change of torsion induced by various intercalating drugs Biochimie 1971 53 9 973 980 5172611 10.1016/s0300-9084(71)80065-2
Grueso E. et al. , Thermodynamic and structural study of phenanthroline derivative ruthenium complex/DNA interactions: probing partial intercalation and binding properties J. Inorg. Biochem. 2012 106 1 1 9 22105011 10.1016/j.jinorgbio.2011.09.028
Mahadevan S. Palaniandavar M. Spectroscopic and voltammetric studies on copper complexes of 2, 9-dimethyl-1, 10-phenanthrolines bound to calf thymus DNA Inorg. Chem. 1998 37 4 693 700 10.1021/ic9711067 11670505
Hegde A. H. Prashanth S. Seetharamappa J. Interaction of antioxidant flavonoids with calf thymus DNA analyzed by spectroscopic and electrochemical methods J. Pharm. Biomed. Anal. 2012 63 40 46 22349882 10.1016/j.jpba.2012.01.034
Islam M. M. et al. , Binding of DNA with Rhodamine B: Spectroscopic and molecular modeling studies Dyes Pigm. 2013 99 2 412 422
Li J. Dong C. Study on the interaction of morphine chloride with deoxyribonucleic acid by fluorescence method Spectrochim. Acta, Part A 2009 71 5 1938 1943 10.1016/j.saa.2008.07.033 18818119
Sahoo D. Bhattacharya P. Chakravorti S. Quest for mode of binding of 2-(4-(dimethylamino) styryl)-1-methylpyridinium iodide with calf thymus DNA J. Phys. Chem. B 2010 114 5 2044 2050 20088531 10.1021/jp910766q
Shi J.-H. et al. , Characterization of interaction of calf thymus DNA with gefitinib: spectroscopic methods and molecular docking J. Photochem. Photobiol., B 2015 147 47 55 25839749 10.1016/j.jphotobiol.2015.03.005
Olmsted III J. Kearns D. R. Mechanism of ethidium bromide fluorescence enhancement on binding to nucleic acids Biochemistry 1977 16 16 3647 3654 889813 10.1021/bi00635a022
Ross P. D. Subramanian S. Thermodynamics of protein association reactions: forces contributing to stability Biochemistry 1981 20 11 3096 3102 7248271 10.1021/bi00514a017
Shi J.-H. et al. , Binding interaction between sorafenib and calf thymus DNA: spectroscopic methodology, viscosity measurement and molecular docking Spectrochim. Acta, Part A 2015 136 443 450 10.1016/j.saa.2014.09.056 25311519
Aziz M. A. et al. , Design, Synthesis, Biological Evaluation, 2D-QSAR Modeling, and Molecular Docking Studies of Novel 1H-3-Indolyl Derivatives as Significant Antioxidants Int. J. Mol. Sci. 2021 22 19 10396 34638734 10.3390/ijms221910396 PMC8508798
Inc C. , Molecular Operating Environment (MOE) , Chemical Computing Group Inc , 2016 , p. 1010
Hammoud M. M. et al. , Synthesis, structural characterization, DFT calculations, molecular docking, and molecular dynamics simulations of a novel ferrocene derivative to unravel its potential antitumor activity J. Biomol. Struct. Dyn. 2022 1 18 10.1080/07391102.2022.2082533 35674744
Belal A. et al. , Design, synthesis and molecular docking of new fused 1 H -pyrroles, pyrrolo[3,2-d]pyrimidines and pyrrolo[3,2- e ][1, 4]diazepine derivatives as potent EGFR/CDK2 inhibitors J. Enzyme Inhib. Med. Chem. 2022 37 1 1884 1902 35801486 10.1080/14756366.2022.2096019 PMC9272933
Salem M. A. et al. , Potential Valorization of Edible Nuts By-Products: Exploring the Immune-Modulatory and Antioxidants Effects of Selected Nut Shells Extracts in Relation to Their Metabolic Profiles Antioxidants 2022 11 3 462 35326112 10.3390/antiox11030462 PMC8944461
Eissa K. I. et al. , Design, synthesis, and biological evaluation of thienopyrimidine derivatives as multifunctional agents against Alzheimer’s disease Drug Dev. Res. 2023 84 5 937 961 37067008 10.1002/ddr.22064
Elebeedy D. et al. , In vitro and computational insights revealing the potential inhibitory effect of Tanshinone IIA against influenza A virus Comput. Biol. Med. 2022 141 105149 34953359 10.1016/j.compbiomed.2021.105149
Rahman Y. et al. , Unravelling the interaction of pirenzepine, a gastrointestinal disorder drug, with calf thymus DNA: An in vitro and molecular modelling study Arch. Biochem. Biophys. 2017 625 1 12 28558964 10.1016/j.abb.2017.05.014