Research paper
Discovery of VEGFR-2 inhibitors exerting significant anticancer
activity against CD44þ and CD133þ cancer stem cells (CSCs): Reversal
of TGF-b induced epithelial-mesenchymal transition (EMT) in
hepatocellular carcinoma
Siddharth J. Modi, Vithal M. Kulkarni
*
Department of Pharmaceutical Chemistry, Poona College of Pharmacy, Bharati Vidyapeeth (Deemed to be University), Pune, 411038, Maharashtra, India
article info
Article history:
Received 25 May 2020
Received in revised form
2 September 2020
Accepted 13 September 2020
Available online 18 September 2020
Keywords:
Hepatocellular carcinoma (HCC)
Hep G2
Cancer stem cells (CSCs)
VEGFR-2
Angiogenesis
Epithelial-mesenchymal transition (EMT)
abstract
Hepatocellular carcinoma (HCC) is a malignancy characterized by neoangiogenesis, which is an
augmented production of proangiogenic factors by the tumor and its adjacent infected cells. These
dysregulated angiogenic factors are the therapeutic targets in anti-angiogenic drug development. The
signaling pathway of vascular endothelial growth factor (VEGF)/VEGFR-2 is crucial for controlling the
angiogenic responses in endothelial cells (ECs). In this study, we carried out a rational drug design
approach wherein we have identified the novel orally bioavailable compound VS 8 as a potent VEGFR-2
inhibitor, which remarkably suppresses hVEGF and hVEGFR-2 expression in HUVECs and exhibits sig-
nificant anti-angiogenic effects in CAM assay. Besides, VS 8 significantly induces apoptosis in HCC cell
line (Hep G2). Later we examined its effectiveness against CD44þ and CD133þ CSCs. Here, VS 8 was
found to be active against CSCs, and adequate for the cessation of the cell cycle at ‘G
0
/G
1
’ and ‘S’ phase in
CD44þ and CD133þ CSCs respectively. Factually, transforming growth factor-b (TGF-b) stimulated
epithelial-mesenchymal transition (EMT) induces invasion and migration of HCC cells, which results in
the metastasis. Therefore, we studied the effect of VS 8 on EMT markers using flow cytometry, which
suggested that VS 8 significantly upregulates E-cadherin (epithelial biomarker) and downregulates
vimentin (mesenchymal biomarker). Further, VS 8 downregulates the expression of EMT-inducing
transcription factors (EMT-TFs), i.e., SNAIL. Altogether, our findings indicate that VS 8 could be a
promising drug candidate for cancer therapy.
© 2020 Elsevier Masson SAS. All rights reserved.
1. Introduction
Regulated angiogenesis has a climacteric role in embryonic
development and the female fertilization process through cell
growth, tissue regeneration, and wound healing [1]. However,
dysregulated angiogenesis is a critical hallmark of cancer and tu-
mor growth. Newly formed blood vessels invade tumors, furnish
them with O
2
and supplements, and promote the metastasis [2].
Thus, targeting dysregulated angiogenesis can be a functional and
persuasive therapy to inhibit neoplasm as well as metastasis, which
is better than the existing chemotherapy that causes adverse effects
on the healthy cells and leads to the drug resistance in the longer
run. Growth factors, viz. VEGF, PDGF, FGF, and cytokines take part in
angiogenesis [3]. Amidst different growth factors, VEGFs (VEGF-A,
VEGF-B, VEGF-C, VEGF-D, and PLGF) and their respective cell sur-
face tyrosine kinases (VEGFR-1; Flt-1, VEGFR-2; KDR, and VEGFR-3;
Flt-4) exhibit a remarkable impact on the angiogenesis [4]. These
VEGFRs reside on the exterior of vascular endothelial cells, lymph
vessels, and hematopoietic stem cells [5]. Among three VEGFRs,
overexpression of VEGFR-2 is prominent in the various cancers, viz.
HCC, RCC, NSCLC, TNBC, breast cancer, bladder cancer, and cervical
cancer, thus VEGFR-2 is a recognized target for the discovery of
anti-angiogenic agents to prevent tumor progression [6e12]. There
are three types of VEGFR-2 inhibitors: ATP competitive inhibitors
(type I), allosteric inhibitors (type II), and covalent inhibitors (type
III) [13]. Among these, type II inhibitors such as Sorafenib, Regor-
afenib, Carbozantinib, Lenvatinib, and Lucitanib demonstrate clin-
ical benefits in VEGFR-2 inhibition [14, 15]. Notably, VEGFR-2
* Corresponding author.
E-mail address: vmkulkarni60@gmail.com (V.M. Kulkarni).
Contents lists available at ScienceDirect
European Journal of Medicinal Chemistry
journal homepage: http://www.elsevier.com/locate/ejmech
https://doi.org/10.1016/j.ejmech.2020.112851
0223-5234/© 2020 Elsevier Masson SAS. All rights reserved.
European Journal of Medicinal Chemistry 207 (2020) 112851