Int J App Pharm, Vol 17, Issue 1, 2025, 23-38Review Article

EXPLORING POTENTIAL OF NOVEL HETEROCYCLIC COMPOUNDS AND THEIR STRUCTURE-ACTIVITY RELATIONSHIP IN PROSTATE CANCER TREATMENT

KAVANA KRISHNA NAYAK1, RUCHI VERMA1*, LALIT KUMAR2

1Department of Pharmaceutical Chemistry, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal-576104, Karnataka, India. 2Department of Pharmaceutics, National Institute of Pharmaceutical Education and Research, Hajipur-844102, Bihar, India
*Corresponding author: Ruchi Verma; *Email: ruchiverma.pharma@gmail.com

Received: 27 Jun 2024, Revised and Accepted: 14 Nov 2024


ABSTRACT

Prostate cancer is one of the leading causes of male death globally, and its overall incidence flaunts a rising trend over the years. Currently available treatment modalities for prostate cancer suffer from severe toxicity, unpredictable efficacy, high costs, and the emergence of resistance towards anti-cancer compounds. This substantiates the need to develop novel and potent anti-proliferative agents against prostate cancer. Multiple cellular mechanisms underlie the development of prostate cancer and, thus, multiple drug gable targets. In recent years, researchers have been conducting a myriad of investigations in this direction. This work recapitulates the synthesis of 78 such molecules based on recent references. These compounds are classified and tabulated according to the moiety that they possess. Further, the review study highlights the potent member of each chemical class. In addition, the review provides fundamental insights into the design and development of such compounds through the structure-activity relationship of each series of compounds, thereby unlocking new doors for future exploration.

Keywords: Anti-cancer agents, Anti-proliferative activity, Druggable targets, Novel, Potent, Prostate cancer, Synthetic compounds


INTRODUCTION

Cancer is a leading cause of mortality worldwide, with over 10 million deaths in 2020 [1]. According to the estimates of GLOBOCAN 2020, the predicted number of new cancer cases could reach 28.4 million in the next 20 y [2]. Prostate Cancer (PCa) is the second most common cancer in men worldwide, with an incidence rate that can go as high as 83 in 100,000 people [2, 3]. PCa being a heterogeneous disease, the diversity in clinical, spatial, morphology and molecular genetics adds to the complexity of the disease [4-6]. PCa has multifactorial etiology with a wide range of modifiable and non-modifiable risk factors [7]. Certain established factors that pose risks are elderly age, positive family history, and African ancestry [8-10]. In addition, environmental factors, dietary habits and lifestyle can have effects on risk of developing PCa and its advancement [11, 12]. Widely used treatment modalities for PCa are surgery, radiotherapy, and/or Androgen Deprivation Therapy (ADT) [13, 14]. ADT, the mainstay of treatment of metastatic hormone-sensitive PCa treatment, has high rates of relapse where PCa cells develop castration resistance and grow aggressively [15-17]. Advent of immunotherapy has tremendously revolutionized cancer treatment [18-20]. However, these novel agents suffer from drawbacks such as unpredictable efficacy, immunotoxicity and high cost [21-23]. Moreover, identifying the dominant cancer immune drivers, pose a major challenge in selecting the type of immunotherapeutic agent [24]. Hence, the quest for new drug candidates against PCa is imperative to circumvent the problems posed by currently available therapies and address unmet needs such as enhanced survival rates, minimal toxicity, improved effectiveness and lower cost. In the recent times, a wide array of molecules derived from natural sources and synthetic approaches have been tested for their potent anti-proliferative actions that can be used to treat PCa. This review study presents the preparation of significant anti-PCa compounds that are categorized based on the basic nucleus that they contain, along with the insights into their synthesis and Structure-Activity Relationship (SAR). In addition, this work identifies the most consistent and promising molecule and their targets. The reviewed compounds depict an interesting possibility to tackle PCa.

MATERIALS AND METHODS

This work reviews research articles published between 2000 to 2020 and are accessed from ScienceDirect, Scopus, Elsevier, Springer, Pubmed, web of science. The summary of preparation of potential anti-PCa compounds according to the functional group they possess as follows:

Thiazolidines and thiadiazolines

Gududuru and others reported on the synthesis of an array of 2-aryl-4-oxo-thiazolidin-3-yl amide analogues of which three 4-thiazolidinone derivatives exhibited maximum potency with an IC50 (Half-maximal inhibitory concentration) value of 39.6, 11.5 and 22.1 μM against RH 7777a cells [25].

Of the 1,3,4-thiadiazolines that were synthesized by De Monte et al., N-(4-Acetyl-5-ethyl-4,5-dihydro-5-phenyl-1,3,4-thiadiazol-2-yl)acetamide was identified as the most potent agent against PC3, SKMEL-5 and SK-MEL-28 cell lines (table 1) [26].

Trifluoromethyl substituted anilide

A study carried out by Basset to et al. described the synthesis of trifluoromethyl substituted anilides and demonstrated three perfluorinated derivatives to exhibit the highest potency with IC50 value of 37.51, 16.28 and 7.57 μM against DU-145 cells (table 2)[28].

Dibromotyrosine analogues

Of the dibromotyrosine analogues synthesized by Sallam et al., 2,6-Dibromo-1-(trans, trans-farnesyl oxy)benzene-4-acetic acid ethyl ester was identified to exhibit the highest inhibitory potency with an IC50 value of 16.5 μM (table 3)[29].

Steroid analogues

Bruno et al. investigated the synthesis of VN/124-1 analogs (5, 3-β-hydroxy-17-(1H-benzimidazole) androsta-5,16-diene derivatives of which 3-β-Hydroxy-17-(1H-benzimidazol-1-yl)androsta-5,16-dien was identified as the most potent agent against CYP7 with an IC50 value of 47 nM [30].

A series of Platinum(II) complexes conjugated at 7αposition of 17β-acetyl-testosterone were synthesized by Fortin et al., among which 17β-acetyl testosterone-7α-platinum(II) complex exhibited the highest inhibitory potency with an IC50 value of 5.2 μM against PCacell lines [31].

Bastien et al. synthesized 7α-testosterone chlorambucil hybrid that binds to and inhibits androgen receptor and is employed against hormone-dependent PCa [32].

Heng et al. described the synthesis of Nickel (II) complex with testosterone thiosemicarbazone with IC50 of 14.1±1.2, 6.6±1.7,13.8±2.2 against PC3, LNCaP, HCT 116 cell line respectively [33].

A study carried out by Shiet al. described the synthesis of poly substituted steroidal pyridines and identified 2-Ethoxyl-4-(pyridin-3-yl)-6-[(3'β, 17'β)-3' (hydroxyl) androst-5'-en-17'-yl] pyridine to be the most potent cytotoxic molecule with an IC50 of 1.55 μM against PC-3 cells [34].

Sethiet al. developed diosgenin-indomethacin pro-drugs among which 3β, 25R-Spirost-5-ene-3yl (2, 3-dimethylphenyl) aminobenzoate was reported to be the pro-drug with highest potency [35].

Preparation of azole derivatives of[17(20)E]-21-norpregnene was reported by Dalidovich et al. of which 3β-hydroxy-5-ene (IC50= 10μM and 42μMagainst LNCaP and PC-3 cell lines respectively) and isoxazole moieties (IC50=72μM and 67μMagainst LNCaP and PC-3 cell lines respectively) showed the highest inhibitory potency [36].

Jorda et al. described the synthesis of an array of galeterone derivatives such as steroid-fused azacycles of which 3b-Acetoxy-40-methylandrost-5-eno[16,17:4,5]pyrido[2,3-b] indole was a promising lead compound with IC50 value of 0.315 μM [37].

A study carried out by Komendantova et al. described the synthesis of steroidal 1,3,4-thiadiazines analogues and demonstrated fbruno(N-arylcarbamoyl)17 [1′,3′,4′]thiadiazine-substituted androstenesto exhibit the highest potency with IC50 value of2.1–6.6 μM [38].

Of the new steroidal imidazoles series prepared by Hou et al., 20-(1′-methylimidazol-2-yl)-20-hydroxy-pregnan-4-alkene-3-oxime was identified to possess the highest potency with IC50 of 0.5 μM for AR inhibition(table 4.) [39].

1,3-diaryl-2-propen-1-ones (Chalcones)

1,3-diaryl-2-propen-1-ones (Chalcones) analogues were synthesized by Nagaraju et al. and identified 1,3-disubstituted-2-propen-1-ones as potent molecules with IC50 = 8.4μM (table 5) [42].

Table 1: Synthesis of thiazolidines and thiadiazolines

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
Thiazolidines and thiadiazolines
a) 2-aryl-4-oxo-thiazolidin-3-yl-amides Scheme 1: Mercaptoacetic acid, aldehydes of aromatic kind and glycine methyl ester are condensed so as to form ester intermediate which is further subjected to base catalyzed hydrolysis and subsequent reaction with suitable amines in the presence of 1-hydroxybenzotriazole monohydrate or ethylene dichloride.

Lysophosphatidic

Acid Receptor

[27]

[25] 4-thiazolidinones
Scheme 2: In the presence of 4-dimethylaminopyridine as a catalyst, acid reacts with various isocyanates.
Scheme 3: Product so formed is subjected to exhaustive reduction with tetrahydrofuran or borane under conditions of reflux or oxidation reaction using oxidizing agents such as potassium permanganate and hydrogen peroxide[25].
b) 1,3,4-thiadiazolines Reaction between carbonyl compounds and thiosemicarbazide bathed in ethanol in the presence of acetic acid as catalyst produces thiosemicarbazone intermediates which when treated with symmetrical anhydrides (as solvent) forms 1,3,4-thiadiazolines. Subsequently, oxidation reaction is carried out using potassium permanganate in acetic acid in the presence of water and hydrogen peroxide [26]. Kinesin Eg5 ATPase [26]

N-(4-Acetyl-5-ethyl-4,5-dihydro

-5-phenyl-1,3,4-thiadiazol-

2-yl) acetamide

Table 2: Synthesis of trifluoromethyl substituted anilides

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
Trifluoromethyl substituted anilides:
a) Bicalutamide derivatives Suitable aniline when treated with methacryloyl chloride indimethyl acetamide generates phenylacrylamide intermediate when treated with hydrogen peroxide in excess and trifluoroacetic anhydride in dichloromethane yields suitable epoxides. Further, using commercial thiophenols and phenolsepoxides ring is cleaved to furnish an array of thioethers and ethers. Thioethers are oxidized by treatment with meta-chloroperoxybenzoic acid to produce suitable sulfones. Androgen Receptor [28] Perfluorinated derivatives
b) Enzalutamide derivatives Substituted anilines with acetone and trimethylsilyl cyanide follow Strecker reaction to furnish suitable cyanomines, which when treated with isothiocyanates in dimethylformamide and subsequent addition of hydrogen chloride and methanol yields desired product [28].

Table 3: Synthesis of dibromo tyrosine analogues

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
Dibromotyrosine analogues Scheme 1: Phenolic hydroxyl group is esterified with different alkyl and aryl acid chlorides, employing N, N-dimethylaminopyridine catalyst. ATP binding site of VEGFR2 [29]

2,6-Dibromo-1-(trans, trans-

Farnesyl oxy)benzene-4-acetic acid ethyl ester

Scheme 2: In the presence of sodium hydride, the same phenolic hydroxyl group is esterified with different of alkyl and aryl bromides [29].

Table 4: Synthesis of steroids analogues

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
Steroid analogues
a) VN/124-1 (TOK-001) derivatives
i) 3-ξ-Fluoro-17-(1H-benzimidazol-1-yl)androsta-5,16-dien Reaction of 3-β-Hydroxy-17-(1H-benzimidazol-1-yl)androsta-5,16-dien bathed in dichloromethane with diethyl aminosulfur trifluoride yields product. Androgen Receptor [30]

3-β-Hydroxy-17-(1H-benzimidazol

-1-yl)androsta-5,16-dien

ii) 3-β-O-Mesyl-17-(1H-benzimidazol-1-yl)androsta-5,16-dien Reaction between 3-β-hydroxy-17-(1H-benzimidazol-1-yl) androsta-5,16-diene in pyridine and methane sulfonyl chloride at a temperature of 0° C. The resulting solution is subsequently flooded over ice-water mixture so as to form precipitate of product.
iii) 3-α-Azido-17-(1H-benzimidazol-1-yl)androsta-5,16-dien Reaction between 3-β-O-Mesyl-17-(1H-benzimidazol-1-yl) androsta-5,16-dien in dimethylformamide and sodium azide, heated and poured into ice-water.
iv) 3-β-O-Sulfamoyl-17-(1H-benzimidazol-1-yl)androsta-5,16-dien Reaction between 3 β-hydroxy-17-(1H-benzimidazol-1-yl) androsta-5,16-diene in dimethylformamide and potassium tertiary-butoxide under cold conditions followed by treatment with sulfamoyl chloride in toluene. Unreacted reagents are inactivated by using water saturated with ammonium chloride. Further, the product formed is extracted with ethyl acetate.
v) 3-β-Hydroxy-17-(1H-benzimidazol-1-yl)androsta-5-ene Reaction of 3b-Hydroxy-17-(1H-benzimidazol-1-yl) androsta-5,16-dien in ethanol with hydrazine hydrate and acetic acid followed by heating, cooling, concentrating under vacuum and subsequent treatment with water saturated with sodium bicarbonate.
vi) 3-β-Acetoxy-17-chloro-16-formyl-5-α-androstan-16-ene Reaction of trans-androstane in pyridine at 0° C with acetic anhydride. A solution of 3-β-acetoxy-5 α-androst-17-one in dry chloroform is poured into cold and a uniform solution containing phosphorus oxychloride and dimethyl formamide. The resulting blend is further subjected to reflux under argon. Further, the concentrated mixture was poured onto ice, extracted using a cocktail of ethyl acetate and ether and subsequently washed with brine.

vii) 3-β-Acetoxy-17-(1H-benzimidazol-1-yl)-16-formyl-5α-androstan

16-ene

Addition of 3-β-acetoxy-17-chloro-16-formyl-5-α-androstan-16-ene to a mixture of benzimidazole and potassium carbonate in dry dimethylformamide so as to form an admixture which is subsequently allowed to attain room temperature and subsequently flooded onto ice-cold water so as to obtain product precipitate.
viii) 3-β-Acetoxy-17-(1H-benzimidazol-1-yl)-5 α-androsta-16-ene 3-β-Acetoxy-17-(1H-benzimidazol-1-yl)-16-formyl-5-α-androsta-16-ene is dissolved in dry benzonitrile to form a solution which is further refluxed using Palladium on activated charcoal as a catalyst, cooled to room temperature, filtrate is evaporated, and product obtained.
ix) 3-β-Hydroxy-17-(1H-benzimidazol-1-yl)-5-α-androsta-16-ene. Acetate of 3-β-Acetoxy-17-(1H-benzimidazol-1-yl) androstaneis dissolved in methanol in an atmosphere of inert argon gas, followed by reaction with 10% methanolic potassium hydroxide. The solution thus obtained is concentrated under diminished pressure poured onto ice water. White precipitate of the product obtained by filtration is washed and dried.
x) 3-β-Acetoxy-17-(1H benzimidazol-1 yl)androstane 3-β-Acetoxy-17-(1H-benzimidazol-1-yl)-5-α-androsta-16-ene was dissolved in ethanol and treated with hydrazine hydrate, acetic acid and heat while the solution was continuously bubbled with air. The reaction mixture further cooled, concentrated, and poured onto ice cold water. Subsequently, water saturated with sodium bicarbonate was used to obtain precipitate of product.
xi) 3-β-Hydroxy-17-(1H-benzimidazol-1-yl)-5-α androstane Reaction of acetate of 3-β-Acetoxy-17-(1H-benzimidazol-1-yl)-5-α-androsta-16-ene in methanol with10% methanolic potassium hydroxide. The resulting mixture was stirred, concentrated and when poured onto ice water to obtain precipitate of product.
xii) 17-(1H-Benzimidazol-1-yl)androsta-4,16-dien-3-one An admixture of compounds N-methylmorpholine-N-oxide, 3-β-Hydroxy-17-(1H-benzimidazol-1-yl)-5-α-androstane and dichloromethane was prepared which was further subjected to treatment with tetrapropylammoniumperruthenate. To resulting solution, ethyl acetate was added to dilute and washed using aqueous solution of sodium chloride and sodium bicarbonate [30].
b) Platinum(II) complexes conjugated at position 7a of 17 β-acetyl-testosterone

Compounds

i) 17β acetyl testosterone-7 α-tert-butyloxycarbonyl amino acids

Reaction between 7 α-(E)-4-chlorobut-2-enyl-4-androsten-17b-ol-3-one acetate and specific amino acid using cesium carbonate bathed in methyl ethyl ketone Androgen Receptor [31]

17 β-acetyl testosterone-7 α-

platinum(II) complex

ii) 17 β-acetyl-testosterone-7 αamino acids Reaction between 17 β acetyl testosterone-7 α-tert-butyloxycarbonyl amino acids and trifluoroacetic acid bathed in methylene chloride yields 17 β-acetyl-testosterone-7 αamino acids
iii) 17 β-acetyl-testosterone-7 α-platinum(II) complexes Reaction of 17 β-acetyl-testosterone-7 αamino acids with potassium tetrachloroplatinate bathed in a cocktail of water and dimethylformamide [31].
c) 7 α-testosteronechlorambucil hybrid

Scheme 1: Synthesis involves Nucleophilic Bimolecular type of substitution reaction. First step of synthesis involves Olefin Crossmetathesis reaction of 7 α–allyltestosterone derivative using allyl chloride and Hoveyda-Grubbs catalyst in the presence of dichloromethane to yield an intermediate 7 α-(4 chloro-but-2-enyl) testosterone. This is followed by hydrolysis reaction of acetate with hydrogen chloride in methanol and substitution reaction in the presence of chlorambucil, allyl chloride and sodium bicarbonate in a cocktail of water and dimethylformamide.

Scheme 2: Hydrolysis of 7α-allyltestosterone derivative in the presence of hydrogen chloride yielded 7 α–allyl testosterone. Treatment of chlorambucil with oxalyl chloride, allyl alcohol and pyridine bathed in dichloromethane produced acid allyl ester derivative. The ester and 7-αallyl testosterone in the presence of Hoveyda-Grubbs catalyst (2nd generation) in dichloromethane yields product [32].

Androgen Receptor [32] ----

d) Nickel (II) complex with testosterone

thiosemicarbazone

Reaction between estosterone in ethanol and ethanolic thiosemicarbazide and subsequent treatment with ethanol at 78° C results in formation of a Schiff base ligand composed of testosterone, thiosemicarbazide and its nickel (II) complex [33].

Androgen Receptor

and DNA binding

[33] ----
  1. Poly-substituted steroidal pyridines

Scheme 1: Pregnenolone and aldehydes of aromatic kind bathed in ethanol undergoes Aldol Condensation in the presence of aluminum oxide/potassium fluoride catalyst. Resulting steroidalα, β-unsaturated ketone is treated with malononitrile and sodium ethoxide followed by acetylation reaction using acetyl chloride, triethylamine, 4-dimethylaminopyridine, methylene chloride.

Androgen Receptor

[40]

[34]

2-Ethoxyl-4-(pyridin-3-yl)

-6-[(3'β, 17'β)-3'-(hydroxyl)

androst-5'-en-17'-yl]pyridine

Scheme 2: Malononitrile in the presence of sodium ethoxide undergoes 1, 4-Michael addition reaction to form an intermediate which isomerizes to produce an enamine which, when subjected to dehydration of intramolecular kind and ambient oxidation in the presence of air yields product [34].
f) Diosgenin-indomethacin pro-drugs Mefenamic acid and indomethacin are coupled with diosgenin in the presence of an ionic liquid N-methyl-2 pyrrolidone hydrogen sulfate to generate pro-dugs [35]. Matrix metalloproteinase-2(MMP-2) and MMP-9 [41] [35]

3β, 25R-Spirost-5-ene

-3yl (2, 3-dimethyl

phenyl) aminobenzoate

g) Azole analogues of [17(20)E]-21-norpregnene
  1. isoxazole, 1,2,3-triazole, tetrazole derivatives of [17(20)E]-21-norpregnene

1,3-dipolar cycloaddition reaction of azides or nitrile oxides to produce nitriles or acetylenes and subsequent dehydration reaction of 17 beta-hydroxy-17beta-methylene-azoles to derivatives of norpregnene CYP17A1 [36]

3β-hydroxy-5-ene-and

isoxazole moieties

  1. 1,2,4-oxadiazole derivatives of [17(20)E]-21-norpregnene

The synthesis 1,2, 4-oxadiazoles is through the generation of acetimidamides[36].
h) Galeterone analogues including steroid-fused azacycles
  1. Steroid-fused azacycles (benzimidazolopyrimidines

  2. 17-(benzimidazol-1-ylimino) steroid derivatives

  3. 16-α-(benzimidazol-2-ylamino) steroid derivatives

  4. 16 α-(benzothiazol-2-ylamino) steroid derivatives

Scheme 1: Condensation reaction of 2-aminobenzimidazoles and 16-dehydropregnenolone acetate yields Azacycle fused steroids.

Scheme 2: Enone undergoes Aza-Michael reaction and a subsequent electrophilic substitution employing acid as a catalyst, resulting in cyclization, spontaneously occurring dehydration, and aromatization [36].

Androgen receptor [36]

3-β-Acetoxy-40-methylandrost-5-eno[16,17:4,5]pyrido[2,3-b]

indole

i) Steroidal 1,3,4-thiadiazines
  1. Spiro[1,3,4]

    thiadiazine

  2. 16β-hydroxyspiro-androsteno-17,6′[1,3,4]thiadiazines

  3. 17-(6′H-1′,3′,4′-thiadiazine-2′-carboxamide)androst-5,17-dienes

Scheme 1: The traditional nucleophilic oxirane ring opening reaction of 16β,17β-epoxypregnenolone with NH-nucleophile and subsequent aromatization-driven dehydration.

Scheme 2: In the presence of a catalytic quantity of sulphuric acid, reaction between thiohydrazides with both electron-withdrawing and donating groups on the aryl moiety and16β, 17β-epoxypregnenolone yields desired product.

Scheme 3: Reaction of 21-bromopregna-5,16-dien-20-one with oxamic acid thiohydrazides under mild basic circumstances to yield product [38].

Androgen receptor [38]

(N-arylcarbamoyl)

17 [1′,3′,4′]thiadiazine

-substituted androstenes

j) Steroidal imidazoles The essential intermediates are produced by the hydrolysis of 3β-hydroxy-pregnane-5-alkene-20-one-3 acetate in the presence of potassium carbonate and its hydroxy group is protected. This intermediate undergoes nucleophilic substitution reaction with N-methylimidazole in the presence of n-butyl lithium to yield product [39].

Androgen Receptor/

CYP17

[39] 20-(1′-methylimidazol-2-yl)-20-hydroxy-pregnan-4-alkene-3-oxime

Table 5: Synthesis of chalcones

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
5. 1,3-diaryl-2-propen-1-ones (Chalcones)

Scheme 1: With 3-chloro-2-methylpropene in acetone, res acetophenone undergoes Mono-allylation reaction in the presence of anhydrous potassium carbonate and catalytic amount of sodium iodide. Subsequently, Claisen rearrangement reaction occurs with allyl–aryl ether in N, N-diethyl aniline to form rearranged product, which upon treatment with catalytic amount of p-toluenesulfonic acid in chloroform results in generation of benzofuran. Phenol undergoes benzylation with treated with benzyl bromide and subsequent cyclization upon treatment with p-toluenesulfonic acid in refluxing toluene as a catalyst.

Scheme 2: Claisen–Schmidt condensation reaction of ethanone with several benzaldehydes and pyrazolaldehydesin ethanolic solution of sodium hydroxide to form 1,3-disubstituted-2-propen-1-ones [42].

Androgen Receptor

[43]

[42] 1,3-disubstituted-2-propen-1-ones

Table 6: Synthesis of flavonols and flavones

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
Flavonols and flavones
a) Methoxyflavonols Scheme 1: 20-hydroxy acetophenone and benzaldehyde undergoes Claisen-Schmidt condensation reaction to yield 20-hydroxy chalcones, which under AlgareFlynneOyamada conditions (hydrogen peroxide, sodium hydroxide) generates desirable methoxy flavonols Androgen receptor [44]

3,3’,4’,5’-Tetramethoxyflavone,

6-Fluoro-3’,4’,5’-

trimethoxyflavonol,

7-Fluoro-3’,4’,5’-

trimethoxyflavonol

b) Hydroxyflavonols Demethylation of methoxy flavonols with boron tribromide to generate corresponding hydroxy flavonols
c) 4’,6’-difluoro-2’-hydroxyacetophenone Scheme 2: O-acetylation of 3,5-difluorophenol and subsequent Fries rearrangement catalysed by aluminum chloride.
d) Tetramethoxyflavone Scheme 3: Methylation of 3’,4’,5’-trimethoxy-flavonol with iodomethane generates tetramethoxyflavone [44].
a) 3-O-substituted-3’,4’,5’-trimethoxyflavonols

Scheme 1: Trimethoxyflavonolsare synthesized through a four-day one-pot process employing hydroxylacetophenone and trimethoxyl benzaldehyde as the precursors.

Scheme 2: Trimethoxyflavonol undergoes O-alkylation reaction with suitable alkyl halide in aprotic solvent dimethylformamide and potassium carbonate as the base to generate 3-O-alkyltrimethoxyflavonols.

Scheme 3: 3', 4', 5'-trimethoxyflavonol were transformed into twelve novel 3-O-aminoalkyl-3’, 4', 5'-trimethoxyflavonols in 2 steps [45].

5-alpha reductase enzyme [45]

3’,4’,5’-trimethoxyflavonols

and 3-O-dialkylaminoalkyl-

3’,4’,5’-trimethoxyflavonols

Table 7: Synthesis of gold (III) alkane-diamine complexes

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
Gold(III) alkanediamine complexes Trihydrate auric acid reacts with diamine ligand equivalents to produce complexes of Gold(III) alkane-diamine [46]. thioredoxin reductase [46] [Au(diamine)2]3+(in PC3 cells), [Au(diamine)Cl2]+(in SGC7901 and A2780/A2780 cis cells)

Table 8: Synthesis of5-substituted-3, 4-diphenyl furan-2-ones

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound

5-substituted-3,4-diphenyl furan-2-ones:

a) 5-alkylidene substituted-3-phenylfuran-4-(4 methanesulfonyl phenyl)-2 ones

b) Rofecoxib and its analogues

Reaction of rofecoxib or itsanalogs and anhydrous sodium carbonate in methanol andrelevant aldehyde or ketone to form precipitate of product

Reaction of sodium hydroxide with phenyl acetic acid or 2-chlorophenylacetic acid or 4-fluorophenylacetic acid in dimethylformamide, followed by reaction of 2-bromo-1-(4 (methylsulfonyl) phenyl) ethanone so as to form intermediate which further reacts with diisopropylamine, acidification with hydrochloric acid, forming precipitate of product [47].

Cyclooxygenases (COXs) [47]

3-(2-chloro-phenyl)-4-(4-methanesulfonyl-phenyl)-5-

(1-methoxy-ethyl)-5Hfuran-

2-one

Flavonols and flavones

Britton et al. reported on the synthesis of flavonols of which 3,3’,4’,5’-Tetramethoxyflavone, 6-Fluoro-3’,4’,5’-trimethoxyflavonol and 7-Fluoro-3’,4’,5’-trimethoxyflavonol were identified as the molecules with an excellent inhibitory potency with IC50 of 2.6, 3.3 and 4.0μM respectively [44].

Xiang Liet al. developed a series of 3-O-substituted-3’,4’,5’-trimethoxyflavonols of which 3’,4’,5’-trimethoxyflavonols exhibited potent inhibitory action with IC50 values of 32.1 μM and 3-O-dialkylaminoalkyl-30,40,50-trimethoxyflavonols demonstrated amarginal improvement in inhibitory potency against proliferation of LNCaP cell lines (table 6) [45].

Gold (III) alkanediamine complexes

Mehboob et al. developed gold (III) alkanediamine complexes and demonstrated [Au(diamine)2]3+complex to exhibit highest potency with IC50 value of 1–6μMagainst PC3 cells and [Au(diamine)Cl2]+complex to exhibit highest efficacy in SGC7901 and A2780/A2780 cis cells (table 7) [46].

Diphenyl furanone analogues

Liu and others reported on the development of 5-substituted-3, 4-diphenyl furan-2-ones, of which 3-(2-chloro-phenyl)-4-(4-methanesulfonyl-phenyl)-5-(1-methoxy-ethyl)-5Hfuran-2-one possessed the most potent inhibitory action against PC3 (IC50 = 20μM), PC3 PCDNA (IC50 = 5 μM), PC3 SKP2 (IC50 = 5 μM) and DU145 cell lines (IC50 = 25 μM)(table 8) [47].

Aryl –pyrazol derivatives

Nakao et al. developed an array of 1-aryl-3,4-substituted-1H-pyrazol-5-ol derivatives of which 1-(5-methyl-1H-benzimidazol-2-yl)-4-benzyl-3-methyl-1H-pyrazol-5-ol demonstrated a potent inhibitory action against PCA-1/ALKBH3 both in vitro and in vivo (table 9) [48].

Table 9: Synthesis of1-aryl-3,4-substituted-1H-pyrazol-5-ol derivatives

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound

1-aryl-3,4-substituted-1H-pyrazol-5-ol derivatives:

a) 1,3,4-substituted-5-hydroxy-pyrazoles

b) 1-(substituted benzimidazol-2-yl)-5-hydroxy-3-methyl-4-(subsituted benzyl) pyrazoles

Condensation reaction between N-substituted hydrazines and derivatives of ethyl acetoacetate [48]. PCA-1/ALKBH3 [48]

1-(5-methyl-1H-benzimidazol-

2-yl)-4-benzyl-3-methyl-1H-pyrazol-5-ol

Emetine dithiocarbamate ester derivatives

Of the emetine dithiocarbamate ester derivatives synthesized by Akinboye et al., 1-(3-Ethyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2Hpyrido[2,1-a]isoquinolin-2-yl-methyl)-6,7-dimethoxy-3,4-dihydro-1H-isoquinoline-2-carbodithioic acid (4-bromophenyl carbamoyl)-methyl ester possessed potent inhibitory action against LNCaP (IC50 = 1.698 μM), PC3(IC50 = 1.507μM), and DU145 (IC50 = 1.603 μM) cell lines (table 10) [49].

Arylpiperazine derivatives

A study conducted by Chen et al. described the synthesis of arylpiperazine derivatives and demonstratedN-(4-(2-(4-Phenylpiperazin-1-yl)ethyl)benzyl)-1H-indole-2-carboxamide dihydrochloride (IC50 = 5.50μmol/l), N-(4-(2-(4-Phenylpiperazin-1-yl)ethyl)benzyl)benzofuran-2-carboxamide (IC50 = 5.17μmol/l) and N-(4-(2-(4-Phenylpiperazin-1-yl)ethyl)benzyl)benzo[b]thio-phene-2-carboxamide dihydrochloride (IC50 = 8.21 μmol/l) against DU145 cells (table 11) [50].

Silibinins

Vue et al. developed a series of silibinins of which 7-O-Methylsilibinin (IC50 of 10 2.76±0.18, 7.92±0.55, 2.39±0.97 against LNCaP, DU 145, PC-3 respectively) and 7-O-ethylsilibinin (IC50 of 2.58±0.07, 7.59±0.66, 3.25±0.31 against LNCaP, DU 145, PC-3 respectively) exhibited potent inhibitory action [51].

Vue et al. investigated the synthesis of 20-O-alkyl-2,3-dehydrosilybins and 5,20-O-dialkyl-2,3-dehydrosilybins. The study further demonstrated 5-O-heptyl-2,3-dehydrosilybin to be the most potent member of them all, having an IC50 value of less than 8 μM and potency 7 to 29 times more than silybin (table 12) [52].

Table 10: Synthesis of emetinedithiocarbamate ester derivatives

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
Emetine dithiocarbamate ester derivatives Ethanolic solution of sodium hydroxide containing salt of emetine dihydrochloride is treated with carbon disulfide and subsequently with different alkylating agents in acetonitrile to form dithiocarbamate ester derivatives of emetine [49]. Androgen Receptor [49]

1-(3-Ethyl-9,10-dimethoxy-

1,3,4,6,7,11b-hexahydro-2Hpyrido[2,1-a]isoquinolin-2-yl-methyl)-6,7-dimethoxy

-3,4-dihydro-1H-isoquinoline-2-carbodithioic acid (4-bromophenylcarbamoyl)-methyl ester

[

Table 11: Synthesis of aryl piperazine derivatives

Type of derivative Type of reaction involved in synthesis Target Ref Potent compound
Arylpiperazine derivatives

Scheme 1: (4-(2-(4-phenylpiperazin-1-yl)ethyl)phenyl) methanamine) in toluene reacts with corresponding acid anhydride to generate an intermediate. The solution of it is prepared to which ethyl acetate is added in a dropwise manner followed by hydrochloric acid in ethyl acetate.

Scheme 2: Reaction between (4-(2-(4-phenylpiperazin-1-yl)ethyl)phenyl) methanamine bathed in dichloromethane, appropriate acid,2-(7-aza-1H benzotriazole-1-yl)-1,1,3,3-tetramethyluroniumhexafluorophosphate and N, N-diisopro-pylethylamine. The solution of the intermediate is prepared to which ethyl acetate is added in a drop wise manner followed by hydrochloric acid in ethyl acetate.

Scheme 3: Reduction reaction between 2-(4-(bromomethyl) phenyl)acetic acid and borane–methyl sulfide complex, followed by nucleophilic substitution reaction occurring between intermediate so obtained and 1-phenylpiperazine with methyl cyanide as solvent in the presence of potassium carbonate, followed by reaction with 4-toluene-sulfonyl chloride along with trimethylamine using dichloromethane as solvent and 4-dimethylaminopyridine as a catalyst. Finally, treatment with various phenols in the presence of potassium carbonate to obtain product [50].

Alpha 1-adrenergic receptor [50]

N-(4-(2-(4-Phenylpiperazin-1-yl)ethyl)benzyl)-1H-indole-2-carboxamide dihydrochloride and N-(4-(2-(4-henylpiperazin-1-yl)ethyl)benzyl)benzofuran-2-carboxamide and N-(4-(2-(4-Phenylpiperazin-1-yl)ethyl)benzyl)benzo[b]thio

-phene-2-carboxamide dihydr

-ochloride

Table 12: Synthesis of silibinins

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
Silibinins

a) Eight 7-O-alkylsilibinins,

b) Eight 7-O-alkyl-2,3-dehydrosilibinins,

c) Eight 3,7-O-dialkyl-2,3 dehydrosilibinins

Selective methylation and benzylation at phenolic hydroxyl group at 7th carbon atom of silibinin in the presence of potassium carbonate and anhydrous acetone using methyl iodide and benzyl bromide [51]. Epidermal Growth Factor Receptor (EGRF) [53] [51]

7-O-Methylsilibinin

and 7-O-ethylsilibinin

i) 20-O-alkyl-2,3-

dehydrosilybins

and

5,20-O-dialkyl-2,3-

dehydrosilybins

Under completely anaerobic conditions, silybin is converted to 7-O-benzylsilybin employing acetone solvent and equivalents of benzyl bromide and potassium carbonate. Solvent is switched from acetone to dimethylformamide and addition of benzyl bromide and potassium carbonate oxidation yields an intermediate which undergoes selective benzylation at 3-hydroxide and subsequent reaction with suitable alkyl halide using dimethylformamide as the solvent and potassium carbonate as the base to produce dibenzylsilybins that further upon treatment with ammonium formate undergoes debenzylation reaction using Palladium on activated charcoal as a catalyst.

Epidermal Growth Factor Receptor (EGRF)

[53]

[52] 5-O-heptyl-2,3-dehydrosilybin
ii)5-O-alkyl-2,3-dehydrosilybins Silybin undergoes benzylation reaction at 7thhydroxide group under complete anaerobic conditions, followed by a subsequent aerobic oxidation generates intermediate that further undergoes dibenzylation reaction occurring at 3rd OH and 20thhydroxide group to generate 3,7,20-O tribenzyl-2,3-dehydrosilybin. The intermediate thus formed undergoes alkylation reaction at of 5thhydroxide group and a subsequent global debenzylation reaction with ammonium formate using palladium carbon as catalyst to produce desired product [52].

Table 13: Synthesis of indole derivatives

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
Indole derivatives:
i) Indeno[1,2-b]indole derivatives

Scheme 1: Indanone undergoes Fischer Indolization reaction through the formation of respective phenylhydrazones.

Scheme 2: 2-nitrobenzylidenephtalide is produced either by reaction between phthalide-phosphonium bromide and 2-nitrobenzaldehyde followed by cyclization reaction or by cyclization of intramolecular type of 2-(2-nitrophenylethyl)benzoic acid. The analogues of nitrobenzylidenephtalide so formed are subjected to transformation and reduction reaction to yield desired products.

Scheme 3: Reaction between ninhydrine, amines of aliphatic and aromatic kind, or enaminones of alicyclic and cyclic type producesvic-dihydroxy-indenoindolones [54].

Matrix metallo

proteinases

[54] 7,7-dimethyl-5-[(3,4-dichlorophenyl)]-(4bRS,9bRS)-dihydroxy-4b,5,6,7,8,9 bhexahydroindeno [1,2-b]indole-9,10-dione
ii) Thiosemicarbazone-indole derivatives

Scheme 1: 2-(1H-indol-3-yl)ethan-1-amine reacts with carbon disulfide in the company of triethylamine. Further the compound so formed undergoes addition reaction with 4-dimethylaminopyridine and di-tert-butyl-dicarbonate to generate an intermediate, which upon treatment with hydrazine hydrate and a subsequent Schiff base condensation reaction with 5-methylpicolinaldehyde driven by acid-catalysis yields desired thiosemicarbazone-indole analogues

Scheme 2: Reaction of 4-aminocyclohexane-1-carboxylic acid with 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide, hydroxybenzotriazole and 2-(1H-indol-3-yl) ethan-1-amine to yield amide derivatives.

Scheme 3: Reaction of substituted amines with 6-nitronicotinic acid or 4-nitrobenzoic acid in the company of 1-ethyl-3-(3′-dimethylaminopropyl)carbodiimide and 1-Hydroxybenzotriazolein dichloromethane, and the subsequent reaction with hydrogen using palladium as a catalyst to generate corresponding byproducts, which are subjected to reaction similar to that of Scheme 1 [55].

Ribonucleotide reductase [55] (E)-N-(2-(2-methyl-1H-indol-3-yl)ethyl)-4-(2-((5-methylpyridin-2-yl)methylene)hydrazine-1-carbothioamido)benzamide

Indole derivatives

Lobo et al. developed derivatives of indeno [1,2-b]indole of which 7,7-dimethyl-5-[(3,4-dichlorophenyl)]-(4bRS,9bRS)-dihydroxy-4b,5,6,7,8,9bhexahydroindeno[1,2-b]indole-9,10-dione possessed strong anti-proliferative potency against PC-3 (IC50 value of 10.70±0.07μM), LNCaP (9.57±0.55μM) and MatLyLu cell line (5.96±0.28μM) [54].

Of the thiosemicarbazone indole derivatives synthesized by Xu He et al., (E)-N-(2-(2-methyl-1H-indol-3-yl)ethyl)-4-(2-((5-methylpyridin-2-yl)methylene)hydrazine-1-carbothioamido)benzamide demonstrated potent inhibitory action with the IC50 value of 0.054 μM (table 13) [55].

Triazole derivatives

Mandalapu et al. synthesized triazole hybrids of curcumin of which (3E,5E)–1–((1–(substitutedbenzyl)–1H–1,2,3–triazol–4–yl)methyl)–3,5–bis(substituted benzylidene) piperidin–4–ones exhibited potent action against PC-3 (IC50 = 8.8μM) and DU-145 cell lines (IC50 = 9.5μM)[56].

Madasuet al. reported on the synthesis of1,2,3-triazole hybrids of myrrhanone B of which meta-hydroxy phenyl 1,2,3–triazole (IC50: 6.57±0.62 μM) and deoxyuridine 1,2,3–triazole (IC50: 10.85±0.90 μM) were found to be the most potent antiproliferative agents against PC-3 cell line (table 14) [57].

Table 14: Synthesis of triazole derivatives

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
Triazole derivatives
a) Triazole hybrids of curcumin Reaction between substituted benzaldehydes and 4–piperidinone hydrochloride hydrate with concentrated hydrochloric acid in glacial acetic acid and subsequent alkalinization with potassium carbonate in a blend of acetone and water generates substituted benzylidenepiperidin–4–onederivatives, which further reacts with propargyl bromide in acetone. Reaction of carbon disulfide with aq. potassium hydroxide in dichloromethane yields dithiocarbamate potassium salts which in turn react with propargyl bromide in a blend of water and acetone. Further substituted benzylidenepiperidin–4–one analogues or substituted benzylidene–4–oxopiperidine–1–carbodithioate undergoes reaction with substituted benzyl azides using copper sulphate pentahydrate as catalyst and sodium ascorbate [56].

Cell survival protein

Akt

[56] (3E,5E)–1–((1–(substitutedbenz-yl)–1H–1,2,3–triazol–4–yl)methyl)–3,5–bis(substitutedbenzylidene) piperidin–4–ones
b) myrrhanone B-1,2,3-triazole hybrids Propargylation followed by Huisgen's 1,3-dipolar cycloaddition reaction. Reaction of (5S,8R,9R,10S)-3-oxo-8-hydroxy-30-carboxypolypoda 13E,17E,21E-triene with propargyl bromide in company of potassium carbonate in dry acetone yields an intermediate. Parallel to this, substituted aromatic azides, deoxy uridine and protected uridine azides are prepared. Intermediate formed reacts with substituted azides in sodium ascorbate and copper sulphate pentahydrate in the water-tetrahydrofuran solution’s presence [57].

Epidermal Growth Factor Receptor

(EGFR)

[58]

[57] Meta-hydroxy phenyl 1,2,3–triazole and deoxyuridine 1,2,3 –triazole

Table 15: Synthesis of quinoline derivatives

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
Quinoline derivatives

Scheme 1: Quinolines were oxidized using m-chloroperoxybenzoic acid in chloroform at room temperature, yielding the critical intermediate quinoline N-oxide, which was then condensed with different substituted 2-aminopyridines to generate product.

Scheme 2: Under basic circumstances, methyl iodide is used to oxidise substituted 8-hydroxyquinoline that is protected by a methyl group, followed by coupling reaction with suitable pyridines and subsequent demethylation using tribromoborane in a nitrogen environment to produce thioethers. Intermediates generated through coupling, on the other hand, are hydrolyzed by strong hydrochloric acid and deprotected to yield products.

Scheme 3: In the presence of triethylamine, 5-substituted 8-hydroxy quinoline reacts with methanesulfonyl chloride, and subsequent N-oxidation reaction. The intermediate formed were condensed with 2-hydroxypyridine and are further hydrolyzed with sodium hydroxide to yield the appropriate ethers [59].

PIM-1 kinase

(Proviral Insertion site in Moloney murine leukemia virus)

[59]

2-(pyridine-2-amino)quinolin

-8-ol

Quinoline derivatives

Of the quinoline derivatives developed by Li et al., 2-(pyridine-2-amino) quinolin-8-olpossessed potent antitumor activity with IC50 value of 0.75 μM (table 15) [59].

Diheteroarylnona-tetraen-ones

Zhang et al. synthesized 1,9-diheteroarylnona-1,3,6,8-tetraen-5-ones, of which (1E,3E,6E,8E)-1,9-Bis(3-fluoropyridin-4-yl)nona-1,3,6,8-tetraen-5-one (IC50 value 2.36±0.56 μM, 1.21±0.43 μM, 2.43±1.31 μM against PC-3, DU145, LNCaPcell lines respectively) and (1E,3E,6E,8E)-1,9-Bis(1-(pentan-3-yl)-1H-imidazol-2-yl)nona-1,3,6,8-tetraen-5-one (IC50 value 1.14±0.12 μM, 1.78±0.13 μM, 2.17±0.2 μM against PC-3, DU145, LNCaPcell lines respectively) were the two most potent members (table 16) [60].

Boswellic acid derivatives

Li et al. described the synthesis of acetyl-11-keto-β-boswellic acid derivatives of which N-(2-cyano-3,11-dioxo-ursan-1,12-dien-24-oyl)-piperazine exhibited a potent inhibitory action and demonstrated IC50 value of 0.04 and 0.27 μM against PC-3 and LNCaP cell lines respectively [62].

Huang et al. investigated on the synthesis of ring-A modified 11-keto-boswellic acid derivatives of which 3-oxo-2-carboxylmethylene derivative of 11-keto-boswellic acid derivatives showed potent action with 0.46 μMIC50 value(table 17) [63].

Table 16: Synthesis of1,9-diheteroarylnona-1,3,6,8-tetraen-5-ones

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound

1,9-Diheteroarylnona-1,3,6,8-

tetraen-5-ones

Using potassium carbonate as base and water and ethanol as co-solvents,1,3 bis(diethyl phosphonate) acetone and (E)-3-aryl-2-propenal undergoes Horner-Wadsworth-Emmons reaction. The (E)-3-aryl-2-propenals are generated through a one to four-day Wittig reaction of the suitable carbaldedyde with (triphenylphosphoranylidene) aldehyde in dimethylformamide. Potassium carbonate was used to generate 1-alkyl-1H-imidazole-2-carbaldehydes from 1H-imidazole-2-carbaldehydes [60].

NF-κb-regulated gene products

[61]

[60].

1,9-Bis(3-fluoropyridin-4-yl) 1,3,6,8-tetraen-5-one nona derivative1,9-Bis(1-(pentan-3-yl)imidazol-2-yl)

1,3,6,8-tetraen-5-onenona derivative

Table 17: Synthesis of boswellic acid derivatives

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
Boswellic acid derivatives
a) Acetyl-11-keto-β-boswellic acid derivatives

Following esterification and hydrolysis of free acid, thionyl chloride is added to chloroform to produce the suitable acyl chloride, which is subsequently treated with sodium methoxide/methanol. The protecting group was chosen to be benzyl because of the efficiency with which it could be removed using titanium tetrachloride bathed in dichloromethane. The acetate group is hydrolyzed by potassium hydroxide in methanol.

Other derivatives are synthesized by reaction with 2-iodoxybenzoic acid in dimethyl sulfoxide and subsequent treatment with iodine in the presence of pyridine. Starting material for generating 2-cyano and 2-trifluoromethyl derivatives is 2-iodo analogues. Substitution reaction in the presence of cuprous cyanide bathed in N-methyl pyrrolidinone generates 2-cyano derivatives.

Substituted analogues, when treated with methyl 2,2-difluoro-2-(fluorosulfonyl) acetate bathed in HMPT/DMF and cuprous iodine generates 2-trifluoromethyl analogues. Removal of benzyl group by titanium tetrachloride/methylene chloride produces free acid, which subsequently with thionyl chloride produces suitable acyl chloride. Further, product so formed undergoes condensation with several nitrogen containing heterocycles to yield amides [62].

PIN 1 (Protein Interaction with Never in mitosis A1) [62]

N-(2-cyano-3,11-dioxo-ursan-

1,12-dien-24-oyl)-piperazine

b) Ring A modified 11-keto-boswellic acid derivatives

Scheme 1: In the presence of potassium carbonate, Acetyl-11-Keto-b-Boswellic Acid derivatives (AKBA) are benzylated by treating them with benzyl bromide; subsequently, benzylated products are hydrolyzed with sodium ethoxide and further treated with 2-chloroacetyl chloride. The intermediate formed in turn is treated with amines or substituted phenols and further debenzylation with titanium tetrachloride is carried out.

Scheme 2: AKBA is treated with various alcohols or amines and are subsequently subjected to series of reactions, such as hydrolysis and oxidisation using Jones’ reagent, sequentially. Further, Aldol reaction of intermediate is carried out and subjected to treatment with glyoxylic acid monohydrate under basic circumstances and further substituted with benzaldehydes in the presence of potassium hydroxide, ethanol.

Scheme 3: Intermediates obtained from Aldol Reaction are reacted with diethyl oxalate followed by cyclization. The resultant intermediate is then treated with hydroxylamine hydrochloride or hydrazine hydrate and subsequently subjected to ester hydrolysis [63].

PIN 1 (Protein Interaction with Never in mitosis A1) [63]

3-oxo-2-carboxyl methylene

derivative of 11-keto-boswellic

acid derivatives

Indoline and Isoindoline derivatives

Among the 2-(4-phenylthiazol-2-yl) isoindoline-1,3-dione) isoindoline derivatives synthesized by Saravanan et al., derivatives with 4-aromatic substituent on the 1,3-thiazole core presenting IC50 value of 5.96±1.6 μM were potent of all [64].

Kumar et al. developed a series of spiro-chrome no indoline-triones of which the two compounds identified to possess highest potency were 5’ bromospiro[indeno[2’,1’:5,6]pyrano[3,2–c]chromene-7,3’-indoline]-2’,6,8(7aH,12bH)-trione (IC50=0.025±0.002 μM) and 1’-allylspiro[indeno[2’,1’:5,6]pyrano[3’,2–c]chromene-7,3-indoline]-2’,6,8(7aH,12bH)-trione (IC50=0.081±0.002 μM) (table 18) [65].

Table 18: Synthesis of indoline and isoindoline derivatives

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
Indoline and isoindoline derivatives
a) 2-(4-phenylthiazol-2-yl) isoindoline-1,3-dione)isoindolinederivatives In the presence of triethylamine, 2-bromo-1-(4-substituted phenyl)ethanone reacts with thiourea bathed in ethanol. Resulting product is further refluxed with phthalic anhydride in acetic acid [64]. Androgen Receptor [64]

Derivatives with

4-aromatic moiety

on 1,3-thiazole core

b) 10,10-dimethyl-9,10,11,11a-tetrahydro-6H spiro[chromeno [4,3–b]chromene-7,3-indoline]-2′,6,8 (7aH)-triones Reaction involving various Lewis acids and bifunctional organocatalysts. This reaction is carried out under green conditions, employing an admixture of cyclic diketone, isatins, 4-hydroxycoumarin, and β-diketone [65]. Alkaline Phosphatase [65]

5’-bromospiro

-trione and 1’-allylspiro-trione analogues

Amino-aroylnaphthalenes

Rai et al. developed a series of 1-Amino-2-Aroyl naphthalenes of which potent molecule 4-amino-3-aroyl/heteroaroyl-2-methylsulfanylnapthalene-1-carbonitriles presented IC50 values of 14μM (table 19) [66].

4-azaandrostenes analogues

Of the series of 4-azaandrostenes analogues synthesized by Brito et al., 16E-[(4-methylphenyl) methylidene]-4-azaandrost-5-ene-3,17-dione (IC50 =28.28 μM) was identified to possess the highest inhibitory potency (table 20) [67].

Table 19: Synthesis of1-Amino-2-Aroyl naphthalenes

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
1-Amino-2-Aroyl naphthalenes Reaction between 2-(1-cyano-2,2-bis-methylsulfanyl-vinyl)-benzonitrile and acetophenone in the presence of base generates appropriate functionalized naphthalenes [66]. cytochrome P450 receptor [66] 4-amino-3-aroyl/heteroaroyl-2-methylsulfanylnapthalene-1-carbonitriles

Table 20: Synthesis of4-azaandrostenes analogues

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
4-azaandrostenes Androstenedione undergoes oxidative cleavage at the enone system. Oxidative cleavage is followed by Azacyclization reaction. The intermediate thus formed undergoes Aldol Condensation with several aldehydes to yield the desired product [67]. 5-alpha reductase enzyme. [67]

16E-[(4-methylphenyl)

methylidene]-4-azaandrost

-5-ene-3,17-dione

(in androgen-independent

PC-3 cells)

Pyrazine analogues

Seo et al. described the preparation of a series of3,4-dihydropyrrolo[1,2-a]pyrazine of which potent molecule was identified to be (3R*,4S*)-3-(4-bromophenyl)-4-(4-fluorobenzoyl)-2-(2-oxo-2-phenylethyl)-3,4-dihydropyrrolo[1,2-a]pyrazin-2-ium bromide with an IC50 value of 1.18±0.05 μM (table 21) [68].

Table 21: Synthesis of 3,4-dihydropyrrolo[1,2-a] –pyrazine

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
3,4-dihydropyrrolo[1,2-a]-pyrazine In-situ imine generation from the reaction of aldehyde and ammonium acetate reacts with N-substituted pyrrole-2-carboxaldehyde. Alkylation of basic nitrogen of product so obtained forming 4-acyl-3,4 dihydropyrrolo [1,2-a] pyrazines from N-substituted pyrrole-2-carboxaldehyde with (hetero) arylaldehydes and ammonium acetate in the presence of potassium carbonate in ethanol [68]. Caspase-3 [68]

(3R*,4S*)-3-(4-bromophenyl)

-4-(4-fluorobenzoyl)-2-(2-oxo-2-phenylethyl)-3,4-dihydro Pyrrolo [1,2-a]pyrazin-2-ium bromide

Table 22: Synthesis of nitrogen-containing derivatives of O-tetramethyl quercetin

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
Nitrogen-containing derivatives of O-tetramethyl quercetin:
  1. 3′,4′,5,7-O-tetramethylquercetin

Scheme 1: Global Methylation of Rutin followed by glycoside hydrolysis Androgen Receptor [69]

5-O-(N,N-dibutylamino)propyl

-3,3′,4′,7-O-tetramethyl

quercetin

  1. 3,3′,4′,7-O-Tetramethylquercetin

Scheme 2: Manthey and Guthrie's technique for selective tetramethylation of quercetin was used.
  1. four 3-O-aminoalkyl-3′,4′,5,7-O-tetramethylquercetins

Scheme 3: Firstly, 3,4,5,7-O-tetramethylquercetin is O-alkylated with suitable dibromoalkanes. Subsequently, resulting 3-O-bromoalkyl-3,4,5,7-O –tetramethylquercetinsis N-alkylated with appropriate amines. Base and polar aprotic solvent employed in the synthesis is potassium carbonate and N, N-dimethylformamide respectively.
  1. 5-O-aminoalkyl-3,3,4,7-O-tetramethylquercetins

Scheme 4: From 3,3,4,7-O-tetramethylquercetin, twenty-four different 5-O-aminoalkyl-3,3,4,7-O-tetramethylquercetins are generated [69].

Nitrogen-containing derivatives of O-tetramethyl quercetin

Rajaram et al. synthesized nitrogen-containing derivatives of O-tetramethyl quercetin among which5-O-(N,Ndibutylamino)propyl-3,3′,4′,7-O-tetramethylquercetin demonstrated potent anti-proliferative action(IC50 =0.55–2.82 μM) (table 22) [69].

Ruthenium (II) complexes

Grandis et al. developed Ruthenium (II) complexes bearing Lawsone among which[Ru(lawsone)(bis [diphenylphosphino] methane)(2,2′-bipyridine)]PF6(IC50 value of 1.9 to 4.8 μM against DU-145 and A549 cell lines respectively) and [Ru(lawsone)(bis [diphenylphosphino] methane)(1,10-phenanthroline)]PF6(IC50 values ranging from 1.3-3.0 μM against DU-145 and MDA-MB-231cell lines, respectively) exhibited the highest potency [70].

Olmoet al. synthesized heterofunctional ruthenium (II) carbosilane dendrons of which {[PTA(η5-C5H5)RuNCPh(o-N)]-G2-[(CH2)3N(CH3)2]4}Cl (IC50 =1.8 μM in HeLa; 1.4 μM in PC-3) was identified as potent complex among all [71].

Olmoet al. described the synthesis of cyclopentadienyl ruthenium (II) carbosilanemetallodendrimers of which G1-{[NCPh(o-N)Ru(η5-C5H5)(PTA)]Cl}4 and G2-{[NCPh(o-N)Ru(η5-C5H5)(PTA)]Cl}8possesed potent inhibitory action with IC50 of 8.3 μM and 6.6 μMrespectively (table 23) [72].

Table 23: Synthesis of ruthenium (II) complexes

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
Ruthenium (II) containing complexes:
a) Lawsone-containing ruthenium (II) complexes:
i) [Ru(lawsone)(bipy or phen)2]PF6 The precursor complex [RuCl2(bipy or phen)2] of cis form reacts with lawsone (law) ligand under argon atmosphere. Death receptor-upregulates BAX and downregulates BCL-2 expression. [71] [Ru(lawsone)(bis[diphenylphosphino] methane)(2,2′-bipyridine)]PF6 and [Ru(lawsone)(bis [diphenylphosphino] methane)(1,10-phenanthroline)]
ii)[Ru(lawsone)([diphenylphosphino] methane)(bipy or phen)]PF6 The initial generation of precursor complexes. These are generated using cis and trans forms of [RuCl2(PPh3)2(bipy or phen)] and (diphenylphosphino)methane of toluene. The reaction mixture is a refluxedinan atmosphere provided by argon gas [71].
  1. Heterofunctionalruthenium(II) carbosilane dendrons [Ru(η5-C5H5)(PTA)Cl](PTA 1,3,5-triaza-7-phosphatricyclo-[3.3.1.1]decane)

Coordination of metallic centre to the focal point of dendritic wedges of different generations. Secondly, replacement of acetonitrile ligand by 1,3,5-triaza-7-Phosphatricyclo-Decane (PTA) is carried out. In a second step, without isolating the previous products a reaction of ligand exchange by PTA forms product [72]. Vasoactive Intestinal Peptide (VIP) and Growth Hormone Releasing Hormone (GHRH) receptors [73] [72]

{[PTA(η5-C5H5)RuNCPh(o-N)]

-G2-[(CH2)3N(CH3) 2]4}Cl

  1. Cyclopentadienyl ruthenium

(II) carbosilanemetallodendrimers:

i) The first generation

metallodendrimer[G0{NCPh(o-N)Ru(η5-C5H5)(CH3CN)}]PF6

Dendrimers which are functionalized with groups such as iminopyridine, G0-[NCPh(o-N)], G1-[NCPh(o-N)]4 and G2-[NCPh(o-N)]8 are used. Coordinating metallic centre, ligands and counterion exchange in an inert atmosphere produces suitable metallo dendrimer. Vasoactive Intestinal Peptide (VIP) and Growth Hormone Releasing Hormone (GHRH) receptors [73] [72]

G1-{[NCPh(o-N)Ru(η5-C5H5)

(PTA)]Cl}4

and

G2-{[NCPh(o-N)Ru(η5-C5H5)

(PTA)Cl}8

ii) The second generation

metallodendrimer[G1{NCPh(o-N)Ru(η5-C5H5)(CH3CN)}4]PF6

Synthesis following scheme similar as described above using the following reagents-dendritic ligand (II) of first generation and ruthenium precursor.
iii) [G2{NCPh(o-N)Ru(η5-C5H5)(CH3CN)}8]PF6 Synthesis following scheme similar as described above using the following reagents-ruthenium precursor and dendritic ligand (II) of first generation.
iv) G0-{[NCPh(o-N)Ru(η5-C5H5)(PTA)]PF6}4 Reaction of complex[G0{NCPh(o-N)Ru(η5-C5H5)(CH3CN)}]PF6 with 1,3,5-triaza-7 phosphoadamantane PTA ligand.
v) G1-{[NCPh(o-N)Ru(η5-C5H5) (PTA)]PF6}4 Reaction of complex [G1{NCPh(o-N)Ru(η5-C5H5)(CH3CN)}4]PF6 with PTA
vi)G2-{[NCPh(o-N)Ru(η5-C5H5)(PTA) ]PF6}8 Reaction of [G2{NCPh(o-N)Ru(η5-C5H5)(CH3CN)}8]PF6with PTA
vii) G0-{[NCPh(o-N)Ru(η5-C5H5)(PTA)]Cl}4

To the complex G0-{[NCPh(o-N)

Ru((η5-C5H5)(PTA)]PF6}4 in a mixture of acetone/water, ion exchange resin is used to carry out exchange of counter ion.

viii)G1-{[NCPh(o-N)Ru(η5-C5H5)(PTA)]Cl}4 To the complex G1{[NCPh(oN)Ru(η5 C5H5)(PTA)]PF6}4 in a mixture of acetone/water, ion exchange resin is used to carry out an exchange of counterion.
xi) G2-{[NCPh(o-N)Ru(η5-C5H5)(PTA)]Cl}8 To the complex G2{[NCPh(oN)Ru(η5 C5H5) (PTA)]PF6}8 in an acetone/water, ion exchange resin is used to carry out exchange of counter ion [50].

Table 24: Synthesis of N-heterocyclic nitro prodrugs

Type of derivative Type of reaction involved in synthesis Target Ref Potent compound
24. N-heterocyclic nitro pro-drugs:
  1. Nitro-containing triazine derivatives

A nucleophilic substitution reaction of cyanuric chloride and amines of aromatic kind such as 2,4-dinitrophenylhydrazine and 2-nitro, 3-nitro, 4-nitro, 2,4-dinitro, 3,5-dinitroaniline and is further refluxed with acetic acid. Ssap-Ntr Bnitroreductase enzyme [74]

Pyrimidine

derivative

  1. Urea derivatives of nitrophenyls and piperazine

Urea analogs of nitrophenyls and piperazine are generated by Curtius rearrangement reaction. Nitrobenzoyl chlorides react with sodium azide to produce derivatives of nitrobenzoylazide. Unstable nitrophenyl isocyanate formed via nitrogen output at temperature of reflux of toluene reacts with piperazine to yield product.
  1. Carbamate derivatives of nitrophenyls and piperazine

Rivett and Wilshire's method employes 1,4-bis (chlorocarbonyl) piperazine, which is generated through the reaction of piperazine with phosgene in pyridine and subsequent reactions at room temperature with bis(chlorocarbonyl) piperazine and nitrophenols (2-nitro, 3-nitro and 4-nitro) in dimethylformamide in the presence of sodium hydride.
  1. Pyrimidine derivative

At reflux temperature 2,4 dichloropyrimidine reacts with 4-nitroaniline in diluted hydrochloric acid to yield pyrimidine containing nitro pro-drugs [74].

N-heterocyclic nitro pro-drugs

Güngore t al. reported on the generation of N-heterocyclic nitro pro-drugs and demonstrated pyrimidine derivatives to possess highest inhibitory potency against PC3 cells (IC50 = 1.75 nMto 1.79 nM) (table 24) [74].

Dinitrobenzamide mustards

Basiri et al. described the synthesis of dinitrobenzamide mustards and identified mustards containing alcohol side chain counterparts as compound with maximum potency with IC50 value of 26±2 μM (table 25) [75].

Table 25: Synthesis of dinitrobenzamide mustards

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
Dinitrobenzamide Mustards Scheme 1: 2-chloro-3,5-dinitrobenzoic acid bathed in methanol is esterified by an acid catalyst. Further, the protected dinitrobenzoate is treated with bis(chloroethyl)amine and subsequently with aqueous potassium hydroxide in dioxane so as to cleave the methyl group, yielding benzoic acid which in turn reacts with oxalyl chloride under mild circumstances to form acid chloride. The acid chloride upon treatment with β-Alanine t-butyl ester or ethanolamine affords desirable product in situ [75]. Activation by nitroreductase enzyme followed by DNA alkylation [75]

Dinitrobenzamide Mustards

Containing alcohol side chain

Thiohydantoin derivatives

Wang et al. developed an array of thiohydantoin analogues of which4-(4,4-dimethyl-5-oxo-3-(1-oxoisochroman-6-yl)-2-thioxoimidazolidin-1-yl)-2(trifluoromethyl)benzonitrile demonstrated to posses potent inhibitory action with IC50 value of 1.936μM against LNCaP and 0.730μM againstLNCaP/AR(table 26) [76].

Table 26: Synthesis of thiohydantoin analogues

Type of derivative Type of reaction involved in synthesis Target Reference Potent compound
Thiohydantoin Derivatives Suzuki coupling reaction of several boric acid or borate esters, followed by oxidation reaction using selenium dioxide at methyl group and a subsequent Pinnick oxidation to furnish appropriate carboxylic acids. Further, reduction of quinoline core so as to afford tetrahydroquinoline and formation of esters from relevant carboxylic acids is carried out. At the end, cyclization reactions yielded products [76]. Androgen Receptor [76]

4-(4,4-dimethyl-5-oxo

-3-(1-oxoisochroman-6-yl)

-2-thioxoimidazolidin-1

yl)-2(trifluoromethyl)

benzonitrile

Structure-activity relationship studies

Among thiazolidines, electron-donating substituent, sulfoxide or sulfone moiety conferred potent cytotoxicity to these analogues, whereas electron-withdrawing groups at ortho-position decreased their anticancer activity [25].

Incorporation of a C5-ethyl group of the thiadiazoline ring resulted in an enhanced inhibitory effects on mitosis and kinesin activity in cell lines of PC3, SKMEL-5 and SK-MEL-28 [26].

Among anilides, replacing central methyl moiety of bicalutamide with a trifluoromethyl moiety yielded derivatives with potent anti-proliferative action and superior stability with enzymes of phase 1 biotransformation while maintaining appreciable membrane permeability [28].

In dibromotyrosine derivatives, incorporation of C-1acetyl ester group conferred higher anti-migratory activity, whereas incorporation of ether group conferred higher anti-proliferative activity to these analogues [29].

In vitro SAR studies of β-hydroxy-androstadiene derivatives indicated that 3β-OH group is crucial to exert androgen receptor down-regulation. Isosteric substitution of 3β-OH moiety with fluoro group at C-3 resulted in significant reduction in this activity, whereas substitution with azido moiety completely terminated the action. Chemical alterations such as incorporation of 16-methyl alcohol or the substitution of 17-benzimidazole with purines that can be either substituted or unsubstituted led to a significant decrease in the down-regulation of androgen receptor [30].

The SAR results of poly-substituted steroidal pyridines revealed that analogues with heterocyclic rings at 4-position of the pyridine ring demonstrated superior anti-proliferative action against various tumor cell lines than phenyl-substituted counterparts. Moreover, it was deduced that the presence of an additional 4-pyridine moiety conferred appreciable growth inhibition activity to the derivatives [34].

Among norpregnene azole derivatives, compounds with 3β-hydroxy-5-ene-and isoxazole groups had the most potent inhibitory action against LNCaP and PC-3 cells. Derivatives with 3-oxo-4-ene-isoxazole groups demonstrated moderate anti-proliferative potency. Of oxadiazoles, 3β-hydroxy-5-ene-derivative was the only potent inhibitor among the series [36].

Of the chalcones synthesized by Nagaraju et al., benzylated derivatives showed greater cytotoxicity than the corresponding debenzylated derivatives owing to higher lipophilicity of benzylated counterparts [42].

Findings of a study conducted on synthesis of flavonols imply that 3’,4’,5’-arrangement of either hydroxy or methoxy groups imparts potency to flavonols and that the methoxy derivatives have superior growth arrest activity as compared to their hydroxy counterparts [44].

The results of an investigation that involved synthesis of 3-O-substituted-trimethoxyflavonols indicates that incorporation of dipentylaminopropyl moiety increases the anti-proliferative potency as well as the ability to induce apoptosis in PC-3 cell lines. The study also concluded that potency of these derivatives could be enhanced by modifications at 3-OH group [45].

In diphenyl furanone derivatives, incorporation of fluoro group at para-position and/or chloro group at ortho-position on C-3 phenyl ring along with suitable modifications at 5 position of central furanone yields analogues with potent anti-proliferative effects [47].

An investigation on aryl-substituted-pyrazol-ol derivatives suggested that incorporating phenyl or naphthyl ring on 4 position-methyl moiety of the pyrazole ring generated potent anti-proliferative agents. Derivatives containing carboxyl moiety or those lacking the methyl group exhibited equivalent activities. Compounds with a phenyl ring attached at the 3-position demonstrated lower activities. The removal or substitution of aromatic rings on the benzimidazole moiety resulted in weaker PCA-1/ALKBH3 inhibitors [48].

The arylpiperazine derivatives with an o-methylsulphonyl moiety on the phenyl ring possessed potent inhibitory action against LNCaP cell lines [50].

The SAR results of silibinins indicated that anti-proliferative potency of the derivatives can be enhanced by making chemical modifications on the C-7 phenolic hydroxyl moiety. Bioavalability of these analogues could be improved by incorporating suitable functional group through a linker to hydroxyl group at 7 position of silibinin and 2,3-dehydrosilibinin [51].

O-alkyldehydrosilibinins with modified hydroxyl group at either 3, 5, or 7 position have potent anti-proliferative action against androgen-sensitive PCa cell lines. However, derivatives with an enhanced ability to induce PC-3 cell apoptosis can be obtained by incorporating an alkyl group at hydroxyl group at either 5, or 7 position [52].

Results of the study on indeno [1,2-b]indole suggested that analogues with dimethyl group at 7 positions and dichloro phenyl group at 5 positions are essential features that confer anti-proliferative potency to these derivatives [54].

Among thiosemicarbazone indole derivatives, it was observed that benzamide moiety in the linker was responsible for selective cytotoxicity of these compounds. Moreover, a reduction in the potency of these analogues was seen when NNS donor was replaced with other donor chelators, indicating that NNS donor conferred significant anti-proliferative potency towards tumor cell lines [55].

The SAR results of triazole hybrids of curcumin indicated that anti-proliferative potency of the derivatives can be enhanced by incorporating 4-methyl groups at R1 position on the 1,2,3-triazole scaffold [56].

The results of the study on diheteroaryl nona-tetra enones, suggested that analogues with pyridine-4-yls and quinolin-4-yl heteroaromatic rings confer anti-proliferative potency to these derivatives [60].

The SAR results of acetyl-keto boswellic acid derivatives indicated that anti-proliferative potency of the derivatives can be enhanced by incorporating electron-withdrawing moiety on ring A and a nitrogen atom containing heterocycle at C-24 [62].

Among spiro-chromeno indoline-triones derivatives, it was observed that groups like bromo at R2 position, carbonyl available in isatin, 4-hydroxycoumarin and 1H-indene-1,3(2H)-dione support electron withdrawal thus enhance therapeutic effects of these analogues. Presence of abundance of functional groups ensures a higher bioavailability and anti-proliferative effects [65].

Among derivatives of O-tetramethyl quercetin 5-O-Aminoalkyl-3,3′,4′,7-O-tetramethylquercetins are considered to be a superior scaffold for further design and development quercetin anti-prostate drugs [69].

The SAR results of lawsone-containing ruthenium(II) complexes indicated that those containing phosphine ligand displayed potent anti-proliferative action by enhancing lipophilicity of the complex, thereby increasing its cytotoxicity against various tumour cell lines [70].

Among N-heterocyclic nitro pro-drugs, it was observed that para-nitrosubstituted piperazine-urea moiety and ortho-nitrosubstituted piperazine-carbamate moiety conferred significant anti-proliferative potency to these pro-drugs [74].

The SAR results of dinitrobenzamide mustards indicated that insertion of a carboxylic acid group into the construct of dinitrobenzamide mustard yields agents with superior hypoxia-selectivity than their alcohol counterparts [75].

The development and spread of particular cancer cells can be prevented by targeted treatment [77]. Fewer efficacies in the present cancer therapy, patient non-compliance, drug resistance and uncertainty of current candidates in a clinical trial have led to the need for the development of potential anticancer agents [78-80].

CONCLUSION

This present review summarizes the synthesis of significant anti-PCa agents their SAR studies and reflects current advancements and attempts in the field of cancer research. This review work intends to provide a basic insight into the design and development of novel molecules against PCa; thereby paving the way for future exploration.

FUNDING

Authors state no funding involved.

CONFLICT OF INTERESTS

The authors confirm that there is no conflict of interest related to the manuscript.

AUTHORS CONTRIBUTIONS

Kavana Krishna Nayak was involved in writing the manuscript, conducting the literature search, and interpreting the results. Lalit Kumar was involved in supervision, critical review, and literature search. Ruchi Verma contributed by providing the idea, designing the study, supervising, performing critical reviews, writing and editing the manuscript, conducting the literature search.

REFERENCES

  1. Ferlay J, Colombet M, Soerjomataram I, Parkin DM, Pineros M, Znaor A. Cancer statistics for the year 2020: an overview. Int J Cancer. 2021;149(4):778-89. doi: 10.1002/ijc.33588, PMID 33818764.

  2. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021 May;71(3):209-49. doi: 10.3322/caac.21660, PMID 33538338.

  3. Giona S. Chapter 1. The epidemiology of prostate cancer. In: Bott SR, Ng KL, editors. Prostate cancer. Brisbane (AU). Exon Publications; 2021 May 27. doi: 10.36255/exonpublications.prostatecancer.epidemiology.2021, PMID 34181376.

  4. Haffner MC, Zwart W, Roudier MP, True LD, Nelson WG, Epstein JI. Genomic and phenotypic heterogeneity in prostate cancer. Nat Rev Urol. 2021;18(2):79-92. doi: 10.1038/s41585-020-00400-w, PMID 33328650, PMCID PMC7969494.

  5. Tolkach Y, Kristiansen G. The heterogeneity of prostate cancer: a practical approach. Pathobiology. 2018;85(1-2):108-16. doi: 10.1159/000477852, PMID 29393241.

  6. Fisher R, Pusztai L, Swanton C. Cancer heterogeneity: implications for targeted therapeutics. Br J Cancer. 2013 Feb 19;108(3):479-85. doi: 10.1038/bjc.2012.581, PMID 23299535.

  7. NG KL. Chapter 2. The etiology of prostate cancer. In: Bott SR, Ng KL, editors. Prostate cancer. Brisbane (AU). Exon Publications; 2021 May 27. PMID 34181375.

  8. Pienta KJ, Esper PS. Risk factors for prostate cancer. Ann Intern Med. 1993 May 15;118(10):793-803. doi: 10.7326/0003-4819-118-10-199305150-00007, PMID 8470854.

  9. Stangelberger A, Waldert M, Djavan B. Prostate cancer in elderly men. Rev Urol. 2008;10(2):111-9. PMID 18660852, PMCID PMC2483315.

  10. McHugh J, Saunders EJ, Dadaev T, McGrowder E, Bancroft E, Kote Jarai Z. Prostate cancer risk in men of differing genetic ancestry and approaches to disease screening and management in these groups. Br J Cancer. 2022 Jun;126(10):1366-73. doi: 10.1038/s41416-021-01669-3, PMID 34923574, PMCID PMC9090767.

  11. Wilson KM, Mucci LA. Diet and lifestyle in prostate cancer. Adv Exp Med Biol. 2019;1210:1-27. doi: 10.1007/978-3-030-32656-2_1, PMID 31900902.

  12. Pouresmaeili F, Hosseini SJ, Farzaneh F, Karimpour A, Azargashb E, Yaghoobi M. Evaluation of environmental risk factors for prostate cancer in a population of Iranian patients. Asian Pac J Cancer Prev. 2014;15(24):10603-5. doi: 10.7314/apjcp.2014.15.24.10603, PMID 25605146.

  13. Chen FZ, Zhao XK. Prostate cancer: current treatment and prevention strategies. Iran Red Crescent Med J. 2013 Apr;15(4):279-84. doi: 10.5812/ircmj.6499, PMID 24082997, PMCID PMC3785898.

  14. Bracarda S, Logothetis C, Sternberg CN, Oudard S. Current and emerging treatment modalities for metastatic castration-resistant prostate cancer. BJU Int. 2011 Apr;107 Suppl 2:13-20. doi: 10.1111/j.1464-410X.2010.10036.x, PMID 21382150.

  15. Melloni C, Roe MT. Androgen deprivation therapy and cardiovascular disease. Urol Oncol. 2020 Feb;38(2):45-52. doi: 10.1016/j.urolonc.2019.02.010, PMID 30879969.

  16. LI JR, Wang SS, Chen CS, Cheng CL, Hung SC, Lin CH. Conventional androgen deprivation therapy is associated with an increased risk of cardiovascular disease in advanced prostate cancer a nationwide population-based study. Plos One. 2022 Jun 28;17(6):e0270292. doi: 10.1371/journal.pone.0270292, PMID 35763533.

  17. Ritch C, Cookson M. Recent trends in the management of advanced prostate cancer. F1000Res. 2018 Sep 21;7. doi: 10.12688/f1000research.15382.1, PMID 30345007.

  18. Sahu M, Suryawanshi H. Immunotherapy: the future of cancer treatment. J Oral Maxillofac Pathol. 2021 May-Aug;25(2):371. doi: 10.4103/0973-029X.325257, PMID 34703141.

  19. Kelly PN. The cancer immunotherapy revolution. Science. 2018 Mar 23;359(6382):1344-5. doi: 10.1126/science.359.6382.1344, PMID 29567702.

  20. Patnaik A. Revolutionizing cancer treatment: the challenges of immunotherapy. Immunol Disord Immunother. 2023;8(1):137. doi: 10.35248/2593-8509.23.8.137.

  21. Couchoud C, Fagnoni P, Aubin F, Westeel V, Maurina T, Thiery Vuillemin A. Economic evaluations of cancer immunotherapy: a systematic review and quality evaluation. Cancer Immunol Immunother. 2020 Oct;69(10):1947-58. doi: 10.1007/s00262-020-02646-0, PMID 32676716.

  22. Cha HR, Lee JH, Ponnazhagan S. Revisiting immunotherapy: a focus on prostate cancer. Cancer Res. 2020 Apr 15;80(8):1615-23. doi: 10.1158/0008-5472.CAN-19-2948, PMID 32066566.

  23. Gupta S, Shukla S. Limitations of immunotherapy in cancer. Cureus. 2022 Oct 29;14(10):e30856. doi: 10.7759/cureus.30856, PMID 36465776.

  24. Porta Pardo E, Godzik A. Mutation drivers of immunological responses to cancer. Cancer Immunol Res. 2016 Sep 2;4(9):789-98. doi: 10.1158/2326-6066.CIR-15-0233, PMID 27401919.

  25. Gududuru V, Hurh E, Dalton JT, Miller DD. Synthesis and antiproliferative activity of 2-aryl-4-oxo-thiazolidin-3-yl-amides for prostate cancer. Bioorg Med Chem Lett. 2004;14(21):5289-93. doi: 10.1016/j.bmcl.2004.08.029, PMID 15454213.

  26. DE Monte C, Carradori S, Secci D, D Ascenzio M, Guglielmi P, Mollica A. Synthesis and pharmacological screening of a large library of 1,3,4-thiadiazolines as innovative therapeutic tools for the treatment of prostate cancer and melanoma. Eur J Med Chem. 2015 Nov 13;105:245-62. doi: 10.1016/j.ejmech.2015.10.023, PMID 26498571.

  27. Gududuru V, Hurh E, Sullivan J, Dalton JT, Miller DD. SAR studies of 2-arylthiazolidine-4-carboxylic acid amides: a novel class of cytotoxic agents for prostate cancer. Bioorg Med Chem Lett. 2005;15(18):4010-3. doi: 10.1016/j.bmcl.2005.06.032, PMID 16005217.

  28. Bassetto M, Ferla S, Pertusati F, Kandil S, Westwell AD, Brancale A. Design and synthesis of novel bicalutamide and enzalutamide derivatives as antiproliferative agents for the treatment of prostate cancer. Eur J Med Chem. 2016 Aug 8;118:230-43. doi: 10.1016/j.ejmech.2016.04.052, PMID 27131065.

  29. Sallam AA, Ramasahayam S, Meyer SA, El Sayed KA. Design synthesis and biological evaluation of dibromotyrosine analogues inspired by marine natural products as inhibitors of human prostate cancer proliferation invasion and migration. Bioorg Med Chem. 2010;18(21):7446-57. doi: 10.1016/j.bmc.2010.08.057, PMID 20884214.

  30. Bruno RD, Vasaitis TS, Gediya LK, Purushottamachar P, Godbole AM, Ates Alagoz Z. Synthesis and biological evaluations of putative metabolically stable analogs of VN/124-1 (TOK-001): head to head anti-tumor efficacy evaluation of VN/124-1 (TOK-001) and abiraterone in LAPC-4 human prostate cancer xenograft model. Steroids. 2011;76(12):1268-79. doi: 10.1016/j.steroids.2011.06.002, PMID 21729712.

  31. Fortin S, Brasseur K, Morin N, Asselin E, Berube G. New platinum(II) complexes conjugated at position 7α of 17β-acetyl testosterone as new combi-molecules against prostate cancer: design synthesis structure-activity relationships and biological evaluation. Eur J Med Chem. 2013 Oct;68:433-43. doi: 10.1016/j.ejmech.2013.08.011, PMID 23994871.

  32. Bastien D, Hanna R, Leblanc V, Asselin E, Berube G. Synthesis and preliminary in vitro biological evaluation of 7α-testosterone chlorambucil hybrid designed for the treatment of prostate cancer. Eur J Med Chem. 2013;64:442-7. doi: 10.1016/j.ejmech.2013.04.027, PMID 23665800.

  33. Heng MP, Sinniah SK, Teoh WY, Sim KS, Ng SW, Cheah YK. Synthesis of a DNA-targeting nickel (II) complex with testosterone thiosemicarbazone, which exhibits selective cytotoxicity towards human prostate cancer cells (LNCaP). Spectrochim Acta A Mol Biomol Spectrosc. 2015;150(1):360-72. doi: 10.1016/j.saa.2015.05.095, PMID 26057090.

  34. Shi YK, Wang B, Shi XL, DI Zhao YD, YU B, Liu HM. Synthesis and biological evaluation of new steroidal pyridines as potential anti-prostate cancer agents. Eur J Med Chem. 2018 Feb 10;145:11-22. doi: 10.1016/j.ejmech.2017.12.094, PMID 29310026.

  35. Sethi A, Singh P, Yadav N, Yadav P, Banerjee M, Singh RP. Greener approach for synthesis of novel steroidal prodrugs using ionic liquid their DFT study and apoptosis activity in prostate cancer cell line. J Mol Struct. 2019;1180:733-40. doi: 10.1016/j.molstruc.2018.12.009.

  36. Dalidovich TS, Hurski AL, Morozevich GE, Latysheva AS, Sushko TA, Strushkevich NV. New azole derivatives of [17(20)E]-21-norpregnene: synthesis and inhibition of prostate carcinoma cell growth. Steroids. 2019;147(20):10-8. doi: 10.1016/j.steroids.2018.08.004, PMID 30149075.

  37. Jorda R, Reznickova E, Kielczewska U, Maj J, Morzycki JW, Siergiejczyk L. Synthesis of novel galeterone derivatives and evaluation of their in vitro activity against prostate cancer cell lines. Eur J Med Chem. 2019;179:483-92. doi: 10.1016/j.ejmech.2019.06.040, PMID 31271960.

  38. Komendantova AS, Scherbakov AM, Komkov AV, Chertkova VV, Gudovanniy AO, Chernoburova EI. Novel steroidal 1,3,4-thiadiazines: synthesis and biological evaluation in androgen receptor-positive prostate cancer 22Rv1 cells. Bioorg Chem. 2019 Oct;91:103142. doi: 10.1016/j.bioorg.2019.103142, PMID 31400555.

  39. Hou Q, HE C, Lao K, Luo G, You Q, Xiang H. Design and synthesis of novel steroidal imidazoles as dual inhibitors of AR/CYP17 for the treatment of prostate cancer. Steroids. 2019;150:108384. doi: 10.1016/j.steroids.2019.03.003, PMID 30885648.

  40. Scherbakov AM, Komkov AV, Komendantova AS, Yastrebova MA, Andreeva OE, Shirinian VZ. Steroidal pyrimidines and dihydrotriazines as novel classes of anticancer agents against hormone-dependent breast cancer cells. Front Pharmacol. 2017;8:979. doi: 10.3389/fphar.2017.00979, PMID 29375380.

  41. Chen PS, Shih YW, Huang HC, Cheng HW. Diosgenin a steroidal saponin inhibits migration and invasion of human prostate cancer PC-3 cells by reducing matrix metalloproteinases expression. Plos One. 2011;6(5):e20164. doi: 10.1371/journal.pone.0020164, PMID 21629786.

  42. Nagaraju M, Gnana Deepthi E, Ashwini C, Vishnuvardhan MV, Lakshma Nayak V, Chandra R. Synthesis and selective cytotoxic activity of novel hybrid chalcones against prostate cancer cells. Bioorg Med Chem Lett. 2012;22(13):4314-7. doi: 10.1016/j.bmcl.2012.05.016, PMID 22668451.

  43. Zhou J, Geng G, Batist G, WU JH. Syntheses and potential anti-prostate cancer activities of ionone-based chalcones. Bioorg Med Chem Lett. 2009;19(4):1183-6. doi: 10.1016/j.bmcl.2008.12.089, PMID 19138519.

  44. Britton RG, Horner Glister E, Pomenya OA, Smith EE, Denton R, Jenkins PR. Synthesis and biological evaluation of novel flavonols as potential anti-prostate cancer agents. Eur J Med Chem. 2012 Aug;54:952-8. doi: 10.1016/j.ejmech.2012.06.031, PMID 22789812.

  45. LI X, Lee M, Chen G, Zhang Q, Zheng S, Wang G. 3-O-Substituted-3′,4′,5′-trimethoxyflavonols: synthesis and cell based evaluation as anti-prostate cancer agents. Bioorg Med Chem. 2017;25(17):4768-77. doi: 10.1016/j.bmc.2017.07.022, PMID 28760528.

  46. Monim Ul Mehboob M, Altaf M, Fettouhi M, Isab AA, Wazeer MI, Shaikh MN. Synthesis spectroscopic characterization and anti-cancer properties of new gold(III) alkanediamine complexes against gastric prostate and ovarian cancer cells; crystal structure of [Au2(pn)2(Cl)2]Cl2·H2O. Polyhedron. 2013;61:225-34. doi: 10.1016/j.poly.2013.05.054.

  47. Liu GZ, XU HW, Wang P, Lin ZT, Duan YC, Zheng JX. Stereoselective synthesis and anti-proliferative effects on prostate cancer evaluation of 5-substituted-3,4-diphenylfuran-2-ones. Eur J Med Chem. 2013 Jul;65:323-36. doi: 10.1016/j.ejmech.2013.04.062, PMID 23735281.

  48. Nakao S, Mabuchi M, Shimizu T, Itoh Y, Takeuchi Y, Ueda M. Design and synthesis of prostate cancer antigen-1 (PCA-1/ALKBH3) inhibitors as anti-prostate cancer drugs. Bioorg Med Chem Lett. 2014;24(4):1071-4. doi: 10.1016/j.bmcl.2014.01.008, PMID 24461353.

  49. Akinboye ES, Bamji ZD, Kwabi Addo B, Ejeh D, Copeland RL, Denmeade SR. Design synthesis and cytotoxicity studies of dithiocarbamate ester derivatives of emetine in prostate cancer cell lines. Bioorg Med Chem. 2015;23(17):5839-45. doi: 10.1016/j.bmc.2015.06.072, PMID 26187015.

  50. Chen H, XU F, Liang X, XU BB, Yang ZL, HE XL. Design synthesis and biological evaluation of novel arylpiperazine derivatives on human prostate cancer cell lines. Bioorg Med Chem Lett. 2015;25(2):285-7. doi: 10.1016/j.bmcl.2014.11.049, PMID 25488843.

  51. Vue B, Zhang S, Zhang X, Parisis K, Zhang Q, Zheng S. Silibinin derivatives as anti-prostate cancer agents: synthesis and cell-based evaluations. Eur J Med Chem. 2016;109:36-46. doi: 10.1016/j.ejmech.2015.12.041, PMID 26748997.

  52. Vue B, Zhang X, Lee T, Nair N, Zhang S, Chen G. 5-or/and 20-O-alkyl-2,3-dehydrosilybins: synthesis and biological profiles on prostate cancer cell models. Bioorg Med Chem. 2017;25(17):4845-54. doi: 10.1016/j.bmc.2017.07.035, PMID 28756013.

  53. Ramasamy K, Agarwal R. Multitargeted therapy of cancer by silymarin. Cancer Lett. 2008 Oct 8;269(2):352-62. doi: 10.1016/j.canlet.2008.03.053, PMID 18472213.

  54. Lobo G, Monasterios M, Rodrigues J, Gamboa N, Capparelli MV, Martinez Cuevas J. Synthesis crystal structure and effect of indeno[1,2-b]indole derivatives on prostate cancer in vitro. Potential effect against MMP-9. Eur J Med Chem. 2015;96:281-95. doi: 10.1016/j.ejmech.2015.04.023, PMID 25899333.

  55. HE ZX, Huo JL, Gong YP, An Q, Zhang X, Qiao H. Design synthesis and biological evaluation of novel thiosemicarbazone indole derivatives targeting prostate cancer cells. Eur J Med Chem. 2021 Jan 15;210:112970. doi: 10.1016/j.ejmech.2020.112970, PMID 33153765.

  56. Mandalapu D, Saini KS, Gupta S, Sharma V, Yaseen Malik M, Chaturvedi S. Synthesis and biological evaluation of some novel triazole hybrids of curcumin mimics and their selective anticancer activity against breast and prostate cancer cell lines. Bioorg Med Chem Lett. 2016;26(17):4223-32. doi: 10.1016/j.bmcl.2016.07.053, PMID 27496212.

  57. Madasu C, Karri S, Sangaraju R, Sistla R, Uppuluri MV. Synthesis and biological evaluation of some novel 1,2,3-triazole hybrids of myrrhanone B isolated from commiphora mukul gum resin: identification of potent antiproliferative leads active against prostate cancer cells (PC-3). Eur J Med Chem. 2020;188:111974. doi: 10.1016/j.ejmech.2019.111974, PMID 31883489.

  58. XU X, Zhang J, Zhang Z, Wang M, Liu Y, LI X. Systems pharmacology in combination with proteomics reveals underlying mechanisms of xihuang pill against triple-negative breast cancer. Bioengineered. 2020;11(1):1170-88. doi: 10.1080/21655979.2020.1834726, PMID 33092442.

  59. LI K, LI Y, Zhou D, Fan Y, Guo H, MA T. Synthesis and biological evaluation of quinoline derivatives as potential anti-prostate cancer agents and Pim-1 kinase inhibitors. Bioorg Med Chem. 2016;24(8):1889-97. doi: 10.1016/j.bmc.2016.03.016, PMID 26979485.

  60. Zhang X, Wang R, Perez GR, Chen G, Zhang Q, Zheng S. Design synthesis and biological evaluation of 1,9-diheteroarylnona-1,3,6,8-tetraen-5-ones as a new class of anti-prostate cancer agents. Bioorg Med Chem. 2016;24(19):4692-700. doi: 10.1016/j.bmc.2016.08.006, PMID 27543391.

  61. Mbese Z, Khwaza V, Aderibigbe BA. Curcumin and its derivatives as potential therapeutic agents in prostate colon and breast cancers. Molecules. 2019 Nov 30;24(23):4386. doi: 10.3390/molecules24234386, PMID 31801262.

  62. LI K, LI L, Wang S, LI X, MA T, Liu D. Design and synthesis of novel 2-substituted 11-keto-boswellic acid heterocyclic derivatives as anti-prostate cancer agents with Pin1 inhibition ability. Eur J Med Chem. 2017;126:910-9. doi: 10.1016/j.ejmech.2016.09.089, PMID 27997878.

  63. Huang M, LI A, Zhao F, Xie X, LI K, Jing Y. Design synthesis and biological evaluation of ring modified 11-keto-boswellic acid derivatives as pin1 inhibitors with remarkable anti-prostate cancer activity. Bioorg Med Chem Lett. 2018;28(19):3187-93. doi: 10.1016/j.bmcl.2018.08.021, PMID 30153964.

  64. Saravanan K, Elancheran R, Divakar S, Anand SA, Ramanathan M, Kotoky J. Design synthesis and biological evaluation of 2-(4-phenylthiazol-2-yl) isoindoline-1,3-dione derivatives as anti-prostate cancer agents. Bioorg Med Chem Lett. 2017;27(5):1199-204. doi: 10.1016/j.bmcl.2017.01.065, PMID 28162857.

  65. Kumar MR, Manikandan A, Sivakumar A, Dhayabaran VV. An eco-friendly catalytic system for multicomponent one-pot synthesis of novel spiro chromeno indoline triones and their anti-prostate cancer potentials evaluated via alkaline phosphatase inhibition mechanism. Bioorg Chem. 2018 Dec;81:44-54. doi: 10.1016/j.bioorg.2018.07.037, PMID 30118985.

  66. Rai R, Dutta RK, Singh S, Yadav DK, Kumari S, Singh H. Synthesis biological evaluation and molecular docking study of 1-amino-2-aroylnaphthalenes against prostate cancer. Bioorg Med Chem Lett. 2018;28(9):1574-80. doi: 10.1016/j.bmcl.2018.03.057, PMID 29606573.

  67. Brito V, Santos AO, Alves G, Almeida P, Silvestre S. Novel 4-azapregnene derivatives as potential anticancer agents: synthesis antiproliferative activity and molecular docking studies. Molecules. 2022;27(18). doi: 10.3390/molecules27186126, PMID 36144856.

  68. Seo Y, Lee JH, Park SH, Namkung W, Kim I. Expansion of chemical space based on a pyrrolo[1,2-a]pyrazine core: synthesis and its anticancer activity in prostate cancer and breast cancer cells. Eur J Med Chem. 2020 Feb 15;188:111988. doi: 10.1016/j.ejmech.2019.111988, PMID 31901746.

  69. Rajaram P, Jiang Z, Chen G, Rivera A, Phasakda A, Zhang Q. Nitrogen containing derivatives of O-tetramethylquercetin: synthesis and biological profiles in prostate cancer cell models. Bioorg Chem. 2019 Jun;87:227-39. doi: 10.1016/j.bioorg.2019.03.047, PMID 30904813.

  70. DE Grandis RA, Santos PW, Oliveira KM, Machado AR, Aissa AF, Batista AA. Novel lawsone containing ruthenium(II) complexes: synthesis characterization and anticancer activity on 2D and 3D spheroid models of prostate cancer cells. Bioorg Chem. 2019 Apr;85:455-68. doi: 10.1016/j.bioorg.2019.02.010, PMID 30776556.

  71. Sanz Del Olmo N, Maroto Diaz M, Quintana S, Gomez R, Holota M, Ionov M. Heterofunctional ruthenium(II) carbosilane dendrons a new class of dendritic molecules to fight against prostate cancer. Eur J Med Chem. 2020 Dec 1;207:112695. doi: 10.1016/j.ejmech.2020.112695, PMID 32882608.

  72. Sanz Del Olmo N, Bajo AM, Ionov M, Garcia Gallego S, Bryszewska M, Gomez R. Cyclopentadienyl ruthenium(II) carbosilane metallodendrimers as a promising treatment against advanced prostate cancer. Eur J Med Chem. 2020;199:112414. doi: 10.1016/j.ejmech.2020.112414, PMID 32438200.

  73. Sanchez Milla M, Munoz Moreno L, Sanchez Nieves J, Maly M, Gomez R, Carmena MJ. Anticancer activity of dendriplexes against advanced prostate cancer from protumoral peptides and cationic carbosilane dendrimers. Biomacromolecules. 2019;20(3):1224-34. doi: 10.1021/acs.biomac.8b01632, PMID 30669830.

  74. Gungor T, Tokay E, Guven Gulhan U, Hacıoglu N, Celik A, Koçkar F. Prodrugs for nitroreductase based cancer therapy-4: towards prostate cancer targeting: synthesis of N-heterocyclic nitro prodrugs Ssap NtrB enzymatic activation and anticancer evaluation. Bioorg Chem. 2020 Dec;105:104450. doi: 10.1016/j.bioorg.2020.104450, PMID 33189994.

  75. Basiri A, Zhang W, Garrison J. Synthesis and evaluation of new dinitrobenzamide mustards in human prostate cancer. Bioorg Med Chem Lett. 2021;31:127697. doi: 10.1016/j.bmcl.2020.127697, PMID 33220402.

  76. Wang A, Wang Y, Meng X, Yang Y. Design synthesis and biological evaluation of novel thiohydantoin derivatives as potent androgen receptor antagonists for the treatment of prostate cancer. Bioorg Med Chem. 2021;31:115953. doi: 10.1016/j.bmc.2020.115953, PMID 33388655.

  77. Mehdi S, Chauhan A, Dhutty A. Cancer and new prospective to treat cancer. Int J Curr Pharm Sci. 2023;15(6):16-22. doi: 10.22159/ijcpr.2023v15i6.3078.

  78. Mathew C, Lal N, Lakshmi S, Aswathy TR, Varkey J. Antioxidant anticancer and molecular docking studies of novel 5-benzylidene substituted rhodanine derivatives. Int J Pharm Pharm Sci. 2023;15(7):7-19. doi: 10.22159/ijpps.2023v15i7.47421.

  79. Jahan SM, Kabir S, Jinatrahana, Sazianowshin SS, Salam S, Islam J. Study of the physiological role of Streblus asper as a chemopreventive agent on human prostate cancer (DU-145) cell line. Asian J Pharm Clin Res. 2024;17(7):126-30. doi: 10.22159/ajpcr.2024v17i7.50977.

  80. Bamaniya BB, Mavuduru RS, Bora GS, Sharma AP, SK, Rastogi A. Serum testosterone as a marker of response to androgen deprivation therapy in metastatic prostate cancer. Asian J Pharm Clin Res. 2023;16(8):176-80. doi: 10.22159/ajpcr.2023.v16i8.48075.