Cardiotonic steroids (CS), natural compounds with traditional use in cardiology, have been recently suggested to exert potent anticancer effects. However, the repertoire of molecules with Na,K-
ATPase activity and anticancer properties is limited. This paper describes the synthesis of 6 new
digoxin derivatives substituted (on the C17-
butenolide) with γ-benzylidene group and their cytotoxic effect on human fibroblast (WI-26 VA4) and
cancer (HeLa and RKO) cell lines as well as their effect on Na,K-
ATPase activity and expression. As
digoxin, compound BD-4 was almost 100-fold more potent than the other derivatives for cytotoxicity with the three types of cells used and was also the only one able to fully inhibit the Na,K-
ATPase of HeLa cells after 24h treatment. No change in the Na,K-
ATPase α1
isoform protein expression was detected. On the other hand it was 30-40 fold less potent for direct Na,K-
ATPase inhibition, when compared to the most potent derivatives, BD-1 and BD-3, and
digoxin. The data presented here demonstrated that the anticancer effect of
digoxin derivatives substituted with γ-benzylidene were not related with their inhibition of Na,K-
ATPase activity or alteration of its expression, suggesting that this classical molecular mechanism of CS is not involved in the cytotoxic effect of our derivatives.