Anticancer structure-activity relationship studies on aminosteroid (5α-androstane) derivatives have emerged with a promising lead candidate: RM-133 (2β-[1-(
quinoline-2-carbonyl)
pyrrolidine-2-carbonyl]-N-
piperazine-5α-
androstane-3α,17β-diol), which possesses high in vitro and in vivo activities against several
cancer cells, and selectivity over normal cells. However, the relatively weak metabolic stability of RM-133 has been a drawback to its progression toward clinical trials. We investigated the replacement of the
androstane backbone by a more stable
mestranol moiety. The resulting compound, called
RM-581 ({4-[17α-ethynyl-17β-hydroxy-3-methoxyestra-1,3,5(10)-
trien-2-yl]piperazin-1-yl}[(2S)-1-(quinolin-2-ylcarbonyl)pyrrolidin-2-yl]methanone), was synthesized efficiently in only five steps from commercially available
estrone. In comparison with RM-133,
RM-581 was found to be twice as metabolically stable, retains potent cytotoxic activity in
breast cancer MCF-7 cell culture, and fully blocks
tumor growth in a mouse xenograft model of
breast cancer. Advantageously, the selectivity over normal cells has been increased with this estrane version of RM-133. In fact,
RM-581 showed a better selectivity index (15.3 vs. 3.0) for
breast cancer MCF-7 cells over normal breast MCF-10A cells, and was found to be nontoxic toward primary human kidney proximal tubule cells at doses reaching 50 μm.