Drug combination study of novel oxorhenium(V) complexes

Three Re(V) complexes of structural formulas [ReOCl₂L(PPh₃)], where L is pyridine-2-carboxylic acid (C1), 3-methyl-pyridine-2-carboxylic acid (C2) and 6-methyl-pyridine-2-carboxylic acid (C3) were synthesized and characterized using NMR, IR spectroscopy and mass spectrometry. Crystal structures of all three complexes have been additionally confirmed by X-ray analysis. The biological activity has been investigated in the panel of tumor cell lines A549, PANC-1, MDA-MB-231, MCF-7, LS-174, EAhy.926 and one in non-tumor cell line MRC-5. Only C1 showed dose-dependent cytotoxic potential, particularly toward triple-negative breast adenocarcinoma cells MDA-MB-231 with IC₅₀ 68.90 ± 1.73 μM and pancreatic adenocarcinoma cells PANC-1 with IC₅₀ 69.84 ± 2.3 μM. Both cell lines are characterized by a highly invasive and resistant phenotype. Drug combination studies in PANC-1 cells with C1 and Verapamil hydrochloride (VRP), which is the established inhibitor of efflux transporter P-glycoprotein (Pgp), revealed enhancement of antiproliferative action of the complex in a dose-dependent manner, and slight arrest of cell cycle in the S phase. Also, a depletion of the glutathione (GSH) level by L-buthionine-sulfoximine (L-BSO) at sub-toxic concentrations (100 μM) caused an increase of activity of C1 to the IC₅₀ 57.67 ± 6.51 (μM). A morphological analysis in PANC-1 cells by dual acridine orange/ethidium bromide staining, revealed apoptotic potential of complex C1 and a slower kinetic of cell death induction, suggesting a different mechanism of action compared to cisplatin.