In this work, we present the design and synthesis of novel fully synthetic analogues of the
bisbenzylisoquinoline tetrandrine, a molecule with numerous pharmacological properties and the potential to treat life-threatening diseases, such as
viral infections and
cancer. Its toxicity to liver and lungs and the underlying mechanisms, however, are controversially discussed. Along this line, novel
tetrandrine analogues were synthesized and biologically evaluated for their hepatotoxicity, as well as their antiproliferative and chemoresistance reversing activity on
cancer cells. Previous studies suggesting CYP-mediated toxification of
tetrandrine prompted us to amend/replace the suspected metabolically instable 12-methoxy group. Of note, employing several in vitro models showed that the proposed CYP3A4-driven metabolism of
tetrandrine and analogues is not the major cause of hepatotoxicity. Biological characterization revealed that some of the novel
tetrandrine analogues sensitized drug-resistant
leukemia cells by inhibition of the
P-glycoprotein. Interestingly, direct anticancer effects improved in comparison to
tetrandrine, as several compounds displayed a markedly enhanced ability to reduce proliferation of drug-resistant
leukemia cells and to induce cell death of
liver cancer cells. Those enhanced anticancer properties were linked to influences on activation of the
kinase Akt and mitochondrial events. In sum, our study clarifies the role of CYP3A4-mediated toxicity of the
bisbenzylisoquinoline alkaloid tetrandrine and provides the basis for the exploitation of novel synthetic analogues for their antitumoral potential.