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AACR 
April 5th San Diego, CA. 2014 
1,4,5,8-Tetrakis-[(2-N,N-dimethylaminoethyl)amino]anthraquinone as a Potential Anticancer Agent: its synthesis, characterization and anticancer properties 
Background 
Mitoxantrone (M0) (5,8-dihydroxy-1,4-bis{[2-[(2- 
hydroxyethyl)amino]ethyl]amino}-9,10-anthracenedion.HCl has few side 
effects except for neutropenia and cardiotoxicity. The cardiotoxicity is 
thought to reside with the two ring hydroxyl groups. Without the hydroxyl 
groups the anthraquinone has reduced cardiotoxicity but also reduced 
cytotoxicity and is used for the treatment of various types of cancer. A 
number of 1,4,5,8-tetra-aminoalkylanthraquinone derivatives were 
synthesized and it was determined if these compounds had cytotoxic 
activity. It was realized that four side chains were possible therefore four 
areas of activity. 1,4,5,8 Tetra compounds could be made from 1,4,5,8- 
Tetrachloroanthraquinone. Compounds from 1,4,5,8- 
tetrachloroanthraquinone were used in applications such as: liquid crystal, 
to color gasoline and to absorb infrared radiation. No report of their use as 
anti-cancer compounds has been noted. 
References 
1) Ernst Gutzwiiler, Arylamino Anthraquinone Dystuffs USP 2,688,028, Aug. 31, 1954 
2) Greenhalgh et al., The Reaction of Leucoquinizarins with Alkylenediamines J. Chem. 
Soc., p. 1284 (1968). 
3) K. C. Murdock, R. G. Child, P. F. Fabio, Robert B. Angier, Antitumor Agents. 1. 1,4-Bis[ 
(aminoalkyl)amino]-9,lO-anthracenediones Journal of Medicinal Chemistry, 1979, Vol. 
22, No. 9 
4) Nordquist, R. E., Ishmael, D. R., Lovig, E. A., Hyde, D. M., and Hoge, A. F.: The tissue 
culture and morphology of human breast tumor cell line BOT-2. Cancer Research, 35- 
3100-3105, 1975. 
5) Ishmael, D. R., Nordquist, R. E., Bottomley, R. H., and Zieren, J.: Vitamin A Acid 
(Retinoic Acid) as an adjuvant to increase Adriamycin cytotoxicity in human breast 
cancer cells in vitro. Prevention and Detection of Cancer, Pt. 1, Vol. 1, 727-736, 1977. 
6) Melvin N. Turetzky, Wayne, and Leon Katz, - dihydroxy .5- butylamino -8- (3- 
trimethylamino - propylamino) - anthraquinone methyl sulfate USP 3,281,434 1,4 10/1966 
7) David J. Thompson Pleochroic anthraquinone dyes, USP 4,446,047 1984 
8) David J. Thompson Pleochroic anthraquinone dyes, USP 4,455,253 1984 
9) Tsukasa Ohyama; Shizuo Kuroda; Keisuke Takunia; Hiroshi Aig, Halogenated 
anthraquinone and their use as near infrared rays absorbing optical filters USP 5,342,974 
1994 
10) Gerard Andrew Potter, Laurence Hylton Patterson, Paul Teesdale-Spittle, Zennia 
Paniwynk, Anthraquinone Anticancer Drugs, USP 6,465,522, 10/ 15/2002 
11) Kim Sang Ho, Yu-Min Chen, Method for Marking Hydrocarbons with Anthraquinones 
USP 6,811,575 11/02/2004 
Don Richard Ishmael1 and Orn Adalsteinsson2 
[1]Medical University of the Americas, Nevis West Indies, NatCel Dev. Okla. City OK [2] International Strategic Cancer Alliance 
Method of Synthesis 
E-mail ishmaeldr@gmail.com 
The 1,4,5,8-Tetrakis-[2-N,N-dimethylaminoethyl)aminoanthraquinone (T-2) was synthesized from 1.4.5.8-tetrachloroanthraquinone by a modification of the methods of 
Ohyama et al9. The 1,4,5,8-tetrachloroanthraquinone was reacted with N,N dimethylethylenediamine, at 100 to 140 degrees centigrade in a mixture of sodium acetate, cupric 
sulfate in benzyl alcohol for 8 hours. After reaction the solid was collected washed with solvents and dried. The 1,4,5,8-Tetrakis-[2-N,N-dimethylaminoethyl) 
aminoanthraquinone (T-2) was dissolved in 15% acetic acid and filtered. The amino compound was then precipitated with 15% sodium hydroxide 
solution. The precipitated compound was collected and dried. Melting point was obtained using a Mel-Temp apparatus. The compound was subjected to TLC using 
acetone/water/Triethylamine. Samples were sent to Midwest Research Institute for further characterization. The 1,4,5,8-tetrachloroanthraquinone was obtained from 
Haiman Chemical Shanghai China. The material for purification was subjected to rigorous extraction by hot sulfuric acid containing 10% fuming sulfuric acid. This removed 
impurities. The N,N dimethylethylenediamine was obtained from Aldrich. The 1,4,5,8-Tetrakis-[2-N,N-dimethylaminoethyl)aminoanthraquinone was further purified using 
preparative HPLC to 97.8% purity for testing. 
1200C 
6 hrs. 
N,N dimethylethylenediamine 
Method for Screening Cytotoxicity In-vitro: 
The human breast cancer cell line BOT-2 was used in the cytotoxicity assays. 210l of cells were plated into each well of a 
72 well microtiter plate. After confluence of the cells at 24hrs the drug to be tested was added in 70l sol. at the initial 
concentration of 1mg/ml. The drug was diluted 1:4 with media in serial fashion. The plates were examined at 24, 48, and 
144 hrs for cell kill. The cell concentration giving 100% cell death was recorded. The end-point of this study was cell death 
as determined by visual observation of the cells The BOT-2 cell line was established from a patient’s primary cancer in the 
mid 1970’s. ER-, Her2neu-, rich in EGFR-1 
Method for screening in vivo effect: 
Method of screening used was exactly as reported by Murdock2 for mitoxantrone (M-0). The animals used in the testing 
were C57BC/6 mice weighing 17g, with 10 animals per test group. The B16 melanoma obtained was homogenized in 10ml 
of cold balanced salt solution and 0.5ml aliquot of the homogenate was implanted intraperitoneally into each test mouse at 
varying dosages. The compounds are administered intraperitoneally on days 1 through 9 (relative to tumor inoculation). 
The survivors were recorded for 60 days. T-2 was compared to M-0 and to untreated controls. 
T-1 T-2 T-3 T-4 
Well # 
concentration of compound in mg/ml 
1:4 dilutions start 1mg/ml 
Start mg/ml 
20 
5 
1 
0.25 
0.0625 
0.0156 
0.00391 
0.000977 
0.000244 
0.0000610 
0.0000152 
0.00000384 
0.000000954 
0.0000002384 
0.00000005960 
1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
T-2,2,2,8-12 
100% Cell Death Read at 144 hours 
Black Represents All Cells Dead 
Colored Bars Represent Living Cells 
Black- 100% cell death 
Orange T-1 1,4,5,8-terakis[hydroxyethyl(aminoethyl)]aminoanthraquinone 
Lt green T-2- 1,4,5,8,-tetrakis-dimethylethylaminoANQ 
Sodium acetate, Cupric 
sulfate, benzyl alcohol 
T Compounds Results of Cytotoxicity Assay 
T-8,2,2,2 
Green T-3 1,4,5,8,-tetrakis-hydroxyethylaminoANQ 
Brown T-8,2,2,2 1 part chloroethylamine and 3 partsN,N dimethylenediamine 
Blue T-2,2,2,8-12 T-2,2,2,8 reacted with Bischloroethylamine 
Summary of T-2 compound vs bis-compounds 
1) Activity of T-2 compound equal to or greater than corresponding bis 
compounds 
2) Easier synthesis with fewer side reactions 
3) Cheaper starting components 
4) Potentially Higher yields 
5) More functional group options 
6) Increased number of active groups sites 
7) Potentially easier purification procedures 
8) Removal of the para dihydroxyl groups from the cytotoxic 1,4 
BisaminoalkylaminoANQ's might reduce the potential for cardiotoxicity 
1,4,5,8-Tetra-N,N-dimethylaminoethylaminoanthraquinone (T-2) 
Abstract 
Compounds based on the base compound 1,4,5,8 tetrahydroxyanthraquinone 1,4-Bis 
aminoalkylamino, 1,4-Bis aminoalkyl-5,8-dihydroxy, and 1,4- 
hydroxyalkylaminoalkylamino-5,8-dihydroxy anthraquinones have anticancer 
properties. One compound of this class mitoxantrone bis-5,8 
hydroxyethylaminoethylamino 1,4 dihydroxy anthraquinone is on the market and is 
approved by the FDA for the treatment of: acute myelogenous leukemia, various 
lymphomas, breast cancer, sarcoma and the non-malignant condition multiple 
sclerosis. This drug has a number of drawbacks: (1) for most cancer therapies it is 
considered less effective than the anthracyclines, (2) less cardiotoxicity than 
anthracyclines it does still has significant cardiotoxicity, (3) rapidly induce multi-drug 
resistance factors, (4) significant bone marrow toxicity. compounds of 1,4-Bis 
aminoalkylamino class intercalating DNA in the major groove and inhibit of 
topoisomerase II enzyme. Numerous attempts have been made to improve the class 
of drugs by adding different functional groups. No compound of this class has 
exceeded the utility of mitoxantrone. Attempts to make derivatives of leuco 1,4,5,8- 
tetrahydroxyanthraquinone replacement of all four hydroxyl groups for the purpose 
of additional DNA binding or alkylation has been unsuccessful. 1,4,5,8- 
tetrachloroanthraquinone can be used as a base compound producing potential 
anticancer activity. 1,4,5,8-Tetrakis-[(2-N,N-dimethylaminoethyl) 
amino]anthraquinone was synthesized and purified. It 
demonstrated greater cytotoxicity in the screening assay than mitoxantrone or 
adriamycin. Screening was done using the BOT-2 human breast cancer cell line. This 
compounds may have an advantage over the Bis-derivatives with: 1) greater 
cytotoxicity in screening assay, 2) cheap intermediates, 3) higher yields, 4) increased 
number of potential active groups sites 7) removal of the para dihydroxyl groups 
from the cytotoxic 1,4 bisaminoalkylaminoanthraquinone might result in reducing 
the potential for cardiotoxicity. The 1,4,5,8-Tetrakis-[(2-N,N-dimethylaminoethyl) 
amino]anthraquinone was purified to 97.8 purity by HPLC. 
Results in General 
BOT-2 cells were treated with a cytotoxic compound. The dead cells become rounded, detach and floated. No treatment 
controls were run concurrently. Concentration of the compound to give this 100% kill was recorded. At 100% kill there is 
never re-growth of the tumor cells. Visual observation gave results identical to the standard MTT cytotoxicity assay. 
Results of in vitro Cytotoxicity Assay 
Mitoxantrone and adriamycin had equal activity in the BOT-2 cell screen. T-2 activity was greater than either M-0 or for 
adriamycin. 
Results of in vivo Assay 
The mouse data indicated an equal life span and tumor response of T-2 compared with M-0. T-2 was found to 
be less toxic. However the survival data for M-0 was much less than reported by Murdock2. 
Thanks to Dr. Robert Nordquist for supplying the BOT-2 cell line and to John Nordquist for running the cytotoxicity assays. Also thanks to 
Dr. Wei Chen for obtaining the 1,4,5,8-Tetrachloroanthraquinone and running the animal assays 
Material presented herein patent #8420861 United States patent office

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Aacr 2014

  • 1. AACR April 5th San Diego, CA. 2014 1,4,5,8-Tetrakis-[(2-N,N-dimethylaminoethyl)amino]anthraquinone as a Potential Anticancer Agent: its synthesis, characterization and anticancer properties Background Mitoxantrone (M0) (5,8-dihydroxy-1,4-bis{[2-[(2- hydroxyethyl)amino]ethyl]amino}-9,10-anthracenedion.HCl has few side effects except for neutropenia and cardiotoxicity. The cardiotoxicity is thought to reside with the two ring hydroxyl groups. Without the hydroxyl groups the anthraquinone has reduced cardiotoxicity but also reduced cytotoxicity and is used for the treatment of various types of cancer. A number of 1,4,5,8-tetra-aminoalkylanthraquinone derivatives were synthesized and it was determined if these compounds had cytotoxic activity. It was realized that four side chains were possible therefore four areas of activity. 1,4,5,8 Tetra compounds could be made from 1,4,5,8- Tetrachloroanthraquinone. Compounds from 1,4,5,8- tetrachloroanthraquinone were used in applications such as: liquid crystal, to color gasoline and to absorb infrared radiation. No report of their use as anti-cancer compounds has been noted. References 1) Ernst Gutzwiiler, Arylamino Anthraquinone Dystuffs USP 2,688,028, Aug. 31, 1954 2) Greenhalgh et al., The Reaction of Leucoquinizarins with Alkylenediamines J. Chem. Soc., p. 1284 (1968). 3) K. C. Murdock, R. G. Child, P. F. Fabio, Robert B. Angier, Antitumor Agents. 1. 1,4-Bis[ (aminoalkyl)amino]-9,lO-anthracenediones Journal of Medicinal Chemistry, 1979, Vol. 22, No. 9 4) Nordquist, R. E., Ishmael, D. R., Lovig, E. A., Hyde, D. M., and Hoge, A. F.: The tissue culture and morphology of human breast tumor cell line BOT-2. Cancer Research, 35- 3100-3105, 1975. 5) Ishmael, D. R., Nordquist, R. E., Bottomley, R. H., and Zieren, J.: Vitamin A Acid (Retinoic Acid) as an adjuvant to increase Adriamycin cytotoxicity in human breast cancer cells in vitro. Prevention and Detection of Cancer, Pt. 1, Vol. 1, 727-736, 1977. 6) Melvin N. Turetzky, Wayne, and Leon Katz, - dihydroxy .5- butylamino -8- (3- trimethylamino - propylamino) - anthraquinone methyl sulfate USP 3,281,434 1,4 10/1966 7) David J. Thompson Pleochroic anthraquinone dyes, USP 4,446,047 1984 8) David J. Thompson Pleochroic anthraquinone dyes, USP 4,455,253 1984 9) Tsukasa Ohyama; Shizuo Kuroda; Keisuke Takunia; Hiroshi Aig, Halogenated anthraquinone and their use as near infrared rays absorbing optical filters USP 5,342,974 1994 10) Gerard Andrew Potter, Laurence Hylton Patterson, Paul Teesdale-Spittle, Zennia Paniwynk, Anthraquinone Anticancer Drugs, USP 6,465,522, 10/ 15/2002 11) Kim Sang Ho, Yu-Min Chen, Method for Marking Hydrocarbons with Anthraquinones USP 6,811,575 11/02/2004 Don Richard Ishmael1 and Orn Adalsteinsson2 [1]Medical University of the Americas, Nevis West Indies, NatCel Dev. Okla. City OK [2] International Strategic Cancer Alliance Method of Synthesis E-mail ishmaeldr@gmail.com The 1,4,5,8-Tetrakis-[2-N,N-dimethylaminoethyl)aminoanthraquinone (T-2) was synthesized from 1.4.5.8-tetrachloroanthraquinone by a modification of the methods of Ohyama et al9. The 1,4,5,8-tetrachloroanthraquinone was reacted with N,N dimethylethylenediamine, at 100 to 140 degrees centigrade in a mixture of sodium acetate, cupric sulfate in benzyl alcohol for 8 hours. After reaction the solid was collected washed with solvents and dried. The 1,4,5,8-Tetrakis-[2-N,N-dimethylaminoethyl) aminoanthraquinone (T-2) was dissolved in 15% acetic acid and filtered. The amino compound was then precipitated with 15% sodium hydroxide solution. The precipitated compound was collected and dried. Melting point was obtained using a Mel-Temp apparatus. The compound was subjected to TLC using acetone/water/Triethylamine. Samples were sent to Midwest Research Institute for further characterization. The 1,4,5,8-tetrachloroanthraquinone was obtained from Haiman Chemical Shanghai China. The material for purification was subjected to rigorous extraction by hot sulfuric acid containing 10% fuming sulfuric acid. This removed impurities. The N,N dimethylethylenediamine was obtained from Aldrich. The 1,4,5,8-Tetrakis-[2-N,N-dimethylaminoethyl)aminoanthraquinone was further purified using preparative HPLC to 97.8% purity for testing. 1200C 6 hrs. N,N dimethylethylenediamine Method for Screening Cytotoxicity In-vitro: The human breast cancer cell line BOT-2 was used in the cytotoxicity assays. 210l of cells were plated into each well of a 72 well microtiter plate. After confluence of the cells at 24hrs the drug to be tested was added in 70l sol. at the initial concentration of 1mg/ml. The drug was diluted 1:4 with media in serial fashion. The plates were examined at 24, 48, and 144 hrs for cell kill. The cell concentration giving 100% cell death was recorded. The end-point of this study was cell death as determined by visual observation of the cells The BOT-2 cell line was established from a patient’s primary cancer in the mid 1970’s. ER-, Her2neu-, rich in EGFR-1 Method for screening in vivo effect: Method of screening used was exactly as reported by Murdock2 for mitoxantrone (M-0). The animals used in the testing were C57BC/6 mice weighing 17g, with 10 animals per test group. The B16 melanoma obtained was homogenized in 10ml of cold balanced salt solution and 0.5ml aliquot of the homogenate was implanted intraperitoneally into each test mouse at varying dosages. The compounds are administered intraperitoneally on days 1 through 9 (relative to tumor inoculation). The survivors were recorded for 60 days. T-2 was compared to M-0 and to untreated controls. T-1 T-2 T-3 T-4 Well # concentration of compound in mg/ml 1:4 dilutions start 1mg/ml Start mg/ml 20 5 1 0.25 0.0625 0.0156 0.00391 0.000977 0.000244 0.0000610 0.0000152 0.00000384 0.000000954 0.0000002384 0.00000005960 1 2 3 4 5 6 7 8 9 10 11 12 13 T-2,2,2,8-12 100% Cell Death Read at 144 hours Black Represents All Cells Dead Colored Bars Represent Living Cells Black- 100% cell death Orange T-1 1,4,5,8-terakis[hydroxyethyl(aminoethyl)]aminoanthraquinone Lt green T-2- 1,4,5,8,-tetrakis-dimethylethylaminoANQ Sodium acetate, Cupric sulfate, benzyl alcohol T Compounds Results of Cytotoxicity Assay T-8,2,2,2 Green T-3 1,4,5,8,-tetrakis-hydroxyethylaminoANQ Brown T-8,2,2,2 1 part chloroethylamine and 3 partsN,N dimethylenediamine Blue T-2,2,2,8-12 T-2,2,2,8 reacted with Bischloroethylamine Summary of T-2 compound vs bis-compounds 1) Activity of T-2 compound equal to or greater than corresponding bis compounds 2) Easier synthesis with fewer side reactions 3) Cheaper starting components 4) Potentially Higher yields 5) More functional group options 6) Increased number of active groups sites 7) Potentially easier purification procedures 8) Removal of the para dihydroxyl groups from the cytotoxic 1,4 BisaminoalkylaminoANQ's might reduce the potential for cardiotoxicity 1,4,5,8-Tetra-N,N-dimethylaminoethylaminoanthraquinone (T-2) Abstract Compounds based on the base compound 1,4,5,8 tetrahydroxyanthraquinone 1,4-Bis aminoalkylamino, 1,4-Bis aminoalkyl-5,8-dihydroxy, and 1,4- hydroxyalkylaminoalkylamino-5,8-dihydroxy anthraquinones have anticancer properties. One compound of this class mitoxantrone bis-5,8 hydroxyethylaminoethylamino 1,4 dihydroxy anthraquinone is on the market and is approved by the FDA for the treatment of: acute myelogenous leukemia, various lymphomas, breast cancer, sarcoma and the non-malignant condition multiple sclerosis. This drug has a number of drawbacks: (1) for most cancer therapies it is considered less effective than the anthracyclines, (2) less cardiotoxicity than anthracyclines it does still has significant cardiotoxicity, (3) rapidly induce multi-drug resistance factors, (4) significant bone marrow toxicity. compounds of 1,4-Bis aminoalkylamino class intercalating DNA in the major groove and inhibit of topoisomerase II enzyme. Numerous attempts have been made to improve the class of drugs by adding different functional groups. No compound of this class has exceeded the utility of mitoxantrone. Attempts to make derivatives of leuco 1,4,5,8- tetrahydroxyanthraquinone replacement of all four hydroxyl groups for the purpose of additional DNA binding or alkylation has been unsuccessful. 1,4,5,8- tetrachloroanthraquinone can be used as a base compound producing potential anticancer activity. 1,4,5,8-Tetrakis-[(2-N,N-dimethylaminoethyl) amino]anthraquinone was synthesized and purified. It demonstrated greater cytotoxicity in the screening assay than mitoxantrone or adriamycin. Screening was done using the BOT-2 human breast cancer cell line. This compounds may have an advantage over the Bis-derivatives with: 1) greater cytotoxicity in screening assay, 2) cheap intermediates, 3) higher yields, 4) increased number of potential active groups sites 7) removal of the para dihydroxyl groups from the cytotoxic 1,4 bisaminoalkylaminoanthraquinone might result in reducing the potential for cardiotoxicity. The 1,4,5,8-Tetrakis-[(2-N,N-dimethylaminoethyl) amino]anthraquinone was purified to 97.8 purity by HPLC. Results in General BOT-2 cells were treated with a cytotoxic compound. The dead cells become rounded, detach and floated. No treatment controls were run concurrently. Concentration of the compound to give this 100% kill was recorded. At 100% kill there is never re-growth of the tumor cells. Visual observation gave results identical to the standard MTT cytotoxicity assay. Results of in vitro Cytotoxicity Assay Mitoxantrone and adriamycin had equal activity in the BOT-2 cell screen. T-2 activity was greater than either M-0 or for adriamycin. Results of in vivo Assay The mouse data indicated an equal life span and tumor response of T-2 compared with M-0. T-2 was found to be less toxic. However the survival data for M-0 was much less than reported by Murdock2. Thanks to Dr. Robert Nordquist for supplying the BOT-2 cell line and to John Nordquist for running the cytotoxicity assays. Also thanks to Dr. Wei Chen for obtaining the 1,4,5,8-Tetrachloroanthraquinone and running the animal assays Material presented herein patent #8420861 United States patent office