# 4‐(5‐Chloro‐3‐(3,4,5‐trimethoxybenzoyl)‐1H‐indol‐1‐yl)benzenesulfonamide: A Novel Polypharmacology Agent to Target Carbonic Anhydrase IX and XII With Improved Selectivity, Wnt/β‐Catenin Signaling Pathway, and P‐Glycoprotein

**Authors:** Michela Puxeddu, Rosa Bordone, Claudia Colla, Gabriele Rotili, Antonio Coluccia, Pietro Sciò, Petra Cuřínová, Alessio Nocentini, Claudiu T. Supuran, Serena Filiberti, Marta Turati, Roberto Ronca, Joanna Kopecka, Chiara Riganti, Lucia Jimenez, Wolfgang Link, Chiara Bigogno, Giulio Dondio, Martina Barba, Gianluca Canettieri, Romano Silvestri, Giuseppe La Regina

PMC · DOI: 10.1002/cmdc.202500996 · Chemmedchem · 2026-02-25

## TL;DR

Researchers developed a new compound that targets specific enzymes and pathways in cancer cells, showing strong antitumor potential with reduced side effects.

## Contribution

Compound 15 is a novel polypharmacology agent with improved selectivity for hCA IX and XII, and inhibits Wnt/β-catenin and P-gp.

## Key findings

- Compound 15 selectively inhibits hCA IX and XII with high potency.
- It inhibits the Wnt/β-catenin pathway and restores drug sensitivity in resistant cancer cells.
- Compound 15 shows strong antitumor activity and acceptable metabolic stability.

## Abstract

We synthesized novel pyrrole (5–11) and indole (12–16) derivatives based on a polypharmacology approach aimed to obtain inhibitors of human carbonic anhydrase (hCA) with improved selectivity toward the IX and XII isoforms, Wnt/β‐catenin pathway, and P‐glycoprotein (P‐gp). Inspection of the binding sites of the hCA I, II, IX, and XII isoforms highlighted small but significant differences of cavity volumes that guided the introduction of small substituents at Position 4 of the 3‐phenyl ring of the pyrrole and at Position 5 of the indole. Compound 15 exhibited potent and selective inhibition of both hCA IX and XII isoforms compared to the parent compound. It inhibited the Wnt/β‐catenin pathway abrogating the association of β‐catenin with TCF‐4 and the multidrug‐resistant P‐gp‐expressing cancer cells. Compound 15 showed strong inhibition of viability of SW620, SW480, and HCT116 CRC and TNBC cell lines, restored the sensitivity to doxorubicin (DOX) in HT29/DX P‐gp‐overexpressing cells, and showed medium metabolic stability in both human and mouse microsomes and acceptable predicted oral bioavailability. Compound 15 is a robust lead compound for the development of new antitumor agents based on the polypharmacology approach.

Polypharmacology is expected to produce higher therapeutic efficacy and lower cytotoxic and side effects. Compound 15 exhibited strong inhibition of the human carbonic anhydrase isoforms IX and XII and selectivity toward the adverse isoforms I and II. It inhibited strongly the Wnt/β‐catenin pathway and the multidrug‐resistant P‐gp‐expressing cancer cells. Compound 15 showed potential as a new polypharmacology antitumor agent.© 2026 WILEY‐VCH GmbH

## Linked entities

- **Genes:** CYP24A1 (cytochrome P450 family 24 subfamily A member 1) [NCBI Gene 1591], TCF4 (transcription factor 4) [NCBI Gene 6925], PGP (phosphoglycolate phosphatase) [NCBI Gene 283871]
- **Chemicals:** doxorubicin (PubChem CID 31703), Compound 15 (PubChem CID 122516817)

## Full-text entities

- **Genes:** DNAH8 (dynein axonemal heavy chain 8) [NCBI Gene 1769] {aka ATPase, SPGF46, hdhc9}, CTNNB1 (catenin beta 1) [NCBI Gene 1499] {aka CTNNB, EVR7, MRD19, NEDSDV, armadillo}, FGF20 (fibroblast growth factor 20) [NCBI Gene 26281] {aka FGF-20, RHDA2}, BCRP1 (BCR pseudogene 1) [NCBI Gene 644079] {aka BCR-1}, HCA1 (Hypercalciuria, absorptive, 1) [NCBI Gene 266790] {aka AH, HCA}, CA12 (carbonic anhydrase 12) [NCBI Gene 771] {aka CA-XII, CAXII, HsT18816, T18816}, SALL4 (spalt like transcription factor 4) [NCBI Gene 57167] {aka DRRS, HSAL4, IVIC, ZNF797}, ABCC3 (ATP binding cassette subfamily C member 3) [NCBI Gene 8714] {aka ABC31, EST90757, MLP2, MOAT-D, MRP3, cMOAT2}, VCL (vinculin) [NCBI Gene 7414] {aka CMD1W, CMH15, HEL114, MV, MVCL, VINC}, G6PD (glucose-6-phosphate dehydrogenase) [NCBI Gene 2539] {aka CNSHA1, G6PD1}, ABCB1 (ATP binding cassette subfamily B member 1) [NCBI Gene 5243] {aka ABC20, CD243, CLCS, ENPAT, GP170, MDR1}, HIF1A (hypoxia inducible factor 1 subunit alpha) [NCBI Gene 3091] {aka HIF-1-alpha, HIF-1A, HIF-1alpha, HIF1, HIF1-ALPHA, MOP1}, KLHL1 (kelch like family member 1) [NCBI Gene 57626] {aka MRP2}, GSK3B (glycogen synthase kinase 3 beta) [NCBI Gene 2932], CA1 (carbonic anhydrase 1) [NCBI Gene 759] {aka CA-I, CAB, Car1, HEL-S-11}, INS (insulin) [NCBI Gene 3630] {aka IDDM, IDDM1, IDDM2, ILPR, IRDN, MODY10}, TCF4 (transcription factor 4) [NCBI Gene 6925] {aka CDG2T, E2-2, FCD2, FECD3, ITF-2, ITF2}, APC (APC regulator of Wnt signaling pathway) [NCBI Gene 324] {aka BTPS2, DESMD, DP2, DP2.5, DP3, GS}, CTNND1 (catenin delta 1) [NCBI Gene 1500] {aka BCDS2, CAS, CTNND, P120CAS, P120CTN, p120}, CA2 (carbonic anhydrase 2) [NCBI Gene 760] {aka CA-II, CAC, CAII, Car2, HEL-76, HEL-S-282}, TMEM50A (transmembrane protein 50A) [NCBI Gene 23585] {aka IFNRC, SMP1}, MYC (MYC proto-oncogene, bHLH transcription factor) [NCBI Gene 4609] {aka MRTL, MYCC, bHLHe39, c-Myc}, KDR (kinase insert domain receptor) [NCBI Gene 3791] {aka CD309, FLK1, VEGFR, VEGFR2}, PARP1 (poly(ADP-ribose) polymerase 1) [NCBI Gene 142] {aka ADPRT, ADPRT 1, ADPRT1, ARTD1, PARP, PARP-1}, MDM4 (MDM4 regulator of p53) [NCBI Gene 4194] {aka BMFS6, HDMX, MDMX, MRP1}, PGP (phosphoglycolate phosphatase) [NCBI Gene 283871] {aka AUM, G3PP, PGPase}, HNF4A (hepatocyte nuclear factor 4 alpha) [NCBI Gene 3172] {aka FRTS4, HNF4, HNF4a7, HNF4a8, HNF4a9, HNF4alpha}, CA9 (carbonic anhydrase 9) [NCBI Gene 768] {aka CAIX, MN}, ABCC5 (ATP binding cassette subfamily C member 5) [NCBI Gene 10057] {aka ABC33, EST277145, MOAT-C, MOATC, MRP5, SMRP}, ANXA5 (annexin A5) [NCBI Gene 308] {aka ANX5, CPB-I, ENX2, HEL-S-7, PP4, RPRGL3}, CYP24A1 (cytochrome P450 family 24 subfamily A member 1) [NCBI Gene 1591] {aka CP24, CYP24, HCAI, HCINF1, P450-CC24}, CASP3 (caspase 3) [NCBI Gene 836] {aka CPP32, CPP32B, SCA-1}, POTEF (POTE ankyrin domain family member F) [NCBI Gene 728378] {aka A26C1B, POTE2alpha, POTEACTIN}
- **Diseases:** idiopathic intracranial hypertension (MESH:D011559), cytotoxicity (MESH:D064420), CRC (MESH:D015179), mycoplasma (MESH:D009175), urothelial carcinoma (MESH:D014523), epilepsy (MESH:D004827), eye irritation (MESH:D005128), glaucoma (MESH:D005901), constipation (MESH:D003248), congestive heart failure (MESH:D006333), TNBC (MESH:D064726), breast , non-small cell lung , and brain tumors (MESH:D001943), cystic fibrosis-like syndrome (MESH:D003550), hyponatremia (MESH:D007010), lung carcinoma (MESH:D008175), Cancer (MESH:D009369), blurred vision (MESH:D014786), Parkinson's disease (MESH:D010300), retinal and cerebral edema (MESH:D010211), hematological malignancies (MESH:D019337), paralysis (MESH:D010243), diarrhea (MESH:D003967), tumorigenesis (MESH:D063646), gastric carcinoma (MESH:D013274), Hypoxic (MESH:D002534)
- **Chemicals:** trichloroacetic acid (MESH:D014238), trifluoroacetic acid (MESH:D014269), Cl (MESH:D002713), monohydrogen carbonate (MESH:D001639), propranolol (MESH:D011433), oil (MESH:D009821), sodium sulfate (MESH:C012036), phenylmethylsulfonyl fluoride (MESH:D010664), urea (MESH:D014508), NADP (MESH:D009249), amino acids (MESH:D000596), MTT (MESH:C070243), MgSO4 (MESH:D008278), sodium hydride (MESH:C524957), DOX (MESH:D004317), silica (MESH:D012822), n-octanol (MESH:D020003), penicillin (MESH:D010406), glycerol (MESH:D005990), HEPES (MESH:D006531), propidium iodide (MESH:D011419), ethyl acetate (MESH:C007650), 1,4-dioxane (MESH:C025223), NaHCO3 (MESH:D017693), 3-(3,4,5-trimethoxybenzoyl)indoles (-), 2H (MESH:D003903), aluminum (MESH:D000535), ammonium molybdate (MESH:C022175), 3-[4,5-dimethylthiazol-2-yl]-2,5 diphenyl tetrazolium bromide (MESH:C022616), Phenol red (MESH:D010637), glucose (MESH:D005947), indole (MESH:C030374), DMSO (MESH:D004121), argon (MESH:D001128), H2SO4 (MESH:C033158), CA (MESH:D002118), KCl (MESH:D011189), Tween-20 (MESH:D011136), TBS-T (MESH:C027647), PBS (MESH:D007854), LiCl (MESH:D018021), verapamil (MESH:D014700), H (MESH:D006859), pepstatin (MESH:C031375), pyrrole (MESH:D011758), tetrasodium pyrophosphate (MESH:C003319), sucrose (MESH:D013395), SLC-0111 (MESH:C000625353), Na4P2O7 (MESH:C107241), N,N-dimethylformamide (MESH:D004126), CuI (MESH:C073870), agarose (MESH:D012685), THF (MESH:C018674), ATP (MESH:D000255), CO2 (MESH:D002245), EGTA (MESH:D004533), ouabain (MESH:D010042), glycosylphosphatidylinositol (MESH:D017261), L-glutamine (MESH:D005973), acetonitrile (MESH:C032159)
- **Species:** Homo sapiens (human, species) [taxon 9606], Bos taurus (bovine, species) [taxon 9913], Canis lupus familiaris (dog, subspecies) [taxon 9615], Mus musculus (house mouse, species) [taxon 10090], Mycoplasma (genus) [taxon 2093]
- **Mutations:** C-135 C, C-204 C, C-236 C, C-140 C, C-224 C, C18110A, C-218 C, C-222 C, C with 50, C-147 C, 400 C, C-136 C
- **Cell lines:** MDCK/P-gp — Canis lupus familiaris (Dog), Spontaneously immortalized cell line (CVCL_2586), DX — Drosophila melanogaster (Fruit fly), Spontaneously immortalized cell line (CVCL_Z822), SW620 — Homo sapiens (Human), Colon adenocarcinoma, Cancer cell line (CVCL_0547), MDCK — Canis lupus familiaris (Dog), Spontaneously immortalized cell line (CVCL_0422), MDA-MB 231 — Homo sapiens (Human), Breast adenocarcinoma, Cancer cell line (CVCL_0062), CD-1 — Mus musculus (Mouse), Spontaneously immortalized cell line (CVCL_5731), SW480 — Homo sapiens (Human), Colon adenocarcinoma, Cancer cell line (CVCL_0546), BT-549 — Homo sapiens (Human), Invasive breast carcinoma of no special type, Cancer cell line (CVCL_1092), HT29 — Homo sapiens (Human), Colon adenocarcinoma, Cancer cell line (CVCL_0320), MDCK-Pgp — Chlorocebus sabaeus (Green monkey), Spontaneously immortalized cell line (CVCL_C4RQ), LX-1 — Homo sapiens (Human), Transformed cell line (CVCL_5792), fibroblasts — Mus musculus (Mouse), Spontaneously immortalized cell line (CVCL_0594), NCI-N87 — Homo sapiens (Human), Gastric tubular adenocarcinoma, Cancer cell line (CVCL_1603), HTB-122 — Mus musculus (Mouse), Hybridoma (CVCL_A8FQ), HEK-293T — Homo sapiens (Human), Transformed cell line (CVCL_0063), ATCC — Homo sapiens (Human), Finite cell line (CVCL_LK64), -1 — Mus musculus (Mouse), Hybridoma (CVCL_C7RB), S2 — Drosophila melanogaster (Fruit fly), Spontaneously immortalized cell line (CVCL_Z232), CC-2509 — Homo sapiens (Human), Neoplasm, Cancer cell line (CVCL_A538), HepG2 — Homo sapiens (Human), Hepatoblastoma, Cancer cell line (CVCL_0027), T — Homo sapiens (Human), Esophageal squamous cell carcinoma, Cancer cell line (CVCL_3174), HCT116 — Homo sapiens (Human), Colon carcinoma, Cancer cell line (CVCL_0291)

## Full text

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## Figures

11 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12935169/full.md

## References

92 references — full list in the complete paper: https://tomesphere.com/paper/PMC12935169/full.md

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Source: https://tomesphere.com/paper/PMC12935169