# Azole–Flavonoid Hybrids as Emerging Anticancer Agents: A Bioactivity-Focused Review

**Authors:** Mihaela Lipovanu, Anca Miron, Nina Filip, Cristina Elena Horhogea, Ana Clara Aprotosoaie

PMC · DOI: 10.3390/ph19020338 · Pharmaceuticals · 2026-02-20

## TL;DR

This review explores azole–flavonoid hybrids as promising new anticancer drugs with improved effectiveness and reduced resistance.

## Contribution

The paper systematically reviews 250 azole–flavonoid hybrids and their anticancer potential, emphasizing their multitarget activity and tumor selectivity.

## Key findings

- Azole–flavonoid hybrids show superior antitumor potency compared to traditional reference drugs.
- These hybrids demonstrate efficacy against drug-resistant tumor cells and exhibit multitarget activity.
- Structure–activity relationships are highlighted to guide future drug development.

## Abstract

Despite notable progress in drug discovery, cancer treatment remains hindered by limited therapeutic efficacy, poor target specificity, adverse effects, and the development of drug resistance. Molecular hybridization, which integrates two or more bioactive entities into a single molecule, has shown considerable potential to overcome these limitations. Since both azoles and flavonoids have demonstrated anticancer potential, extensive studies have been undertaken to combine the two entities and enhance the bioactivity of the resulting hybrids. In this context, numerous azole–flavonoid hybrids have been synthesized and investigated for their anticancer potential. This review provides an overview of the azole–flavonoid hybrids that are promising candidates for novel anticancer drug development, highlighting their superior antitumor potency compared to reference drugs, multitarget activity, tumor-selective cytotoxicity, efficacy against drug-resistant tumor cells, and structure–activity relationships. The review covers 250 hybrids, primarily triazole–chalcone hybrids but also triazole–flavone, flavanone, flavonol, and isoflavone hybrids, as well as other azole–flavonoid hybrids (imidazole–, pyrazole–, isoxazole–, and thiazole–flavonoid hybrids).

## Linked entities

- **Chemicals:** azoles (PubChem CID 699591), chalcone (PubChem CID 637760), flavone (PubChem CID 10680), flavanone (PubChem CID 10251), flavonol (PubChem CID 11349), isoflavone (PubChem CID 72304), imidazole (PubChem CID 795), pyrazole (PubChem CID 1048), isoxazole (PubChem CID 9254), thiazole (PubChem CID 9256)
- **Diseases:** cancer (MONDO:0004992)

## Full-text entities

- **Genes:** ESR1 (estrogen receptor 1) [NCBI Gene 2099] {aka ER, ESR, ESRA, ESTRR, Era, NR3A1}, HK2 (hexokinase 2) [NCBI Gene 3099] {aka HKII, HXK2}, CDH1 (cadherin 1) [NCBI Gene 999] {aka Arc-1, BCDS1, CD324, CDHE, ECAD, LCAM}, PTK2B (protein tyrosine kinase 2 beta) [NCBI Gene 2185] {aka CADTK, CAKB, FADK2, FAK2, PKB, PTK}, MCL1 (MCL1 apoptosis regulator, BCL2 family member) [NCBI Gene 4170] {aka BCL2L3, EAT, MCL1-ES, MCL1L, MCL1S, Mcl-1}, HIF1A (hypoxia inducible factor 1 subunit alpha) [NCBI Gene 3091] {aka HIF-1-alpha, HIF-1A, HIF-1alpha, HIF1, HIF1-ALPHA, MOP1}, ABCB1 (ATP binding cassette subfamily B member 1) [NCBI Gene 5243] {aka ABC20, CD243, CLCS, ENPAT, GP170, MDR1}, CCND1 (cyclin D1) [NCBI Gene 595] {aka BCL1, D11S287E, PRAD1, U21B31}, CDK4 (cyclin dependent kinase 4) [NCBI Gene 1019] {aka CMM3, MCPH31, PSK-J3}, SNAI1 (snail family transcriptional repressor 1) [NCBI Gene 6615] {aka SLUGH2, SNA, SNAH, SNAIL, SNAIL1, dJ710H13.1}, BTK (Bruton tyrosine kinase) [NCBI Gene 695] {aka AGMX1, AT, ATK, BPK, IGHD3, IMD1}, IFI27 (interferon alpha inducible protein 27) [NCBI Gene 3429] {aka FAM14D, ISG12, ISG12A, P27}, ABCG2 (ATP binding cassette subfamily G member 2 (JR blood group)) [NCBI Gene 9429] {aka ABC15, ABCP, BCRP, BMDP, CD338, CDw338}, PIK3CB (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta) [NCBI Gene 5291] {aka P110BETA, PI3K, PI3KBETA, PIK3C1}, EGFR (epidermal growth factor receptor) [NCBI Gene 1956] {aka ERBB, ERBB1, ERRP, HER1, NISBD2, NNCIS}, DNER (delta/notch like EGF repeat containing) [NCBI Gene 92737] {aka UNQ26, bet}, ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) [NCBI Gene 25] {aka ABL, BCR-ABL, CHDSKM, JTK7, bcr/abl, c-ABL}, PDE6D (phosphodiesterase 6D) [NCBI Gene 5147] {aka JBTS22, PDED}, DNAH8 (dynein axonemal heavy chain 8) [NCBI Gene 1769] {aka ATPase, SPGF46, hdhc9}, BID (BH3 interacting domain death agonist) [NCBI Gene 637] {aka FP497}, TTR (transthyretin) [NCBI Gene 7276] {aka AMYLD1, ATTR, CTS, CTS1, HEL111, HsT2651}, SNAI2 (snail family transcriptional repressor 2) [NCBI Gene 6591] {aka SLUG, SLUGH, SLUGH1, SNAIL2, WS2D}, PFKP (phosphofructokinase, platelet) [NCBI Gene 5214] {aka ATP-PFK, PFK-C, PFK-P, PFKF}, ABCB6 (ATP binding cassette subfamily B member 6 (LAN blood group)) [NCBI Gene 10058] {aka ABC, LAN, MTABC3, PRP, umat}, BCL2 (BCL2 apoptosis regulator) [NCBI Gene 596] {aka Bcl-2, PPP1R50}, CDH2 (cadherin 2) [NCBI Gene 1000] {aka ACOGS, ADHD8, ARVD14, CD325, CDHN, CDw325}, MTOR (mechanistic target of rapamycin kinase) [NCBI Gene 2475] {aka FRAP, FRAP1, FRAP2, RAFT1, RAPT1, SKS}, TOP2A (DNA topoisomerase II alpha) [NCBI Gene 7153] {aka TOP2, TOP2alpha, TOPIIA, TP2A}, CASP8 (caspase 8) [NCBI Gene 841] {aka ALPS2B, CAP4, Casp-8, FLICE, MACH, MCH5}, CDK6 (cyclin dependent kinase 6) [NCBI Gene 1021] {aka MCPH12, PLSTIRE}, CYP19A1 (cytochrome P450 family 19 subfamily A member 1) [NCBI Gene 1588] {aka ARO, ARO1, CPV1, CYAR, CYP19, CYPXIX}, TP53 (tumor protein p53) [NCBI Gene 7157] {aka BCC7, BMFS5, LFS1, P53, TRP53}, PGP (phosphoglycolate phosphatase) [NCBI Gene 283871] {aka AUM, G3PP, PGPase}, CDKN1A (cyclin dependent kinase inhibitor 1A) [NCBI Gene 1026] {aka CAP20, CDKN1, CIP1, MDA-6, P21, SDI1}, BRAF (B-Raf proto-oncogene, serine/threonine kinase) [NCBI Gene 673] {aka B-RAF1, B-raf, BRAF-1, BRAF1, NS7, RAFB1}, CHEK2 (checkpoint kinase 2) [NCBI Gene 11200] {aka CDS1, CHK2, HuCds1, LFS2, PP1425, RAD53}, MAPT (microtubule associated protein tau) [NCBI Gene 4137] {aka DDPAC, FTD1, FTDP-17, MAPTL, MSTD, MTBT1}, MUL1 (mitochondrial E3 ubiquitin protein ligase 1) [NCBI Gene 79594] {aka C1orf166, GIDE, MAPL, MULAN, RNF218}, CYCS (cytochrome c, somatic) [NCBI Gene 54205] {aka CYC, HCS, THC4}, TNFRSF10B (TNF receptor superfamily member 10b) [NCBI Gene 8795] {aka CD262, DR5, KILLER, KILLER/DR5, TRAIL-R2, TRAILR2}, CASP3 (caspase 3) [NCBI Gene 836] {aka CPP32, CPP32B, SCA-1}, CASP9 (caspase 9) [NCBI Gene 842] {aka APAF-3, APAF3, ICE-LAP6, MCH6, PPP1R56}, ABCC1 (ATP binding cassette subfamily C member 1 (ABCC1 blood group)) [NCBI Gene 4363] {aka ABC29, ABCC, DFNA77, GS-X, MRP, MRP1}, TXK (TXK tyrosine kinase) [NCBI Gene 7294] {aka BTKL, PSCTK5, PTK4, RLK, TKL}, NFKB1 (nuclear factor kappa B subunit 1) [NCBI Gene 4790] {aka CVID12, EBP-1, KBF1, NF-kB, NF-kB1, NF-kappa-B1}, RPS6KA3 (ribosomal protein S6 kinase A3) [NCBI Gene 6197] {aka CLS, HU-3, ISPK-1, MAPKAPK1B, MRX19, RSK}, VIM (vimentin) [NCBI Gene 7431], PKM (pyruvate kinase M1/2) [NCBI Gene 5315] {aka CTHBP, HEL-S-30, OIP3, PK3, PKM2, TCB}, AR (androgen receptor) [NCBI Gene 367] {aka AIS, AR8, DHTR, HPCX3, HUMARA, HYSP1}, MDM2 (MDM2 proto-oncogene) [NCBI Gene 4193] {aka ACTFS, HDMX, LSKB, hdm2}, CDK9 (cyclin dependent kinase 9) [NCBI Gene 1025] {aka C-2k, CDC2L4, CTK1, PITALRE, TAK}, AKT1 (AKT serine/threonine kinase 1) [NCBI Gene 207] {aka AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA}, BAX (BCL2 associated X, apoptosis regulator) [NCBI Gene 581] {aka BCL2L4}, PARP1 (poly(ADP-ribose) polymerase 1) [NCBI Gene 142] {aka ADPRT, ADPRT 1, ADPRT1, ARTD1, PARP, PARP-1}, KDR (kinase insert domain receptor) [NCBI Gene 3791] {aka CD309, FLK1, VEGFR, VEGFR2}
- **Diseases:** prostate (MESH:D011472), brain tumors (MESH:D001932), renal cell carcinoma (MESH:D002292), nervous system (MESH:D009422), colon (MESH:D003108), glioblastoma (MESH:D005909), necrosis (MESH:D009336), hepatocellular carcinoma (MESH:D006528), fungal (MESH:D009181), non-small-cell lung, colon, central nervous system, renal, prostate, ovarian, breast, and melanoma (MESH:D010051), peripheral neuropathies (MESH:D010523), hypokalemia (MESH:D007008), liver, renal, and thyroid toxicity (MESH:D056486), breast cancer (MESH:D001943), cervical squamous carcinoma (MESH:D065309), estrogen (MESH:D056828), oligospermia (MESH:D009845), impotence (MESH:D007172), tumor suppressor proteins (OMIM:601308), Cytotoxic (MESH:D064420), endocrine dysfunction (MESH:D004700), azoospermia (MESH:D053713), erythromyeloblastoid leukemia (MESH:D007938), cervical and colorectal cancer (MESH:D015179), deaths (MESH:D003643), breast (MESH:D061325), carcinogenicity (MESH:D011230), metastasis (MESH:D009362), gastrointestinal stromal tumors (MESH:D046152), non-small-cell lung cancer (MESH:D002289), squamous carcinoma (MESH:D002294), oral squamous cell carcinoma (MESH:D000077195), neuroblastoma (MESH:D009447), renal cancer (MESH:D007680), cardiotoxicity (MESH:D066126), acute and chronic myeloid leukemia (MESH:D015470), oral cancer (MESH:D009062), carcinogenesis (MESH:D063646), Hodgkin's lymphoma (MESH:D006689), myositis (MESH:D009220), gynecomastia (MESH:D006177), alopecia (MESH:D000505), gastric cancer (MESH:D013274), pancreatic (MESH:D010195), hyponatremia (MESH:D007010), chronic myeloid leukemia (MESH:D015464), adrenal insufficiency (MESH:D000309), cancers (MESH:D009369), lung (MESH:D008171), lung cancer (MESH:D008175), dependent (MESH:D019966), pancreatic cancer (MESH:D010190), MDR (MESH:D018088), HeLa cervical cancer (MESH:D002583), prostate cancer (MESH:D011471), fibrosis (MESH:D005355), malignant melanoma (MESH:D008545), osteosarcoma (MESH:D012516), inflammatory (MESH:D007249), injury to (MESH:D014947)
- **Chemicals:** NB-506 (MESH:C092476), quinine (MESH:D011803), Flavonoid (MESH:D005419), indole (MESH:C030374), benzamide (MESH:C037689), glucose (MESH:D005947), talazoparib (MESH:C586365), docetaxel (MESH:D000077143), anthocyanins (MESH:D000872), hydrogen (MESH:D006859), lonazolac (MESH:C017472), verapamil (MESH:D014700), ixabepilone (MESH:C430592), indibulin (MESH:C419187), flavones (MESH:D047309), eleutherobin (MESH:C109551), dabrafenib (MESH:C561627), anastrozole (MESH:D000077384), pyrrole (MESH:D011758), cytarabine (MESH:D003561), 4-OH-tamoxifen (MESH:C016601), erlotinib (MESH:D000069347), tucatinib (MESH:C000705452), ATP (MESH:D000255), selinexor (MESH:C585161), quinoline (MESH:C037219), Triazole (MESH:D014230), alvocidib (MESH:C077990), daidzein (MESH:C004742), nocodazole (MESH:D015739), hydrocarbon (MESH:D006838), flavonolignan (MESH:D044947), quinidine (MESH:D011802), bendamustine (MESH:D000069461), selumetinib (MESH:C517975), Cinchona alkaloids (MESH:D002930), Etoposide (MESH:D005047), amino acids (MESH:D000596), Isoflavone (MESH:D007529), gefitinib (MESH:D000077156), flavanones (MESH:D044950), Dasatinib (MESH:D000069439), 1,2,4-Triazole (MESH:C045575), nilotinib (MESH:C498826), letrozole (MESH:D000077289), Combretastatin A-4 (MESH:C058728), pyridine (MESH:C023666), doxorubicin (MESH:D004317), Bavachinin (MESH:C468752), 1,3,4-Oxadiazole (MESH:C583463), pyrrolidine (MESH:C032519), sulfur (MESH:D013455), Tivozanib (MESH:C553176), benzimidazoles (MESH:D001562), wogonin (MESH:C085514), tetrahydro-beta-carboline (MESH:C009804), 1,2,3-Triazole-tetrazoloquinoline-chalcone (-), Cisplatin (MESH:D002945), flavokawain B (MESH:C452039), mitoxantrone (MESH:D008942)
- **Species:** Homo sapiens (human, species) [taxon 9606], Cullen corylifolium (species) [taxon 429560], Artemisia annua (sweet Annie, species) [taxon 35608], Mus musculus (house mouse, species) [taxon 10090]
- **Mutations:** C-33A, Y220C, BRAFV600E
- **Cell lines:** A2780 — Homo sapiens (Human), Ovarian endometrioid adenocarcinoma, Cancer cell line (CVCL_0134), SKOV3 — Homo sapiens (Human), Ovarian serous cystadenocarcinoma, Cancer cell line (CVCL_0532), DLD1 — Homo sapiens (Human), Colon adenocarcinoma, Cancer cell line (CVCL_0248), M14 — Homo sapiens (Human), Amelanotic melanoma, Cancer cell line (CVCL_1395), HeLa — Homo sapiens (Human), Human papillomavirus-related endocervical adenocarcinoma, Cancer cell line (CVCL_0030), HeLa cervical — Homo sapiens (Human), Human papillomavirus-related endocervical adenocarcinoma, Cancer cell line (CVCL_JX14), HT-29 — Homo sapiens (Human), Colon adenocarcinoma, Cancer cell line (CVCL_0320), SR — Mus musculus (Mouse), Malignant neoplasms of the mouse mammary gland, Cancer cell line (CVCL_S164), 91 — Mus musculus (Mouse), Spontaneously immortalized cell line (CVCL_B9UW), HGC-27 — Homo sapiens (Human), Gastric carcinoma, Cancer cell line (CVCL_1279), HL (60)-TB — Homo sapiens (Human), Adult acute myeloid leukemia with maturation, Cancer cell line (CVCL_A794), CCRF-CEM — Homo sapiens (Human), Childhood T acute lymphoblastic leukemia, Cancer cell line (CVCL_0207), 231-243 — Homo sapiens (Human), Plasma cell myeloma, Cancer cell line (CVCL_D570), A375 — Homo sapiens (Human), Amelanotic melanoma, Cancer cell line (CVCL_0132), T98G — Homo sapiens (Human), Glioblastoma, Cancer cell line (CVCL_0556), HCT-15 colorectal — Homo sapiens (Human), Colon adenocarcinoma, Cancer cell line (CVCL_0292), PANC-1 — Homo sapiens (Human), Pancreatic ductal adenocarcinoma, Cancer cell line (CVCL_0480), U251 — Homo sapiens (Human), Astrocytoma, Cancer cell line (CVCL_0021), COLO-205 — Homo sapiens (Human), Colon adenocarcinoma, Cancer cell line (CVCL_0218), SMMC7221 — Homo sapiens (Human), Human papillomavirus-related endocervical adenocarcinoma, Cancer cell line (CVCL_0534), OVCAR-3 — Homo sapiens (Human), High grade ovarian serous adenocarcinoma, Cancer cell line (CVCL_0465), PC-3 — Homo sapiens (Human), Prostate carcinoma, Cancer cell line (CVCL_0035), HSC-4 — Homo sapiens (Human), Tongue squamous cell carcinoma, Cancer cell line (CVCL_1289), KM-12 — Homo sapiens (Human), Colon carcinoma, Cancer cell line (CVCL_1331), A549 lung cancer — Homo sapiens (Human), Lung squamous cell carcinoma, Cancer cell line (CVCL_3008), MCF-7 breast cancer — Homo sapiens (Human), Transformed cell line (CVCL_WC49), HEK — Homo sapiens (Human), Transformed cell line (CVCL_0045), NCI-BL-2171 — Homo sapiens (Human), Transformed cell line (CVCL_2654), T47-D — Homo sapiens (Human), Invasive breast carcinoma of no special type, Cancer cell line (CVCL_0553), MDA-MB-231 triple-negative breast cancer — Homo sapiens (Human), Invasive breast carcinoma of no special type, Cancer cell line (CVCL_B5N7), PC3-PSMA — Oryctolagus cuniculus (Rabbit), Hybridoma (CVCL_C2PC), A431 — Homo sapiens (Human), Skin squamous cell carcinoma, Cancer cell line (CVCL_0037), 143B — Homo sapiens (Human), Osteosarcoma, Cancer cell line (CVCL_2270), SNB-75 — Homo sapiens (Human), Glioblastoma, Cancer cell line (CVCL_1706), U87 — Homo sapiens (Human), Glioblastoma, Cancer cell line (CVCL_0022), Ca9-22 — Homo sapiens (Human), Gingival squamous cell carcinoma, Cancer cell line (CVCL_1102), UO-31 — Homo sapiens (Human), Renal cell carcinoma, Cancer cell line (CVCL_1911), WI38 — Homo sapiens (Human), Finite cell line (CVCL_0579), LLC-PK1 — Sus scrofa (Pig), Spontaneously immortalized cell line (CVCL_0391), SW620 — Homo sapiens (Human), Colon adenocarcinoma, Cancer cell line (CVCL_0547), SKBR3 — Homo sapiens (Human), Breast adenocarcinoma, Cancer cell line (CVCL_0033), DeltaEGFR — Homo sapiens (Human), Glioblastoma, Cancer cell line (CVCL_JY78), PC-3 prostate cancer — Homo sapiens (Human), Prostate carcinoma, Cancer cell line (CVCL_M124), MCF10A — Homo sapiens (Human), Spontaneously immortalized cell line (CVCL_0598), BT-549 — Homo sapiens (Human), Invasive breast carcinoma of no special type, Cancer cell line (CVCL_1092), HSC-2 — Homo sapiens (Human), Oral cavity squamous cell carcinoma, Cancer cell line (CVCL_1287), 170-174 — Homo sapiens (Human), Finite cell line (CVCL_UF82), MDA-MB-231 — Homo sapiens (Human), Breast adenocarcinoma, Cancer cell line (CVCL_0062), DU-145 — Homo sapiens (Human), Prostate carcinoma, Cancer cell line (CVCL_0105), 20-26 — Rattus norvegicus (Rat), Transformed cell line (CVCL_8806), MG63 — Homo sapiens (Human), Osteosarcoma, Cancer cell line (CVCL_0426), 60-62 — Homo sapiens (Human), Ataxia telangiectasia syndrome, Transformed cell line (CVCL_ZT65), 89 — Mus musculus (Mouse), Hybridoma (CVCL_B7D3), Calu-1 — Homo sapiens (Human), Lung squamous cell carcinoma, Cancer cell line (CVCL_0608), MCF-7 — Homo sapiens (Human), Invasive breast carcinoma of no special type, Cancer cell line (CVCL_0031), RPMI-822 leukemia — Mus musculus (Mouse), Hybridoma (CVCL_X345), K-562 — Homo sapiens (Human), Blast phase chronic myelogenous leukemia, BCR-ABL1 positive, Cancer cell line (CVCL_0004), ADR5000 — Homo sapiens (Human), Childhood T acute lymphoblastic leukemia, Cancer cell line (CVCL_D544), SNU-398 — Homo sapiens (Human), Adult hepatocellular carcinoma, Cancer cell line (CVCL_0077), HCT-116 — Homo sapiens (Human), Colon carcinoma, Cancer cell line (CVCL_0291)

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## Figures

34 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12944737/full.md

## References

127 references — full list in the complete paper: https://tomesphere.com/paper/PMC12944737/full.md

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Source: https://tomesphere.com/paper/PMC12944737