Chemotherapy with the cytotoxic platinum (Pt) drugs cisplatin,
carboplatin, and oxaliplatin is the mainstay of anticancer therapy
in the clinic. The antitumor activity of Pt drugs originates from
their ability to induce apoptosis via covalent adduct formation with
nuclear DNA. While the phenomenal clinical success is highly encouraging,
resistance and adverse toxic side effects limit the wider applicability
of Pt drugs. To circumvent these limitations, we embarked on an effort
to explore the antitumor potential of a new class of oxo–rhenium(V)
complexes of the type [(N∧N)(EG)Re(O)Cl] (where
EG = ethylene glycolate and N∧N = bipyridine, Bpy
(1); phenanthroline, Phen (2); 3,4,7,8-tetramethyl-phenanthroline,
Me4Phen (3)). Investigation of speciation
chemistry in aqueous media revealed the formation of [(N∧N)Re(O)(OH)3] as the biologically active species. Complex 3 was found to be the most potent among the three, with IC50 values ranging from 0.1 to 0.4 μM against a panel
of cancer cells, which is 5–70-fold lower when compared with
cisplatin. The higher potency of 3 is attributed to its
higher lipophilicity, which enhanced cellular uptake. Importantly,
complex 3 efficiently overcomes cisplatin resistance
in ovarian, lung, and prostate cancer cells. In addition to reporting
the aquation chemistry and identifying the active species in aqueous
media, we performed in-depth in vitro mechanistic studies, which revealed
that complex 3 preferentially accumulates in mitochondria,
depletes mitochondrial membrane potential, and upregulates intracellular
reactive oxygen species (ROS), leading to ER stress-mediated necrosis-mediated
cancer cell death.