In addition to the conventional chemotherapeutic
drugs,
potent
inhibitors of key enzymes that are differentially overexpressed in
cancer cells and associated with its progression are often considered
as the drugs of choice for treating cancer. Aldose reductase (AR),
which is primarily associated with complications of diabetes, is
known to be closely related to the development of cancer and drug
resistance. Epalrestat (EPA), an FDA-approved drug, is a potent inhibitor
of AR and exhibits anticancer activity. However, its poor pharmacokinetic
properties limit its bioavailability and therapeutic benefits. We
report herein the first examples of esterase-responsive turn-on fluorogenic
prodrugs for the sustained release of EPA to cancer cells with a turn-on
fluorescence readout. Carboxylesterases are known to be overexpressed
in several organ-specific cancer cells and help in selective uncaging
of drug from the prodrugs. The prodrugs were synthesized using a multistep
organic synthesis and successfully characterized. Absorption and emission
spectroscopic studies indicated successful activation of the prodrugs
in the presence of porcine liver esterase (PLE) under physiological
condition. HPLC studies revealed a simultaneous release of both the
drug and the fluorophore from the prodrugs over time with mechanistic
insights. While the inhibitory potential of EPA released from the
prodrugs toward the enzyme AR was validated in the aqueous medium,
the anticancer activity of the prodrugs was studied in a representative
cervical cancer cell line. Interestingly, our results revealed that
the development of the prodrugs can significantly enhance the anticancer
potential of EPA. Finally, the drug uncaging process from the prodrugs
by the intracellular esterases was studied in the cellular medium
by measuring the turn-on fluorescence using fluorescence microscopy.
Therefore, the present study highlights the rational development of
the fluorogenic prodrugs of EPA, which will help enhance its anticancer
potential with better therapeutic potential.