“…Prototype compounds, such as tylocrebrine, tylophorine, and antofine ( Figure 1 ), exhibit low nanomolar to picomolar half-maximal growth inhibition (GI 50 ) values, as well as effectiveness against multidrug-resistant human cancerous cell lines [ 6 ]. Phenanthroindolizidines exert their anticancer activity through a combination of diverse mechanisms [ 7 ] such as the inhibition of hypoxia-inducible factor-1 (HIF-1) [ 8 ], the inhibition of DNA, RNA and protein synthesis [ 9 , 10 , 11 , 12 ], the inhibition of thymidylate synthase [ 13 , 14 , 15 ], the inhibition of dihydrofolate reductase [ 13 , 14 , 15 ], the inhibition of Activator Protein-1, and NF-κB, and the down-regulation of cyclin D1 [ 16 , 17 ].…”