a b s t r a c tSTATs are transcription factors acting as intracellular signaling after stimulation with cytokines, growth factors and hormones. STAT5 is also constitutively active in many forms of cancers, including chronic myelogenous leukemia, acute lymphoblastic leukemia and Hodgkin's lymphoma. Recently, literature reported that the neuroleptic drug pimozide inhibits STAT5 phosphorylation inducing apoptosis in CML cells. We undertook an investigation from pimozide structure, obtaining simple derivatives with cytotoxic and STAT5-inhibitory activity, two of them markedly more potent than pimozide.Ó 2014 Elsevier Ltd. All rights reserved.Signal transducers and activators of transcription (STATs) are transcription factors that act as intracellular signaling after stimulation with cytokines, growth factors and hormones. STATs are activated into the cytosol by phosphorylation of specific tyrosine residues forming homo-or heterodimers that enter into the nucleus and bind to the specific DNA sequences in the promoter regions of various genes involved in cell survival, proliferation and differentiation. 1 STAT5 protein consists of a N-terminal domain that is involved in promoting STAT5 dimerization, a DNA binding domain that interacts with a conserved DNA binding sequence, an SH2 domain that drives the initial interaction of STAT5 protein with phosphorylated tyrosine residues in the cytoplasmic tails of cytokine receptors, and a C-terminal transactivation domain. 2 In order to be functional, STAT5 proteins must first be activated. This activation is carried out by kinases associated with transmembrane receptors. Firstly, ligands (cytokines, growth factors) binding to these transmembrane receptors on the outside of the cell activate JAK2 (Janus kinase 2) which in turn add a phosphate group to a specific tyrosine residue on the receptor; STAT5 then binds to these phosphorylated-tyrosines using their SH2 domain. The bound STAT5 is then phosphorylated by JAK2 and the phosphorylated STAT5 finally goes on to form either homodimers, STAT5-STAT5, or heterodimers, STAT5-STATX, with other STAT proteins. 3,4 The interest of STAT5 in oncology comes from the initial observations of its activation in many malignancies. Epigenetic changes, regulation by miRNA, altered proteolytic pathways, gene amplification and aberrant growth factor signaling contribute to activation of STAT5 proteins in human cancers; however, mutations in STAT5 genes have not been found, with the exception of myeloid leukemia, where the STAT5 C-terminal part fuses with RARa. In contrast, mutations in signaling pathways acting upstream of STAT5 proteins are frequent in many cancer types.Constitutively STAT5 activation was found in hematological malignancies such as acute lymphocytic leukemia (ALL), erythroleukemia, chronic myelogenous leukemia (CML) and in others myeloproliferative diseases. 5 Differently from normal cells in which STAT5 is activated by JAK2, in ALL and CML the products of the fusion proteins TEL/ JAK2 and BCR/ABL activate directly STAT5 proteins...