“…According to previous studies investigating the structure-cytotoxicity relationship, which employed both in vitro and in silico approaches, the mechanistic pathways underlying the anti-lung cancer effects of marine alkaloids from the tetrahydroisoquinolinequinone family have been elucidated. Specifically, compounds such as 5-O-(N-Boc-L-alanine)-renieramycin T, a renieramycin-ecteinascidin derivative [20], (1R,4R,5S)-10-(benzyloxy)-9-methoxy-8,11-dimethyl-3-(thiazol-5-ylmethyl)-1,2,3,4,5,6-hexahydro-1,5-epimi-nobenzo [d]azocine-4-carbonitrile (DH_25), a right-half C-E ring analog of renieramycins [30], and 22-O-(4′-pyridinecarbonyl) jorunnamycin A, a 4′-pyridinecarbonyl substituted renieramycin-type derivative [29], have demonstrated efficacy against non-small cell lung cancer (NSCLC) cells through modulation of the protein kinase B (Akt), myeloid cell leukemia-1 (MCL-1), and mitogen-activated protein kinase (MAPK) signaling pathways, leading to the induction of apoptosis. The proteins Akt, MCL-1, and MAPK are interconnected targets of cellular signaling networks involved in the regulation of apoptosis.…”