Background:Oral squamous cell carcinoma (OSCC) represents the primary form of
oral cancer, posing a significant global health threat. The existing chemotherapy options are accompanied
by notable side effects impacting patient treatment adherence. Consequently, the exploration
and development of novel substances with enhanced anticancer effects and fewer
side effects have become pivotal in the realms of biological and chemical science.Objective:This work presents the pioneering examples of naphthoquinone-coumarin hybrids
as a new category of highly effective cytotoxic substances targeting oral squamous cell carcinoma
(OSCC).Methods:Given the significance of both naphthoquinones and coumarins as essential pharmacophores/
privileged structures in the quest for anticancer compounds, this study focused on the
synthesis and evaluation of novel naphthoquinones/coumarin hybrids against oral squamous
cell carcinoma.Results:By several in vitro, in silico, and in vivo approaches, we demonstrated that compound
6e was highly cytotoxic against OSCC cells and several other cancer cell types and was more
selective than current chemotherapeutic drugs (carboplatin) and the naphthoquinone lapachol.
Furthermore, compound 6e was non-hemolytic and tolerated in vivo at 50 mg/kg with an LD50
of 62.5 mg/kg. Furthermore, compound 6e did not induce apoptosis and cell cycle arrest but
led to intracellular vesicle formation with LC3 aggregation in autophagosomes, suggesting an
autophagic cell death. Additionally, 6e had a high-affinity potential for PKM2 protein, higher
than the known ligands, such as lapachol or shikonin, and was able to inhibit this enzyme activity
in vitro.Conclusion:We assert that compound 6e shows promise as a potential lead for a novel chemotherapeutic
drug targeting OSCC, with potential applicability to other cancer types.