Suramin, a polyanionic naphthylurea, represents a novel class of antin
eoplastic drugs with a variety of activities against tumor cell prolif
eration. However, its clinical use is hampered by serious toxicity. To
gain more insight into structure-activity relationships of suramin, w
e investigated the antiproliferative action of suramin and 19 suramin
analogues in vitro using 5 different human cell Lines (HT29, MCF7, SW1
3, PC3, and T47D). In addition, for seven analogues the angiostatic po
tential with and without hydrocortisone was assessed using a modified
chorioallantois membrane assay. Only the symmetric compounds exhibited
antiproliferative action in vitro; several analogues were more active
than suramin (e.g., NF031, NF037, NF326). Suramin analogues with six
sulfonic acid groups showed a wide range of activity in HT29 cells (IC
50 = 43-390 mu M), indicating that besides the polyanionic feature, ot
her structural elements me important (e.g., stiffness of the bridge be
tween the two terminal naphthyl rings). Some of the smaller ureas with
only four sulfonic acid groups retained significant antiproliferative
activity. Compounds active in cell lines also inhibited angiogenesis
in the chorioallantois membrane assay, suggesting a similar mode of ac
tion. Hydrocortisone increased the angiostatic effect of most but not
all of the screened suramin analogues. These findings may guide the us
e of suramin analogues for improved antitumor therapy in vivo.