The antitumor effects of ''half-mustard type'' phenothiazines were stu
died on 57 different tumor cell lines, including leukemias, non-small
lung cancer, colon, central nervous system, ovarian, renal, breast, an
d prostate cancer; as well as melanoma cell cultures. Alkyl-urea deriv
atives of phenothiazines displayed in vitro antitumor activity. The ph
enothiazine phthalimido derivatives (1-6) were not active on the major
ity of cancer cell cultures. In contrast, propylureas (9, 11) were act
ive against some leukemia cell types. Only two compounds-with the buty
lene [(CH2)(4)] linker (10, 12) were active against non-small lung can
cer cells. Compounds containing the propylene linker were less effecti
ve On colon cancer lines, tumor cells fi om the central nervous system
and on melanoma cells the same compounds were effective, however, hav
ing substituents at the 2-position of phenothiazine seems to be import
ant. Surprisingly, the majority of ovarian cancer cell lines (except o
ne type, IGROVI) and five of eight renal cancer. lines were not sensit
ive to these phenothiazine derivatives. The two butylene linked phenot
hiazine ureas (10, 12) had moderate antiproliferative action on two re
nal cancer cell lines. The prostate cancer and some br east cancer cel
l lines were not sensitive. Nevertheless some breast cancer cell lines
were apparently sensitive to CF3-substituted phenothiazine alkylureas
. On the basis of these experiments one may postulate that in the case
of insensitive cells an mdr-gene encoded multidrug resistance efflux
pump is responsible for the resistance. The selectivity or organ cell
specificity of the effective phenothiazines will be targeted for impro
vement in further studies, in order to avoid the general cytotoxic eff
ects of ''half mustard type'' phenothiazines.