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     INNOSC Theranostics and
            Pharmacological Sciences                                                Anticancer activity of cyanobacteria
            3.11. Metabolites from other chemical families     bartolosides, caylobolide, bisebromoamides, carmaphycins,
            3.11.1. Iezoside                                   anaenamides, cocosamides, aurilides, wenchangamides,
                                                               coibamide  A, largazole, almiramides, dolastatins,
            A new compound called iezoside (Figure 6) is isolated from   microcolins, hectochlorins, lyngbyabellins, patellamides,
            marine cyanobacterium Leptochromothrix valpauliae. It is   majusculamides, aplysiatoxins, caldorazole, laxaphycins,
            a polyketide peptide with a unique structure that includes a   iezoside, and caldoramide. These compounds can be found
            2,3-O-dimethyl-α-l-rhamnose branch, a conjugated diene   in various cyanobacteria species and have been shown to
            group, and an α,β,γ,δ-unsaturated-amide group. Iezoside   possess anticancer properties against a range of cancer cell
            has been found to exhibit potent anticancer properties   lines, such as human colon carcinoma, osteosarcoma, breast
            against HeLa cells with an IC  value of 6.7 nM, causing   cancer, lung cancer, cervical cancer, and fibrosarcoma cells.
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            a delay in the cell cycle, inducing morphological changes   However, further research is needed to determine the safety
            (spindle-like), and activating the apoptosis-induction   and effectiveness of these compounds in animal models and
            pathways .                                         clinical applications. It is of utmost importance to find the
                   [62]
            3.11.2. Caldoramide                                right balance between drug safety and effectiveness for these
                                                               compounds in the treatment of cancer. Although the general
            Caldoramide (Figure  6) is a pentapeptide compound   rule of thumb is to discontinue any further investigations
            derived  from  the  marine  cyanobacterium  Caldora   on the slightly effective compounds that elicit severe side
            penicillata. This compound exhibits potent cytotoxic   effects, there are still no clear guidelines on whether effective
            activity against HCT116, HT-29, and MCF-7, with IC 50   compounds that can cause significant side effects should
            values of 43.8 ± 3.7, 77.5 ± 1.3, and 33.9 ± 1.3, respectively.   be  approved for further studies.  This  uncertainty  poses  a
            However, its cytotoxicity is lower than that of belamide A   challenge for drug developers in selecting the appropriate
            and dolastatin 10 .                                drugs that have the highest potential to maximize the overall
                          [63]
              Based on reviews in the literature, several compounds   patient outcome in cancer treatment.
            have been isolated from different cyanobacteria strains
            which may be due to the ability of cyanobacteria to   Acknowledgments
            produce these metabolites as a chemical defense technique   None.
            against predators and compete for space and nutrients or
            to produce these metabolites when growing in extreme   Funding
            environment and/or cultivation under different cultivation   None.
            condition  or  stress  condition  (such  as  high  or  low  pH,
            temperature, and salinity).                        Conflict of interest
              Some metabolites have been found to exhibit      The authors declare that they have no competing interests.
            cytotoxicity against different cancer cell lines, with varying
            cellular responses depending on the type of cancer cell. The   Author contributions
            mechanisms underpinning their cytotoxic effects include   Conceptualization: Hanaa Ali Hussein, Fatin L. Khaphi
            cell cycle arrest, caspase activation, impairment of the actin   Writing – original draft: Hanaa Ali Hussein
            cytoskeleton, histone deacetylase inhibition, inhibition   Writing – review & editing: All authors
            of the trimeric Sec61 translocon, depolymerization of
            microtubules, 20S proteasome inhibition, mitochondrial   Ethics approval and consent to participate
            fragmentation, and prevention of multidrug resistance.
            Several other compounds are not reviewed in this paper   Not applicable.
            due to a lack of information concerning their cytotoxicity   Consent for publication
            or their selectivity toward normal cells rather than
            cancer cells. Therefore, modifying the structure of these   Not applicable.
            compounds is necessary to create analogs that exhibit high
            cytotoxicity and are more selective against cancer cells   Availability of data
            than the original metabolite.                      Not applicable.
            4. Conclusions                                     References
            Cyanobacteria are known to contain various bioactive   1.   IARC, 2021, Global Cancer Observatory. France:
            compounds, including apratoxin, symplostatin 1,       International Agency for Research on Cancer.
            Volume 7 Issue 1 (2024)                         9                         https://doi.org/10.36922/itps.1388
     	
