Abstracts of the 13th International Conference on Thrombosis and Hemostasis Issues in Cancer, 2026

PO05 | DESIGN, SYNTHESIS, AND BIOLOGICAL EVALUATION OF NOVEL IMATINIB AND NILOTINIB ANALOGUES EXPRESSING ENHANCED ANTIPLATELET AND ANTICANCER ACTIVITIES

D. Pantazi1, L. Pechlivani1, A. Kosma1, K. Lalechou1, M.G. Siskos2, D. Alivertis3, A.D. Tselepis1 | 1Atherothrombosis Research Centre, Laboratory of Biochemistry, Department of Chemistry, University of Ioannina, Greece; 2Laboratory of Organic Chemistry, Department of Chemistry, University of Ioannina, Greece; 3Department of Biological Applications and Technology, University of Ioannina, Greece

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Published: 16 April 2026
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Introduction. Platelet activation is a key factor in the thrombotic events in patients with cancer. Tyrosine kinase inhibitors (TKIs), such as imatinib and nilotinib, are widely used in cancer therapy and, in addition to their anti-tumor properties, they express antiplatelet activities (Pantazi D., et al. DDDT. 2019;13:4225). Structural optimization of these drugs may increase their antiplatelet and anticancer activities and may offer potential therapeutic benefit.

Aim. We designed and synthesized novel imatinib and nilotinib analogs and evaluated their effects on tumor cell proliferation as well as their antiplatelet activity in vitro.

Materials and Methods. A series of structurally optimized imatinib and nilotinib analogs were synthesized and their structural properties were analyzed by means of density functional theory calculations. Platelet aggregation assays in platelet-rich plasma (PRP) in vitro were performed using human platelets prepared from the peripheral blood of healthy volunteers. Platelets were activated with adenosine diphosphate (ADP), thrombin-activated peptide-6 (TRAP-6), or arachidonic acid (AA). Cancer cell proliferation was assessed in HepG2 cells, in culture, by measuring cell viability and growth. Analyses of the relationship between structure and activity of the synthetic imatinib and nilotinib analogues were performed as we have previously described (1).

Results. The synthetic imatinib and nilotinib analogues exhibited significantly increased inhibitory potency towards platelet aggregation as compared with parent compounds, especially when AA was used as a platelet agonist. Importantly, the nilotinib analogues also expressed a more potent inhibitory effect on HepG2 cell proliferation. DFT and structural analyses demonstrate that particular functional group positioning, electronic distribution, and hydrogen bond interactions enhance the activities of the synthetic molecules. These findings highlight the critical molecular features of the synthetic molecules responsible for the expression of dual antiplatelet and anti-cancer effects.

Conclusions. Targeted structural modifications of imatinib and nilotinib can yield analogues with potent antiplatelet activity while retaining or enhancing their anticancer properties. These results support the development of synthetic molecules for possible therapeutic applications in treating cancer and preventing thrombosis.


References
1. Pechlivani L, Ntemou N, Pantazi D, Alivertis D, Skobridis K, Tselepis AD. Synthesis of novel nilotinib analogues and biological evaluation of their antiplatelet activity and functionality towards cancer cell proliferation in vitro. Pharmaceuticals (Basel) 2024;17:349.

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Emostasi e Trombosi SI di. PO05 | DESIGN, SYNTHESIS, AND BIOLOGICAL EVALUATION OF NOVEL IMATINIB AND NILOTINIB ANALOGUES EXPRESSING ENHANCED ANTIPLATELET AND ANTICANCER ACTIVITIES: D. Pantazi1, L. Pechlivani1, A. Kosma1, K. Lalechou1, M.G. Siskos2, D. Alivertis3, A.D. Tselepis1 | 1Atherothrombosis Research Centre, Laboratory of Biochemistry, Department of Chemistry, University of Ioannina, Greece; 2Laboratory of Organic Chemistry, Department of Chemistry, University of Ioannina, Greece; 3Department of Biological Applications and Technology, University of Ioannina, Greece. Bleeding Thromb Vasc Biol [Internet]. 2026 Apr. 16 [cited 2026 Apr. 20];5(s1). Available from: https://www.btvb.org/btvb/article/view/501

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