This research is principally focused on designing and developing new diclofenac-tethered Schiff base derivatives with anticipated anticancer potentials. The structures of the synthesized compounds were examined by applying diverse spectroscopic techniques. An additional nuclear Overhauser effect spectroscopy (NOESY) technique was applied to analyze the configuration and stereochemistry of the target compounds, which confirmed the presence of the target molecules as a mixture of E-syn-periplanar and E-anti-periplanar isomers. The cytotoxic potential of the synthesized derivatives was evaluated on MCF-7 breast cancer cells and WI-38 lung normal cells, among which compound 5a has emerged as the most potent candidate with an IC50 value of 48.19 ± 0.19 μM. Selectivity indices (SI) were determined for compounds 5a, 5c, 6a, and 6b, revealing a preferential cytotoxic effect against cancer cells over normal cells. Notably, compound 5a demonstrated the highest selectivity, with an SI value of 4.1, indicating a favorable safety profile. The most active derivatives 5a, 5c, 6a, and 6b were further assessed for their potential to inhibit VEGFR-2 kinase activity. The results displayed moderate to high activity with IC50 values ranging from 0.118 ± 0.001 to 0.876 ± 0.012 μM compared to 0.146 ± 0.002 μM for sorafenib. Moreover, compound 5a demonstrated a significant elevation in Bax (7.79-fold) and caspase-9 (3.49-fold) expression levels, while reducing Bcl-2 expression level by 0.22-fold in MCF-7 breast cancer cells, indicating activation of the intrinsic mitochondrial apoptotic pathway. Additionally, a scratch wound healing assay revealed that compound 5a considerably hindered cell migration. Additionally, molecular docking experiments were conducted to determine the binding modes between compounds 5a, 5c, 6a, and 6b and the VEGFR-2 kinase, thereby elucidating their mechanism of action. Finally, in silico studies and toxicity profiles indicated favorable drug-like characteristics.
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