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MOD_67 is a multi-target small molecule designed as a dual modulator of human carbonic anhydrases (hCA) and estrogen receptors (ER). Developed through a structure-based repurposing strategy, MOD_67 is a hexahydrocyclopenta[c]quinoline derivative that incorporates a sulfonamide group for zinc-binding hCA inhibition and a phenolic hydroxyl group for ER modulation. It demonstrates nanomolar inhibitory potency against the tumor-associated isoforms hCA IX and XII and micromolar antagonistic activity against ER⍺ and ERβ. MOD_67 is being investigated for the treatment of breast and prostate cancers, particularly those where these targets are co-expressed, such as triple-negative breast cancer. By simultaneously targeting pH regulation and estrogen-mediated signaling, MOD_67 aims to disrupt the tumor microenvironment and inhibit cancer cell proliferation.
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