Many studies have confirmed the cytotoxicity of makaluvamines and discorhabdins against cancer cell lines, and in several cases the inhibition of important enzymes and expression of genes involved in regulating cell proliferation and stress responses have been implicated in their activity [
9,
19,
21]. Preclinical in vivo tumor xenograft studies in mice have been carried out for a select few natural makaluvamines and discorhabdins [
5,
6,
7,
8,
9], as well as two synthetic makaluvamine analogs [
99,
100,
101], indicating potential applications against skin, pancreatic, prostate, breast and ovarian cancer as well as leukemia. In addition, several pyrroloiminoquinones have been identified as antimalarial drug leads, some showing promising in vivo activity in mice models [
10]. Antimicrobial [
16,
62], antiviral [
11] and antioxidant [
20] activities have also been reported for this compound class, indicating a broad application potential for these remarkable alkaloids. This notion is reinforced by the presence of a patent from the 1990s and a recent patent application both claiming the application of various natural makaluvamines and related semi-synthetic derivatives as antineoplastic and antibacterial agents [
17,
102]. At times, unselective cytotoxicity has diminished the enthusiasm for pyrroloiminoquinones as potential drug leads, however several members of this compound class have shown selective activity which appears to be related to a decreased electrophilic reactivity for some of the respective compounds.
4.1. Cytotoxicity and Anticancer Potential
Pyrroloiminoquinones have been attracting considerable interest as potential anticancer drug leads; however, they do not appear to act uniformly on one particular target, but rather, several mechanisms are responsible for their bioactivity depending on their particular structure. These include topoisomerase I and II inhibition [
7,
8,
22,
49], induction of apoptosis [
99,
100,
101] and inhibition of key stress regulatory enzymes such as HIF-1α [
21]. The principal pharmacophore of this compound class is represented by the pyrrolo[4,3,2-de]quinoline core. This is exemplified in at least moderate cytotoxicity for all tested compounds containing this moiety, whereas related compounds with an altered core, such as damirones, zyzzyanones and C(16)-C(17)-desaturated pyrroloiminoquinones have generally proven much less active or inactive against mammalian cell lines [
7,
8,
22]. Discorhabdin cytotoxicity has been shown to be affected by the electrophilic reactivity of the spirodienone moiety and correspondingly C-3 carbonyl discorhabdins have proven more cytotoxic than their 3-dihydro analogs or non-electrophilic spiro-derivatives in comparative studies [
66,
71,
73]. Similarly, bromination of the spiro-dienone moiety and C(7)-C(8) desaturation have been shown to increase cytotoxicity against HCT-116, while C-14 bromination, N(18)-C(2) ring closure and substitution of C-1 with bulky substituents are associated with decreased activity [
22,
72]. The dienone moiety of discorhabdins has been suggested to act as a Michael acceptor in reactions with suitable molecular targets, explaining the effects of C-3 reduction in decreasing cytotoxicity [
14].
Discorhabdin B readily reacts with thiol nucleophiles to yield debrominated C-1 substituted products exhibiting N(18)-C(2) ring closure [
70] (
Figure 7). The N(18)-C(2) cross-linked discorhabdin D and the 16,17-desaturated discorhabdin Q were found to be unreactive towards nucleophiles, correlating with potent cytotoxicity for discorhabdin B and decreased activity for discorhabdin D and discorhabdin Q. Consequently, this type of nucleophilic addition has been implicated in the mechanism of cytotoxicity for discorhabdins. Recently, discorhabdin C has been reported to react differently with thiol nucleophiles, yielding C-1 or C-5 substituted, monobrominated products with no N(18)-C(2) linkage [
73] (
Figure 7). However, reaction of discorhabdin C with amine nucleophiles led to a dihydrate product exhibiting N(18)-C(2) ring-closure, while discorhabdin B underwent decomposition at the same conditions. Antitumor in vitro activity was reported to correlate with electrophilic reactivity of the spiro-dienone [
73]. Moreover, discorhabdin C can form adducts with the amine-rich protein lysozyme in aqueous medium, suggesting covalent bonding via nucleophilic attack of, e.g., the lysine residues of proteins onto the electrophilic spiro-dienone of C-series discorhabdins [
73]. Such reactivity may partly account for the cytotoxic activity of certain discorhabdins and infers a rather unselective mode of action.
The activity of several natural pyrroloiminoquinones has been evaluated in tumor xenograft models, some returning promising results (
Table 1). The first in vivo study of pyrroloiminoquinone bioactivity evaluated the activities of discorhabdin A–C [
5]. Despite potent in vitro activity against the P388-cell line, (+)-discorhabdin A (
Figure 8) and discorhabdin C (
Figure 7) were ineffective in extending the life span of affected model mice and proved toxic to the test animals at 2 mg/kg bodyweight, while (+)-discorhabdin B (
Figure 8) effected some tumor reduction. A study published by the same group shortly after evaluated the N(18)-C(2) bridged (+)-discorhabdin D (
Figure 8) correspondingly and revealed lower in vitro activity than for the two other compounds, but significant in vivo anti-tumor efficacy [
6].
In 1993 Radisky et al. [
7] published the first mechanistic investigation into pyrroloiminoquinone cytotoxicity, assessing the anti-cancer potential of several makaluvamines and damirones as well as (+)-discorhabdin A (
Figure 8). The compounds were evaluated in cytotoxicity assays against human colon cancer cell line HCT-116, as well as Chinese hamster ovarian (CHO) cell lines xrs-6 and BR1. Additionally, compounds were tested for topoisomerase II inhibition, DNA intercalation and the ability to damage DNA in vitro. Most makaluvamines were found to be moderately to potently cytotoxic. However, (+)-discorhabdin A showed by far the most potent cytotoxicity (IC
50 = 0.08 µM against HCT-116), while
ortho-quinones were not active. Cytotoxic compounds were up to nine times less active against the DNA-repair proficient CHO-strain, BR1, than against xrs-6, suggesting a relationship between cytotoxic effects and DNA damage. In addition, the cytotoxic compounds were found to cause single strand cleavage of DNA in vitro upon reductive activation with dithionite at an efficiency corresponding to their ease of reduction and loosely correlating with increasing cytotoxicity [
7]. All tested pyrroloiminoquinones proved efficient DNA-intercalators; topoisomerase II inhibition was, however, only observed for makaluvamines. Consequently, topoisomerase II inhibition was suggested as the mechanism of cytotoxicity for makaluvamines, while (+)-discorhabdin A appeared to act via a separate mechanism. Radisky et al. [
7] further evaluated makaluvamine A and C (
Figure 8) for in vivo anti-cancer activity, finding only marginal life extension in nude mice afflicted by murine leukaemia (P388), but significant reduction of tumor size in human ovarian cancer (OVCAR-3) xenografts in athymic mice (
Table 1).
In 2005 Dijoux et al. [
8] corroborated the relationship of cytotoxicity and topoisomerase II inhibition for makaluvamines and reported differential cytotoxic activity for several members of this compound class tested in a 60-cell line NCI cancer panel assay. Subsequent in vivo study of makaluvamines H and I (
Figure 8) in KB tumor cell xenografts to nude mice (
Table 1) revealed that makaluvamine H exhibited better T/C values than the positive control etoposide (38% vs. 40%) at less than half the dose (22 vs. 55 mg/kg). Makaluvamine I proved toxic to the mice at tested doses but still achieved a T/C value of 38% [
8].
More recently, natural pyrroloiminoquinones have been subject of renewed interest. Goey et al. [
21] identified several discorhabdins, including 3-dihydrodiscorhabdin C, (+)-discorhabdin B, (−)-discorhabdin L, (−)-discorhabdin H (
Figure 8), as well as makaluvamine F (
Figure 2) as potent inhibitors of the complexation of HIF-1α and the coactivator p300. Additionally, some compounds were found to selectively inhibit HIF-1α mediated transcription of a reporter plasmid in HCT-116 and LNCaP at non-toxic concentrations. Furthermore, the secretion of the downstream HIF-1α-mediated vascular endothelial growth factor (VEGF) was found decreased in LNCaP cells treated with (−)-discorhabdin L or (−)-discorhabdin H [
21]. HIF-1α is an important transcription factor, involved in regulating cell growth and the response to hypoxia, and elevated levels of HIF-1α are associated with solid tumors and angiogenesis [
21]. Importantly, the tested compounds were also found to exhibit much decreased cytotoxicity (IC
50 = 1.7 to >10 µM against HCT-116) compared with previous reports in the literature [
2,
3], which characterized most makaluvamines and discorhabdins as potently cytotoxic. This discrepancy was attributed to the comparatively short treatment times and hypoxic conditions used by Goey et al. [
21], opposed to longer treatment times and normoxic assay conditions employed by other authors [
22].
A follow-up study, investigating the antiangiogenic potential of the VEGF secretion-inhibiting (−)-discorhabdin H and (−)-discorhabdin L, reported low activity against human umbilical vein endothelial cells (HUVEC) for the former compound (IC
50 > 10 µM) and relatively potent activity for the latter (IC
50~5 µM), regardless of treatment times (24 and 48 h) or oxygen levels (normoxic and hypoxic) [
9]. (−)-Discorhabdin L was also found to inhibit tube formation in HUVEC and strongly decreased micro-vessel outgrowth in an ex vivo mouse aorta ring model. Moreover, this compound stalled prostate cancer (LNCaP) tumor growth in a xenograft model while showing no toxicity to the host mice at the active concentrations (
Table 1).
Several groups have employed in silico methods to identify possible cellular targets of pyrroloiminoquinones. Such computational studies have identified discorhabdin N (
Figure 8) as a potential allosteric modulator of human heat shock proteins Hsc70 and Hsp72, suspected factors in oncogenesis and cancer procession [
103]. Tsitsikammamines as well as A- and D- series discorhabdins have been implicated as potential inhibitors of indoleamine 2,3-dioxygenase (IDO1) and topoisomerase I and II by establishing plausible binding modes through molecular modeling [
54,
72].
In addition to natural pyrroloiminoquinones synthetic
N-benzyl and
N-fluorobenzyl makaluvamine analogs BA-TPQ (
N-benzyl makaluvamine I) and FBA-TPQ (
Figure 8) were discovered as promising anti-cancer drug leads, culminating in preclinical in vivo studies and pharmacological evaluations [
99,
100,
101,
104,
105,
106]. BA-TPQ has been shown to inhibit tumor growth in prostate- and breast cancer xenografts in mice, while not being overtly toxic to the test animals, despite accumulating in their lungs, kidneys and spleens [
104,
105,
106]. The fluoro-benzyl analog FBA-TPQ was found to selectively induce cell cycle arrest and apoptosis in prostate cancer cell lines LNCaP and PC3 in a dose-dependent manner, in addition to reducing the androgen receptor and prostate specific antigen levels [
104]. Furthermore, FBA-TPQ inhibited pancreatic- [
101], breast- [
99] and ovarian [
100] tumor growth in mouse xenograft models while exhibiting only minimal toxic effects. The mechanism of action for BA-TPQ has been suggested to involve activation of apoptotic receptors, possibly through formation of a reactive oxygen species [
106].
A multitude of other synthetic analogs have been evaluated for bioactivity, including synthetic makaluvamine analogs DHN-II-84 and DHN-III-14 (
Figure 8) which decreased c-KIT expression and elicited decreased neuroendocrine tumor markers myeloid cell leukemia-1 (MCL-1), X-chromosome linked inhibitor of apoptosis (XIAP), chromogranin A (CgA) and achaete-scute homolog 1 (ASCL1) [
107]. Furthermore, a range of synthetic wakayin, tsitsikammamine and zyzzyanone analogs were tested in cellular assays of HEK 293-EBNA cell lines expressing hIDO1 or hTDO [
108]. Interestingly, a zyzzyanone analog (
Figure 8), which is not strictly speaking a pyrroloiminoquinone, showed the most promising inhibitory profile with ca. 52% (IDO) and 15% (TDO) inhibition at 3.12 µM concentration, while exhibiting virtually no effect on cell viability [
108]. In yet another study, a set of pyrroloiminoquinone analogs was synthesized to investigate their potential as anti-skin cancer drug leads [
109]. Compound C278 (
Figure 8) returned the most favorable results, being two-fold active against skin cancer SCC13 cells over normal human keratinocyte HaCaT cells (IC
90 = 0.9 vs. 2.1 µM) and displaying dose-dependent inhibition of SCC13 cell migration and invasion as well as eliciting apoptosis [
109]. In addition, synthetic tsitsikammamine analogs have shown promising sub-micromolar inhibitory activity against IDO1 in an enzyme assay, while retaining some activity in cell-based assays [
110]. Meanwhile, the most active analog (
Figure 8) showed neither cell-based TDO inhibitory activity nor any inhibition of cell viability at 10 µM concentration [
110]. Hoang et al. [
111] synthesized a range of imidazole-based pyrroloiminoquinone analogs for evaluation of cytotoxic and cytostatic effects in a 60-cancer cell panel assay. A
N-(methoxy)ethyl-substituted analog (
Figure 8) showed the most promising cytostatic activity against A498 (renal cancer cell line), being four orders of magnitude more active than its’
N-methyl analog. Correlation analysis using the NCI COMPARE algorithm identified the VEGF (Flt-1) receptor as a potential target [
111]. Lastly, Lam et al. [
112] developed a protocol of modifying pyrroloiminoquinones with fluorescent probes for potential cell localization studies and identification of protein targets. One example was the reaction of discorhabdin C with an ethylenediamine linker, followed by addition of a dansyl fluorophore, where the final product showed comparable cytotoxic activity to the natural parent compound (IC
50 against P388 = 0.34 vs. 0.11 µM).
Taken together, the results discussed in this section highlight that the cytotoxic mode of action of the pyrroloiminoquinones is still not well understood and likely involves multiple concurring and structure-dependent mechanisms, warranting further study to unravel the biological effects of these diverse natural products. The cytotoxicity of makaluvamines is likely mediated through topoisomerase II inhibition [
7,
8], while discorhabdin cytotoxicity is promoted by increasing electrophilic reactivity of their spiro-dienone moiety, which also promotes nonselective toxicity [
70,
71,
73]. Interestingly, the most promising in vivo anticancer results in the literature have been reported for pyrroloiminoquinones that do not possess the reactive combination of a nucleophilic N(18) and a electrophilic spiro-dienone moiety, such as makaluvamines H and I [
8], discorhabdin D [
6] and discorhabdin L [
9]. It is tempting therefore to hypothesize that high electrophilic reactivity of the dienone-moiety may result in nonselective reaction with a multitude of cellular targets, masking more selective action, e.g. HIF-1 α inhibition, which may come to prevail in those pyrroloiminoquinones that bear a less reactive dienone-moiety.
Several pyrroloiminoquinones have been shown to exhibit similar magnitudes of cytotoxicity against human cancer and non-cancer cell lines; therefore, pyrroloiminoquinones cannot summarily be described as exhibiting selective cytotoxicity against human cancer cell lines over human non-cancer cell lines. Nevertheless, comparison of literature reports yielded notable exceptions that may exhibit selective activity against cancer cell lines, including makaluvamine J and K as well as tsitsikammamine B. For instance, makaluvamine J (
Figure 9) and K (
Figure 8) showed IC
50 values of 0.054 and 0.056 µM against PANC1, respectively, [
46] as opposed to reported IC
50 values of 1.2 and 1.1 µM against HEK293 [
10], whereas tsitsikammamine B (
Figure 8) was potently active against HCT-116 (IC
50 = 0.222 µM) [
22] while only showing weak activity against HEK293 at 50 µM concentration [
49].
4.2. Antiplasmodial Potential
A few pyrroloiminoquinones of multiple classes have been identified as possible antimalarial lead compounds. Makaluvamine O (Gordon and Betty Moore Foundation), which has been shown to be inactive for inhibiting viability of HEK293 cells [
49], exhibits moderate in vitro activity against the chloroquine-sensitive D6 clone of
Plasmodium falciparum (IC
50 = 0.94 µg/mL) with five-fold selectivity over Vero cells [
89]. Potent anti-plasmodial activity was reported for (+)-discorhabdin A (
Figure 8) against chloroquine-sensitive (D6 clone) and chloroquine-resistant (W2 clone) strains of
P. falciparum (IC
50 = 53 nM for both) [
12]. Interestingly, 3-dihydrodiscorhabdin C (
Figure 8) showed some antiplasmodial activity (IC
50 = 170 nM vs. D6, IC
50 = 130 nM vs. W2) whereas discorhabdin C (
Figure 7) was least active (IC
50 = 2800 nM vs. D6, IC
50 = 2000 nM vs. W2), despite bearing the reactive α-bromoenone moiety that promotes mammalian cell cytotoxicity. Particularly, (+)-discorhabdin A and 3-dihydrodiscorhabdin C were significantly less active against murine Vero cells with IC
50-values in the low micromolar range, providing evidence for selectivity towards
P. falciparum [
12].
The most active anti-plasmodial compounds, (+)-discorhabdin A and 3-dihydrodiscorhabdin C, were chosen for in vivo evaluation in
Plasmodium berghei-infected mice [
12]. Unfortunately, both compounds had severe cytotoxic effects on the mice and all animals treated with 3-dihydrodiscorhabdin C died before investigation of parasitemia. Discorhabdin A proved slightly less toxic to the host animals, with 4 of 5 animals losing weight and showing severe intoxication but surviving with parasitemia found reduced by 50% [
12].
Evaluation of the antimalarial potential of several makaluvamines and damirones as well as tsitsikammamine C (
Figure 9) isolated from an Australian
Zyzzya sp. sponge [
10] showed that makaluvamines inhibit chloroquine-resistant and chloroquine-sensitive strains of
P. falciparum with IC
50-values in the mid-nanomolar range opposed to micromolar activities against HEK293 cells. The most active compound tested and with the highest selectivity index, was the bispyrroloiminoquinone tsitsikammamine C, which was excluded from subsequent in vivo evaluation due to a paucity of material. Nonetheless, makaluvamine J and makaluvamine G (
Figure 9) were further tested against
P. berghei in a mouse model. Makaluvamine G showed promising anti-plasmodial activity, suppressing
P. berghei infection more effectively than the positive control chloroquine (48% vs. 35% on 4th day post infection), while makaluvamine J showed no antiplasmodial in vivo effect and proved toxic to the test animals [
10].
Recently, Lam et al. [
73] reported antiprotozoal activity for several discorhabdins of the A-, D- and C-series and some semi-synthetic derivatives. Several compounds showed potent inhibitory activities, including (-)-discorhabdin L (
Figure 8) which returned an IC
50-value of 0.03 µM against
P. falciparum (K1 strain) vs. 1.1 µM against rat skeletal myoblast cell line L6. The most selective activity was however observed for the thioether-linked discorhabdin B dimer (
Figure 3), which exhibited IC
50 values of 0.08 and 41 µM against
P. falciparum and non-malignant rat skeletal myoblast L6 cells, respectively. Noteworthy, this dimer has shown potent cytotoxicity against HCT-116 cells in previous works [
74] and it is unclear what underlies the pronounced difference in activity against these two cancer cell lines. Overall, antimalarial activity was not found to correlate with the electrophilic reactivity (and hence antimammalian cytotoxicity) of the spiro-dienone arrangement in discorhabdins, which may suggest a specific mode of action of pyrroloiminoquinones on a yet unknown cellular target in protozoa.
4.3. Antimicrobial, Antifungal, Neuromodulatory and Antioxidant Potential
In addition to mammalian and protozoal cytotoxicity, pyrroloiminoquinones have been reported to exhibit antifungal, antibacterial, antiviral, neuromodulatory and antioxidant activities. For instance, makaluvamines, tsitsikammamines and discorhabdins have been reported as antibacterial agents against several Gram-(+) and Gram-(−) bacteria [
5,
12,
15,
16,
39,
62,
113]. Most antibacterial evaluations were carried out using zone-inhibition or not further specified assays. Nevertheless, Jeon et al. [
16] established MIC values for several discorhabdins and makaluvamines against three Gram-(+) (
Bacillus subtilis,
Micrococcus luteus,
Staphylococcus aureus) and three Gram-(−) (
Escherichia coli,
Proteus vulgaris,
Salmonella typhimurium) bacteria. None of the tested compounds showed significant activity against
E. coli (MIC > 100 µM) and the most potent activities were exhibited by (+)-discorhabdin D (6.25 µM,
Figure 8) and makaluvamine F (3.125 µM,
Figure 2) against
M. luteus, as well as by (+)-discorhabdin B (
Figure 8) against
P. vulgaris (3.125 µM). Na et al. [
12] provided evidence for antimicrobial activity of (+)-discorhabdin A (
Figure 8), discorhabdin C (
Figure 7) and 3-dihydrodiscorhabdin C (
Figure 8) against methicillin-resistant
S. aureus (MRSA),
Mycobacterium intracellulare and
Mycobacterium tuberculosis. (+)-Discorhabdin A inhibited viability of MRSA and
M. intracellulare with IC
50 values of 4.8 µM (MIC = 12 µM) and 0.46 µM (MIC = 0.74 µM), respectively, while for inhibition of
M. tuberculosis only an MIC value of 7.7 µM was reported. Discorhabdin C also proved remarkable activity against all three bacteria (MRSA- IC
50/MIC = 3.2/11 µM;
M. intracellulare- 0.13/0.17 µM;
M. tuberculosis- 6.8/8.0 µM), while 3-dihydrodiscorhabdin was less active against MRSA (IC
50 = 13 µM) and
M. tuberculosis (MIC = 14 µM) and inactive against
M. intracellulare. In addition, discorhabdin Z and (−)-3-dihydrodiscorhabdin D (
Figure 10) showed the ability to inhibit sortase A, an enzyme involved in bacterial cell-adhesion [
16]. Furthermore, Nijampatnam et al. [
114] synthesized 14 makaluvamine analogs with antibiotic activity against
Streptococcus mutans, as well as the ability to inhibit
S. mutans biofilm formation. Three compounds (
Figure 10) were found to inhibit biofilm formation with IC
50 values considerably lower than MIC
50 values for bactericidal activity, suggesting these compounds may exhibit antibiofilm activities rather than simply killing the responsible bacteria [
114].
The antiviral activity of pyrroloiminoquinones has only been superficially investigated. Noteworthy, discorhabdins were originally discovered from crude extracts prioritized due to their antiviral in vitro activity [
5], yet the first published assay results were only provided in 2002 [
11]. These authors evaluated the ability of several isobatzellines, batzellines and makaluvamines to inhibit HIV-1 envelope mediated cell-fusion in a β-galactose reporter assay. While particularly low reporter activities were observed with isobatzelline C (
Figure 10), followed by makaluvamine A and H (
Figure 8), the authors of this study suggested that the activity in this assay may have resulted from inhibition of DNA-modifying enzymes, since the results correlated with literature reports of topoisomerase II inhibition [
11]. Another report concerning antiviral activity of pyrroloiminoquinones was provided for (+)-discorhabdin A, discorhabdin C and 3-dihydrodiscorhabdin C which inhibit the proliferation of the HCV-replicon in human cell culture (Huh7), but also proved cytotoxic to the host cells [
12].
In addition to the activities discussed above, (+)-discorhabdin G, 3-dihydro-7,8-dehydrodiscorhabdin C (
Figure 10), (+)-discorhabdin B (
Figure 8) and (−)-discorhabdin L (
Figure 8) have been shown to exhibit competitive reversible inhibition of electric eel (eeAChE) and recombinant human acetylcholinesterase (hAChE), as well as horse serum butyrylcholinesterase (BChE) [
18]. (+)-Discorhabdin B proved the most potent inhibitory activity against hAChE among tested compounds (22.8 µM). The most active compound against eeAChE and BChE, (+)-discorhabdin G (IC
50 = 1.6 and 7 µM, respectively), was found to show no undesirable electrophysiological effects after further testing. Interactions between the test compounds and actives sites of the enzymes were defined through in silico molecular docking which returned binding energies correlating with the in vitro results. It was suggested that the discorhabdin scaffold may represent a valuable pharmacophore for the development of drugs to treat dementia, Alzheimer’s disease and other neurological disorders associated with elevated cholinesterase activity [
18]. Furthermore, makaluvamine G (
Figure 9) has been identified as an inhibitor of the muscle nicotinic acetylcholine receptor [
47]. Several makaluvamines have been tested for antioxidant activities, finding makaluvamine J (
Figure 9) most active in reducing mitochondrial damage by H
2O
2 [
20]. This activity was ascribed to be in part due to an elicited improvement in the endogenous antioxidant defenses of glutathione and catalase [
20]. Lastly, discorhabdin P (
Figure 10) was shown to inhibit the phosphatase activity of calcineurin with an IC
50 value of 0.55 µg/mL [
61] with secobatzelline A (
Figure 10) showing equally potent activity [
19]. Both compounds also inhibited the peptidase activity of CPP32 with 0.37 µg/mL and 0.02 µg/mL, respectively, while discorhabdin C showed no inhibitory activity against either enzyme [
61].
To our knowledge no studies have investigated the antibacterial or antifungal potential of damirones, nor the antiviral potential of bispyrroloiminoquinones. Furthermore, bispyrroloiminoquinones have not been evaluated for anticancer or antimalarial activity in vivo, despite sometimes promising in vitro results. In addition, unusual pyrroloiminoquinones and discorhabdin oligomers have only been very sparsely researched concerning their biological activities.