Ascidian Toxins with Potential for Drug Development

Ascidians (tunicates) are invertebrate chordates, and prolific producers of a wide variety of biologically active secondary metabolites from cyclic peptides to aromatic alkaloids. Several of these compounds have properties which make them candidates for potential new drugs to treat diseases such as cancer. Many of these natural products are not produced by the ascidians themselves, rather by their associated symbionts. This review will focus mainly on the mechanism of action of important classes of cytotoxic molecules isolated from ascidians. These toxins affect DNA transcription, protein translation, drug efflux pumps, signaling pathways and the cytoskeleton. Two ascidian compounds have already found applications in the treatment of cancer and others are being investigated for their potential in cancer, neurodegenerative and other diseases.


Introduction
Ascidians (urochordates, tunicates), commonly known as sea-squirts, belong to the Phylum, Chordata; sub-phylum; Tunicata; class, Ascidiacea. The chordates consist of three lineages, the urochordates, the cephalochordates, and the vertebrates. Ascidians are benthic filter-feeding protochordates ancestral to the higher chordates. The swimming larval stages contain a notochord, however the adults are invertebrates and are immotile. This section will provide an overview of these organisms and the natural products isolated from them, as well as outline the scope of this review.

Overview of Ascidians
Ascidians are exclusively marine, abundant in harbors, and can be found all over the world from near the surface to great depths [1][2][3]. The three orders within the class Ascidiacea, based on the structure of the adult branchial sac, are Aplousobranchia (almost exclusively colonial), Phlebobranchia, and Stolidobranchia (in both solitary and colonial forms) [4]. Several species of Stolidobranchs are farmed for food in some parts of the world, mainly Japan and Korea [2] and Pyura stolinifera (commonly called cunjevoi) is widely used as fishing bait in Australia. There are over 3000 species of ascidians [4] and they exist below low-tide levels in protected areas with good water movement. Many can tolerate and accumulate heavy metals, although these metals affect the development of embryos and larvae in a dose-dependent fashion. This makes certain species of ascidians useful as indicators of water quality in bioassays for pollutants [5]. In addition, ascidian embryos are also useful as a model to study the neurodevelopmental toxicity of different compounds [6]. Several families of ascidians accumulate very high levels of vanadium (up to 350 mM) in tissues and blood cells called vanadocytes. The physiological function of the accumulated vanadium is presently unclear. It has been suggested that it may be involved in chemical defense against predators and microbes, or in metabolic roles such as oxidation and reduction reactions [7]. Ascidians are important ecologically due to their invasive potential and adverse effects on native fauna and aquaculture [2,3]. The ecological role of ascidians and the potential of using invasive species for marine natural product discovery and production

Biological Activity of Cyanobactins
In the comprehensive review of marine peptides by Gogenini and Hamann, a list of the cyclic peptides isolated from ascidians along with their biological activity and IC 50 values is provided [14]. For the cyanobactins, this is typically in the micromolar range. The role of the cyanobactins is currently unknown. Some are cytotoxic to mammalian cells in culture and some bind metals such as Cu(II) and Zn(II), however the role of the metal complexes is not clear. The copper concentration of ascidians is several orders of magnitude higher than seawater leading to the idea that some cyanobactins function in copper transport and storage, or detoxification [44]. Two novel cyclic hexapeptides-bistratamides M and N-differing only in the configuration of one alanine side chain ( Figure 1) have been isolated [45]. In the same study the authors also examined the metal binding of Bistratamide K and showed that it binds Zn(II). Patellamides can bind two copper atoms. The structure of copper carbonate complexes of patellamides has been determined, suggesting a role in CO 2 hydration (carbonic anhydrase reactivity) providing carbonate for attachment or CO 2 for photosynthesis [46,47]. One of the complexes catalyzed hydration of CO 2 at a rate only two orders of magnitude lower than the enzyme carbonic anhydrase. Other proposed roles include oxygen activation and phosphoester hydrolysis (phosphatase reactivity), and acting as enzyme co-factors [35]. Using a patellamide derivative with an appended fluorescence tag, it was found that Cu is coordinated to the patellamides inside the Prochloron cells [48]. structure of copper carbonate complexes of patellamides has been determined, suggesting a role in CO2 hydration (carbonic anhydrase reactivity) providing carbonate for attachment or CO2 for photosynthesis [46,47]. One of the complexes catalyzed hydration of CO2 at a rate only two orders of magnitude lower than the enzyme carbonic anhydrase. Other proposed roles include oxygen activation and phosphoester hydrolysis (phosphatase reactivity), and acting as enzyme co-factors [35]. Using a patellamide derivative with an appended fluorescence tag, it was found that Cu is coordinated to the patellamides inside the Prochloron cells [48]. A new study examined the metal binding of synthetic heteroatom-interchanged (HI)lissoclinamide 5, whereby the carboxamide group at position 4 on the 1,3-thiazole ring system of lissoclinamide 5 was moved to position 5, producing a nitrogen/sulfur heteroatom interchange so that the sulfur atoms pointed to the center of the cavity [51]. The HI cyclic peptide showed poor copper binding affinity with the S donor of the thiazole not involved in coordination. There was also lower cytotoxicity (by an order of magnitude) compared to the parent compound. This study also identified the most likely structure for the Cu(II) complex with natural lissoclinamide 5, in which the metal ion is bound through the nitrogen donors of the two thiazoles and a deprotonated amide.
Two new dimeric hexapeptides-antollamides A and B-have recently been isolated from the ascidian Didemnum molle [52]. These are the only cyanobactins that have intermolecular dimerization through disulfide bonds. However, they lack significant cytotoxicity.

Cyclic Depsipeptides and Polyketides
In cyclic depsipeptides, the ring is mainly composed of amino-and hydroxy acid residues connected by amide and ester bonds (at least one of the latter) [53]. These compounds and some alkaloids are made by the non-ribosomal peptide synthesis (NRPS) mechanism. Polyketides are complex molecules built from simple carboxylic acids and synthesized by polyketide synthetases (PKS). NRP and polyketide synthetases are large multienzyme machineries which have been reviewed recently [54,55]. Natural products having polyketide and non-ribosomal peptide structures are generally found to be of microbial origin.

Didemnins
Didemnins are cyclic depsipeptides with highly modified amino acid residues. Didemnin B (first isolated from Tridemnum solidum [56]) has previously been shown to bind the GTP-bound form of eukaryotic elongation factor 1A (eEF1A), inhibiting its release from the ribosomal A site and A new study examined the metal binding of synthetic heteroatom-interchanged (HI)-lissoclinamide 5, whereby the carboxamide group at position 4 on the 1,3-thiazole ring system of lissoclinamide 5 was moved to position 5, producing a nitrogen/sulfur heteroatom interchange so that the sulfur atoms pointed to the center of the cavity [51]. The HI cyclic peptide showed poor copper binding affinity with the S donor of the thiazole not involved in coordination. There was also lower cytotoxicity (by an order of magnitude) compared to the parent compound. This study also identified the most likely structure for the Cu(II) complex with natural lissoclinamide 5, in which the metal ion is bound through the nitrogen donors of the two thiazoles and a deprotonated amide.
Two new dimeric hexapeptides-antollamides A and B-have recently been isolated from the ascidian Didemnum molle [52]. These are the only cyanobactins that have intermolecular dimerization through disulfide bonds. However, they lack significant cytotoxicity.

Cyclic Depsipeptides and Polyketides
In cyclic depsipeptides, the ring is mainly composed of amino-and hydroxy acid residues connected by amide and ester bonds (at least one of the latter) [53]. These compounds and some alkaloids are made by the non-ribosomal peptide synthesis (NRPS) mechanism. Polyketides are complex molecules built from simple carboxylic acids and synthesized by polyketide synthetases (PKS). NRP and polyketide synthetases are large multienzyme machineries which have been reviewed  [54,55]. Natural products having polyketide and non-ribosomal peptide structures are generally found to be of microbial origin.

Didemnins
Didemnins are cyclic depsipeptides with highly modified amino acid residues. Didemnin B (first isolated from Tridemnum solidum [56]) has previously been shown to bind the GTP-bound form of eukaryotic elongation factor 1A (eEF1A), inhibiting its release from the ribosomal A site and preventing peptide elongation [57]. Several additional actions of this compound have been identified. For example, it activates the mammalian target of rapamycin (mTORC1) pathway through release of REDD1 inhibition. REDD1 (Regulated in development and DNA damage response 1) is a short-lived protein and its levels decline due to inhibition of protein synthesis. Didemnin B also inhibits palmitoyl-protein thioesterase (PPT1) and the dual inhibition of PPT1 and eEF1A results in induction of apoptosis through loss of the protective Mcl-1 protein [58]. Didemnin B is also a powerful immunosuppressant, 100 times more potent than cyclosporine A [59]. Numerous clinical trials were conducted with didemnin B. However, these were discontinued due to significant toxicity.
Plitidepsin, (dehydrodidemnin B) is an analog in which a lactyl group of didemnin B is replaced by a pyruvyl group and was first isolated from Aplidium albicans as shown in Figure 2. It is marketed under the name Aplidin ® and is in advanced clinical trials for several malignancies such as multiple myeloma [60]. Trials of Aplidin ® , with and without dexamethasone, have been completed and another in combination with both dexamethasone and bortezomid is currently recruiting participants [61]. Aplidin ® received orphan drug status for treating multiple myeloma in May 2017 and PharmaMar has requested re-examination of its use for relapsed and refractory multiple myeloma by the European Medicines Agency in January 2018 [62].
The primary target of plitidepsin (Aplidin ® ) is thought to be eukaryotic elongation factor 1A2 and this factor is commonly depleted in plitidepsin resistant cells [60,63]. The drug targets the non-canonical roles of eEF1A2 [63]. Binding of plitidepsin to eEFA2 occurs when the protein is in the GTP-bound conformation. It also binds eEF1A but with a lower K d (180 nM for A1 vs. 80 nM for A2) and the interaction has been observed in living cells using a FLIM-phasor FRET approach [63]. The events which trigger cell death, and how they are linked with eEF2A binding, are yet to be elucidated. Plitidepsin was shown to cause cell cycle arrest and induce apoptosis in melanoma cells through activation of Rac1/JNK [64]. Apoptosis induced by plitidepsin occurs via the mitochondrial (intrinsic) pathway. Sustained JNK activation occurs after Rac1 activation and downregulation of the phosphatase MKP-1, following depletion of glutathione, indicating a role for oxidative stress in plitidepsin-induced apoptosis [65]. Vascular endothelial growth factor (VEGF) secretion is inhibited in a human leukemia cell line, suggesting a possible effect of plitidepsin on angiogenesis [66]. Furthermore, the plitidepsin analogs PM01215 and PM02781 have been shown to inhibit angiogenesis in vivo as well as in vitro [67].
Tamandarins from a Brazilian ascidian have a very similar structure to didemnin B ( Figure 2) and possess potent cytotoxic activity. Numerous studies on the chemical syntheses of these compounds and research into chemical modifications of tamandarins to find the molecular moieties important for biological activity have been reviewed [68]. Didemnin B has been found to be produced by the α-proteobacterium Tistrella mobilis obtained from marine sediment [69,70]. The biosynthetic gene cluster (did) encodes a 13-module hybrid nonribosomal peptide synthetase-polyketide synthase enzyme complex [70]. The discovery of this gene cluster may provide a solution to the supply problem and a route to the genetic engineering of new didemnin analogs.
compounds and research into chemical modifications of tamandarins to find the molecular moieties important for biological activity have been reviewed [68]. Didemnin B has been found to be produced by the α-proteobacterium Tistrella mobilis obtained from marine sediment [69,70]. The biosynthetic gene cluster (did) encodes a 13-module hybrid nonribosomal peptide synthetase-polyketide synthase enzyme complex [70]. The discovery of this gene cluster may provide a solution to the supply problem and a route to the genetic engineering of new didemnin analogs.

Polyketides
The highly cytotoxic patellazole A, which is thought to have a defensive role, is a polyketide-

Polyketides
The highly cytotoxic patellazole A, which is thought to have a defensive role, is a polyketide-peptide hybrid made by α-proteobacterium Ca. Endolissoclinum faulkneri (Figure 3). This bacterium is only found in a subgroup of Lissoclinum patella, and its genome is extensively reduced, such that it could not live independently of the host. However, it maintains all the genes required for patellazole synthesis (ptz genes), providing evidence for an essential defensive role of these secondary metabolites in this symbiotic relationship [36,72,73]. The biosynthesis of patellazoles and other polyketides by the trans-AT polyketide synthases has been reviewed [74].
Mar. Drugs 2018, 16, x FOR PEER REVIEW 7 of 33 peptide hybrid made by α-proteobacterium Ca. Endolissoclinum faulkneri ( Figure 3). This bacterium is only found in a subgroup of Lissoclinum patella, and its genome is extensively reduced, such that it could not live independently of the host. However, it maintains all the genes required for patellazole synthesis (ptz genes), providing evidence for an essential defensive role of these secondary metabolites in this symbiotic relationship [36,72,73]. The biosynthesis of patellazoles and other polyketides by the trans-AT polyketide synthases has been reviewed [74].  Mandelalides A-D are macrocyclic polyketides isolated from a new species Lissoclinum mandelai in South Africa [75]. Subsequently, the stereochemistry of mandelalide A was corrected [76] and the enantioselective total synthesis of mandelalide A and its ring-expanded macrolide isomer isomandelalide A was achieved [77]. Isomandelalide A exhibited unexpectedly high levels of activity being more potent than mandelalide B. The glycosylated mandelalides A and B are cytotoxic to neuroblastoma cells at low nanomolar concentrations [78]. New mandelalides, G-L, have been isolated allowing the study of structure-activity relationships, comparing the effects of monosaccharide and macrocyclic acylation on biological activity. The structures of mandelalides A and L are shown in Figure 4. The potent cytotoxicity of mandelalide A was found to be dependent on cell density with actively proliferating tumor cells at low density being relatively resistant to the compound. Mandelalides A and B inhibited mitochondrial function and induced caspase-dependent Mandelalides A-D are macrocyclic polyketides isolated from a new species Lissoclinum mandelai in South Africa [75]. Subsequently, the stereochemistry of mandelalide A was corrected [76] and the enantioselective total synthesis of mandelalide A and its ring-expanded macrolide isomer isomandelalide A was achieved [77]. Isomandelalide A exhibited unexpectedly high levels of activity being more potent than mandelalide B. The glycosylated mandelalides A and B are cytotoxic to neuroblastoma cells at low nanomolar concentrations [78]. New mandelalides, G-L, have been isolated allowing the study of structure-activity relationships, comparing the effects of monosaccharide and macrocyclic acylation on biological activity. The structures of mandelalides A and L are shown in Figure 4. The potent cytotoxicity of mandelalide A was found to be dependent on cell density with actively proliferating tumor cells at low density being relatively resistant to the compound. Mandelalides A and B inhibited mitochondrial function and induced caspase-dependent apoptotic cell death, due to inhibition of the mammalian ATP synthase complex V at concentrations of 30-100 nM, whereas the aglycosylated mandelamide C was much less potent. Cells with an oxidative phenotype were more likely to be inhibited. Cancer cells can shift their metabolism for ATP production from oxidative phosphorylation to aerobic glycolysis as nutrients become depleted, which could explain the effects of cell density [79].

Alkaloids
There are several structural families of alkaloids found in marine invertebrates, including indoles, pyrroles, pyrazines, quinolines, β-carbolines, and pyridoacridines. Marine alkaloids and synthetic analogs as important leads for anticancer drug development, have been reviewed [17], as have alkaloids derived specifically from ascidians [82]. An update on ascidian alkaloids and their modes of action, is provided in this section.

Quinoline Alkaloids
Ecteinascidin (ET-743, trabectedin, Figure 5) is a tetrahydroisoquinoline alkaloid first isolated from the ascidian Ecteinascidia turbinata [83] and it has a known role in chemical defense [84]. It is approved as an anti-cancer drug in the US and Europe (commercialized by PharmMar) for soft tissue sarcomas and ovarian cancer under the trade name Yondelis ® . The current status of trabectedin for the treatment of soft tissue sarcoma has been discussed [85]. Trabectedin binds DNA in the minor groove where it alkylates DNA residues, causing sequence specific alterations in DNA transcription and leading to DNA cleavage with subsequent apoptosis. A detailed description of its mechanism of action has been published [86]. Briefly, it forms an adduct with DNA leading to the formation of trabectedin/DNA/endonuclease ternary complexes, which on collision with replication forks, leading to double strand breaks which are repaired by homologous recombination. Binding of trabectedin to DNA interferes with transcription factors, other DNA binding proteins and repair pathways. Trabectedin modulates gene expression in a promoter-and gene-dependent manner, for example the expression of the Multidrug Resistance (MDR-1) gene that encodes P-glycoprotein is reduced and this could contribute to it anticancer activity [49,87]. In addition to its inhibition of trans-activated transcription factors, trabectedin affects the tumor microenvironment by induction of caspase-8 dependent apoptosis, specifically in monocytes and macrophages. The loss of these cells results in decreased expression of inflammatory cytokines [88,89]. Tumor associated macrophages have been implicated in progression and resistance of tumors to therapy and drive angiogenesis, thus targeting Nine new natural products were isolated from Didemnum molle collected in Madagascar [80]. They are mollecarbamates A-D, which possess repeating o-carboxyphenethylamide units and a carbamate moiety; molleureas B-E, which contain tetra-and penta-repeating carboxyphenethylamide units and a urea bridge in different positions; and molledihydroisoquinolone, a cyclic form of o-carboxyphenethylamide. These metabolites were reported to be the only compounds known to contain ortho-carboxyphenethylamide derivatives in their skeleton. None of these compounds exhibited significant anti-viral or anti-bacterial activity.
The total synthesis of the cytotoxic polyketide Biselide E from an Okinawan Didemnid ascidian has recently been achieved [81].

Alkaloids
There are several structural families of alkaloids found in marine invertebrates, including indoles, pyrroles, pyrazines, quinolines, β-carbolines, and pyridoacridines. Marine alkaloids and synthetic analogs as important leads for anticancer drug development, have been reviewed [17], as have alkaloids derived specifically from ascidians [82]. An update on ascidian alkaloids and their modes of action, is provided in this section.

Quinoline Alkaloids
Ecteinascidin (ET-743, trabectedin, Figure 5) is a tetrahydroisoquinoline alkaloid first isolated from the ascidian Ecteinascidia turbinata [83] and it has a known role in chemical defense [84]. It is approved as an anti-cancer drug in the US and Europe (commercialized by PharmMar) for soft tissue Mar. Drugs 2018, 16, 162 9 of 33 sarcomas and ovarian cancer under the trade name Yondelis ® . The current status of trabectedin for the treatment of soft tissue sarcoma has been discussed [85]. Trabectedin binds DNA in the minor groove where it alkylates DNA residues, causing sequence specific alterations in DNA transcription and leading to DNA cleavage with subsequent apoptosis. A detailed description of its mechanism of action has been published [86]. Briefly, it forms an adduct with DNA leading to the formation of trabectedin/DNA/endonuclease ternary complexes, which on collision with replication forks, leading to double strand breaks which are repaired by homologous recombination. Binding of trabectedin to DNA interferes with transcription factors, other DNA binding proteins and repair pathways. Trabectedin modulates gene expression in a promoter-and gene-dependent manner, for example the expression of the Multidrug Resistance (MDR-1) gene that encodes P-glycoprotein is reduced and this could contribute to it anticancer activity [49,87]. In addition to its inhibition of trans-activated transcription factors, trabectedin affects the tumor microenvironment by induction of caspase-8 dependent apoptosis, specifically in monocytes and macrophages. The loss of these cells results in decreased expression of inflammatory cytokines [88,89]. Tumor associated macrophages have been implicated in progression and resistance of tumors to therapy and drive angiogenesis, thus targeting macrophages is an important aspect of the anti-tumor activity of trabectedin.
Mar. Drugs 2018, 16, x FOR PEER REVIEW 9 of 33 deficient in NER are resistant to these compounds. NER is increased in cells which are resistant to cisplatin, providing a rationale for the combination of trabectedin or lurbinectedin with platinum drugs in clinical trials [93]. Lurbinectedin causes stalling of RNA polymerase II and inhibition of its phosphorylation, leading to its degradation by the proteasomal system, induction of DNA breaks and subsequently apoptosis [92]. Lurbinectedin, in combination with doxorubicin, showed remarkable activity in small-cell lung carcinoma and is currently in phase III trials for relapsed disease [94].
The DNA damage response initiated by trabectedin and lurbinectedin involves activation of two kinases, ataxia-telangiectasia mutated (ATM) and ataxia-telangiectasia related (ATR). Inhibition of both kinases simultaneously potentiates the cytotoxicity of these compounds providing a rationale for combining ATM and ATR inhibitors with the drugs to achieve maximal killing of tumor cells [95].
Trabectedin is made by microbial symbionts using the non-ribosomal peptide synthetase (NRPS) machinery. Using meta-genomic sequencing, the genes and 25 proteins in the biosynthetic pathway have been identified and characterized [96]. Sherman and colleagues have now taken out a patent on this pathway for the commercial production of NRPS-derived trabectedin [97]. This process will hopefully overcome the supply issues of currently used methods.

Pyridoacridine Alkaloids
The pyridoacridine alkaloids constitute the largest family of marine derived alkaloids, mainly from sponges and tunicates. The basic structural skeleton is 11H-pyrido[4,3,2-mn]acridine. The incredible chemical diversity and significant bioactivity of these compounds provide excellent targets for drug discovery for cytotoxic, anti-microbial, anti-parasitic, and antiviral agents [16,98]. These alkaloids have been classified according to the number of rings [99]. Pyridoacridines derived from ascidians are usually tetra-or penta-cyclic, possessing a functionalized alkylamine side chain but there are also some with 6, 7, or 8 rings [82]. This class of alkaloid are cytotoxic due to their core planar iminoquinone moiety that intercalates into DNA leading to breaks and they also inhibit topoisomerase II.
The tetracyclic pyridoacridines are mostly derived from ascidians. Examples include cystodytins, styelsamines, diplamines, and varamines [16]. Cystodytin J and diplamine, which A detailed case study on the synthesis of trabectedin for pharmaceutical use is presented by Gomes and coworkers [90]. A synthetic analog of trabectedin, PM01183 (Lurbinectedin) [91] has a tetrahydro-β-carboline in the C subunit, as opposed to the tetrahydroisoquinoline present in trabectedin ( Figure 5). They have a similar mode of action and comparable cytotoxicity. The tetrahydro β-carboline moiety protrudes from the minor groove of DNA and may interact directly with specific factors involved in DNA repair and transcription pathways [92]. Trabectedin-and lurbinectedin-adducts can interfere with the nucleotide excision repair (NER) machinery and cells deficient in NER are resistant to these compounds. NER is increased in cells which are resistant to cisplatin, providing a rationale for the combination of trabectedin or lurbinectedin with platinum drugs in clinical trials [93]. Lurbinectedin causes stalling of RNA polymerase II and inhibition of its phosphorylation, leading to its degradation by the proteasomal system, induction of DNA breaks and subsequently apoptosis [92]. Lurbinectedin, in combination with doxorubicin, showed remarkable activity in small-cell lung carcinoma and is currently in phase III trials for relapsed disease [94].
The DNA damage response initiated by trabectedin and lurbinectedin involves activation of two kinases, ataxia-telangiectasia mutated (ATM) and ataxia-telangiectasia related (ATR). Inhibition of both kinases simultaneously potentiates the cytotoxicity of these compounds providing a rationale for combining ATM and ATR inhibitors with the drugs to achieve maximal killing of tumor cells [95].
Trabectedin is made by microbial symbionts using the non-ribosomal peptide synthetase (NRPS) machinery. Using meta-genomic sequencing, the genes and 25 proteins in the biosynthetic pathway have been identified and characterized [96]. Sherman and colleagues have now taken out a patent on this pathway for the commercial production of NRPS-derived trabectedin [97]. This process will hopefully overcome the supply issues of currently used methods.

Pyridoacridine Alkaloids
The pyridoacridine alkaloids constitute the largest family of marine derived alkaloids, mainly from sponges and tunicates. The basic structural skeleton is 11H-pyrido[4,3,2-mn]acridine. The incredible chemical diversity and significant bioactivity of these compounds provide excellent targets for drug discovery for cytotoxic, anti-microbial, anti-parasitic, and antiviral agents [16,98]. These alkaloids have been classified according to the number of rings [99]. Pyridoacridines derived from ascidians are usually tetra-or penta-cyclic, possessing a functionalized alkylamine side chain but there are also some with 6, 7, or 8 rings [82]. This class of alkaloid are cytotoxic due to their core planar iminoquinone moiety that intercalates into DNA leading to breaks and they also inhibit topoisomerase II.
The tetracyclic pyridoacridines are mostly derived from ascidians. Examples include cystodytins, styelsamines, diplamines, and varamines [16]. Cystodytin J and diplamine, which possess the iminoquinone portion, were found to be the best intercalators and inhibitors of topoisomerase II [99]. The pentacyclic structures include ascididemin ( Figure 6), which intercalates into DNA preferentially at GC-rich sequences. Ascididemin has also been shown to induce DNA cleavage by a reactive oxygen species (ROS)-dependent mechanism, and to induce apoptosis in a mitochondrial dependent manner [99]. An additional effect of ascididemin is inhibition of telomerase activity. Elevated telomerase activity is one of the hallmarks of cancer [100]. Telomeres are protective repeat sequences at the end of chromosomes and shorten with each successive cell division in normal cells. In cancer cells, telomerase maintains the length of telomeric DNA promoting cell immortality, thus its inhibition is a useful approach for the development of anticancer drugs [101,102]. The G-rich strand of telomere DNA can fold into G-quadruplex structures which play an important role in telomere maintenance and cell cycle control via telomerase inhibition. Ascididemin as well as meridine ( Figure 6) have been shown to stabilize G4 quadruplexes and thereby inhibit telomerase [103]. repeat sequences at the end of chromosomes and shorten with each successive cell division in normal cells. In cancer cells, telomerase maintains the length of telomeric DNA promoting cell immortality, thus its inhibition is a useful approach for the development of anticancer drugs [101,102]. The G-rich strand of telomere DNA can fold into G-quadruplex structures which play an important role in telomere maintenance and cell cycle control via telomerase inhibition. Ascididemin as well as meridine ( Figure 6) have been shown to stabilize G4 quadruplexes and thereby inhibit telomerase [103].
Ascididemin Meridine An in silico analysis of molecular docking of natural pyridoacridines with several anticancer targets was carried out [105]. The examination included the ascidian compounds meridine (Amphicarpa meridiana) and varamine A (Lissoclinum vareau). It was determined that the cyclindependent kinase, CDK6, was the most likely target for the pyridoacridines tested. Meridine ( Figure  6) docking was predicted to be the most favorable, although these studies will need to be followed up experimentally. A recent review summarizes the progress that has been made in the synthetic chemistry of the pyridoacridine alkaloids [106].

Beta-Carboline Alkaloids
The carboline alkaloids are derived from tryptophan and found mostly in Eudistoma species [82]. All the β-carbolines are related biosynthetically in that tryptophan is coupled to a second amino acid, An in silico analysis of molecular docking of natural pyridoacridines with several anticancer targets was carried out [105]. The examination included the ascidian compounds meridine (Amphicarpa meridiana) and varamine A (Lissoclinum vareau).
It was determined that the cyclin-dependent kinase, CDK6, was the most likely target for the pyridoacridines tested. Meridine ( Figure 6) docking was predicted to be the most favorable, although these studies will need to be followed up experimentally. A recent review summarizes the progress that has been made in the synthetic chemistry of the pyridoacridine alkaloids [106].

Beta-Carboline Alkaloids
The carboline alkaloids are derived from tryptophan and found mostly in Eudistoma species [82]. All the β-carbolines are related biosynthetically in that tryptophan is coupled to a second amino acid, for example, eudistomin A is synthesised from tryptophan and glutamine. These compounds, originally isolated by Rinehart's group [107], display a variety of biological activities with the oxathiazepino-eudistomins having strong antiviral properties [82]. DNA binding studies have been conducted with Eudistomin U (Figure 7) [108]. The structure of this alkaloid differs from other eudistomins, in that it contains an indole ring at the 1-position of the pyridine ring. Using several spectrophotometric techniques, it was shown that Eudistomin U binds DNA weakly with no sequence specificity and it was suggested that DNA binding may not be the mechanism of cytotoxicity. Eudistomin C (Figure 7), which has strong cytotoxic and antiviral properties, was recently reported to target the 40S ribosome and inhibit protein translation [109]. These authors identified yeast mutants resistant to EudiC and found mutations in the gene RPS14A which codes for the uS11 protein, a component of the 40S ribosome which interacts with eS1 and eS26 proteins that form the mRNA exit tunnel. Biotinylated EudiC pulled down us11 containing complexes from 40S ribosomes. Further investigations are required to completely understand its mechanism of action. The synthetic strategies and structure-activity relationships, of the β-carbolines have been reviewed by Kumar et al. [110]. Eudistomin C Eudistomin U Figure 7. Beta-carboline alkaloids. Eudistomin C, reproduced from [111]. Eudistomin U, adapted with permission from (Panarese, J. and Waters S., [112]). Copyright 2018 American Chemical Society (Washington, DC, USA).

Tyrosine and Phenylalanine Based Alkaloids
Lamellarins are DOPA and TOPA derived pyrrole alkaloids found in the prosobranch mollusk Lamellaria sp. as well as in the Didemnid ascidians and sponges on which the mollusks feed. There are two groups depending on whether the central pyrrole ring is fused or unfused [82]. Most of the lamellarins, and the related lukianols, polycitones, and ningalins possess a 3,4-diarylated pyrrole 2carboxylic acid ester or amide moiety as the common structural subunit [113]. The majority of lamellarins are considerably cytotoxic with IC50 values in the nanomolar to micromolar range. The most cytotoxic is Lamellarin D (Figure 8) and structure-activity relationships have been determined [114]. Bailly has reviewed the anticancer properties of the lamellarins [115]. The main target of Lamellarin D is topoisomerase 1, with both the nuclear and mitochondrial forms being potently inhibited [115,116]. Topoisomerases cleave the DNA backbone to relax DNA supercoils and form transient enzyme-linked DNA breaks, which are referred to as cleavage complexes [116]. Lamellerin D, like camptothecin, traps the cleavage intermediates. It also directly acts on mitochondria, causing activation of Bax, release of apoptosis inducing factor (AIF) and caspase-3, and increase in ROS; however, mechanistic details are lacking. Lamellarin D, at sub-lethal doses, causes senescence which is dependent on topoisomerase 1 and ROS generation [117]. P388 cells were blocked in G2 phase, sometimes mutltinucleated with vacuolated cytoplasm, had elevated levels of p21 and stained positive for the senescence marker β-galactosidase. The source of ROS was determined not to be the mitochondria. The authors proposed a mechanism whereby topoisomerase inhibition led to limited DNA damage and in turn NOX-dependent ROS generation, p21 activation, cell cycle arrest, and then senescence.  [111]. Eudistomin U, adapted with permission from (Panarese, J. and Waters S., [112]). Copyright 2018 American Chemical Society (Washington, DC, USA).

Tyrosine and Phenylalanine Based Alkaloids
Lamellarins are DOPA and TOPA derived pyrrole alkaloids found in the prosobranch mollusk Lamellaria sp. as well as in the Didemnid ascidians and sponges on which the mollusks feed. There are two groups depending on whether the central pyrrole ring is fused or unfused [82]. Most of the lamellarins, and the related lukianols, polycitones, and ningalins possess a 3,4-diarylated pyrrole 2-carboxylic acid ester or amide moiety as the common structural subunit [113]. The majority of lamellarins are considerably cytotoxic with IC 50 values in the nanomolar to micromolar range. The most cytotoxic is Lamellarin D (Figure 8) and structure-activity relationships have been determined [114]. Bailly has reviewed the anticancer properties of the lamellarins [115]. The main target of Lamellarin D is topoisomerase 1, with both the nuclear and mitochondrial forms being potently inhibited [115,116]. Topoisomerases cleave the DNA backbone to relax DNA supercoils and form transient enzyme-linked DNA breaks, which are referred to as cleavage complexes [116]. Lamellerin D, like camptothecin, traps the cleavage intermediates. It also directly acts on mitochondria, causing activation of Bax, release of apoptosis inducing factor (AIF) and caspase-3, and increase in ROS; however, mechanistic details are lacking. Lamellarin D, at sub-lethal doses, causes senescence which is dependent on topoisomerase 1 and ROS generation [117]. P388 cells were blocked in G2 phase, sometimes mutltinucleated with vacuolated cytoplasm, had elevated levels of p21 and stained positive for the senescence marker β-galactosidase. The source of ROS was determined not to be the mitochondria. The authors proposed a mechanism whereby topoisomerase inhibition led to limited DNA damage and in turn NOX-dependent ROS generation, p21 activation, cell cycle arrest, and then senescence. transient enzyme-linked DNA breaks, which are referred to as cleavage complexes [116]. Lamellerin D, like camptothecin, traps the cleavage intermediates. It also directly acts on mitochondria, causing activation of Bax, release of apoptosis inducing factor (AIF) and caspase-3, and increase in ROS; however, mechanistic details are lacking. Lamellarin D, at sub-lethal doses, causes senescence which is dependent on topoisomerase 1 and ROS generation [117]. P388 cells were blocked in G2 phase, sometimes mutltinucleated with vacuolated cytoplasm, had elevated levels of p21 and stained positive for the senescence marker β-galactosidase. The source of ROS was determined not to be the mitochondria. The authors proposed a mechanism whereby topoisomerase inhibition led to limited DNA damage and in turn NOX-dependent ROS generation, p21 activation, cell cycle arrest, and then senescence.
The lamellarins have broad spectrum anticancer activity with multiple targets, including protein kinases and drug efflux pumps. ATP binding cassette (ABC) transporters such as P-glycoprotein (ABCB1), MDR-1 and ABCG2 (BCRP, breast cancer resistance protein) lead to drug efflux and The lamellarins have broad spectrum anticancer activity with multiple targets, including protein kinases and drug efflux pumps. ATP binding cassette (ABC) transporters such as P-glycoprotein (ABCB1), MDR-1 and ABCG2 (BCRP, breast cancer resistance protein) lead to drug efflux and multidrug resistance, which is a major problem in cancer treatment [115]. Natural products which inhibit these transporters to circumvent MDR have been reviewed [118]. Lamellarins I and K inhibit P-glycoprotein mediated drug efflux at nontoxic doses and are more potent than verapamil. Lamellarin D triacetate is the most potent P-gP inhibitor in the lamellarin class [119]. Structure-activity relationships with several lamellarins isolated from an Australian Didemnid ascidian and their synthetic derivatives have been investigated [120]. P-glycoprotein inhibitory activity was loosely correlated with higher levels of methylation on rings A and B. In view of their important biological activities, the lamellarins provide a platform for the synthesis of diverse analogs for drug discovery. The known synthetic routes to the lamellarin alkaloids published until 2014 have been reviewed [121]. Two papers describing the total synthesis of lamellarins D and H have recently been published [122,123].
Ningalin B (Figure 8) is an MDR reversal agent without cytotoxicity. Yang and coworkers synthesized 25 ningalin B derivatives, and evaluated their anti-P-glycoprotein activity [124]. Of these, compound 23, with dimethoxy groups at rings A and B and tri-substitution at ring C with ortho-bromo, meta-methoxy, and para-trimethoxybenzyloxy groups is the most potent inhibitor. It had an EC 50 of 120-165 nM in reversing multidrug resistance and was shown to inhibit the transport activity of P-glycoprotein. Importantly for its potential clinical applications, it is not toxic. Based on their co-metabolite status and structural similarity, Plisson et al. [125] speculated that the ningalins and lamellarins share a common biosynthetic origin. They are assembled from a tyrosine and one to four substituted catechols, further modified by a limited number of cyclisations, dehydrations, oxidations and methylations. In addition, these compounds are inhibitors of several important kinases implicated in cancer and neurodegeneration-casein kinase 1d (CK1d), CDK5, and glycogen synthase kinase 3-β (GSK3-β). Ningalins C, D, and G were particularly noteworthy in this regard. The total synthesis of Ningalins D and G has been achieved [126].
Botryllamides are dehydrotyrosine derivatives isolated from styelid ascidians, Botryllus sp. Botryllamides A-J and a series of brominated tyrosine derivatives form a new class of selective inhibitors of ABCG2 (BCRP), in MDR cells with relatively low cytotoxicity [127]. Structure-activity relationships for ABCG2 binding have been determined [128]. Other ascidian metabolites which inhibit MDR are the patellamide cyanobactins [49].

Indole Based Alkaloids
Meridianins are indole alkaloids substituted at the C-3 position by 2-aminopyrimidine ring ( Figure 9) and are potent protein kinase inhibitors, binding at the ATP binding pocket [129]. Meridianins, isolated from Aplidium meridianum in the East Weddell Sea in Antarctica, were shown to inhibit various protein kinases at low micromolar concentrations. These kinases include CDK, GSK-3β, CK1 and cyclic nucleotide-dependent kinases, which are important in cancer and neurodegenerative disease. Meridianin E was the most potent with selectivity for CDK1 and CDK5 [130]. A novel series of meridianin C derivatives substituted at the C-5 position have been prepared and structure-activity relationships (SAR) of the meridianin C core were determined [131]. One of the derivatives was shown to be a potent and selective inhibitor of the family of pim kinases-comprising pim-1, pim-2, and pim-3-with IC 50 values in the nanomolar range. Pim kinases are often overexpressed in various cancers and play a role in cell cycle progression and signaling pathways initiated by cytokines and hormones. They are thus important targets for cancer therapy.
The same meridianin C derivatives, were tested for inhibition of lipid accumulation adipogenesis in differentiation of 3T3L1 preadipocytes into adipocytes [132]. It was determined that derivative 7b was the most potent. Inhibition occurred by downregulation of the expressions of CCAAT/enhancer-binding protein-α, (C/EBP-α), peroxisome proliferator-activated receptor-γ (PPAR-γ), fatty acid synthase (FAS), and the phosphorylation of STAT-3 (signal transducer and activator of transcription) and STAT-5 transcription factors. In addition, the expression of leptin mRNA was inhibited, suggesting a possible application for this compound in the treatment of obesity. Mass spectrometric analysis of two antarctic ascidians led to the detection of 13 new meridianin analogs along with two dimers of meridianins B or E and A [133]. The search for new structures could provide more active forms for the development of potential drugs from this important family of kinase inhibiting alkaloids. Strategies taken to synthesize the meridianins and their derivatives have been reviewed [134]. A series of hybrid compounds of the CDK inhibitors, meridianin and variolin (from an Antarctic sponge) termed meriolins, (3-(pyrimidin-4-yl)-7-azaindoles), was synthesized to improve selectivity and efficiency, and several meriolins were tested for growth inhibitory and apoptotic activities in glioma cells [135]. The goal was to provide compounds with permeability to the blood brain barrier, less toxic effects on normal tissues and efficient combination with other chemotherapeutic agents. In vitro studies showed that meriolins 5 and 15 had potent antiproliferative activity on both astrocytes and glioblastoma multiforme (GBM) cells, and induced cell cycle arrest and promoted apoptosis. Meriolin 15 was also tested in vivo in a U87 glioblastoma xenograft model in nude mice. Administration of Meriolin 15 inhibited glioma cell proliferation, activated apoptosis and reduced the number of undifferentiated tumor stem cells. The authors proposed that meriolins inhibit multiple CDKs including CDK7/CDK9 thereby decreasing RNA polymerase II phosphorylation and leading to downregulation of the survival factor Mcl-1 and hence apoptosis. Further studies are in progress to find meriolin derivatives which are less toxic to normal cells.
Alkaloids of the staurosporine type have been frequently reported in Eudistoma species and 7hydroxystaurosporine (UCN-01) has undergone clinical trials [18]. These will be discussed in more detail in Section 7 dealing with kinase inhibitors.
A bis-indole alkaloid eusynstelamide B from Didemnum candidum was investigated for its mechanism of action in prostate and breast cancer cell lines [136]. The compound causes G2 arrest and was identified as a novel non-intercalating topoisomerase II poison which activates DNA damage response pathways and induces double strand breaks. It shows comparable potency to the anti-cancer drug etoposide. Mass spectrometric analysis of two antarctic ascidians led to the detection of 13 new meridianin analogs along with two dimers of meridianins B or E and A [133]. The search for new structures could provide more active forms for the development of potential drugs from this important family of kinase inhibiting alkaloids. Strategies taken to synthesize the meridianins and their derivatives have been reviewed [134].
A series of hybrid compounds of the CDK inhibitors, meridianin and variolin (from an Antarctic sponge) termed meriolins, (3-(pyrimidin-4-yl)-7-azaindoles), was synthesized to improve selectivity and efficiency, and several meriolins were tested for growth inhibitory and apoptotic activities in glioma cells [135]. The goal was to provide compounds with permeability to the blood brain barrier, less toxic effects on normal tissues and efficient combination with other chemotherapeutic agents. In vitro studies showed that meriolins 5 and 15 had potent antiproliferative activity on both astrocytes and glioblastoma multiforme (GBM) cells, and induced cell cycle arrest and promoted apoptosis. Meriolin 15 was also tested in vivo in a U87 glioblastoma xenograft model in nude mice. Administration of Meriolin 15 inhibited glioma cell proliferation, activated apoptosis and reduced the number of undifferentiated tumor stem cells. The authors proposed that meriolins inhibit multiple CDKs including CDK7/CDK9 thereby decreasing RNA polymerase II phosphorylation and leading to downregulation of the survival factor Mcl-1 and hence apoptosis. Further studies are in progress to find meriolin derivatives which are less toxic to normal cells.
Alkaloids of the staurosporine type have been frequently reported in Eudistoma species and 7-hydroxystaurosporine (UCN-01) has undergone clinical trials [18]. These will be discussed in more detail in Section 7 dealing with kinase inhibitors.
A bis-indole alkaloid eusynstelamide B from Didemnum candidum was investigated for its mechanism of action in prostate and breast cancer cell lines [136]. The compound causes G2 arrest and was identified as a novel non-intercalating topoisomerase II poison which activates DNA damage response pathways and induces double strand breaks. It shows comparable potency to the anti-cancer drug etoposide.

Other Alkaloids
Two novel metabolites Eudistidines A and B, unlike any other Eudistoma metabolites, have been isolated [137]. They represent a new structural class of alkaloids in which two pyrimidine rings and an imidazole ring are fused to generate a tetracyclic core. The biological activity of Eudistidine A is also very interesting, in that it can inhibit the interaction of the transcription factor HIF1 with the transcriptional co-activator protein p300. Tumors often grow under oxygen deprivation conditions. The HIF1-p300 complex is required for the transcription of hypoxia-responsive genes and represents an attractive therapeutic target for anticancer drugs. HIF1α is normally rapidly degraded. However, when oxygen tension is low, its levels accumulate in the nucleus where it binds to constitutively expressed HIF1β allowing the recruitment of p300 and expression of hypoxia responsive genes. Eudistidine A represents a new scaffold for the development of small molecule inhibitors of this interaction. A further paper by this group reported the synthesis of Eudistidine C which showed moderate inhibition of the HIF1/p300 interaction. Both Eudistidines A and C (Figure 10), also showed significant antimalarial activity against Plasmodium falciparum, including chloroquine resistant strains at low micromolar concentrations [138].
Mar. Drugs 2018, 16, x FOR PEER REVIEW 14 of 33 moderate inhibition of the HIF1/p300 interaction. Both Eudistidines A and C (Figure 10), also showed significant antimalarial activity against Plasmodium falciparum, including chloroquine resistant strains at low micromolar concentrations [138].
Eudistidine A Eudistidine C Lissoclibadin 1 (Figure 11), a polysulfur aromatic alkaloid from Lissoclinum cf. badium with potent cytotoxic activity, induces caspase-dependent apoptosis in HCT-15 cells via the intrinsic pathway [139]. Importantly this study examined the in vivo anti-tumor efficacy in nude mice. It suppressed tumor growth without significant adverse effects, making it an ideal candidate for further investigation as an anticancer agent. Lissoclibadin 1 (Figure 11), a polysulfur aromatic alkaloid from Lissoclinum cf. badium with potent cytotoxic activity, induces caspase-dependent apoptosis in HCT-15 cells via the intrinsic pathway [139]. Importantly this study examined the in vivo anti-tumor efficacy in nude mice. It suppressed tumor growth without significant adverse effects, making it an ideal candidate for further investigation as an anticancer agent.
(Washington, DC, USA). Lissoclibadin 1 (Figure 11), a polysulfur aromatic alkaloid from Lissoclinum cf. badium with potent cytotoxic activity, induces caspase-dependent apoptosis in HCT-15 cells via the intrinsic pathway [139]. Importantly this study examined the in vivo anti-tumor efficacy in nude mice. It suppressed tumor growth without significant adverse effects, making it an ideal candidate for further investigation as an anticancer agent. Figure 11. Lissoclibadin 1. Reproduced from [140].
Ritterazines originally isolated from Riterella tokiada (family Polyclinidae) [141] are dimeric steroidal pyrazine alkaloids closely related to cephalostatins from a marine worm (Cephalodiscus gilchristi), and microbial origin is suspected [142]. They have potent anti-tumor activity in the subnanomolar range. Ritterazine B is the most potent with an IC50 of 0.17nM. Structure-activity relationships of ritterazines and cephalostatins have been reviewed [17,82]. Ritterazines and cephalostatins share a common mode of action. The cellular target of the ritterostatin-cephalostatin hybrid, ritterostatin GN1N (Figure 12), was investigated using immunoaffinity fluorescent probes. It was shown to bind multiple heat shock proteins (Hsp70s) by immunoprecipitation. However, in the cell it is trafficked to the endoplasmic reticulum (ER) and binds predominantly to GRP78, activating the unfolded protein response and apoptosis [143]. Tahtamouni and coworkers [144] showed that two cephalostatin 1 analogs use the ER stress-induced apoptotic pathway. This involves caspase 4 activation, release of Smac/DIABLO, but not cytochrome C, from mitochondria and the phosphorylation of the eukaryotic initiation factor-2. The very limited natural sources of these potent compounds have necessitated chemical synthesis, a challenging task given their complex structures. Ritterazines originally isolated from Riterella tokiada (family Polyclinidae) [141] are dimeric steroidal pyrazine alkaloids closely related to cephalostatins from a marine worm (Cephalodiscus gilchristi), and microbial origin is suspected [142]. They have potent anti-tumor activity in the sub-nanomolar range. Ritterazine B is the most potent with an IC 50 of 0.17nM. Structure-activity relationships of ritterazines and cephalostatins have been reviewed [17,82]. Ritterazines and cephalostatins share a common mode of action. The cellular target of the ritterostatin-cephalostatin hybrid, ritterostatin GN1N (Figure 12), was investigated using immunoaffinity fluorescent probes. It was shown to bind multiple heat shock proteins (Hsp70s) by immunoprecipitation. However, in the cell it is trafficked to the endoplasmic reticulum (ER) and binds predominantly to GRP78, activating the unfolded protein response and apoptosis [143]. Tahtamouni and coworkers [144] showed that two cephalostatin 1 analogs use the ER stress-induced apoptotic pathway. This involves caspase 4 activation, release of Smac/DIABLO, but not cytochrome C, from mitochondria and the phosphorylation of the eukaryotic initiation factor-2. The very limited natural sources of these potent compounds have necessitated chemical synthesis, a challenging task given their complex structures. A total synthesis of cephalostatin was achieved [145] and more recently a hybrid cephalostatin/ritterazine molecule [143] and a 12, 12 -azo-13, 13 -diepi-Ritterazine N analogue [146]. A total synthesis of cephalostatin was achieved [145] and more recently a hybrid cephalostatin/ritterazine molecule [143] and a 12, 12′-azo-13, 13′-diepi-Ritterazine N analogue [146]. Three new alkaloids, stolonines A-C, were isolated from the ascidian Cnemidocarpa stolonifera, and chemically synthesized [148]. This is the first report of conjugates of taurine with 3indoleglyoxylic acid, quinoline-2-carboxylic acid and β-carboline-3 carboxylic acid which are present in stolonines A-C respectively. Stolonines A and C were reported to induce apoptosis in PC3 cells. Four new iodobenzene containing dipeptides, a related bromotryptophan containing dipeptide, and an iodobenzene amine, have been isolated from the ascidian Aplidium sp. collected from Korean waters [149]. The compounds displayed moderate cytotoxicity and one, apliamide D, significantly inhibited the Na + /K + -ATPase.

Terpenoids and Quinones
Non alkaloid ascidian compounds of interest include the terpenoids and quinones which are Three new alkaloids, stolonines A-C, were isolated from the ascidian Cnemidocarpa stolonifera, and chemically synthesized [148]. This is the first report of conjugates of taurine with 3-indoleglyoxylic acid, quinoline-2-carboxylic acid and β-carboline-3 carboxylic acid which are present in stolonines A-C respectively. Stolonines A and C were reported to induce apoptosis in PC3 cells. Four new iodobenzene containing dipeptides, a related bromotryptophan containing dipeptide, and an iodobenzene amine, have been isolated from the ascidian Aplidium sp. collected from Korean waters [149]. The compounds displayed moderate cytotoxicity and one, apliamide D, significantly inhibited the Na + /K + -ATPase.

Terpenoids and Quinones
Non alkaloid ascidian compounds of interest include the terpenoids and quinones which are discussed in this section.

Terpenoids
Terpenoids are derived from five-carbon isoprene units and classified according to the number of isoprene units. The lissoclimides, are a family of labdane diterpenoids bearing an unusual succinimide motif first isolated from Lissoclinum voeltzkowi Michaelsen [150]. Many of these compounds were reported to have potent cytotoxic activity against mammalian cancer cell lines. Könst and colleagues used short semi-synthesis and analogue-oriented synthetic approaches to produce a series of lissoclimide natural products and analogues for determination of structure-activity relationships (SAR) [151]. Toxicity was evaluated against the NCI's 60 cancer cell line panel and was correlated to the protein synthesis inhibitory activity. Chlorolissoclimide was most potent with IC 50 of 59nM, better than the marketed drug for chronic myelogenous leukemia (CML), Synribo ® , the naturally occurring alkaloid homoharringtonine, which was first approved for treatment of CML by the FDA in 2012 [152]. The lissoclimides interfere with the elongation step of protein synthesis and prevent tRNA from exiting the ribosome, resulting in polysomal accumulation and eventual cell death. A crystallographic study of synthetic chlorolissoclimide bound to the eukaryotic 80S ribosome showed that it binds at the LSU ribosomal E-site in a manner similar to cycloheximide but with some novel interactions [151]. A high-yield short chemical synthesis of chlorolissoclimide using N-chloroamides to achieve site selective aliphatic C-H chlorination has been reported [153].

Quinones
Quinones are derived from aromatic compounds and have a fully conjugated cyclic dione structure. The mechanism of action of four natural thiazinoquinones isolated from the ascidian Aplidium conicum-including Thiaplidiaquinone B, a prenylated benzoquinone-has been investigated [154]. This compound induces apoptosis in Jurkat cells by production of reactive oxygen species and depolarization of the mitochondrial membrane potential [155]. The quinones can intercalate between the base pairs of DNA and block DNA, RNA, and protein synthesis. The resulting stabilization of topoisomerase II binding leads to double strand breaks and the formation of ROS. The electrochemical response of the thiazinoquinones was measured in an aqueous environment and it was determined that on one-electron reduction, a semiquinone radical intermediate is formed [154]. This may be related to the cytotoxicity of these compounds, in that more redox reactions are initiated modifying DNA protein and lipids. The thiaplidiaquinones have also been studied in terms of their anti-malarial activity. They function by inhibiting the prenylating enzyme farnesyltransferase (FTase) in humans and parasites [156]. Extensive studies on the biological activity of the natural products thiaplidiaquinones A and B (Figure 13), as well as synthetic derivatives were performed [157]. The dioxothiazine regioisomers were found to be more potent having activities in the nanomolar range. SAR studies were carried out on synthesized prenyl and farnesyl analogs. The prenyl derivatives were the most potent in terms of inhibiting parasitic FTase but also the most cytotoxic, whereas the farnesyl series showed moderate activity with one analogue displaying minimal cytotoxicity. The geranyl series of compounds were the most potent at inhibiting FTase. However, none of the compounds exhibited good selectivity for parasitic vs. human FTase. dioxothiazine regioisomers were found to be more potent having activities in the nanomolar range. SAR studies were carried out on synthesized prenyl and farnesyl analogs. The prenyl derivatives were the most potent in terms of inhibiting parasitic FTase but also the most cytotoxic, whereas the farnesyl series showed moderate activity with one analogue displaying minimal cytotoxicity. The geranyl series of compounds were the most potent at inhibiting FTase. However, none of the compounds exhibited good selectivity for parasitic vs. human FTase. Figure 13. Thiaplidiaquinones A (left) and B (right). Reproduced from [156].
The isolation and structure elucidation of three isoquinoline quinones representing a novel type of tyrosine-based alkaloid from the ascidian Ascidia virginea Muller 1776 collected in Norway has been reported [158]. These compounds, named ascidines A-C, feature an intensely red chromophore and the authors speculated that they may be involved in defense since this particular ascidian is not damaged by feeders as opposed to other closely related ascidians in the same habitat. There is currently no information available on their cytotoxicity or mode of action.

Ascidian Compounds Affecting Signaling Pathways
Deregulation of signaling pathways is central to the development of cancer and neurodegenerative diseases. Several ascidian natural products affect these pathways, by inhibiting kinases and phosphatases and modulating neurotransmission.

Kinase Inhibitors
Staurosporine and related compounds inhibit several kinases including Akt (Protein Kinase B), Protein Kinase C (PKC), CDK, and Checkpoint Kinase 1 (Chk1). The clinical trials of 7hydroxystaurosporine (UCN-01) revealed several toxicities due to the fact that several kinases are inhibited [18]. UCN-01 was shown to trigger the DNA damage response, cell cycle arrest and apoptosis in U2OS human osteosarcoma cells. Autophagy was also induced as a cell survival mechanism [159]. Two compounds isolated from the Brazilian ascidian Didemnum granulatum (granulatimide and isogranulatimide) ( Figure 14) are inhibitors of Chk1 kinase, interacting with the ATP binding pocket [160]. Isogranulatimide has a unique indole/maleimide/ imidazole structure and the X-ray crystal structure of the Chk1-isogranulatimide complex has been determined. The aromatic The isolation and structure elucidation of three isoquinoline quinones representing a novel type of tyrosine-based alkaloid from the ascidian Ascidia virginea Muller 1776 collected in Norway has been reported [158]. These compounds, named ascidines A-C, feature an intensely red chromophore and the authors speculated that they may be involved in defense since this particular ascidian is not damaged by feeders as opposed to other closely related ascidians in the same habitat. There is currently no information available on their cytotoxicity or mode of action.

Ascidian Compounds Affecting Signaling Pathways
Deregulation of signaling pathways is central to the development of cancer and neurodegenerative diseases. Several ascidian natural products affect these pathways, by inhibiting kinases and phosphatases and modulating neurotransmission.

Kinase Inhibitors
Staurosporine and related compounds inhibit several kinases including Akt (Protein Kinase B), Protein Kinase C (PKC), CDK, and Checkpoint Kinase 1 (Chk1). The clinical trials of 7-hydroxystaurosporine (UCN-01) revealed several toxicities due to the fact that several kinases are inhibited [18]. UCN-01 was shown to trigger the DNA damage response, cell cycle arrest and apoptosis in U2OS human osteosarcoma cells. Autophagy was also induced as a cell survival mechanism [159]. Two compounds isolated from the Brazilian ascidian Didemnum granulatum (granulatimide and isogranulatimide) ( Figure 14) are inhibitors of Chk1 kinase, interacting with the ATP binding pocket [160]. Isogranulatimide has a unique indole/maleimide/ imidazole structure and the X-ray crystal structure of the Chk1-isogranulatimide complex has been determined. The aromatic pentacyclic planes of isogranulatimide resemble the aglycon part of the UCN-01 structure. A molecular docking based study was used to design potential new specific Chk1 inhibitors [161]. The same group also synthesized new amino or amido substituted analogs based on the granulatimide/isogranulatimide framework and examined their biological activity [162]. Two of the new compounds (where ring C is opened) were more potent than the parent compounds in inhibition of cell growth with IC 50 values in the low micromolar range. However, this was shown not be due to Chk1 inhibition. molecular docking based study was used to design potential new specific Chk1 inhibitors [161]. The same group also synthesized new amino or amido substituted analogs based on the granulatimide/isogranulatimide framework and examined their biological activity [162]. Two of the new compounds (where ring C is opened) were more potent than the parent compounds in inhibition of cell growth with IC50 values in the low micromolar range. However, this was shown not be due to Chk1 inhibition.
The polyandrocarpamines A and B isolated from the Fijian ascidian Polyandrocarpa sp. are 2aminoimidazolone alkaloids. Several synthetic analogs of leucettamine B (a sponge natural product) with the 2-aminoimidazolone scaffold have been synthesized [164]. The researchers also tested a small library of sponge-and ascidian-derived 2-aminoimidazolone alkaloids for their kinase inhibitory activity against a panel of kinases (14 mammalian and 2 parasitic). The ascidian polyandrocarpamines A and B were shown to be potent inhibitors of cdc2-like kinases CLK1, CLK2, and dual-specificity tyrosine-regulated kinases (DYRK).
Dual-specificity tyrosine-regulated kinases, such as Dyrk1A, are over-expressed in several neurodegenerative diseases including Down syndrome and Alzheimer's disease. A series of Nsubstituted meridianin derivatives were synthesized to further explore the SAR of meridianins for Dyrk1A inhibition and investigate their neuroprotective activity [129]. An N1-morpholinoyl substituted meridianin derivative, compound 26b, was identified as a promising inhibitor of Dyrk1A (IC50 0.5 µM) with three-and four-fold selectivity for Dyrk1A with respect to Dyrk2 and Dyrk3. There was no cytotoxicity and it did not inhibit any of a panel of 15 other kinases tested. It also displayed promising neuroprotective activity in neuronal cells against glutamate induced neurotoxicity, indicating it is a useful lead for further development as an anti-Alzheimer's disease (AD) agent. A key feature of the neurodegenerative pathology of this disease is accumulation of neurofibrillary tangles containing hyperphosphorylated tau protein [165]. Phosphorylation of tau regulates its binding to microtubules and the kinases involved in phosphorylating tau are GSK-3β, DYRK1A, CK1, and CLKs. Computer aided drug design has been used to computationally evaluate the inhibitory activity of meridianins A-G, against various protein kinases involved in AD [166]. Applying CADD Figure 14. Selected kinase inhibitors from ascidians. Reproduced from [163], Ningalin from [115].
The polyandrocarpamines A and B isolated from the Fijian ascidian Polyandrocarpa sp. are 2-aminoimidazolone alkaloids. Several synthetic analogs of leucettamine B (a sponge natural product) with the 2-aminoimidazolone scaffold have been synthesized [164]. The researchers also tested a small library of sponge-and ascidian-derived 2-aminoimidazolone alkaloids for their kinase inhibitory activity against a panel of kinases (14 mammalian and 2 parasitic). The ascidian polyandrocarpamines A and B were shown to be potent inhibitors of cdc2-like kinases CLK1, CLK2, and dual-specificity tyrosine-regulated kinases (DYRK).
Dual-specificity tyrosine-regulated kinases, such as Dyrk1A, are over-expressed in several neurodegenerative diseases including Down syndrome and Alzheimer's disease. A series of N-substituted meridianin derivatives were synthesized to further explore the SAR of meridianins for Dyrk1A inhibition and investigate their neuroprotective activity [129]. An N1-morpholinoyl substituted meridianin derivative, compound 26b, was identified as a promising inhibitor of Dyrk1A (IC 50 0.5 µM) with three-and four-fold selectivity for Dyrk1A with respect to Dyrk2 and Dyrk3. There was no cytotoxicity and it did not inhibit any of a panel of 15 other kinases tested. It also displayed promising neuroprotective activity in neuronal cells against glutamate induced neurotoxicity, indicating it is a useful lead for further development as an anti-Alzheimer's disease (AD) agent. A key feature of the neurodegenerative pathology of this disease is accumulation of neurofibrillary tangles containing hyperphosphorylated tau protein [165]. Phosphorylation of tau regulates its binding to microtubules and the kinases involved in phosphorylating tau are GSK-3β, DYRK1A, CK1, and CLKs. Computer aided drug design has been used to computationally evaluate the inhibitory activity of meridianins A-G, against various protein kinases involved in AD [166]. Applying CADD to these kinases and meridianins A to G led to the identification of the important interactions with each complex, for example for GSK-3β, binding is thought to occur over the glycine rich loop. These studies could assist in the development of new analogs with improved inhibitory properties. Other ascidian alkaloids which inhibit GSK-3β, CK1, and CDK5 are ningalins C, D, and G ( Figure 14) [167].

Acetylcholine Signaling Inhibitors
In addition to the kinase modulators discussed above, several other types of drug targets are being investigated in the search for treatments of AD [167]. Another feature of AD is reduction of nicotinic acetylcholine receptors in the cortex and hippocampus, with loss of cholinergic cells further contributing to cognitive decline [165]. Ascidian metabolites affecting the cholinergic neurotransmitter system include the acetylcholinesterase AChE inhibitors, Pulmonarins A and B, two dibrominated compounds from the ascidian Synoicum pulmonaria collected off the Norwegian coast [168]. Binding of Pulmonarin B is reversible and non-competitive with a K i of 20 µM and there is no apparent cellular toxicity. It was suggested that binding occurs through electrostatic interactions at the peripheral anionic site (PAS) of the enzyme. This site is located on the surface of the protein at the entrance of the active site cleft [168].
The isolation and structural determination of two new β-carboline derivatives (irenecarbolines A and B) and a new purine derivative from a solitary ascidian Cnemidocarpa irene obtained from Japanese waters, has been reported. The β-carbolines are present in the blood of the ascidian and display significant anti AChE activity [169]. The function of these molecules in the blood is unknown. However, the authors noted that the cholinergic neuron of Ciona intestinalis larvae governs motor behavior and that the settlement of metamorphosing larvae was stimulated by acetylcholine.
The most abundant nicotinic acetylcholine receptors (nAChRs) in the central nervous system are 4βα2 heteromeric receptors and α7 homomeric receptors. Several natural products including the ascidian compounds, pibocin and varacin, were examined for binding to the nAChR, using computer modeling, binding studies and electrophysiological techniques [170]. Both compounds inhibited the binding of radiolabeled α-bungarotoxin and showed moderate activity towards mouse muscle and human α7 receptors. Pictamine from Clavelina picta is an antagonist at the nAChR, and Lepadin B is a potent blocker at two neuronal nicotinic acetylcholine receptors (α4β2 and α7) with IC 50 values of 0.7-0.9 µM [171]. Since these compounds are antagonists rather than agonists, they would not be useful for treating AD. However, they may provide a useful tool for studying acetylcholine receptors. A new synthetic approach to (−)-lepadins A-C has been developed based on a stereocontrolled Diels-Alder reaction employing a chiral dienophile [172].

Phosphatase Inhibitors
Protein tyrosine phosphatases function to control cell signaling initiated at receptor tyrosine kinases. As such, they are an important molecular target to treat diseases such as cancer and diabetes. Recently, small molecule inhibitors for these enzymes are the focus of drug discovery endeavors [173]. Protein tyrosine phosphatase 1B (PTP1B) inhibitors from marine sources have been the subject of a recent review [174].
Two new merosesquiterpenes, Verruculides A and B, have been identified from the culture broth of the marine fungus Penicillium verruculosum TPU1311 originating from an ascidian [175]. These compounds were shown to inhibit protein tyrosine phosphatase 1B, an enzyme important in the negative regulation of insulin receptor signaling. PTP1B is a therapeutic target for obesity and type 2 diabetes. A new biphenyl ether derivative, along with the known benzophenone derivative, monodictyphenone, were isolated from an Indonesian ascidian-derived bacterium, Penicillium albobiverticillium TPU 1432 [176]. Both compounds were tested for inhibitory activity against three phosphatases, showing moderate activity with IC 50 values of 20-43 µM.

Toxins Affecting the Cytoskeleton
The cytoskeleton controls cell attachment and movement, and performs vital functions in cell division. As such, it is an important target for anti-cancer drugs. A few ascidian toxins affect microtubules and actin filaments.

Tubulin
Agents which target microtubules, thereby inhibiting cell division, are widely used in cancer treatment, however their toxicity and neuropathy are often limiting. Marine natural products targeting microtubules are the subject of a recent review by Miller [179]. Ascidians produce three compounds which bind to tubulin, rigidin from Eudistoma rigida, vitilevuamide from Didemnum cuculiferum and diazonamide from Diazona angulata. These compounds destabilize microtubules. Diazonamide A is a complex cyclic peptide made by the non-ribosomal peptide synthetic pathway. It is a potent inhibitor of microtubule assembly and tubulin-dependent GTP hydrolysis [180]. It fails to inhibit the binding of vinblastine and colchicine to tubulin, indicating a unique binding site. A synthetic derivative of diazonamide, DZ-2384, exhibits potent anti-tumor activity towards multiple cancer types, while lacking neurotoxicity in rats at effective doses [181]. Using X-ray crystallographic and electron microscopy studies, it was shown to bind to the Vinca domain of tubulin in a distinct way. DZ-2384 differs from vinblastine by changing the pitch and curvature of tubulin protofilaments. Microtubule growth rate is slowed, however DZ-2384 increases microtubule rescue frequency compared with other Vinca alkaloids and this may explain its lesser neurotoxic effects. Several synthetic routes to Diazonamide A have previously been published. However, a formal total synthesis A by indole oxidative rearrangement has now been achieved [182].

Actin
Bistramide A (bisA, also known as bistratene A) is a spiroketal, first isolated from Lissoclinum bistratum. Spiroketals contains at least two oxacyclic rings, in which the oxygen atoms belonging to different rings share a common spiro-carbon atom. Bis A is a potent cytotoxin with IC 50 in the nanomolar range. It has been shown to activate PKC-δ in HL-60 cells [183], however the primary mode of action appears to be binding to actin [184]. It sequesters G actin, inducing actin filament disassembly and inhibiting actin filament formation. Binding occurs at the barbed end and the ATP-binding domain. X-ray crystallographic studies of the bisA-actin complex showed that BisA has a unique binding site overlapping only slightly with that of other G-actin inhibitors [185]. Total internal reflection fluorescence TIRF microscopy was used to investigate actin filament dynamics in the presence of bisA. It has a unique mechanism of action in that it induces severing of actin filaments and covalent sequestration of monomeric actin via the enone portion of bisA. Importantly, the actin binding activity was not dependent on covalent modification [186]. This led to the rational design of compounds which target actin but do not react covalently. A simplified analog lacking the enone subunit reversibly bound actin and inhibited A549 non-small cell lung tumor cell growth in vitro and in vivo. There was no toxicity up to 50 mg/kg in a single intraperitoneal dose [187]. This contrasts with the toxicity of bisA itself, which has multiple effects on the central nervous system leading to paresthesia and loss of muscle tone [188]. The synthesis and preliminary biological evaluation of 35 stereoisomers of bisA has been reported [189]. One isomer displayed enhanced potency compared to the natural product in terms of actin binding and cellular cytotoxicity. Simplified analogs based on a hybrid bistramide-rhizopodin structure have been designed and synthesized and evaluated for their biological activity [190]. Most analogs displayed only moderate or no antiproliferative or actin binding activity. However, this work provides a basis for future development of more effective molecules. Early work on bisA showed that it induces cell cycle arrest, differentiation, inhibition of cytokinesis, and polyploidy in NSCLC-N6, HL-60, and melanoma cell lines [summarized in 183]. In HL-60 cells treated with bisA, the normally floating cells attach to the substratum and put out processes. In contrast, fibroblasts, which are normally attached, lift off as their actin filaments dissociate. Several proteins are phosphorylated in the presence of bisA in HL-60 and melanoma cells, however the signaling pathway induced by bisA is not known. The literature from 2011 to July 2017 on the bioactivity, biosynthesis, and chemical synthesis of structurally diverse spiroketals-including a few ascidian compounds-has been reviewed [191].

Conclusions and Future Perspectives
Ascidians have provided a treasure trove of interesting biologically active compounds and much progress has been made in recent years. Table 1 lists the major classes of compounds discussed in this review with their biological activity and molecular targets. There are several major challenges in the pipeline from natural product discovery to therapeutic drugs, including the need for sufficient supply of compounds and a lack of knowledge of the biosynthetic pathways or even the responsible organism (symbiotic bacterium or host ascidian) and mechanism of action. Taxonomic identification of ascidians by morphology is also a problem, due to the shortage of expert taxonomists. This can be overcome with DNA barcoding, recently applied to Lissoclinum fragile and four Indian ascidians by sequencing a short segment of mitochondrial DNA coding for subunit 1 of cytochrome C oxidase [192,193].
Many potential drugs fail in clinical trials. Eastman argues that this high failure rate could be much reduced with better preclinical testing [194]. For example, many of the cell viability assays used do not actually measure viability i.e. live vs. dead cells. Instead many assays use growth inhibition as an endpoint, and fewer cells does not actually mean that they have lost viability [194]. Due to lack of biological material, the biological activity and mechanism of action of many compounds remains to be thoroughly investigated. Using ET-743 (trabectedin) as an example, Gomes and coworkers have reviewed the strategies being used to tackle this supply problem, including marine invertebrate aquaculture, invertebrate, and symbiont cell culture, culture-independent strategies, total chemical synthesis, and semi-synthesis, and several hybrid strategies [90]. Similarly, Newman has reviewed four natural product-derived drugs, including ET-743, from the point of view of how supply problems have been overcome [195]. Initial studies by PharmaMar were done with ET-743 isolated from massive collections in the Caribbean, then with a semi-synthetic method starting with the bacterial product safracin B. Identification of the genomic biosynthetic pathway and the probable producing organism, γ-proteobacterium Candidatus Endoecteinascidia frumentensis (AY054370), opens the way for a biotechnological approach [96,97,196,197]. The microorganism has not been cultured to date, however the genes encoding the biosynthetic pathway could potentially be expressed in a heterologous host. Zhang and colleagues have reviewed the advanced tools that are currently available to maximize drug discovery, from chemical analysis, metabolomics, high throughput screening, to metagenomics, genome mining, and biotechnological synthesis of natural products [198]. Although challenging, chemical synthesis of these often very complex molecules also provides a means of producing sufficient compound, as well as access to potentially active derivatives not found in nature. Some of these have also been highlighted in this review.