Abstract
Cancer treatment using platinum has vastly been associated with numerous side effects and resistance generation. As a result, current medicinal chemistry is now emphasized on the development of novel metal based drugs bearing diverse pharmacological profile. There has been an increasing interest in the drafting of Au(III) complexes as new metal based drugs. Au(III) complexes have been observed to be especially steady under different physicochemical situations. Dithiocarbamato-Au(III) complexes show antiproliferative property against specific human tumor cells because of their inhibiting effect towards the tumor cell augmentation. The review focuses on the results obtained in the field of anticancer and antimicrobial efficacy of Au(III) complexes. The represented Au(III) complexes as anticancer agents have been classified as (a) complexes containing Au-N bonds, (b) complexes containing Au-S bonds and (c) complexes containing Au-O bonds. Au(III) complexes as antimicrobial agents have been subdivided as (a) antibacterial and antifungal (b) antimalarial and (c) antitrypanosomial Au(III) complexes. The results obtained from the analysis of anticancer and antimicrobial Au(III) complexes could possibly lead to the design and development of novel potent Au(III) complexes exhibiting enhanced activities.
Introduction
Gold was discovered as a shining yellow piece of metal produced through mining and extraction. The symbol “Au” derived from the Latin word aurum is related to the Goddess of Dawn, Aurora [1]. Gold (Au) is a transition metal having atomic number and atomic mass as 79 and 196.96657 a.u. respectively. It is one of the least reactive elements [2]. It is generally slightly reddish yellow in color and is ductile (can be stretched into a wire), malleable (pounded into other shapes) and sectility (can be cut into slices) in its purest form. It shows dual oxidation states as Au(I) and Au(III). The electronic configuration of Au (I) is ([Xe]4f 145d10) whereas that of Au(III) ion is ([Xe]4f 145d8). The less ionic radius of the Au(III) as compared to that of Au(I) accounts for the less polarisability of Au(III) ion [3].
Medical and therapeutic value of gold has been recognized for thousands of years [4–7]. However, “Chrysotherapy,” (derived from the Greek word chrysos), treatment with gold based drug is now commonly accepted in present-day medicinal science [8–18]. Egyptians used gold in the form of liquid in order to restore their youth and prevent diseases and evil spirits [19]. The biological utilisation of gold(I) can be resolved way back 2500 B.C. however, it was Robert Koch in 1890, who discovered growth inhibitory impacts of gold cyanide against Tuberculosis bacilli that represented the onset of systematic gold pharmacology and attempts to design gold based drugs [20]. In the beginning of twentieth century, Robert Koch was given the Nobel Prize for utilizing gold(I) thiolate complexes for rheumatoid arthritis treatment. He also found that K[Au(CN)2] can inhibit tuberculosis causing bacteria. Severe side effects associated with K[Au(CN)2] forced the use of lesser toxic Au(I) thiolate complexes for pulmonary tuberculosis treatment [21, 22]. French physician J. Forestier exploited these complexes for rheumatoid arthritis treatment [23]. Although Au(I) thiolate complexes were envisaged as a good alternative for rheumatoid arthritis treatments but their serious side effects provoked the search for novel and less toxic gold complexes [24]. During the past few decades, gold has been successfully tested and used to be a perfect metal for fighting cancer [25]. Au(III) complexes usually show intriguing cytotoxic and antitumor activities but poor stability under physiological conditions restricted their development [26].
Structural similarity of Au(III) complexes with Pt(II) compounds prompted their extensive study as prospective anticancer agents. Also, Au(III) being isoelectronic with Pt(II) forms square planar complexes. Unlike Pt(II), Au(III) is quickly hydrolyzed under physiological conditions and gets reduced to Au(I) [27]. Thus, in order to attain gold based drugs possessing medicinal activities, relevant ligands are needed for high stabilization of Au(III) center. Au(I) complexes exhibit robust tendency to disproportionate to Au(III) in aqueous solution but in non aqueous aprotic solvents, they are highly stable. Au(III) ion generally prefer ligands bearing hard lewis base donor sites such as nitrogen and oxygen. For example - 2,6-bis(2-pyridyl)-pyridine (terpy), 1,10-phenanthroline (phen), 2,20-bipyridine (bipy) and ethylenediamine(en) containing chelating nitrogen donors [28] and complexes with salicylate ion containing oxygen as donor site. Au(III) center can be stabilized by the introduction of direct Au-C bond [29]. One of the best example is [AuIII(dmamp)Cl2] where dmamp is 2-(dimethylaminomethyl) phenyl which is a cyclometallated Au(III) complex and exhibits potential anticancer activities against human carcinoma xenografts [30]. The square planar coordination geometry is most commonly observed among Au(III) complexes, although trigonal bipyramidal [31] as well as octahedral arrangements are also found. Trigonal bipyramidal and octahedral arrangements possess axial bond lengths which are elongated and perpendicular to the square plane [32].
Complexes of Au(III) with bidentate ligands present numerous potential applications in chemotherapy [3–37], catalysis [38] and surface chemistry [39, 40]. Numerous Au(III) complexes with aminoacids are used in fertilizers [41] and food technology [42, 43] whereas its complexes with dithiocarbamates and dithiophosphates have found applications in numerous biological [44, 45] and agricultural fields [46]. Mixed ligand complexes play an important role in biological activities against pathogenic microorganism [47]. This review is aimed to present a comprehensive document encompassing the outcomes achieved in the field of Au(III) complexes as prospective anticancer and antimicrobial agents.
Mode of action of gold(III) based drugs
Gold complexes have been considered as an essential part from centuries and their usage can be followed way back over thousands of years [8–50]. Till today, the side effects of rheumatoid joint pain are cured using different gold complexes including aurothiopropanol sulfonate (allocrysin), aurothiomalate (myocrisin), aurothiosulfate (sanocrysin), aurothioglucose (solganol) and triethylphosphinegold(I)tetraacetylthioglucose (auranofin) (Fig. 1). Current treatment methodologies primarily centralize on reducing the evidences and keeping the dynamic catastrophic procedures. The pharmacological treatment utilizes analgesics thus called disease modifying antirheumatic drugs (DMARDs). Unlike other gold salts, auranofin can be taken orally. Thus, it appeared to be of high interest among hitherto mentioned gold salts [51, 52]. Numerous in vitro and in vivo studies have disclosed the promising cell inhibition effects of auranofin. Thus, it demonstrates an extended life expectancy corresponding to the managed dosage in mice vaccinated with P388 leukemia cells [53].

Representative metallodrugs- Auranofin.
TrxR(Thioredoxin reductase) being homodimeric protein that belongs to the group of pyridine nucleotide-disulfide reductase like compounds help in enhancing the NADPH mediated thioredoxin (Trx) disulfide reduction and numerous other oxidizable cellular components. TrxR is recognized in various species, for example, intestinal sickness parasite Plasmodium falciparum, Drosophila melanogaster. The protein is included in several metabolic paths (e.g. nucleotide blend, antioxidative system) and physiopathological conditions (e.g. tumors, irresistible maladies, rheumatoid joint inflammation) and demonstrates comprehensive substrate meticulosity [54]. Auranofin restrained TrxR with high intensity and 1000-fold selectivity in contrast to glutathione reductase and glutathione peroxidase [55]. Selenocysteine (Sec) having Gly-Cys-Sec-Gly motif being biologically active site of TrxR is engrossed in the catalytic mode of action of the enzyme. In enzyme catalysis, substrate NADPH transfers the reducing counterparts to Trx through FAD prosthetic group [56]. The gold atom, on interaction with the enzyme, loses its former ligands followed by coordination with the cysteine groups [57].
A remarkable method of activity is not likely to exist on account of different structures of ligands of numerous gold complexes but extensive studies on these complexes have emphasized their importance with huge TrxR inhibitory properties in the pharmacology of gold based metallodrugs. The hindrance of TrxR has been accounted for various Au(I) complexes as well as for different Au(III) complexes [58]. Thus, direct DNA damage, mitochondrial deterioration including thioredoxin reductase (TrxR) inhibition, cell cycle modification, proteasome inhibition, specific kinases modulation and other cellular processes affected by gold complexes which eventually prompt apoptosis can be assumed to play an essential part in the course of action of gold(III) complexes [2].
The discovery of anticancer activities of cisplatin generated rapid interest towards the evolution of metal-based antitumor agents [59]. Numerous reports on anticancer properties of cisplatin have revealed that the other metal-based complexes can possibly be utilized as anticancer drugs [60, 61].
Complexes of Au(III) tetraarylporphyrins series (

Au(III) tetraarylporphyrin complex.
Inhibition to the rapid increase in number of tumor cells by Au(I) complexes in vitro [51] prompted the researchers to focus more and more towards in vivo activity. Au(III) complexes being isostructural to Pt(II) compound (cisplatin) exhibit fascinating cytotoxic and antitumor properties and are prospective anticancer agents [62]. Unlike many platinum-based anti-cancer drugs primarily targeting DNA [3–65], Au(I) and/or Au(III) complexes exhibit variety of actions, including thioredoxin reductase inhibition, direct DNA damage, alteration of cell cycles and proteasome inhibitions [63, 6–79]. These intricate modes of action are crucial for the gold complexes to exhibit potential cytotoxic properties against cancer cells, particularly multidrug-resistant cell lines [63, 74]. Generally, Au(III) is unstable and gets reduced to Au(I) and Au(0) under reducing mammalian environment which heavily hamper their development as therapeutic drug [80]. The efficacy of metal complex is dependent upon the type of metal and its oxidation states, types of ligands and geometry of the coordinated complex. Thus, highly stable Au(III) complexes can be synthesized using suitable ligands containing nitrogen atoms as donor groups that can sustain the reducing environment.
Gold(III) complexes having pyridine ligands

Au(III) complexes comprising Au-N bonds.
Anticancer activity of Au(III) complexes against different tumor cells [88]
Fregona and coworkers synthesized and characterised Au(III) dithiocarbamate complexes [89] containing N,N-dimethyl dithiocarbamate and ethylsarcosine dithiocarbamate ligands. These complexes (Fig. 4) exhibit superior cytotoxicity in comparison to cisplatin, induced apoptosis and also active in resistant cells [89, 90] and showed good stability under physiological conditions. Au(III) dithiocarbamate complexes (

Dithiocarbamato Au(III) complexes showing cytotoxic nature.
A series of 2-phenylpyridine Au(III) complexes (Fig. 5) having general formula [Au(ppy)X] comprising different thiolate ligands ([Au(ppy)(SCN)(NCS)] displayed good cytotoxicity in comparison to cisplatin [94]. Labile ligands get hydrolysed in gold–carbon complexes (

Au(III) complexes with Au-C bonds.

198Au thiosemicarbazonato complex.
Robert Koch’s observation in 1890 resulted in the beginning of gold pharmacology [6]. Antitumor properties of gold complexes have been much identified and exploited due to which their antimicrobial activities gathered less attention. However, the gold complexes not only exhibit antitumour property but also antimicrobial activity. Thereafter, numerous Au(I) and Au(III) complexes have displayed efficacy towards wide range of microorganisms and thus can be used as antimicrobial drugs [32]. Therefore, there is a plenty of scope related to exploration of antimicrobial activity of Au(III) complexes.
Antibacterial and antifungal Au(III) complexes
Bacteria are microscopic single-celled organisms that can exist either as independent organisms or as parasites. Fungus is a single celled microorganism that lives by absorbing and decomposing the organic material in which they grow. These include mushrooms, moulds, smuts and yeasts etc. Antibacterial and antifungal activity refers to the selective inhibition of bacterial and fungal pathogens from a host with minimal toxicity to the host.
Tripodal bis(imidazole) thioether

Au(III) tripodal bis(imidazole) thioether complex.
Au(III) complexes (

Organometallic Au(III)complexes.
When evaluated for selected bacterial and fungal strains, complex

(a) Heteroditopic polydentate bis(N-heterocylic carbine) ligand, (b) Dinuclear Ag(I) N-functionalized N-heterocylic carbine complex, (c) Dinuclear Au(I) N-functionalized N-heterocylic carbine complex, and (d) Dinuclear Au(III) N-functionalized N-heterocylic carbine complex.
Antifungal activities of dinuclear gold(III) complexes [107]
Malaria is a contagious microbial disease that is caused by protozoan parasites of Plasmodium type and is one of the prime causes of death in tropical countries [107]. According WHO (World Health Organization) report in 2011 about 3.5 billion people were affected by malaria, African region being most affected with around 80% of malarial cases and 90% death cases [108]. Malaria is usually caused by five species (P. knowlesi, P. ovale, P. vivax, P. falciparum and P. malariae) and of which highly significant of its form is caused by P. falciparum. Quinine, chloroquine, primaquine, amodiaquine, mefloquine and artemisinin are widely used drugs for malaria treatment [109].
Amodiaquine and primaquine with choloroquine are well-known Au(III) complexes used for the malarial treatment and are prepared and evaluated using in vitro microtechnique for their antimalarial activities [110]. Au(III) complexes with chloroquine (CQ), [AuCl(SR)(CQ)(Et2O)]Cl and [AuCl2(CQ)2]Cl appeared to be highly active as compared to chloroquine diphosphate (drug used to cure malaria) against the resistant K1 strain [111]. Bis(N-heterocyclic carbene) ligands containing Au(III) complexes

Au(III) complexes having coordinated bis(N-heterocyclic carbene) ligand.
Coordinated 2,2′-bipyridine ligand (bipy) bearing mono and dinuclear Au(III) complexes like [Au(bipy)(OH)2][PF6] (

Antimalarial Au(III) complexes.
The antimalarial activities of cyclometallated gold(III) complex

Cyclometallated Au(III) complex.

Structures of thiosemicarbazone.
In vitro antimalarial activity against P. falciparum strain [114]
Trypanosomiasis, a parasitic disease, is caused by a protozoan parasite of Trypanosoma type [116]. It has two forms – African and American trypanosomiasis. African trypanosomiasis is caused by T. brucei parasite and is communicated by the bite of tsetse flies. Drugs that are used for African trypanosomiasis treatment depend upon the stage of the disease and the pathogen causing this disease. These include pentamidine, eflornithine, melarsoprol and suramin. American trypanosomiasis is caused by T. cruzi, a protozoan parasite [116]. Its treatment is based on two nitro heterocyclic drugs,

Structures of nitro heterocyclic drugs, Nifurtimox (
Several attempts have been carried out to establish new trypanocidal metal-based compounds [8–120] by three strategies: the coordination of metal with trypanocidal ligands, coordination of metal with DNA intercalators and metal complexes as direct inhibitors of parasite enzymes.
[AuCl3(CTZ)], Au(III) complex with clotrimazole, shows high activity towards epimastigotes of T. cruzi parasite as compared to the free clotrimazole [121]. The efficiency of sodium tetrachloridoaurate(III) (Na[AuCl4]) and Au(III) complex with tetrakis(1-methylpyridinium- 4-yl) porphyrin) have also been studied in order to inhibit the T. brucei growth [122]. While Au(III) porphyrin complex

Au(III) porphyrin complex.
The meticulous examination of current research work for the evolution of gold(III) complexes makes it evident that these complexes may serve as potential antitumor and antimicrobial agents. After years of research and development, gold(III) complexes have shown promising outcomes to deal with the problem of cisplatin resistance. Determining the inhibition properties of gold(III) complexes towards purified enzymes is insufficient and further studies need to be extended in order to analyze more complex biological samples. As a result of high binding tendency of gold ions towards thiols, thiol–enzymes are largely regarded as principal targets for antitumor gold complexes. The poor selectivity and instability of extracellular thiols for cancer cells are the important factors that remain to be solved. The stability of gold(III) complexes towards thiols (serum albumin and extracellular glutathione) needs to be increased in order to improve their in vivo activity. Contemporary methods for novel gold(III) metal based drugs development should focus on the evolution of complexes bearing highly modified organic ligands in order to overcome the present-day disadvantages of chemotherapy. The introduction of nanotechnology interventions has introduced a new dimension in the utilization of gold complexes in the pharmaceutical chemistry. Formulation of these complexes as microcapsules, nanoparticles and micelles can enhance their bioavailability which in result increases their bioactivity and reduce toxicity. Thus, it can be concluded that huge progress has been attained for the utilization of gold(III) complexes in medicinal chemistry but still lots of efforts are required to explore these complexes to their fullest potential as anticancer and antimicrobial agents.
Footnotes
Acknowledgments
The work has been supported by undergraduate students of ARSD College working under STAR College Scheme, Department of Biotechnology, GOI, New Delhi, India.
