“…One mechanism of action by which manzamine-A acts is as a novel small molecule inhibitor targeting cells that express a critical homeobox gene SIX1 [ 45 ]. SIX1 expression has been linked to organogenesis, DNA specificity, protein–protein interactions, and proliferation and survival of cells [ 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 ]. Thus, from a cellular development and maintenance perspective the use of manzamine-A and related alkaloid analogs may be of concern.…”