Polypharmacology of Approved Anticancer Drugs
Ivano Amelio1, Andrey Lisitsa2, Richard A Knight1
1Medical Research Council Toxicology Unit, Leicester LE1 9HN, United Kingdom.
Abstract:
The major drug discovery efforts in oncology have been concentrated on the development of selective molecules that are supposed to act specifically on one anticancer mechanism by modulating a single or several closely related drug targets. However, a bird's eye view on data from multiple available bioassays implies that most approved anticancer agents do, in fact, target many more proteins with different functions. Here we will review and systematize currently available information on the targets of several anticancer drugs along with revision of their potential mechanisms of action. Polypharmacology of the current antineoplastic agents suggests that drug clinical efficacy in oncology can be achieved only via modulation of multiple cellular mechanisms.
Insights
Most cancer drugs target multiple proteins, not just one. This polypharmacology, or targeting multiple mechanisms, is key to achieving clinical efficacy in oncology treatments.
Area of Science:
- Oncology
- Pharmacology
- Drug Discovery
Background:
- Current oncology drug discovery focuses on highly selective molecules targeting single or few related drug targets.
- However, data suggests approved anticancer agents interact with numerous proteins, indicating broader mechanisms of action.
Purpose of the Study:
- To review and systematize information on the targets of anticancer drugs.
- To revise the potential mechanisms of action for these agents.
- To explore the role of polypharmacology in cancer treatment.
Main Methods:
- Literature review of existing bioassay data.
- Systematization of information on anticancer drug targets.
- Analysis of drug mechanisms of action.
Main Results:
- Approved anticancer agents exhibit polypharmacology, targeting multiple proteins with diverse functions.
- The efficacy of current antineoplastic agents is linked to the modulation of multiple cellular mechanisms.
Conclusions:
- Anticancer drug efficacy is achieved through the modulation of multiple cellular pathways, not just single targets.
- Understanding polypharmacology is crucial for future oncology drug development.
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