Molecular modeling approaches to address drug-metabolizing enzymes (DMEs) mediated chemoresistance: a review

Baddipadige Raju1, Shalki Choudhary1, Gera Narendra1

  • 1Molecular Modeling Lab (MML), Department of Pharmaceutical Sciences and Drug Research, Punjabi University, Patiala, India.

Drug Metabolism Reviews
|February 4, 2021
PubMed

Insights

Drug resistance in cancer is a major challenge. This review explores computational tools and strategies like inhibitor and prodrug design to overcome drug inactivation by drug metabolizing enzymes (DMEs) in cancer cells.

Area of Science:

  • Computational chemistry and drug discovery
  • Oncology and cancer therapeutics

Background:

  • Anticancer drug resistance is a significant obstacle in cancer treatment.
  • Overexpression of drug metabolizing enzymes (DMEs) in cancer cells leads to rapid drug inactivation and resistance.
  • Current strategies to combat resistance include analog and prodrug design.

Purpose of the Study:

  • To review the application of computational tools, specifically molecular modeling, in addressing chemoresistance.
  • To highlight the potential of in-silico approaches for designing novel anticancer agents that circumvent drug resistance.
  • To focus on strategies for developing specific DME inhibitors and bypassing DME-mediated drug metabolism.

Main Methods:

  • Literature review of molecular modeling approaches for investigating DME-mediated toxicity and resistance.
  • Analysis of strategies including analog design, prodrug design, and inhibitor design.
  • Exploration of in-silico tools for predicting and mitigating drug inactivation by DMEs.

Main Results:

  • Computational tools offer a promising avenue for understanding and overcoming drug resistance.
  • The development of specific DME inhibitors can restore drug efficacy.
  • Designing analogs and prodrugs can effectively bypass DME-mediated inactivation.

Conclusions:

  • In-silico methodologies are underutilized but hold significant potential for tackling chemoresistance.
  • Strategic drug design, guided by computational approaches, can lead to the development of novel chemotherapeutic agents.
  • These strategies aim to create drugs that are less susceptible to inactivation by DMEs, thereby improving treatment outcomes.

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