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Updated: Sep 25, 2025

Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System
Published on: December 11, 2016
Applying polypharmacology approach for drug repurposing for SARS-CoV2
Esther Jamir1,2, Himakshi Sarma1, Lipsa Priyadarsinee1,2
1Advanced Computation and Data Sciences Division, CSIR - North East Institute of Science and Technology, Jorhat, Assam 785006 India.
Drug repurposing identified four potential COVID-19 therapeutics: venetoclax, tirilazad, acetyldigitoxin, and ledipasvir. These drugs show promise for targeting multiple SARS-CoV-2 proteins, offering a polypharmacology strategy against the virus.
Area of Science:
- Computational drug discovery and virology.
- Exploration of antiviral therapeutics and drug repurposing.
Background:
- The COVID-19 pandemic necessitates pragmatic therapeutic strategies.
- Drug repurposing, particularly polypharmacology, offers an optimized approach to identify effective treatments by targeting multiple viral proteins.
- Seven key SARS-CoV-2 targets were identified for therapeutic intervention.
Purpose of the Study:
- To virtually screen approved drugs for repurposing against critical SARS-CoV-2 targets.
- To identify drug candidates exhibiting polypharmacology by interacting with multiple viral proteins.
- To evaluate the stability and efficacy of potential drug-target interactions.
Main Methods:
- Virtual screening of 4015 approved drugs against seven SARS-CoV-2 targets (3CLpro, PLpro, RdRp, NSP13, NSP14, NSP15, NSP16).
- Molecular docking, molecular dynamics (MD) simulations, and MM-PBSA calculations were employed to assess drug-target interactions.
- Selection criteria included docking score, interaction with at least four targets, and key residue interactions.
Main Results:
- Four drugs—venetoclax, tirilazad, acetyldigitoxin, and ledipasvir—were identified as promising candidates.
- These selected drugs demonstrated favorable docking scores and interacted with multiple SARS-CoV-2 targets.
- MD simulations and MM-PBSA studies confirmed the stability of protein-drug complexes and sustained key interactions.
Conclusions:
- Venetoclax, tirilazad, acetyldigitoxin, and ledipasvir are potential drug repurposing candidates for COVID-19 treatment.
- The study validates the polypharmacology approach for identifying multi-target antiviral agents.
- The findings provide a detailed analysis of protein-drug complexation for seven SARS-CoV-2 targets.
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