Vitamin D analog calcitriol for breast cancer therapy; an integrated drug discovery approach

Nagaraj B S1, Krishnan Namboori P K2, Krishna Swaroop Akey1

  • 1Department of Pharmaceutical Chemistry, JSS College of Pharmacy, JSS Academy of Higher Education and Research, Ooty, Tamilnadu, India.

Insights

This study repurposed calcitriol as a potential breast cancer therapy. Calcitriol demonstrated superior binding affinity and cytotoxicity against cancer cells compared to neratinib in silico and in vitro.

Area of Science:

  • Oncology
  • Pharmacology
  • Computational Biology

Background:

  • Breast cancer is a leading global cause of cancer mortality, necessitating affordable therapies, especially for underdeveloped nations.
  • Drug repurposing presents a viable strategy to identify safe, effective, and economical breast cancer treatments.
  • Targeting the Epidermal Growth Factor Receptor (EGFR) pathway is crucial for breast cancer therapy development.

Purpose of the Study:

  • To identify existing drugs that can be repurposed for breast cancer treatment through molecular networking and computational analysis.
  • To evaluate the efficacy of calcitriol, a vitamin D analog, as a potential breast cancer therapeutic agent by targeting EGFR family receptors.
  • To compare the therapeutic potential of calcitriol against neratinib, a standard breast cancer drug.

Main Methods:

  • Constructed protein-protein interaction (PPI) networks to identify key target genes (EGFR, ErbB2, ErbB4, ErbB3) in the EGFR signaling pathway.
  • Built a drug-target interaction (PDI) network by analyzing interactions between 2637 drugs and the selected target genes.
  • Employed molecular dynamics simulations, docking studies (MMGBSA, MMPBSA), and in vitro cytotoxicity assays (IC50) for validation.

Main Results:

  • Calcitriol exhibited stronger binding affinities to EGFR, ErbB2, ErbB4, and ErbB3 than neratinib.
  • Molecular dynamics simulations confirmed stable binding of calcitriol with ErbB2 and EGFR receptors.
  • In vitro studies showed calcitriol significantly reduced SK-BR-3 breast cancer cell viability with a lower IC50 value than neratinib.

Conclusions:

  • Calcitriol demonstrates significant potential as an affordable and effective repurposed drug for breast cancer therapy.
  • Calcitriol exhibits superior cytotoxicity and antiproliferative effects on breast cancer cells compared to neratinib.
  • Further clinical investigation of calcitriol is warranted for breast cancer treatment, particularly in resource-limited settings.

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