Drug repurposing for the identification of new Bcl-2 inhibitors: In vitro, STD-NMR, molecular docking, and dynamic

Noor Rahman1, Humaira Zafar2, Atia-Tul-Wahab2

  • 1H.E.J. Research Institute of Chemistry, International Center for Chemical and Biological Sciences, University of Karachi, Karachi 75270, Pakistan.

Life Sciences
|October 20, 2023
PubMed
Abstract

Insights

This study repurposed FDA-approved drugs to find novel Bcl-2 inhibitors for cancer therapy. Paroxetine HCl, carvedilol, clomipramine HCl, and clomifene citrate demonstrated significant anti-proliferative activity and Bcl-2 protein interaction.

Area of Science:

  • Oncology
  • Pharmacology
  • Biophysics

Background:

  • Overexpression of the anti-apoptotic protein B-Cell Lymphoma 2 (Bcl-2) contributes to cancer cell resistance to chemotherapy.
  • Targeting Bcl-2 is a key strategy for developing novel anti-cancer agents.

Purpose of the Study:

  • To systematically screen FDA-approved drugs for Bcl-2 inhibition using a drug repurposing approach.
  • To evaluate the in vitro anticancer activity and apoptosis-inducing potential of identified compounds.
  • To elucidate the ligand-protein interactions between candidate drugs and Bcl-2 using biophysical and in-silico methods.

Main Methods:

  • In vitro anticancer activity assays and apoptosis assays were performed on the HL-60 cancer cell line.
  • Selected compounds underwent Saturation Transfer Difference Nuclear Magnetic Resonance (STD-NMR) spectroscopy.
  • Molecular docking and molecular dynamic simulations were employed to analyze drug-Bcl-2 interactions.

Main Results:

  • Seventy-five FDA-approved drugs were screened; paroxetine HCl, carvedilol, clomipramine HCl, and clomifene citrate exhibited significant anti-proliferative activity against HL-60 cells.
  • These drugs demonstrated comparable IC50 values to the reference drug venetoclax and induced apoptosis in cancer cells.
  • STD-NMR, docking, and molecular dynamic simulations confirmed interactions between these drugs and the Bcl-2 protein, primarily through hydrophobic contacts.

Conclusions:

  • Paroxetine HCl, carvedilol, clomipramine HCl, and clomifene citrate are identified as potent Bcl-2 inhibitors.
  • These repurposed drugs warrant further pre-clinical and clinical investigation as potential anti-cancer agents.