Drug repositioning in castration-resistant prostate cancer using systems biology and computational drug design

Javad Rafiee1, Khadijeh Jamialahmadi2, Mohammad Javad Bazyari3

  • 1Bioinformatics Research Center, Basic Sciences Research Institute, Mashhad University of Medical Sciences, Mashhad, Iran; Department of Medical Biotechnology and Nanotechnology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

PubMed
Abstract

Insights

This study repurposed sulfasalazine to treat castration-resistant prostate cancer (CRPC). The drug effectively targeted key IKBKB protein, showing promise for CRPC patients with limited survival options.

Area of Science:

  • Oncology
  • Computational Biology
  • Pharmacology

Background:

  • Castration-resistant prostate cancer (CRPC) is a lethal disease resistant to standard androgen deprivation therapy.
  • Developing novel CRPC treatments is crucial but faces challenges of time and cost.
  • Drug repositioning offers a faster, more economical approach to identify new therapeutic agents.

Purpose of the Study:

  • To identify potential drug candidates for CRPC using a drug repositioning strategy.
  • To investigate the efficacy of identified candidates through computational and experimental methods.

Main Methods:

  • Differential gene expression analysis of CRPC and primary prostate samples.
  • Pathway enrichment and protein-protein interaction (PPI) network analysis to identify key genes and hub proteins.
  • Molecular docking and dynamics simulations to screen and select drug candidates.
  • In vitro validation using MTT and qRT-PCR assays.

Main Results:

  • Identified 152 upregulated and 343 downregulated differentially expressed genes (DEGs).
  • IKBKB, SNAP23, MYC, and NOTCH1 were identified as key hub genes.
  • Sulfasalazine was computationally selected as the most effective drug candidate targeting IKBKB.
  • Laboratory tests confirmed sulfasalazine's efficacy in CRPC, showing decreased target gene expression.

Conclusions:

  • IKBKB is a key protein target in CRPC.
  • Sulfasalazine is a promising candidate for drug repositioning in CRPC treatment.
  • Experimental validation supports sulfasalazine's therapeutic potential for CRPC.