Targeting Ubiquitin-Specific Protease 7 (USP7): A Pharmacophore-Guided Drug Repurposing and Physics-Based Molecular
Duaa Kanan1,2, Tarek Kanan1,2, Berna Dogan2,3
1Department of Internal Medicine, University of Illinois College of Medicine, Peoria, Illinois 61605, United States.
ACS Omega
|November 10, 2025
Summary
Researchers identified 12 potential new cancer drugs by repurposing existing molecules to inhibit ubiquitin-specific protease 7 (USP7), a protein linked to poor patient survival and chemoresistance.
Area of Science:
- Biochemistry
- Pharmacology
- Computational Chemistry
Background:
- Ubiquitin-specific protease 7 (USP7) is crucial in regulating proteins involved in cancer development.
- USP7 overexpression is linked to reduced patient survival and increased chemoresistance in various cancers, including multiple myeloma.
- Targeting USP7 presents a promising strategy for novel cancer therapies.
Purpose of the Study:
- To identify novel USP7 inhibitors through a structure-based drug repurposing pipeline.
- To screen a library of FDA-approved and investigational small molecules for USP7 inhibitory potential.
- To prioritize and validate potential drug candidates for anticancer applications.
Main Methods:
- Utilized structure-based pharmacophore models derived from USP7-ligand crystal structures for screening.
- Employed molecular dynamics (MD) simulations (10 ns and 100 ns) and MM/GBSA calculations for binding energy assessment.
- Integrated quantitative structure-activity relationship (QSAR) modeling for cancer-specific activity prediction and ligand clustering.
Main Results:
- Screened 6654 small molecules, prioritizing hits based on pharmacophoric compatibility.
- Narrowed down candidates to 36 promising ligands after initial MD simulations and binding energy calculations.
- Identified 12 lead drug molecules, including carafiban, alnespirone, and troglitazone, with potential USP7 inhibitory activity.
Conclusions:
- The study successfully identified 12 potential USP7 inhibitors through a computational drug repurposing approach.
- These identified molecules represent promising lead candidates for further in vitro validation and development as anticancer drugs.
- This pipeline offers a strategy for discovering novel therapeutics targeting USP7 in oncology.


