Precision screening identifies mitoxantrone as a multitarget inhibitor in ageing-associated cancers with extensive

Mohammed H Al-Qahtani1,2, Mourad Assidi1,2, Abdelbaset Buhmeida1,2

  • 1Institute of Genomic Medicine Sciences, King Abdulaziz University, Jeddah, Saudi Arabia.

Plos One
|February 13, 2026
PubMed

Insights

Mitoxantrone shows promise for repurposing in aging-related cancers by effectively targeting key proteins involved in DNA damage and cell proliferation. This computational study identified it as a superior candidate over Doxorubicin for potential new cancer therapies.

Area of Science:

  • Computational drug discovery and repurposing
  • Molecular modeling and simulation in oncology

Background:

  • Aging-associated cancers exhibit persistent DNA damage and evade senescence, leading to genomic instability and uncontrolled proliferation.
  • Key proteins like Chk1 kinase, MDM2 ligase, mTOR kinase, and PARP-1 are implicated in these cancer hallmarks.

Purpose of the Study:

  • To identify potential drug candidates for repurposing in aging-related cancers through computational screening.
  • To evaluate the efficacy of Mitoxantrone against crucial proteins involved in cancer development and progression.

Main Methods:

  • Docking studies (Extra Precision) and MM-GBSA pose processing against the DrugBank library (10,907 compounds).
  • Molecular dynamics (MD) simulations (100 ns), WaterMap analysis, and Binding Free Energy computations.
  • Pharmacokinetic and Density Functional Theory (DFT) analyses were performed.

Main Results:

  • Mitoxantrone emerged as the top candidate, exhibiting strong docking scores (-6.23 to -16.044 Kcal/mol) and MM-GBSA scores (-49.19 to -85.14 Kcal/mol).
  • Mitoxantrone demonstrated superior binding affinity compared to the control drug Doxorubicin.
  • MD simulations confirmed the stability of Mitoxantrone-protein complexes, with minimal deviation (<2Å) and stable interactions.

Conclusions:

  • Mitoxantrone is a highly promising candidate for repurposing in aging-related cancers due to its potent interactions with target proteins.
  • Computational findings support Mitoxantrone's stability and efficacy, warranting further experimental validation for therapeutic application.
  • This study highlights the potential of computational approaches in identifying novel therapeutic strategies for complex diseases like aging-associated cancers.

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