Department of Biotechnology, Dayananda Sagar College of Engineering, Visvesvaraya Technological University, Bengaluru, Karnataka, 560 078, Belagavi, India.
Curr Top Med Chem. 2018;18(31):2681-2701. doi: 10.2174/1568026619666190119145434.
Cryptococcosis is one of the major invasive fungal infections distributed worldwide with high mortality rate. C. neoformans and C. gattii are the major organisms that cause various types of infections. Anti-fungal resistances exhibited by the mentioned species of Cryptococcus threaten their effective prevention and treatment. There is limited information available on human to human transmission of the pathogen and virulent factors that are responsible for Cryptococcus mediated infections. Hence, there is high scope for understanding the mechanism, probable drug targets and scope of developing natural therapeutic agents that possess high relevance to pharmaceutical biotechnology and medicinal chemistry. The proposed review illustrates the role of computer-aided virtual screening for the screening of probable drug targets and identification of natural lead candidates as therapeutic remedies. The review initially focuses on the current perspectives on cryptococcosis, major metabolic pathways responsible for the pathogenesis, conventional therapies and associated drug resistance, challenges and scope of structure-based drug discovery. The review further illustrates various approaches for the prediction of unknown drug targets, molecular modeling works, screening of natural compounds by computational virtual screening with ideal drug likeliness and pharmacokinetic features, application of molecular docking studies and simulation. Thus, the present review probably provides AN insight into the role of medicinal chemistry and computational drug discovery to combat Cryptococcus infections and thereby open a new paradigm for the development of novel natural therapeutic against various drug targets for cryptococcal infections.
隐球菌病是一种分布广泛、死亡率高的主要侵袭性真菌感染。新型隐球菌和格特隐球菌是引起各种类型感染的主要病原体。隐球菌属表现出的抗真菌耐药性威胁着其有效的预防和治疗。目前关于病原体和毒力因子在人与人之间的传播以及导致隐球菌感染的机制知之甚少。因此,深入了解机制、可能的药物靶点以及开发具有高相关性的天然治疗剂的范围,对于药物生物技术和药物化学具有重要意义。本综述阐述了计算机辅助虚拟筛选在筛选可能的药物靶点和鉴定治疗药物方面的作用。该综述首先重点介绍了隐球菌病的当前研究进展、导致发病机制的主要代谢途径、常规治疗方法以及相关的药物耐药性、基于结构的药物发现的挑战和范围。该综述进一步阐述了预测未知药物靶点的各种方法、分子建模工作、通过计算虚拟筛选对天然化合物进行筛选、理想的药物相似性和药代动力学特征、分子对接研究和模拟的应用。因此,本综述可能为药物化学和计算药物发现在对抗隐球菌感染方面的作用提供了一个新的视角,并为针对各种药物靶点的新型天然治疗药物的开发开辟了新的范例。