Usha Talambedu, Middha Sushil K, Kukanur Anusha A, Shravani Rachamadugu V, Anupama Mahantesh N, Harshitha Nagasamudram, Rahamath Ameena, Kukanuri Sumedha A, Goyal Arvind K
Department of Biochemistry, Bangalore University, Bengaluru, Karnataka. India.
DBT-BIF Centre, Department of Biotechnology, Maharani Lakshmi Ammanni College for Women(mLAC), Bengaluru, Karnataka. India.
Curr Protein Pept Sci. 2020 Sep 21. doi: 10.2174/1389203721666200921152853.
Drug Repurposing (DR) is an alternative to the traditional drug discovery process. It is cost and time effective, with high returns and low risk process that can tackle the increasing need for interventions for varied diseases and new outbreaks. Repurposing of old drugs for other diseases has gained a wider attention, as there have been several old drugs approved by FDA for new diseases. In the global emergency of COVID19 pandemic, this is one of the strategies implemented in repurposing of old anti-infective, anti-rheumatic and anti-thrombotic drugs. The goal of the current review is to elaborate the process of DR, its advantages, repurposed drugs for a plethora of disorders, and the evolution of related academic publications. Further, detailed are the computational approaches: literature mining and semantic inference, network-based drug repositioning, signature matching, retrospective clinical analysis, molecular docking and experimental phenotypic screening. We discuss the legal and economical potential barriers in DR, existent collaborative models and recommendations for overcoming these hurdles and leveraging the complete potential of DR in finding new indications.
药物再利用(DR)是传统药物研发过程的一种替代方法。它具有成本效益和时间效益,是一种高回报、低风险的过程,可以应对对各种疾病干预措施和新疫情日益增长的需求。将旧药用于其他疾病已受到更广泛关注,因为美国食品药品监督管理局(FDA)已批准多种旧药用于新疾病。在新冠疫情全球紧急情况下,这是旧抗感染药、抗风湿药和抗血栓药再利用所采用的策略之一。本综述的目的是阐述药物再利用的过程、其优势、用于多种疾病的再利用药物以及相关学术出版物的发展情况。此外,还详细介绍了计算方法:文献挖掘和语义推理、基于网络的药物重新定位、特征匹配、回顾性临床分析、分子对接和实验性表型筛选。我们讨论了药物再利用中的法律和经济潜在障碍、现有的合作模式以及克服这些障碍并充分发挥药物再利用在寻找新适应症方面全部潜力的建议。