计算机模拟方法:一种揭示用于宫颈癌治疗的新型治疗药物的途径。

In Silico Approaches: A Way to Unveil Novel Therapeutic Drugs for Cervical Cancer Management.

作者信息

Gomes Diana, Silvestre Samuel, Duarte Ana Paula, Venuti Aldo, Soares Christiane P, Passarinha Luís, Sousa Ângela

机构信息

CICS-UBI-Health Sciences Research Centre, Universidade da Beira Interior, 6201-506 Covilhã, Portugal.

Associate Laboratory i4HB-Institute for Health and Bioeconomy, Faculdade de Ciências e Tecnologia, Universidade NOVA, 2819-516 Caparica, Portugal.

出版信息

Pharmaceuticals (Basel). 2021 Jul 29;14(8):741. doi: 10.3390/ph14080741.

Abstract

Cervical cancer (CC) is the fourth most common pathology in women worldwide and presents a high impact in developing countries due to limited financial resources as well as difficulties in monitoring and access to health services. Human papillomavirus (HPV) is the leading cause of CC, and despite the approval of prophylactic vaccines, there is no effective treatment for patients with pre-existing infections or HPV-induced carcinomas. High-risk (HR) HPV E6 and E7 oncoproteins are considered biomarkers in CC progression. Since the E6 structure was resolved, it has been one of the most studied targets to develop novel and specific therapeutics to treat/manage CC. Therefore, several small molecules (plant-derived or synthetic compounds) have been reported as blockers/inhibitors of E6 oncoprotein action, and computational-aided methods have been of high relevance in their discovery and development. In silico approaches have become a powerful tool for reducing the time and cost of the drug development process. Thus, this review will depict small molecules that are already being explored as HR HPV E6 protein blockers and in silico approaches to the design of novel therapeutics for managing CC. Besides, future perspectives in CC therapy will be briefly discussed.

摘要

宫颈癌(CC)是全球女性中第四大常见疾病,由于发展中国家财政资源有限以及监测和获得医疗服务存在困难,该病在这些国家造成了严重影响。人乳头瘤病毒(HPV)是宫颈癌的主要病因,尽管预防性疫苗已获批准,但对于已有感染或HPV诱发癌症的患者尚无有效治疗方法。高危(HR)HPV E6和E7癌蛋白被认为是宫颈癌进展的生物标志物。自从E6结构被解析以来,它一直是开发治疗/管理宫颈癌的新型特异性疗法的研究最多的靶点之一。因此,已有几种小分子(植物来源或合成化合物)被报道为E6癌蛋白作用的阻断剂/抑制剂,并且计算辅助方法在其发现和开发中具有高度相关性。计算机模拟方法已成为减少药物开发过程时间和成本的有力工具。因此,本综述将描述已被探索作为HR HPV E6蛋白阻断剂的小分子以及用于设计管理宫颈癌的新型疗法的计算机模拟方法。此外,还将简要讨论宫颈癌治疗的未来前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5142/8400112/72de6ae49ea0/pharmaceuticals-14-00741-g001.jpg

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