Drug Repurposing: Deferasirox Inhibits the Anti-Apoptotic Activity of Mcl-1

Drug Des Devel Ther. 2021 Dec 15:15:5035-5059. doi: 10.2147/DDDT.S323077. eCollection 2021.

Abstract

Introduction: With the aim of repositioning commercially available drugs for the inhibition of the anti-apoptotic myeloid cell leukemia protein, Mcl-1, implied in various cancers, five molecules, highlighted from a published theoretical screening, were selected to experimentally validate their affinity toward Mcl-1.

Results: A detailed NMR study revealed that only two of the five tested drugs, Torsemide and Deferasirox, interacted with Mcl-1. NMR data analysis allowed the complete characterization of the binding mode of both drugs to Mcl-1, including the estimation of their affinity for Mcl-1. Biological assays evidenced that the biological activity of Torsemide was lower as compared to the Deferasirox, which was able to efficiently and selectively inhibit the anti-apoptotic activity of Mcl-1. Finally, docking and molecular dynamics led to a 3D model for the Deferasirox:Mcl-1 complex and revealed the positioning of the drug in the Mcl-1 P2/P3 pockets as well as almost all synthetic Mcl-1 inhibitors. Interestingly, contrary to known synthetic Mcl-1 inhibitors which interact through Arg263, Deferasirox, establishes a salt bridge with Lys234.

Conclusion: Deferasirox could be a potential candidate for drug repositioning as Mcl-1 inhibitor.

Keywords: Deferasirox; Mcl-1; NMR; docking; drug repurposing; dynamics.

MeSH terms

  • Apoptosis Regulatory Proteins / drug effects*
  • Deferasirox / chemistry
  • Deferasirox / pharmacology*
  • Drug Repositioning*
  • Lenalidomide / chemistry
  • Lenalidomide / pharmacology
  • Magnetic Resonance Spectroscopy
  • Molecular Docking Simulation
  • Molecular Dynamics Simulation
  • Molecular Structure
  • Myeloid Cell Leukemia Sequence 1 Protein / antagonists & inhibitors*
  • Oxcarbazepine / chemistry
  • Oxcarbazepine / pharmacology
  • Risperidone / chemistry
  • Risperidone / pharmacology
  • Torsemide / chemistry
  • Torsemide / pharmacology

Substances

  • Apoptosis Regulatory Proteins
  • Myeloid Cell Leukemia Sequence 1 Protein
  • Lenalidomide
  • Risperidone
  • Deferasirox
  • Oxcarbazepine
  • Torsemide