Grasping cryptic binding sites to neutralize drug resistance in the field of anticancer

Drug Discov Today. 2023 Sep;28(9):103705. doi: 10.1016/j.drudis.2023.103705. Epub 2023 Jul 13.

Abstract

Drug resistance is a significant obstacle to successful cancer treatment. The utilization and development of cryptic binding sites (CBSs) in proteins involved in cancer-related drug-resistance (CRDR) could help to overcome that drug resistance. However, there is no comprehensive review of the successful use of CBSs in addressing CRDR. Here, we have systematically summarized and analyzed the opportunities and challenges of using CBSs in addressing CRDR and revealed the key role that CBSs have in targeting CRDR. First, we have identified the CRDR targets and the corresponding CBSs. Second, we discuss the mechanisms by which CBSs can overcome CRDR. Finally, we have provided examples of successful CBS applications in addressing CRDR. We hope that this approach will provide guidance to biologists and chemists in effectively utilizing CBSs for the development of new drugs to alleviate CRDR.

Keywords: cancer; cryptic binding site; drug design; drug resistance; target drug discovery.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Binding Sites
  • Drug Resistance, Neoplasm
  • Humans
  • Neoplasms* / drug therapy
  • Proteins*

Substances

  • Proteins