IN SILICO SCREENING OF SOME OLD DRUGS FOR NEW APPROACHES IN HEART FAILURE
Abstract
Aim: The aim of the present study is to discover new approaches for old drugs, targeting heart failure (HF), using in silico studies. Material and methods: Several old drugs, belong different chemical and therapeutical classes: oral hypoglycemic drugs (sulfonylurea), proton pump inhibitors, nonsteroidal anti-inflammatory drugs, statins, H1/H2 antagonists, antineoplastic drugs, alfa-adrenergic agonists, vitamins and antioxidants, were tested for affinity to glycogen synthase kinase 3 beta (GSK-3β), using in silico molecular docking studies. Indirubin-3’-monoxime (I3M) and adenylyl-imidodiphosphate (AMP-PNP), were used as GSK-3β reference inhibitors. Moreover, the drugs with the best docking score for GSK-3β, were included in an ADME-Tox study to predict their pharmacokinetic profile. Results: The used computational method was validated using RSMD variation (less than 2 Å) recorded for GSK-3β inhibitors (I3M and AMP-PNP). The results showed that the binding of drugs to GSK-3β involve direct hydrogen bonds and van der Waals interactions with key amino acids from active site, Lys85, Asp133, Val135, Glu137, Arg141, Gln185, Asp200 and Arg220. Conclusions: Based on in silico results, in term of affinity for GSK-3β and ADME Tox profile, several drugs have theoretical premises to have beneficial effects in HF and could be propose for repurposing approach, which look of finding new clinical indications for existing drugs.
References
2. Abdelsayed M, Kort EJ, Jovinge S, et al. M. Repurposing drugs to treat cardiovascular disease in the era of precision medicine. Nat Rev Cardiol 2022; 19: 751-764.
3. Ahmad F, Woodgett JR. Emerging roles of GSK-3α in pathophysiology: emphasis on cardio-metabolic disorders. Biochim Biophys Acta - Mol Cell Res 2020;1867: 118616.
4. Becher PM, Lund LH, Coats AJS, et al. An update on global epidemiology in heart failure. Eur Heart J 2022; 43: 3005-3007.
5. Chandrasekaran B, Abed SN, Al-Attraqchi OK, et al. Computer-aided prediction of pharmacokinetic (ADMET) properties (chapter 21) in Advances in Pharmaceutical Product Development and Research, Tekade RKBT-DFDP (Ed.), Academic Press, 2018: 731-755.
6. de la Espriella R, Miñana G, Santas E, et al. Effects of empagliflozin on CA125 trajectory in patients with chronic congestive heart failure. Int J Cardiol 2021; 339: 102-105.
7. Forli S, Huey R, Pique ME, et al. Computational protein-ligand docking and virtual drug screening with the AutoDock suite. Nat Protoc 2016; 11: 905-919.
8. Lin H, Li Y, Zhu H, et al. Lansoprazole alleviates pressure overload-induced cardiac hypertrophy and heart failure in mice by blocking the activation of β-catenin. Cardiovasc Res 2019; 116(1): 101-113.
9. Lorenzovici L, Bârzan-Székely A, Farkas-Ráduly S, et al. Burden of chronic heart failure in Romania. Healthcare 2022; 10: 107.
10. McDonagh TA, Metra M, Adamo M, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J 2021; 42(36): 3599-3726.
11. Pires DEV, Blundell TL, Ascher DB. pkCSM: predicting small-molecule pharmacokinetic and toxicity properties using graph-based signatures. J Med Chem 2015; 58: 4066-4072.
12. Rizvi SMD, Shakil S, Haneef M. A simple click by click protocol to perform docking: AutoDock 4.2 made easy for non-bioinformaticians. EXCLI J 2013; 12: 831-857.
13. Seferovic PM, Vardas P, Jankowska EA, et al. The heart failure association Atlas: heart failure epi-demiology and management statistics 2019. Eur J Heart Fail 2021; 23: 906-913.
14. Shakya AK, Al-Najjar BO, Deb PK, et al. First-pass metabolism considerations in pharmaceutical product development (chapter 8) in Advances in Pharmaceutical Product Development and Research, Tekade RKBT-DFDC (Ed.), Academic Press, 2018: 259-286.
15. Sharma AK, Thanikachalam PV, Bhatia S. The signaling interplay of GSK-3β in myocardial disorders. Drug Discov Today 2020; 25(4): 633-641.
16. Singh AP, Umbarkar P, Guo Y, et al. Inhibition of GSK-3 to induce cardiomyocyte proliferation: a recipe for in situ cardiac regeneration. Cardiovasc Res 2019; 115: 20-30.
17. Tariq U, Uppulapu SK, Banerjee SK. Role of GSK-3 in cardiac health: focusing on cardiac remodeling and heart failure. Curr Drug Targets 2021; 22(13): 1568-1576.
18. Umbarkar P, Ramirez SYR, Cora AT, et al. GSK-3 at the heart of cardiometabolic diseases: Isoform-specific targeting is critical to therapeutic benefit. Biochim Biophys Acta - Mol Basis Dis 2023; 1869(6): 166724.
19. Urbich, M, Globe G, Pantiri K, et al. A systematic review of medical costs associated with heart failure in the USA (2014-2020). PharmacoEconomics 2020; 38: 1219-1236.
20. Wang L, Li J, Di LJ. Glycogen synthesis and beyond, a comprehensive review of GSK3 as a key regulator of metabolic pathways and a therapeutic target for treating metabolic diseases. Med Res Rev 2022; 42: 946-982.
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