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  43
elements is crucial for identifying and advancing promising candidates that hold the potential for
effective pharmaceutical development. The interplay of these factors underscores the complexity
and nuanced decision-making required in the pursuit of successful drug discovery. Researchers
must balance these factors to identify promising candidates for further development into effective
pharmaceuticals [77, 97].

2.7 Conclusion

In conclusion, a vibrant and exciting area of pharmaceutical research is the investigation of bioac-
tive small molecules in drug discovery. The enormous variety of tiny molecules present in nature,
along with developments in computational techniques and synthetic chemistry, have completely
changed how we approach medication creation. Researchers have learned a great deal about dis-
ease causes, biological processes, and possible treatment targets by studying bioactive small mol-
ecules. NPs are still a great source of inspiration for drug discovery because of their wide range of
chemical structures and biological activity. Furthermore, the development of high-throughput
screening methods has sped up the process of developing new drugs by facilitating the quick dis-
covery and optimization of lead compounds. The development of multidisciplinary methods such
as computer modeling, medicinal chemistry, and structural biology has accelerated the search for
bioactive small molecules with improved pharmacokinetic, potent, and selective characteristics.
Additionally, the development of target-based screening techniques and fragment-based drug
design has made it easier to identify innovative treatment candidates with previously unheard-of
accuracy.
Drug development has a bright future ahead of it as we work to understand biological systems
and realize the potential of tiny compounds. Through the utilization of bioactive small-molecules’
extensive chemical variety, we can tackle unfulfilled medical requirements, counteract medication
resistance, and enhance patient results. In the quest for new treatments, bioactive small molecules
will surely continue to be essential instruments when working together and utilizing creative
approaches.

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49

3.1 Introduction

A drug target can be defined as a molecule, usually a protein that is associated with a specific
disease process in the body and can be addressed by drugs to produce therapeutic effects. The
drug target must exhibit the following properties: participate in the main pathway of the biologi-
cal system; have functional features and characteristics; and have efficacy (its ability to bind to
small molecules means there is a site for binding). Traditionally, analytical methods have been
used to find effective drug targets, leading to the concept of “druggability.” Drug targets are gener-
ally defined as proteins with protein structures that facilitate interaction with drugs. Many pro-
teins can be drugged based on their structure, but their combination does not provide medical
assistance. Over the past two decades, many efforts have been made to analyze and classify drug
targets. The most common proteins include proteases, kinases, G protein-coupled receptors
(GPCRs), and nuclear hormone receptors. Druggability is not a necessary characteristic that
defines a “good” drug. In fact, Scientists often choose initial drug candidates based on their
involvement in biological processes important for disease. Groups such as enzymes, substrates,
metabolites, proteins, receptors, ion channels, transporters, DNA, RNA, and ribosomes are targets
of monoclonal antibodies. Although proteins have historically formed the basis of the most effec-
tive drugs, there are now many emerging drug targets such as nucleic acids, control DNA content,
and noncoding RNAs (ncRNAs). Its importance in medicine and precision medicine is rapidly
increasing. In fact, drugs that target nucleic acids already exist, especially in the fields of antibac-
terial and anticancer therapy. RNA is now recognized as an important factor in many regulatory
processes, just like proteins. In fact, RNA plays an important role in transcriptional regulation,
translation regulation, catalysis, protein function, protein transport, peptide bonds, and RNA
splicing. Compared to DNA, RNA may provide better therapeutic results because RNA exhibits
higher diversity patterns and fewer repairs. Like proteins, RNA has three-dimensional folds that
form complex structures that enable specific binding of drug molecules. RNA targeting has been
used successfully in the field of antibiotics. Additionally, with the emergence of new RNA classes
and properties in animal control systems, their applications are rapidly expanding. Among these
new drug targets, ncRNA is attracting increasing attention. ncRNA refers to a broad class of
3

Novel Drug Targets for Small Molecule-based Drug Discovery

Raghu Ram Achar
1,2
, Ipsita Panigrahi
1,2
, Aditi Singh
1,2
, N. Chandana
1,2
,
and Shivananju Nanjunda Swamy
2
1
Division of Biochemistry, School of Life Sciences, JSS Academy of Higher Education & Research, Mysuru, Karnataka, India
2
Department of Biotechnology, JSS Science and Technology University, Mysuru, Karnataka, India
3 Novel Drug Targets for Small Molecule-based Drug Discovery50
endogenous RNA molecules that cannot code for proteins but have specific biological functions.
Although ncRNA cannot code for proteins, they can influence the expression of other genes
through various mechanisms. In some cases, the methods of operation are well known and the
strategies for managing these activities are correct. The ability of ncRNAs to regulate gene expres-
sion makes them a target for drug development. But uncertainty about how (or whether) ncRNAs
work makes the drug development process even more difficult. Targeting RNA has the opportu-
nity to modulate many cellular processes, including targeting of “weak” proteins. Examples
include proteins with many important functions that are difficult to block using a single molecule
or proteins that resemble other proteins, making them difficult to adequately select. Drug targets
are important substances that affect biological pathways specific to a disease or an organism. The
difference between drug targets and other biomolecules involved in the same pathway is only
their location and action. The target of the putative drug should be disease related, meaning it
should have minimal effects on other diseases. However, human diseases are often complex and
involve many interacting pathways, which can hinder the identification of molecular targets.
However, new drug targets are biomolecules whose roles are not fully understood and for which
established drugs do not exist. These targets deserve more attention because they could lead to
new treatments. The focus of preclinical drug discovery is often on the delivery of biomolecules
(e.g., DNA, RNA, proteins, and peptides), including known and novel targets. Candidate drug
targets should be characterized by a balance of efficacy and safety (“unsafe drugs”). Efficacy
should focus on how well the biomolecule works for the drug target. The “druggability” target
should be taken into account in the evaluation [1]. Identifying drug–target interactions (DTIs) is
an important step in the development of new drugs and understanding their side effects. Two
experimental methods are commonly used to identify DTIs: affinity chromatography and protein
microarrays. Due to the increasing number of synthetic antibodies produced against many pro-
teins and biological processes, identification of DTIs using biological assays is time consuming
and expensive, and very few true DTIs have been discovered through such a process. Therefore, in
recent years, researchers have tried to use methods to analyze DTI. There are many ways that
drugs interact with receptors; different relationships lead to different biochemical reactions. For
example, agonists generally have higher activity and can cause biological effects, while antago-
nists have lower activity in the body and then do not bind to receptors and cause biological effects,
but they can block the binding of agonists The type of relationship between the drug and the
protein is important in determining the drugs [2]. The term “drug” used here refers only to medi-
cal devices and includes all small molecules and biologics currently (or previously approved)
approved by the US FDA (prior to June 2015). Health and antimalarial drugs are approved else-
where in the world. The word “prescription” does not include prescription drugs, nutritional sup-
plements, sunscreens, or vaccines. James Black’s famous quote from 2000: “The best way to find
a new drug is to start with an old drug.” If possible, a deeper understanding of the effects of vac-
cines will continue to inform drug discovery, clinical trials, and efforts to address drug resistance.
Therefore, maintaining accurate and up-to-date information about proposed drugs and their
effective targets (e.g., prevention targets at which the drug exerts its therapeutic effect) is impor-
tant to guide future drug development and innovation. Possibly, the first attempt to compile the
list dates back to 1996, when Drews and Ryser estimated the number of human targets for approval
of small drugs. From this paper and subsequent reviews, the concept of “essential” protein fami-
lies with a good history and value in drug discovery began to emerge. Many repositories now
provide information on drug use, and each has a different focus. The first is Treatment Target
Database Drug Bank, which is the most advanced drug database that uses data to match drugs to
the proteins they are reported to bind to; Super Target, on the other hand, is a text mining-based
collection of direct and indirect targets of drugs. Recently, RaskAndersen and colleagues have
3.2 Drug Target Identification 51
provided a new perspective on the current drug and the human target thought to be responsible
for its results. In addition, Munos outlines the main trends in drug class and target innovation
over the past decade and examines the overlap and specificity of the types of drug plans pursued.
However, although many useful drugs are available online, it is still a challenge to be consistent
and visionary about the target of approved drugs (including small molecules and biologics) and
their associated molecular performance-intended purpose through medicine (human and patho-
genic). In addition, although the concept of purpose is a natural concept for researchers working
in the field, there are significant problems in practice in ongoing studies on the concept of pur-
pose for seeds and products [3]. Target identification is an important step in new drug discovery
and development as it allows researchers to understand the mechanism of drug action. Therefore,
much of the progress made in drug discovery and development over the past few hundred years
can be attributed to advances in target identification. Target identification is also important to
optimize drug selection and reduce side effects. There are many types of biomolecules that can
serve as therapeutic targets, including enzymes, cell receptors, ion channels, DNA, and transcrip-
tion factors (TFs). Determining the biological target of a drug can be tedious as there are vast
reserves of potential protein and nonprotein targets; therefore, recent advances in bioinformatics
overtake the traditional target discovery methods. In addition to a large research database con-
taining different physical and chemical properties of various ligands and targets, recent advances
in the gene/vaccine field provide various methods of drug identification. This article will review
various new drug targets for small-molecule drug discovery [4].

3.2 Drug Target Identification

Drug target is a biological protein or nonprotein component that interacts with its potential drug
candidate to bring about physiological changes usually targeting a disease.
An ideal drug target candidate would withhold the following properties [5]:
● Functionality of target on binding of drug.
● DTI should be able to bring about pathophysiological modifications in favor of the disease.
● The target should be druggable and favor simpler assayability methods for enabling its high-
throughput screening.
● Favorable prediction of target binding sites of drugs for efficient interaction.
● Target structure and function should be drug driven.
Target-based drug discovery is the basic strategy for drug development. Recent development in
computational biology has made several open web databases and bioinformatics tools available for
linking molecular drug targets to diseases. Analysis of “omics” datatypes like genomics, transcrip-
tomics, proteomics, and metabolomics has increased the efficacy of drug target discovery more
than the traditional methodologies [1]. Cellular or genetic chemicals in the system usually interact
with drug molecules, therefore acting as drug targets [6]. Phenotype screening is another target
identification method in which the drug target is unknown; yet, the validated drug candidate is
discovered on the basis of 3D modeling method. Most first-in-class drugs discovered before
1980 were based on phenotypic screening like aspirin that was synthesized in 1897 but its mecha-
nism of action and target was identified in 1976 [7].
Various tools and technologies are used for target identification and validation. Protein and gene
expression profiling to identify novel targets and validate the existing ones can be performed using
microarray techniques, whereas validation can be performed using gene knockout model and anti-
sense RNA technology [8].
3 Novel Drug Targets for Small Molecule-based Drug Discovery52
Drug target identification imposes another challenge to druggability of the target. An ideal drug-
gable target binds to ligands that obey Ro5; however, the absence of Ro5-associated ligand does not
make a target undruggable. Therefore, structure-based druggability assessment is performed by
identification of potential binding sites, function discrimination based on the physiological prop-
erty of binding pocket, and by assessing the difficulty of druggability [9] (Figure 3.1).
Information about disease is
extracted from disease database
like OMIM, GAD, DisGeNET
Detection of probable drug target
based on literature and data from
databases like PDB, DrugBank
Assay development for screening
novel drug targets using high
throughput screening
Check for
the target
availability
of disease target
information
YES
NO
Target based discovery
Phenotype screening
Assay development to identify
and check druggability of selected
targets using HTS
Target validation using chemical
and bioinformatics tools
Structure prediction of target
based on template amino acid
sequence information
Template sequence
available
Homology
modeling
Template sequence
not available
Ab - initio
Target identification
Target validation
Figure 3.1 Canonical steps in drug target identification.