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Multitargeted inhibitory effect of Mitoxantrone 2HCl on cervical cancer cell cycle regulatory proteins: a multitargeted docking-based MM\GBSA and MD simulation study.

Abstract
Cervical cancer remains a significant global health concern that starts in the cervix, the lower part of the uterus that connects to the vagina and is caused by the human papillomavirus (HPV), necessitating the development of effective multitargeted effective and resistance-proof therapies. In early-stage cervical cancer may not show any symptoms, however, as the cancer progresses, some people may experience- abnormal vaginal bleeding, watery or bloody vaginal discharge, pain in the pelvis or lower back, pain during sex, and frequent and painful urination. In this study, we screened the complete FDA-approved drug library using a multitargeted inhibitory approach against four cervical cancer proteins, namely mitotic arrest deficient -2, DNA polymerase epsilon B-subunit, benzimidazole-related -1, and threonine-protein kinase-1 which crucially plays its role for the in its development process. We employed the HTVS, SP and XP algorithms for efficient filtering and screening that helped to identify Mitoxantrone 2HCl against all of them with docking and MM\GBSA scores ranging from - 11.63 to - 7.802 kcal/mol and - 74.38 to - 47.73 kcal/mol, respectively. We also evaluated the interaction patterns of each complex and the pharmacokinetics properties that helped gain insight into interactions. Subsequently, we performed multiscale MD simulations for 100 ns to understand the dynamic behaviour and stability of the Mitoxantrone 2HCl -protein complexes that revealed the formation of stable drug-protein complexes and provided insights into the molecular interactions that contribute to Mitoxantrone's inhibitory effects on these proteins and can be a better drug for cervical cancer. However, experimental studies of these findings could pave the way for therapies to combat cervical cancer effectively.
AuthorsMohammed Ali Alshehri, Saeed Ahmed Asiri, Abdulrahman Alzahrani, Reem S Alazragi, Leena S Alqahtani, Amany I Alqosaibi, Mashael M Alnamshan, Qamre Alam, Misbahuddin M Rafeeq
JournalMedical oncology (Northwood, London, England) (Med Oncol) Vol. 40 Issue 11 Pg. 337 (Oct 20 2023) ISSN: 1559-131X [Electronic] United States
PMID37864019 (Publication Type: Journal Article)
Copyright© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Chemical References
  • Mitoxantrone
  • Cell Cycle Proteins
Topics
  • Humans
  • Female
  • Molecular Docking Simulation
  • Molecular Dynamics Simulation
  • Mitoxantrone (pharmacology)
  • Uterine Cervical Neoplasms (drug therapy)
  • Cell Cycle Proteins
  • Pain

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