Cervical cancer is a formidable challenge in global public health, impacting women worldwide. However, the fight against this disease has witnessed significant breakthroughs, from the pioneering Pap smear to the advent of HPV vaccines. In this study, researchers have identified a potential drug candidate, Droxidopa, that could target multiple key proteins involved in cervical cancer development, including MCM10, DNA Polymerase Epsilon, and TANK-binding kinase 1 (TBK1). Through a comprehensive computational analysis, the team uncovered the intricate molecular interactions and binding mechanisms between Droxidopa and these crucial cancer-related proteins, paving the way for more effective and targeted treatments.

Unraveling the Complexity of Cervical Cancer
Cervical cancer is a multifaceted disease rooted in the intricate interplay of biological, social, economic, and environmental factors. The role of proteins like MCM10, DNA Polymerase Epsilon, and TBK1 is pivotal in understanding the underlying molecular mechanisms driving cervical cancer development. MCM10 is a key regulator of DNA replication, ensuring the proper assembly and activation of the MCM complex, essential for DNA unwinding and replication initiation. Disruptions in MCM10 can lead to aberrant DNA replication, genomic instability, and ultimately, tumorigenesis. Similarly, DNA Polymerase Epsilon is a critical enzyme involved in DNA synthesis and repair, and its dysregulation can result in replication stress, DNA damage accumulation, and genomic instability, fostering the development of cervical cancer. Furthermore, TBK1 is a crucial component of the innate immune signaling pathway, mediating the response to cytosolic DNA or RNA sensing. Dysregulated TBK1 signaling in cervical cancer can promote immune evasion, inflammation, and tumor progression.
Targeting Multiple Pathways with Droxidopa
In this study, the researchers employed a multitargeted docking approach to identify Droxidopa as a potential inhibitor against the DNA replication and repair-related proteins in cervical cancer. Through extensive computational analyses, including molecular docking, interaction fingerprinting, density functional theory (DFT) computations, pharmacokinetic evaluations, molecular dynamics simulations, and MM/GBSA (Molecular Mechanics Generalised Born Surface Area) studies, the team uncovered the intricate molecular interactions and binding mechanisms between Droxidopa and the target proteins.
The findings reveal that Droxidopa exhibits strong binding affinities to MCM10, DNA Polymerase Epsilon, and TBK1, with docking scores ranging from -5.559 to -6.835 kcal/mol and MM/GBSA scores from -26.04 to -37.33 kcal/mol. The drug candidate formed diverse interactions, including hydrogen bonds, salt bridges, and hydrophobic contacts, with key residues in the target proteins, suggesting its potential to disrupt multiple pathways involved in cervical cancer development.
Unveiling the Dynamic Behavior of Protein-Ligand Complexes
The researchers also delved into the dynamic behavior of the Droxidopa-protein complexes through molecular dynamics simulations. By analyzing the root mean square deviation (RMSD) and root mean square fluctuation (RMSF) of the complexes, the study revealed the stability and flexibility of the interactions over time. The simulation interaction diagrams further elucidated the diverse hydrogen bonds, water bridges, and ionic interactions that contribute to the overall stability and specificity of the protein-ligand complexes.
Paving the Way for Improved Cervical Cancer Treatments
The comprehensive computational analyses conducted in this study provide valuable insights into the structural, energetic, and dynamic aspects of the interactions between Droxidopa and the cervical cancer-related proteins. These findings suggest that Droxidopa could be a promising multitargeted inhibitor, with the potential to disrupt multiple pathways involved in cervical cancer development and progression.
By targeting key proteins like MCM10, DNA Polymerase Epsilon, and TBK1 simultaneously, Droxidopa could offer a more effective and targeted approach to cervical cancer treatment, potentially improving patient outcomes and reducing the burden of this disease on global health systems. While further experimental validation is needed, this study highlights the power of computational drug design in identifying novel therapeutic strategies for challenging diseases like cervical cancer.
Author credit: This article is based on research by Ahad Amer Alsaiari, Fawaz M. Almufarriji, Ali Hazazi, Daniyah A. Almarghalani, Maha Mahfouz Bakhuraysah, Amani A. Alrehaili, Shatha M. Algethami, Khulood A. Almehmadi, Fayez Saeed Bahwerth, Mohammed Ageeli Hakami.
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