indications (DeBusk et al. 2004). It is advantageous to the patients as medications for
diseases, which were earlier not treatable, can be easily accessed, as knowledge
about possible side effects, pharmacokinetics and interactions with other drugs
already exists in various online resources. Further, rare diseases wherein no drugs
have been developed or discovered can also be targeted with known drugs. To this
effect, the US Food and Drug Administration (FDA) launched a database of
approved drugs, which are promising to be repositioned to orphan/rare diseases
(Schenone et al. 2013). Also, a “high-throughput” in vivo pharmacology platform
theraTRACE1 has been developed for drug repurposing (Boran and Iyengar 2010).
Repurposing of chemicals and natural products that differ from drugs, such as herbal
remedies or compounds used in traditional Chinese medicine (TCM), has led to the
advent of TCM database (Baron 2012). Therefore, the availability of a large number
of online resources is opening up newer avenues to search for targets of active
components using computational approaches.
2.5
Concluding Remarks
Polypharmacology aims to identify all the possible targets of a given compound.
However, it is highly impractical to experimentally test the binding affinities
between each drug-target pair for all the possible compounds, genes and proteins.
Therefore, drug target prediction using computational technologies plays a signifi-
cant role to sift through the big data by development of accurate, fast and robust
algorithms. These in silico tools based upon integration of knowledge and
technologies from varied disciplines, such as cheminformatics, network-systems
biology and data mining, have been successfully used to predict possible off-target
of drugs that account for their reported side effects and can be used for drug
repurposing and design of combination therapies. The fact that several drugs exert
their effect through the interaction with multiple targets is shifting the drug discovery
paradigm from the one target-one drug model to a multiple-target approach. This has
also been necessitated by the multi-faceted nature of various complex diseases, such
as neurodegenerative disorders and cancer. In spite of tremendous challenges that lie
ahead, in the years to come polypharmacology would have a major role in
transforming next-generation drug discovery and development.
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