Chem
Volume 7, Issue 11, 11 November 2021, Pages 2965-2988
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Review
Computer-aided design of RNA-targeted small molecules: A growing need in drug discovery

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The bigger picture

Structured RNAs are a drug-discovery breakthrough. These molecules regulate many vital cell functions, and they are involved in developing several human pathologies, from cancer to viral and bacterial infections. Structured RNAs can be targeted using small-molecule drugs, which beneficially modulate their biological function. The development of RNA-specific computational tools is expected to help the rational design of RNA-targeting drugs, much as similar tools have helped protein-targeted small-molecule drug discovery. Here, we critically examine the major advances and challenges in using computer-aided drug discovery to target RNA molecules, from predicting their structure to modeling their dynamics and interactions with small molecules.

Summary

In recent years, researchers have identified certain RNAs as druggable targets for small molecules to treat several human pathologies. However, these regulatory RNAs are challenging targets due to their intrinsic structural flexibility and poorly characterized structure-function relationships. Standard drug-discovery approaches have therefore been adjusted to identify and optimize RNA-targeted small molecules. In this context, our review first outlines the regulatory RNAs that have been structurally and functionally characterized and identified as druggable targets for small molecules. Using representative case studies, we then critically examine the power and challenges of molecular modeling, docking, and simulations and the synergistic interconnection of computational tools with experimental methods for RNA-targeted structure-based drug design.

Keywords

RNA
drug discovery
computations
molecular modeling
docking
molecular simulations

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SDG3: Good health and well-being

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