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Multiple gene and pathway-level targets

Molecular classification
Other
01

Overview

The term Multiple gene and pathway-level targets refers to a therapeutic strategy in polypharmacology where a single drug or a combination of agents is used to modulate several distinct molecular entities or biological pathways simultaneously (Source: PubMed, PMID: 22532025). This approach is essential for treating complex, multifactorial diseases like cancer, where redundant signaling networks often allow cells to bypass the inhibition of a single target (Source: NIH, National Cancer Institute). By hitting multiple nodes within a network, these therapies aim to enhance efficacy and prevent the development of drug resistance (Source: Nature Reviews Drug Discovery). Common examples include multi-kinase inhibitors like sorafenib, which targets various receptors including VEGFR and PDGFR, as well as the Raf signaling pathway (Source: PubChem). While this strategy can be more effective than single-target therapy, it also carries a higher risk of off-target effects and cumulative toxicity due to the broad modulation of biological processes (Source: StatPearls). Consequently, identifying specific biomarkers for patient selection remains a significant challenge in the development of multi-target therapies.

Other names
Polypharmacology targetsMulti-target therapyNetwork-based targetsSystems pharmacology targetsPromiscuous drug targets
02

Mechanism of action

Simultaneous modulation of multiple molecular targets or signaling pathways to achieve synergistic therapeutic effects and overcome biological redundancy.

03

Biological functions

Other
04

Disease associations

CancerInflammationNeurodegenerative diseaseCardiovascular diseaseInfection
05

Safety considerations

Increased risk of off-target toxicityComplex drug-drug interactionsDifficulty in identifying specific drivers of adverse eventsNarrow therapeutic windowCumulative systemic toxicity
06

Interacting drugs

Sorafenib

5 more in the full profile.

07

Biomarkers

Gene expression signaturesPathway activation scoresMulti-gene assaysPhosphoproteomic profiles

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