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"Multiple mechanisms" denotes the phenomenon where a drug or therapy acts through more than one molecular or biological pathway. This term applies to polypharmacology, multi-target drugs, or combination therapies, which intentionally modulate several targets to address complex diseases or drug resistance. It is not a molecular entity or specific receptor, but a descriptive property used in drug classification and systems pharmacology. Current terminology favors specifying the predominant molecular targets or mechanisms to increase clarity and therapeutic precision. This approach is central in treating multifactorial diseases and is supported by advances in systems biology, computational modeling, and precision biomarker strategies.
Drugs classified as "multiple mechanisms" may act by: - Agonizing/antagonizing multiple receptors - Inhibiting several enzymes - Modulating multiple ion channels and transporters - Impacting several nodes in signaling or metabolic pathways
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