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Multiple molecular and cellular targets

Molecular classification
Other
01

Overview

The term Multiple molecular and cellular targets is a non-specific designation used to describe therapeutic agents that do not interact with a single, discrete biological entity. Instead, these agents exert their pharmacological effects by modulating a variety of receptors, enzymes, or signaling pathways simultaneously, a concept known as polypharmacology (Hopkins, A. L., 2008, Nature Chemical Biology). This approach is frequently employed in the treatment of complex diseases like cancer, where multi-kinase inhibitors are designed to hit several nodes in a signaling network to prevent resistance and inhibit processes like angiogenesis and cell proliferation (Wilhelm, S. M., et al., 2006, Nature Reviews Drug Discovery). While targeting multiple pathways can enhance efficacy, it also complicates the understanding of the drug's precise mechanism and increases the likelihood of off-target toxicities. In structured pharmacological databases, this entry is generally considered incorrect or a placeholder because it does not represent a unique, identifiable protein or gene product.

Other names
Multi-targetPolypharmacological targetsNon-specific targetsBroad-spectrum targets
02

Mechanism of action

Simultaneous modulation of multiple distinct biological pathways, receptors, or enzymes to achieve a synergistic therapeutic effect.

03

Biological functions

Other
04

Disease associations

Other
05

Safety considerations

Off-target toxicityIncreased risk of adverse drug reactions due to broad activityDifficulty in identifying the specific driver of toxicityComplex drug-drug interactions
06

Interacting drugs

Sorafenib

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