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The term "Whole cells" refers to the use of intact, living cellular systems as the focus of pharmacological evaluation, typically within phenotypic drug discovery frameworks [1, 2]. Unlike target-based approaches that focus on a specific isolated protein or enzyme, whole-cell assays measure the complex biological response of an organism to a compound in a physiologically relevant environment [3, 4]. This designation is commonly used in biological databases to categorize drugs and screens where the specific molecular mechanism of action is either unknown or involves the orchestration of multiple pathways [11, 13]. While whole-cell screening is highly effective for discovering compounds that are cell-permeable and biologically active, it is not a discrete molecular target but rather a system-level model [5]. Consequently, it is often viewed as a non-specific or "incorrect" target entry in molecular drug databases because it lacks the specificity required for precision pharmacology [11, 13]. The use of whole cells as a primary focus has historically led to the discovery of major therapies, including various antibiotics and immunosuppressants, by focusing on global outcomes such as growth inhibition or apoptosis [1, 5]. However, this approach presents significant challenges in determining exact structure-activity relationships and assessing potential off-target safety risks during development [4, 5].
Drugs categorized under this target typically act via phenotypic modulation, where the specific molecular targets are often unknown or involve multiple pathways that collectively produce a therapeutic effect like cell death or growth arrest [1, 3, 13].
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