Mini Reviews in Medicinal Chemistry - Online First
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1 - 20 of 42 results
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Inavolisib-based Combination Therapy for the Treatment of PIK3CA-Mutated HR+/HER2- Breast Cancer: An Overview
Authors: Sushmita Bhatia, Neha Bhatia and Suresh TharejaAvailable online: 24 February 2026More LessInavolisib is a selective phosphoinositide 3-kinase alpha (PI3Kα) inhibitor representing the next generation of anticancer drugs for the treatment of PIK3CA-mutated HR+/HER2- breast cancer. The dysregulated PI3K/AKT/mTOR signalling axis is an established mechanism of breast cancer progression and resistance to therapy, emphasizing the need for selective inhibitors that have both improved tolerance and efficacy. Inavolisib exhibits enhanced potency and selectivity for PI3Kα, resulting in superior antitumor activity and lower off-target effects than older generations of PI3K inhibitors. The present review provides a comprehensive discussion on inavolisib, covering its structure, pharmacokinetic properties, mechanism of action, and in vivo preclinical efficacy. The antitumor effects of combination strategies are also being highlighted for their potential to overcome endocrine resistance and optimize patient outcomes. Furthermore, it discusses the emerging resistance mechanisms to PI3K inhibition, mitigation of adverse effects, and future directions for inavolisib in personalized oncology. As studies continue to demonstrate its clinical utility, inavolisib exhibits preferential activity against the mutated PI3Kα isoform, thereby enhancing therapeutic specificity for combination therapy.
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New Therapeutic Options Against Clinically Relevant Proteases in Cancer Progression
Available online: 24 February 2026More LessProteases are key regulators in cancer progression and metastasis, representing promising therapeutic targets. This review underscores the critical role of diverse proteases—encompassing cell surface ectoproteases, extracellular proteases, and intracellular proteases—in tumor biology, with a focus on the most significant and clinically relevant ones. Their overexpression in tumors reflects their importance in cancer development, invasion, and drug resistance. Emerging research has unveiled novel strategies to target proteases for cancer therapy, offering hope for improved treatment outcomes. However, challenges, such as selectivity, drug delivery, and toxicity remain significant hurdles to overcome. This article discusses current advancements, challenges, and future opportunities in targeting proteases for cancer therapy.
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Chalcones as Multi-target Ligands for Alzheimer's Disease: A Review of Synthetic Strategies and Therapeutic Promise
Available online: 20 February 2026More LessIntroductionAlzheimer’s disease remains a multifactorial neurodegenerative disorder with limited therapeutic options. Chalcones, flavonoid-derived molecules with high structural flexibility and diverse biological activities, have emerged as promising candidates due to their ability to inhibit Aβ aggregation and cholinesterase activity. Recent research highlights their relevance as multi-target agents suitable for early-stage drug discovery.
MethodsThis review compiled and analyzed studies published between 2022 and 2025 on chalcones and their derivatives with anti-Alzheimer’s potential. Data were extracted regarding biosynthetic origins, synthetic strategies, physicochemical properties, and biological activities, including inhibitory potencies against AChE, MAO-B, and Aβ aggregation.
ResultsNumerous chalcone-based compounds exhibited significant activity against key Alzheimer’s disease targets, such as Aβ1-42 aggregation (up to 78.2% inhibition) and enzymatic inhibition (e.g., AChE IC50 = 11.6 nM; MAO-B IC50 = 92 nM). Their structural versatility enabled the identification of potent derivatives with multi-target effects, addressing oxidative stress, amyloid pathology, and cholinergic dysfunction.
DiscussionChalcones represent a privileged scaffold suitable for medicinal chemistry optimization, offering ease of synthesis and adaptable chemical space for structure–activity relationship exploration. Their multi-target nature aligns with the complexity of Alzheimer’s disease. However, challenges remain, including selectivity, pharmacokinetics, and translation from preclinical models to therapeutic relevance.
ConclusionChalcones and their derivatives show strong preclinical promise as multi-target agents for Alzheimer’s disease. Continued structural optimization and biological evaluation may advance these compounds toward disease-modifying therapies, supporting their potential role in future drug discovery efforts.
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A Comprehensive Update on the Anti-cancer and Anti-microbial Potential of Marine Organisms Derived Natural Products
Authors: Yash Kothari, Saikat Sasmal, Abhishek Suman, Sahil Kumar, Deepti Pandita and Viney LatherAvailable online: 26 January 2026More LessMarine organisms produce a diverse array of secondary metabolites with significant pharmacological potential, particularly in the development of anti-cancer, anti-microbial, anti-fungal, and anti-viral therapies. Despite challenges in isolation and cultivation, marine-derived compounds, such as Didemnin B, Psammaplin A, and Dolastatin, have shown promise in cancer treatment, while other metabolites exhibit potent activity against drug-resistant bacteria, fungi, and viruses. These compounds have excellent potential for treating various infections, for example, MRSA (eicosapentaenoic acid and fridamycin), Candida albicans (aurantoside K), and HIV-1 and HIV-2 (sulfoquinovosyl diacylglycerol). These unique compounds offer new avenues in drug discovery, addressing current limitations in traditional therapies. This review provides an overview of the pharmacological potential of marine organisms, focusing on their applications in overcoming drug resistance and developing novel treatments for cancer, infections, and viral diseases. Sustainable approaches for harvesting these compounds are essential for future research.
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Research Progress on Targeted Inhibition of Ferroptosis and Alzheimer's Disease Treatment
Authors: Annan Liu, Jianhui Li, Wei Gao, Xue Li, Jing Song, Liping Xing and Honglin LiAvailable online: 23 January 2026More LessAlzheimer's disease (AD) is a progressive neurodegenerative disease characterized by the formation of senile plaques and neurofibrillary fiber tangles. Studies have shown that increased regional iron loading in the brain, dysregulation of iron homeostasis in the body, oxidative stress, and protein and lipid oxidation are all involved in the pathogenesis of AD. Ferroptosis, an iron-dependent, lipid peroxidation-driven form of regulated cell death, is increasingly implicated in the pathological process of AD, and some new compounds targeting ferroptosis demonstrate therapeutic efficacy in both cellular and animal models of AD. Therefore, this article systematically summarizes recent advances in the role of ferroptosis in AD pathogenesis and highlights progress in targeting ferroptosis for AD treatment, providing insights for future therapeutic and preventive strategies.
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Research Hotspots and Trends of Artificial Intelligence in Drug Discovery: A Review and Bibliometric Analysis
Authors: Jiefu Qu, Shangyu Ju, Mengjie Zhang, Renfang Yin, Li Zhang, Jing Zhang, Yanli Pan, Lin Wang and Yang LiuAvailable online: 22 January 2026More LessThe drug discovery process is highly intricate and complex. Driven by unprecedented advances in AI technology, the application of artificial intelligence in drug discovery (AIDD) is showing significant growth, and AIDD has the potential to fundamentally change and revolutionize traditional drug development models in the foreseeable future. We selected 7061 literature studies on artificial intelligence used in drug discovery from the Web of Science Core Collection database from 2000 to 2024, and adopted bibliometric tools, such as Citespace, VOSviewer, and RStudio, to select nodes for knowledge graph generation and visualization analysis by using country, institution, author, and keywords. The results showed that from 2017 to 2024, the literature on the use of artificial intelligence for drug discovery exploded, with the United States having the largest number of papers, and China's number of papers growing rapidly and surpassing the United States in the last two years. Molecular docking, virtual screening, algorithm optimization, interpretable AIDD, protein language modeling, drug targets, and protein interaction prediction were found to be the research hotspots in this field in recent years. AI has been widely used in the field of drug research and development. Based on the quantitative analysis of the literature on the use of artificial intelligence in drug discovery, this paper has revealed the current research status in this field, clarified the current research hotspots and future research trends, and provided certain references for researchers to plan future research directions.
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Critical Relationship Between Iron Deficiency Anaemia (IDA) and Glycated Haemoglobin (HbA1c): An Updated Review
Authors: Ibrahim Mahmood, Ammar Hamza, Shazrul Fazry, Douglas Law, Partha Dutta Dutta and Ahmed NajmAvailable online: 22 January 2026More LessIntroductionThis review explores the complex relationship between Iron Deficiency Anaemia (IDA) and glycated haemoglobin (HbA1c) levels, a critical marker for diabetes mellitus. The objective is to evaluate how IDA influences HbA1c measurements and its implications for diabetes diagnosis and management, particularly in populations with high IDA prevalence.
MethodsA narrative mini-review was conducted, synthesizing evidence from studies identified through PubMed, MEDLINE, and Google Scholar. The search focused on English-language articles published between 1982 and 2024, adhering to PRISMA guidelines. Studies were selected based on their relevance to IDA and HbA1c, with 57 articles meeting the inclusion criteria after rigorous screening.
ResultsThe review revealed conflicting findings: some studies reported elevated HbA1c levels in IDA patients independent of glycemic status, potentially leading to diabetes overdiagnosis, while others found no significant association. Proposed mechanisms included altered erythrocyte turnover, structural haemoglobin modifications, and oxidative stress-induced glycation. Iron replacement therapy was shown to normalize HbA1c levels in many cases, underscoring the importance of addressing iron status in diabetic patients with concomitant anaemia.
DiscussionThe findings highlight the need for cautious interpretation of HbA1c results in IDA patients, especially in high-risk groups like premenopausal women. Alternative glycemic markers, such as glycated albumin or fructosamine, may be valuable in such scenarios. Methodological variations in HbA1c measurement and population differences were identified as key confounding factors.
ConclusionThe study underscores the intricate interplay between IDA and HbA1c, emphasizing the necessity of considering iron status in diabetes diagnosis and management. Future research should focus on standardizing assessment protocols and elucidating the molecular pathways linking iron metabolism to haemoglobin glycation. These insights are crucial for improving diagnostic accuracy and therapeutic outcomes in affected populations.
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The Therapeutic Promise of Kojic Acid: A Comprehensive Review
Authors: Dau Ram, Chandrabose Karthikeyan, Pranay Soni and N.S. Hari Narayana MoorthyAvailable online: 22 January 2026More LessThe method of discovering new drugs is costly, time-consuming, laborious, and associated with a high failure rate. Various techniques have been applied in modern drug discovery to resolve these issues and discover novel pharmacologically active agents. Natural products are one of the sources of drugs that have long been used to treat various illnesses. Kojic acid (KA) is a naturally produced bioactive chemical with a 3-hydroxy-4-pyranone skeleton made by numerous aerobic microbes, such as Aspergillus and Penicillium. KA is a potent tyrosinase inhibitor used in cosmetics to lighten skin by reducing hyperpigmentation. In this review, beyond its cosmetic applications, it exhibits versatile biological activities, including anticancer, antibacterial, antifungal, antioxidant, antiviral, anti-inflammatory, anticonvulsant, anti-Alzheimer's disease, antidiabetic, and metal-chelating properties. KA and its analogs have been reported as promising radioprotective agents capable of mitigating the harmful effects of ionizing radiation. By integrating KA with pharmacologically active scaffolds, researchers have developed potent hybrids, such as amino-chloroquinoline-KA derivatives, which demonstrate vigorous β-hematin inhibitory activity and significant efficacy against both delicate and resilient strains of P. falciparum to chloroquine. The approach taken to prepare this review article involved collecting, assessing, and synthesizing relevant literature from different databases. This review systematically explores the comprehensive therapeutic potential of KA and its derivatives, including Mannich base, thiazoles, and 1,2,3-triazoles, for various activities, with Michael Adducts and dinuclear ruthenium complexes which exhibits promising antitumor activity. Combining current knowledge will provide a comprehensive foundation for the rational design and development of clinically relevant agents based on KA pharmacophores.
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A Mini Review on Metal Complexes as Potential Anti-SARS-CoV-2 Agents: Insights from Molecular Docking Studies
Authors: Endamuri Sai Vineeth, Smit Saha and Venkata Bharat NishtalaAvailable online: 22 January 2026More LessThere is an urgent need to develop effective antiviral treatments against SARS-CoV-2. Despite the availability of vaccines, drug discovery remains critical for combating emerging variants. Molecular docking studies have become a vital computational tool for identifying antiviral drugs capable of inhibiting different SARS-CoV-2 proteins. This review explores the role of metal complexes as promising viral inhibitors through in silico molecular docking approaches. The binding abilities of several coordination complexes derived from iron, copper, palladium, and zinc ions have been evaluated against major viral proteins such as the spike glycoprotein, RNA-dependent RNA polymerase (RdRp), and the main protease (Mpro), which are responsible for viral infection. Comparative docking studies of specific metal-based compounds with conventional antiviral drugs highlight their superior binding affinities and inhibitory potential. Furthermore, ADME (Absorption, Distribution, Metabolism, and Excretion) analyses, molecular dynamics simulations, and drug-delivery strategies are discussed to assess pharmacokinetics and therapeutic viability. Overall, this review emphasizes the importance of molecular docking in the rational design of metal complexes as antiviral agents and its relevance for developing effective therapeutic strategies to combat COVID-19.
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Tumor-embedded Immunity and TRM Cell Functions in Cancer
Authors: Khadija Younas, Ashiq Ali, Aisha Khatoon, Mohsan Ullah, Kaynaat Akbar and Isra NoorAvailable online: 22 January 2026More LessIn the ongoing battle between the immune system and cancer, a unique subset of T cells has quietly emerged as a key player. Tissue-Resident Memory T (TRM) cells, strategically positioned within tissues, are redefining our understanding of localized immune defense and tumor control. This review aims to bridge this knowledge gap by synthesizing current concepts of T cell immune surveillance with foundational aspects of TRM cell biology. We explored clinical evidence supporting the prognostic and therapeutic relevance of TRM cells in various cancer contexts, including their emerging roles in enhancing responses to immunotherapy. Furthermore, we discussed innovative strategies that exploit TRM-phenotype cells for patient stratification, disease staging, and therapeutic development. Key challenges such as the absence of standardized T cell nomenclature and the limited understanding of how TRM markers relate to tumor biology are critically examined. By integrating basic science and clinical observations, this review provides a comprehensive overview of the field and highlights promising avenues for future research to harness TRM cells in precision oncology.
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Nanotechnology Meets Phytotherapy: A Comprehensive Review of Berberine in Cancer
Authors: Istuti Saraswat, Anjana Goel and Jyoti GuptaAvailable online: 22 January 2026More LessCancer continues to pose a worldwide health concern, requiring breakthrough therapeutic approaches that are both efficacious and minimally intrusive. Berberine, a natural isoquinoline alkaloid, has attracted considerable interest due to its various pharmacological features, particularly its strong anticancer effects. Nonetheless, its clinical application has been impeded by inadequate bioavailability, rapid metabolism, and systemic elimination. Recent breakthroughs in nanotechnology have mitigated these issues by creating BBR nanoparticles (BBR NPs), which provide increased solubility, precise delivery, and higher therapeutic efficacy. This paper extensively examines BBR and its nanoparticle forms for cancer treatment. The mechanisms of action, including apoptosis induction, tumour angiogenesis inhibition, antimetastatic effects, and oxidative stress modulation, are thoroughly examined. Essential synthesis approaches for BBR nanoparticles, including chemical reduction, green synthesis, and encapsulation in nanocarriers, are discussed together with their characterization methodologies. The report emphasizes comparative studies that illustrate the enhanced antitumor efficacy of BBR nanoparticles compared to free BBR in preclinical settings. Notwithstanding encouraging results, nanoparticle stability, scalability, and regulatory obstacles must be resolved for effective clinical translation. Future directions are examined, encompassing advancements in nanoparticle design and their prospective incorporation into personalized oncology. This review highlights the transforming potential of BBR and its nanoformulations as a novel therapeutic approach in cancer treatment.
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Human P53 Expression in Yeast: Investigating Its Apoptotic Effects
Available online: 22 January 2026More LessSince its discovery in 1979, the tumor suppressor p53 has been widely studied and expressed in various organisms, including yeast. Yeast has proven to be a very informative model and an effective system for studying the roles and functions of this protein and gene. This review is a compilation of our team's studies involving p53 expression in yeast. These researches investigated certain aspects, essentially the apoptotic function of p53. Our main contribution to the study and understanding of the p53 gene in the yeast context is the confirmation of a negative effect of p53 on cell growth in both Saccharomyces cerevisiae and Pichia pastoris strains, which ultimately led to apoptotic cell death. This involves a high dose of p53 and the NLS signal, which enables p53 to target both the mitochondria and the nucleus. Prior to that, obtaining the whole protein required a cDNA without its UTR. Thus, a yeast model was developed, allowing verification of p53 activity. Cancer mutants and their revertants could thereby be assessed. This has evolved into a real antioxidant/anti-apoptotic molecular screening mechanism. Two primary applications were achieved: testing the co-expression with the thioredoxin 2 gene (TRX2) and assessing the impact of Nigella sativa seed extracts. Furthermore, the high yield of yeast P53 production allowed its use in serological cancer diagnosis.
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Unraveling the Multifunctional Therapeutic Potential of Topsentin: A Marine-derived Versatile Scaffold
Authors: Navin Kumar Tailor and Sandeep Kumar SinghAvailable online: 20 January 2026More LessNatural products (NPs) have long served as a rich inspirational source for drug discovery and development, offering diverse chemical structures and biological activities. Among these, topsentin, a marine alkaloid derived from marine sponges, has emerged as a promising scaffold due to its remarkable pharmacological properties and structural versatility. This review explores the significance of topsentin and its derivatives in drug discovery efforts. It discusses the diverse biological activities of topsentin and its analogs, including anticancer, antimicrobial, anti-inflammatory, and antiviral properties, highlighting their potential therapeutic applications. Moreover, it also focuses on the structural features of topsentin that contribute to its pharmacological profile, emphasizing its importance in the design and development of novel therapeutic agents. Structural modifications and synthetic strategies employed to enhance the pharmacological properties of topsentin derivatives are also discussed. Overall, this review underscores the significance of topsentin as a promising scaffold in drug discovery.
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Advances in Fragment-based Drug Design: Lessons and Innovations from the Post-COVID Drug Discovery Landscape
Authors: Vatan Chaudhary, Atul Pratap Singh, Himanchal Sharma and Dhananjay TaumarAvailable online: 15 January 2026More LessFragment-based drug discovery (FBDD) has emerged as a transformative strategy in modern medicinal chemistry, offering a rational and efficient alternative to traditional high-throughput screening (HTS). By utilizing small, low-molecular-weight fragments with moderate binding affinity, FBDD enables systematic optimization into potent lead compounds with improved physicochemical properties. Its modular and ligand-centric nature has proven particularly advantageous in accelerating early-stage drug discovery. The COVID-19 pandemic highlighted the adaptability of FBDD, as fragment screening and computational modeling rapidly identified inhibitors of the SARS-CoV-2 main protease (Mpro). Integration with artificial intelligence (AI) and cloud-based platforms further enhanced the speed and global accessibility of fragment campaigns, setting a precedent for collaborative, open-science initiatives. Beyond infectious diseases, FBDD has demonstrated significant promise in oncology, antibacterial therapy, and neurodegenerative disorders, reflecting its versatility across diverse therapeutic landscapes. Recent technological advances have expanded the scope of FBDD. High-resolution cryo-electron microscopy and AI-driven structural prediction now enable the exploration of previously inaccessible or dynamic protein targets. Emerging modalities, such as PROTACs and RNA-targeted therapeutics, also intersect with fragment-based strategies, opening avenues for addressing so-called “undruggable” proteins. Despite persistent challenges, including the need for sensitive biophysical methods and sophisticated infrastructure, the approach continues to evolve. Looking ahead, the convergence of FBDD with machine learning, open-access fragment libraries, and global research collaboration positions it as a scalable, adaptive platform for drug discovery. As future health threats demand rapid innovation, FBDD is poised to remain a cornerstone of both academic and industrial research pipelines.
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Bitter Compounds as Multifunctional Agents against Diabetes-associated Cognitive Dysfunction: Bridging Metabolic Regulation and Neuroprotection
Available online: 12 January 2026More LessThe increasing prevalence of diabetes-associated cognitive dysfunction (DACD), driven by accelerated aging and unhealthy lifestyles, poses a significant global public health challenge. The current understanding of DACD pathogenesis remains incomplete, and effective interventions are lacking, underscoring the urgent need to elucidate its mechanisms and develop targeted therapies. Recent studies highlight bitter compounds as promising multifunctional agents due to their well-documented metabolic regulation, neuroprotection, broad availability, and established safety in the management of diabetes mellitus (DM). This review outlines established mechanisms of pathogenicity in DACD and summarizes the pharmacological effects of bitter compounds. These effects include anti-inflammatory actions, reduced oxidative stress, and improvements in mitochondrial dysfunction. Bitter compounds can also lower blood glucose levels, reduce advanced glycation end products (AGEs), and increase insulin sensitivity.
Additionally, they modulate gastrointestinal hormones and the gut microbiota, contributing to metabolic regulation and neuroprotection. By decreasing amyloid-beta (Aβ) deposition and inhibiting tau hyperphosphorylation, bitter compounds address metabolic and memory impairments associated with DACD. Despite their potential, challenges such as low bioavailability, target specificity, and interspecies variability hinder their clinical translation. Future research should prioritize interdisciplinary collaboration, advanced delivery systems (e.g., nanocarriers), and rigorous preclinical/clinical validation to optimize therapeutic efficacy. This work provides critical insights into the use of bitter compounds as novel candidates for DACD prevention and treatment.
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Exploring the Potential of Coumarin as a Potent Antitubercular Agent
Available online: 07 January 2026More LessIntroductionTuberculosis (TB), caused by the Mycobacterium tuberculosis complex, affects nearly 10 million people annually and remains the second-deadliest infectious disease after HIV/AIDS. The rise of multidrug-resistant (MDR-TB) and extensively drug-resistant (XDR-TB) strains has reduced the efficacy of existing therapies, underscoring the urgent need for novel therapeutic scaffolds. Coumarins, naturally occurring oxygenated heterocycles with diverse pharmacological activities, have emerged as promising candidates for anti-TB drug discovery due to their structural versatility.
MethodsA systematic search was conducted in Scopus, Web of Science, PubMed, Google Scholar, Scielo, and ScienceDirect using terms such as “coumarin anti-tuberculosis,” “coumarin MIC,” and “coumarin derivatives Mycobacterium.” Eligible studies included natural, semi-synthetic, and synthetic coumarin derivatives with structural characterization, drug-likeness, and ADME-Tox compliance. In vitro studies focused on standard and resistant M. tuberculosis strains, while in vivo data were included from healthy animal models under ethical conditions. Clinical studies were considered for adults with confirmed pulmonary TB. Exclusion criteria encompassed unstable, toxic, and poorly soluble compounds, non-compliant animal models, and patients with significant comorbidities or treatment non-adherence.
ResultsNatural coumarins such as scopoletin (MIC: 42 μg/mL) and indicanine B (MIC: 18.5 μg/mL) demonstrated moderate inhibition, while ferulenol and murralonginol derivatives showed weaker activity. Semi-synthetic modifications produced moderate improvements in potency, whereas synthetic conjugates exhibited the strongest effects. Coumarin–oxime (MIC: 0.04 μg/mL), pyrimidine (0.05 μg/mL), and thiazoline derivatives (0.09 μg/mL) surpassed isoniazid in vitro. Structural features such as oxime groups, triazole linkages, and halogen or methyl substitutions were associated with enhanced efficacy.
DiscussionThese findings highlight coumarins as valuable scaffolds for novel anti-TB agents. SAR insights provide a roadmap for rational drug design, although limited in vivo and clinical evidence necessitates further validation.
ConclusionCoumarin derivatives, particularly synthetically optimized conjugates, exhibit potent anti-TB activity and represent a promising platform for combating MDR- and XDR-TB.
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A Comprehensive Review of Designing and Synthetic Aspects of Pyrazolopyrimidine Derivatives as Anticancer Agents
Available online: 07 January 2026More LessBackgroundPyrazolopyrimidines are a fascinating class of heterocyclic compounds that have attracted considerable interest for their potential in cancer therapy. Their unique scaffold allows flexible chemical modifications, enabling them to interact with various cancer-related proteins—especially kinases that regulate tumor growth and survival.
ObjectiveThis review highlights recent advancements in the design, synthesis, and biological evaluation of pyrazolopyrimidine derivatives, emphasizing their role as targeted anticancer agents.
MethodsWe analyzed recent literature (2000–2025) covering synthetic strategies, anticancer targets, in silico studies on anticancer targets and their mechanisms, off-target mechanisms, and patent information. The review also focuses on how these methods guide the optimization of Structure–Activity Relationships (SAR) and improve compound efficacy.
ResultsNumerous pyrazolopyrimidine derivatives demonstrated significant anticancer activity across various cell lines, including breast, liver, colorectal, and haematological malignancies. Mechanistic investigations revealed that these derivatives target key oncogenic pathways, such as CDKs, EGFR (including resistant mutants), mTOR, TOPO II, and HDACs. They exert anticancer effects by inducing apoptosis, arresting cells at S or M phases, and downregulating proliferation markers. Several studies also report favourable selectivity for cancer cells, improved bioavailability, and metabolic stability, supporting their drug-like properties.
DiscussionWhen rational drug-design approaches such as molecular docking, DFT calculations, and ADME profiling are considered together, pyrazolopyrimidine derivatives stand out as particularly promising multi-target anticancer agents. Across multiple studies, several compounds display anticancer activities that are comparable to, and occasionally stronger than, those of standard chemotherapeutic drugs like doxorubicin and cisplatin. Importantly, these effects are often accompanied by better selectivity toward cancer cells, suggesting a potential safety advantage. A noteworthy strength of this scaffold is its ability to target clinically relevant resistance pathways, including P-glycoprotein–mediated drug efflux and EGFR T790M mutations, which frequently limit the effectiveness of current therapies. While their ATP-mimetic binding mode allows interaction with a broad range of kinases, it also underscores the need for careful optimization to improve target selectivity and reduce unintended interactions. Although the available in vitro results and early in vivo studies indicate meaningful tumor growth inhibition with minimal toxicity, further work is clearly needed. Detailed pharmacokinetic, pharmacodynamic, and long-term toxicological studies will be essential before these compounds can be realistically advanced toward clinical application.
ConclusionPyrazolopyrimidines represent a versatile and promising class with strong in vivo efficacy, selectivity, and a favorable toxicity profile. Their ability to engage multiple targets and overcome resistance highlights their potential for integration in oncology. However, further systematic in vivo and clinical studies are essential to translate their potential into therapeutic success.
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Breast Cancer: Challenges in the Treatment and Prodrug Strategies
Authors: Manisha Nitin Veer and Neela Manish BhatiaAvailable online: 07 January 2026More LessBreast cancer (BC) remains a leading cause of mortality worldwide, with treatment complicated by tumor heterogeneity, drug resistance, and therapy-related toxicities. Despite advances in chemotherapy, immunotherapy, and surgery, these challenges continue to limit therapeutic outcomes. Among emerging strategies, prodrugs have shown promise. These pharmacologically inactive compounds are designed to undergo enzymatic or chemical conversion in the body, releasing the active drug selectively in target tissues, thereby improving drug delivery, enhancing efficacy, and reducing systemic toxicity. Prodrug strategies targeting specific molecular features of tumors, such as the tumor microenvironment (TME), offer potential solutions to issues like poor drug solubility and bioavailability. Combining prodrugs with other therapeutic modalities, including immunotherapy and precision medicine, is actively being investigated to overcome drug resistance and enhance treatment response. Nevertheless, challenges remain, including the complexity of designing prodrugs that can be efficiently activated within the TME, as well as scalability and manufacturing costs. Future research leveraging nanotechnology, personalized medicine, and artificial intelligence-driven drug discovery is expected to drive innovations in prodrug-based therapies. Integrating these approaches may enable more effective and individualized treatments for BC, particularly in cases refractory to conventional therapies. This review highlights the current status, challenges, and future directions of prodrug development in breast cancer therapy, underscoring their potential to transform the treatment landscape.
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Potential of Small Molecule TAAR-1 Agonists for the Therapy of Neurodegenerative Psychosis: A Medicinal Chemistry Perspective
Authors: Sandipan Dash, Sheik Shehensha and Arghya Kusum DharAvailable online: 02 January 2026More LessThis comprehensive review critically evaluates the emerging therapeutic potential of small-molecule Trace Amine-Associated Receptor 1 (TAAR-1) agonists as a novel, disease-modifying strategy for neurodegenerative psychosis. From a medicinal chemistry perspective, we assess Structure-Activity Relationship (SAR) data across a broad spectrum of chemotypes, including thyronamine analogues, pyrimidinone-benzimidazoles, guanfacine derivatives, thiophene-dihydropyran (Ulotaront), piperidine-carboxamides, sulfonamides, and biguanides. Our analysis establishes a unified strutural model centered on four essential structural elements, such as (1) a protonatable primary or secondary amine crucial for forming a salt bridge with the conserved Asp103 residue, (2) an aromatic or heteroaromatic core enabling pivotal π-stacking interactions with key hydrophobic residues (Phe186, Phe195, Trp264, Phe267, Phe268), (3) compact, meta-substituted hydrophobic groups (e.g., methyl, chloro, isopropyl) that optimally occupy subpockets defined by Ile104, Ile290, or Val184, and (4) a strong preference for (S)-enantiomers to maximize binding complementarity. The compiled SAR reveals that agonist potency (EC50 values in the nM to μM range) and selectivity are critically dependent on these features, with auxiliary hydrogen-bond acceptors or donors (e.g., near Ser107 or Tyr294) further stabilising the active receptor conformation. Conversely, structural deviations such as ortho-substitution, bulky N-alkylation, or R-enantiomers significantly compromise activity. Strategic bioisosteric replacements, such as methylene bridges and aminoethoxy chains, are highlighted for their role in enhancing metabolic stability. This robust pharmacophore underpins the rational design of advanced clinical candidates like Ulotaront, which demonstrate dual neuroprotective and symptomatic benefits over conventional antipsychotics, offering a clear roadmap for the development of next-generation TAAR-1-targeted therapeutics for complex neuropsychiatric disorders.
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