Structure and dynamics of molecular networks: A novel paradigm of drug discovery. A comprehensive review

TL;DR

This comprehensive review discusses how network analysis of molecular systems can revolutionize drug discovery by identifying new targets and strategies, improving efficacy, and reducing side effects across various diseases.

Contribution

It provides an extensive assessment of network-based tools and strategies for drug target identification, proposing a unified protocol for network-aided drug development.

Findings

Network techniques assist in identifying single-target and multi-target drug candidates.

Successful examples include treatments for infections, cancer, and neurodegenerative diseases.

A proposed protocol optimizes drug development using systems-level network analysis.

Abstract

Despite considerable progress in genome- and proteome-based high-throughput screening methods and in rational drug design, the increase in approved drugs in the past decade did not match the increase of drug development costs. Network description and analysis not only give a systems-level understanding of drug action and disease complexity, but can also help to improve the efficiency of drug design. We give a comprehensive assessment of the analytical tools of network topology and dynamics. The state-of-the-art use of chemical similarity, protein structure, protein-protein interaction, signaling, genetic interaction and metabolic networks in the discovery of drug targets is summarized. We propose that network targeting follows two basic strategies. The central hit strategy selectively targets central nodes/edges of the flexible networks of infectious agents or cancer cells to kill them. The network influence strategy works against other diseases, where an efficient reconfiguration of rigid networks needs to be achieved by targeting the neighbors of central nodes or edges. It is shown how network techniques can help in the identification of single-target, edgetic, multi-target and allo-network drug target candidates. We review the recent boom in network methods helping hit identification, lead selection optimizing drug efficacy, as well as minimizing side-effects and drug toxicity. Successful network-based drug development strategies are shown through the examples of infections, cancer, metabolic diseases, neurodegenerative diseases and aging. Summarizing more than 1200 references we suggest an optimized protocol of network-aided drug development, and provide a list of systems-level hallmarks of drug quality. Finally, we highlight network-related drug development trends helping to achieve these hallmarks by a cohesive, global approach.