# Current Computational Approaches for the Discovery of Novel Anticancer Agents Targeting VEGFR and SIRT Signaling Pathways

**Authors:** Aleksandra Ilic, Selma Zukic, Slavica Oljacic, Uko Maran, Katarina Nikolic, Marija Popovic-Nikolic

PMC · DOI: 10.3390/pharmaceutics18020273 · Pharmaceutics · 2026-02-22

## TL;DR

This review explores how computational methods can help design new cancer drugs that target VEGFR and SIRT pathways for better treatment outcomes.

## Contribution

The paper introduces the use of dual-target inhibitors for VEGFR and SIRT pathways using computational drug design techniques.

## Key findings

- VEGFR and SIRT pathways play key roles in cancer progression and immune response.
- Dual-target inhibitors show potential to improve therapeutic outcomes by targeting both pathways simultaneously.
- CADD enables efficient design of novel chemotypes for epigenetic dual-target inhibitors.

## Abstract

Numerous scientific studies highlight the crucial role of common genetic and epigenetic factors in the development and progression of cancer. To deepen our understanding of how different VEGFR and epigenetic pathways interact in carcinogenesis, the current review examines novel therapeutic agents that target various molecular mechanisms involved in this complex disease. Growing evidence from scientific studies suggests that VEGFR and epigenetic signaling pathways contribute to complex pathophysiological changes in cancer. Therefore, simultaneously targeting VEGFR and epigenetic factors, such as sirtuins, by developing dual inhibitors could provide more individualized therapeutic approaches with safer and more effective outcomes. In this context, Computer-Aided Drug Design (CADD) offers a comprehensive suite of bioinformatic, chemoinformatic, and chemometric approaches to design novel chemotypes of epigenetic dual-target inhibitors. This facilitates the efficient discovery of new drug candidates, enabling innovative treatments for these multifactorial diseases. The review also explores the detailed anticancer mechanisms by which VEGFR, SIRT, and dual-target inhibitors modify metastatic and tumorigenic properties, affect the tumor microenvironment, and regulate the immune response.

## Linked entities

- **Proteins:** KDR (kinase insert domain receptor), sirT (Thioredoxin reductase sirT)
- **Diseases:** cancer (MONDO:0004992)

## Full-text entities

- **Genes:** FLT4 (fms related receptor tyrosine kinase 4) [NCBI Gene 2324] {aka CHTD7, FLT-4, FLT41, LMPH1A, LMPHM1, PCL}, SIRT3 (sirtuin 3) [NCBI Gene 23410] {aka SIR2L3}, RAF1 (Raf-1 proto-oncogene, serine/threonine kinase) [NCBI Gene 5894] {aka CMD1NN, CRAF, NS5, Raf-1, c-Raf}, EGFR (epidermal growth factor receptor) [NCBI Gene 1956] {aka ERBB, ERBB1, ERRP, HER1, NISBD2, NNCIS}, ERBB2 (erb-b2 receptor tyrosine kinase 2) [NCBI Gene 2064] {aka CD340, HER-2, HER-2/neu, HER2, MLN 19, MLN-19}, PIK3CB (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta) [NCBI Gene 5291] {aka P110BETA, PI3K, PI3KBETA, PIK3C1}, SLTM (SAFB like transcription modulator) [NCBI Gene 79811] {aka Met}, ZHX2 (zinc fingers and homeoboxes 2) [NCBI Gene 22882] {aka AFR1, RAF}, CA9 (carbonic anhydrase 9) [NCBI Gene 768] {aka CAIX, MN}, CD274 (CD274 molecule) [NCBI Gene 29126] {aka ADMIO5, B7-H, B7H1, PD-L1, PDCD1L1, PDCD1LG1}, PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) [NCBI Gene 5290] {aka CCM4, CLAPO, CLOVE, CWS5, HMH, MCAP}, EPHX2 (epoxide hydrolase 2) [NCBI Gene 2053] {aka ABHD20, CEH, SEH}, HDAC6 (histone deacetylase 6) [NCBI Gene 10013] {aka CPBHM, HD6, JM21, KDAC6, PPP1R90}, BRAF (B-Raf proto-oncogene, serine/threonine kinase) [NCBI Gene 673] {aka B-RAF1, B-raf, BRAF-1, BRAF1, NS7, RAFB1}, HDAC1 (histone deacetylase 1) [NCBI Gene 3065] {aka GON-10, HD1, KDAC1, RPD3, RPD3L1}, TP53 (tumor protein p53) [NCBI Gene 7157] {aka BCC7, BMFS5, LFS1, P53, TRP53}, CYP19A1 (cytochrome P450 family 19 subfamily A member 1) [NCBI Gene 1588] {aka ARO, ARO1, CPV1, CYAR, CYP19, CYPXIX}, SIRT1 (sirtuin 1) [NCBI Gene 23411] {aka SIR2, SIR2L1, SIR2alpha}, VEGFA (vascular endothelial growth factor A) [NCBI Gene 7422] {aka L-VEGF, MVCD1, VEGF, VPF}, PTK2B (protein tyrosine kinase 2 beta) [NCBI Gene 2185] {aka CADTK, CAKB, FADK2, FAK2, PKB, PTK}, MAPK1 (mitogen-activated protein kinase 1) [NCBI Gene 5594] {aka ERK, ERK-2, ERK2, ERT1, MAPK2, NS13}, SRC (SRC proto-oncogene, non-receptor tyrosine kinase) [NCBI Gene 6714] {aka ASV, SRC1, THC6, c-SRC, p60-Src}, PTK2 (protein tyrosine kinase 2) [NCBI Gene 5747] {aka FADK, FADK 1, FAK, FAK1, FRNK, PPP1R71}, MYC (MYC proto-oncogene, bHLH transcription factor) [NCBI Gene 4609] {aka MRTL, MYCC, bHLHe39, c-Myc}, KDR (kinase insert domain receptor) [NCBI Gene 3791] {aka CD309, FLK1, VEGFR, VEGFR2}, HDAC2 (histone deacetylase 2) [NCBI Gene 3066] {aka HD2, KDAC2, RPD3, YAF1}, AKT1 (AKT serine/threonine kinase 1) [NCBI Gene 207] {aka AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA}, FGFR1 (fibroblast growth factor receptor 1) [NCBI Gene 2260] {aka BFGFR, CD331, CEK, ECCL, FGFBR, FGFR-1}, FLT1 (fms related receptor tyrosine kinase 1) [NCBI Gene 2321] {aka FLT, FLT-1, VEGFR-1, VEGFR1}, SIRT2 (sirtuin 2) [NCBI Gene 22933] {aka SIR2, SIR2L, SIR2L2}, PDCD1 (programmed cell death 1) [NCBI Gene 5133] {aka ADMIO4, AIMTBS, CD279, PD-1, PD1, SLEB2}, HDAC9 (histone deacetylase 9) [NCBI Gene 9734] {aka HD7, HD7b, HD9, HDAC, HDAC7B, HDAC9B}, PDGFRB (platelet derived growth factor receptor beta) [NCBI Gene 5159] {aka CD140B, IBGC4, IMF1, JTK12, KOGS, OPDKD}, MET (MET proto-oncogene, receptor tyrosine kinase) [NCBI Gene 4233] {aka AUTS9, DA11, DFNB97, HGFR, RCCP2, c-Met}
- **Diseases:** CADD (MESH:C000719218), TNBC (MESH:D064726), hypoxic tumors (MESH:D002534), breast cancer (MESH:D001943), carcinogenesis (MESH:D063646), hepatocellular carcinoma (MESH:D006528), neurological disorders (MESH:D009461), eye disease (MESH:D005128), hematological malignancies (MESH:D019337), infectious diseases (MESH:D003141), hypoxia (MESH:D000860), PDAC (MESH:D021441), neurodegenerative diseases (MESH:D019636), injury to (MESH:D014947), metastasis (MESH:D009362), metabolic syndrome (MESH:D024821), cervical cancer (MESH:D002583), tumorigenic (MESH:D002471), cardiovascular diseases (MESH:D002318), Cancer (MESH:D009369), SBDD (MESH:D019292), diabetes (MESH:D003920), toxicity (MESH:D064420)
- **Chemicals:** imidazole (MESH:C029899), sunitinib (MESH:D000077210), 3'-O-acetylhamaudol (MESH:C531008), ATP (MESH:D000255), Salermide (MESH:C539427), triazole (MESH:D014230), amide (MESH:D000577), benzoxazole (MESH:D001583), F (MESH:D005461), Gln (MESH:D005973), nicotinamide (MESH:D009536), cysteine (MESH:D003545), aurones (MESH:C486837), quinazoline (MESH:D011799), Lenvatinib (MESH:C531958), Cabozantinib (MESH:C558660), fluvastatin sodium (MESH:D000077340), thiophene (MESH:D013876), sphingolipid (MESH:D013107), naphthalene (MESH:C031721), halogen (MESH:D006219), thieno[2,3-d]pyrimidine (MESH:C000601850), NAD+ (MESH:D009243), benzimidazole (MESH:C031000), thiourea (MESH:D013890), Hydrogen (MESH:D006859), indazole (MESH:D007191), sorafenib (MESH:D000077157), benzamide (MESH:C037689), indole (MESH:C030374), Nintedanib (MESH:C530716), pyrazine (MESH:D011719), lavendustin A (MESH:C062898), aniline (MESH:C023650), pyrimidine (MESH:C030986), 4-amino-2-thiopyrimidines (MESH:C000712073), Sirtinol (MESH:C439060), methyl methacrylate (MESH:D020366), arctigenin (MESH:C071942), 9-aminoacridine (MESH:D000585), acridine (MESH:D000166), aminopyrimidines (MESH:C012180), 4-(benzofuran-6-yloxy)quinazoline (-), axitinib (MESH:D000077784), pyridine (MESH:C023666), 2-aminobenzimidazole (MESH:C027391), 4-anilinoquinazoline (MESH:C000628010), benzofuran (MESH:C105430), EX527 (MESH:C550547), Br (MESH:D001966), oxygen (MESH:D010100), zinc (MESH:D015032), SAHA (MESH:D000077337), vandetanib (MESH:C452423), RK-9123016 (MESH:C000613647), nitrogen (MESH:D009584), fruquintinib (MESH:C000591844), thienopyrrole (MESH:C521801), His (MESH:D006639), N-hydroxybenzamide (MESH:C006696)
- **Species:** Mus musculus (house mouse, species) [taxon 10090], Homo sapiens (human, species) [taxon 9606]
- **Mutations:** serine/threonine, BRAFV600E
- **Cell lines:** MCF-7 — Homo sapiens (Human), Invasive breast carcinoma of no special type, Cancer cell line (CVCL_0031)

## Full text

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## Figures

9 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12944635/full.md

## References

148 references — full list in the complete paper: https://tomesphere.com/paper/PMC12944635/full.md

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Source: https://tomesphere.com/paper/PMC12944635