Timo Risch, Benedikt Hellwinkel, Dietrich Mostert, Andreas M Kany, Danny Solga, Tim Seedorf, Dominik Heimann, Jessica Hoppstädter, Daniel Kohnhäuser, Jil-Sophie Hilgers, Franziska Fries, Felix Deschner, Mark Brönstrup, Andreas Kirschning, Stephan A Sieber, Thomas Pietschmann, Alexandra K Kiemer, Jennifer Herrmann, Rolf Müller
{"title":"Cystobactamid off-target profiling reveals favorable safety, superoxide reduction, and SCARB1 inhibition in eukaryotes.","authors":"Timo Risch, Benedikt Hellwinkel, Dietrich Mostert, Andreas M Kany, Danny Solga, Tim Seedorf, Dominik Heimann, Jessica Hoppstädter, Daniel Kohnhäuser, Jil-Sophie Hilgers, Franziska Fries, Felix Deschner, Mark Brönstrup, Andreas Kirschning, Stephan A Sieber, Thomas Pietschmann, Alexandra K Kiemer, Jennifer Herrmann, Rolf Müller","doi":"10.1038/s44386-025-00020-7","DOIUrl":"10.1038/s44386-025-00020-7","url":null,"abstract":"<p><p>Antimicrobial resistance poses a fundamental global threat, necessitating new strategies for effective therapies. Cystobactamids, a class of antibacterial agents targeting bacterial gyrase and topoisomerase IV, represent a non-traditional chemical scaffold with broad-spectrum activity. For toxicological de-risking, we performed a comprehensive profiling on eukaryotic cells, focusing on cytotoxicity, genotoxicity, and mitochondrial toxicity, demonstrating cellular safety and superoxide scavenging properties. Studies in zebrafish embryos assessed developmental, cardiovascular, and hepatic toxicity, indicating a favorable in vivo safety profile. Metabolism studies revealed glucuronidation and amide bond hydrolysis as key pathways, whereby cystobactamid metabolic stability substantially improved by cobicistat co-treatment. Affinity-based protein profiling identified the cholesterol- and HCV-receptor scavenger receptor class B member 1 (SCARB1) as a primary eukaryotic off-target protein, with cystobactamids shown to inhibit SCARB1´s function, preventing hepatitis C virus pseudoparticle entry into cells. These findings suggest a high therapeutic potential for cystobactamids and highlight SCARB1 as a primary eukaryotic target.</p>","PeriodicalId":520448,"journal":{"name":"NPJ drug discovery","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Farzaneh Firoozbakht, Nina Wenke, Olga Tsoy, Joseph Loscalzo, Jan Baumbach, Maria Louise Elkjaer
{"title":"Phenotypic similarity of adverse drug reactions and disease phenotypes is a bridge to mechanistic discovery.","authors":"Farzaneh Firoozbakht, Nina Wenke, Olga Tsoy, Joseph Loscalzo, Jan Baumbach, Maria Louise Elkjaer","doi":"10.1038/s44386-025-00021-6","DOIUrl":"10.1038/s44386-025-00021-6","url":null,"abstract":"<p><p>Adverse drug reactions (ADRs) remain a major barrier to safe therapeutic developments. A key challenge is our limited understanding of their underlying mechanisms. In this study, we investigated whether ADRs and diseases phenotypes (DPs) with similar clinical manifestations share mechanistic similarities. To this end, we constructed a comprehensive knowledge graph and applied a graph representation learning to quantify mechanistic similarities between phenotypically similar ADRs and DPs. Our analysis reveals substantial mechanistic overlap among ADRs and DPs within specific system organ classes, including cardiac, psychiatric, and metabolic disorders. These findings suggest that drugs interacting with proteins linked with specific DPs are more likely to cause ADRs with similar phenotypes. By integrating drug-induced and disease-related phenotypes, our approach offers new insights into ADR mechanisms and supports the prioritization of drugs with lower ADR risk. This work contributes to advancing safer and more targeted therapeutic development by bridging phenotypic similarity and molecular mechanisms.</p>","PeriodicalId":520448,"journal":{"name":"NPJ drug discovery","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J S Wall, A D Williams, M Balachandran, T J Hancock, T Richey, A C Stuckey, S Macy, C Wooliver, E B Martin, J W Jackson, R E Heidel, S Guthrie, M L Klein, N Angell, S J Kennel, J S Foster
{"title":"The antibody-peptide fusion protein, AT-02, is an effective opsonin with pan-amyloid reactivity.","authors":"J S Wall, A D Williams, M Balachandran, T J Hancock, T Richey, A C Stuckey, S Macy, C Wooliver, E B Martin, J W Jackson, R E Heidel, S Guthrie, M L Klein, N Angell, S J Kennel, J S Foster","doi":"10.1038/s44386-025-00015-4","DOIUrl":"10.1038/s44386-025-00015-4","url":null,"abstract":"<p><p>In systemic amyloidosis, the progressive accumulation of amyloid fibrils along with extracellular matrix components causes organ dysfunction, reduced quality of life, and is often fatal. Currently, twenty different proteins have been identified in systemic amyloid fibrils. Therapeutic elimination of tissue amyloid may improve organ function and patient outcomes. Amyloid-reactive immunoglobulins capable of stimulating cell-mediated clearance of amyloid deposits represent promising therapeutic strategies. AT-02 (zamubafusp alfa) is an immunoglobulin-peptide fusion protein comprising a humanized IgG1 and a pan-amyloid reactive peptide, p5R. AT-02 binds two ubiquitous components of all amyloids, namely amyloid fibrils and highly sulfated heparan sulfate glycans. This fusion protein exhibits specific reactivity with many amyloid types, obviating the need for individualized immunoglobulins for therapy. We demonstrate that AT-02 is an effective opsonin for amyloid by enhancing phagocytosis of amyloid extracts and inducing complement fixation. These data suggest that pan-amyloid binding reagents may provide novel treatment options for amyloid removal.</p>","PeriodicalId":520448,"journal":{"name":"NPJ drug discovery","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jimmy Caroli, Søren N Andreassen, Javier Sánchez Lorente, Binghan Xiao, Gáspár Pándy-Szekeres, David E Gloriam
{"title":"An online GPCR drug discovery resource.","authors":"Jimmy Caroli, Søren N Andreassen, Javier Sánchez Lorente, Binghan Xiao, Gáspár Pándy-Szekeres, David E Gloriam","doi":"10.1038/s44386-025-00010-9","DOIUrl":"10.1038/s44386-025-00010-9","url":null,"abstract":"<p><p>G protein-coupled receptors (GPCRs) have been targeted across all therapeutic areas, mediate the actions of 516 (36% of all) approved drugs and are being targeted by 337 agents in clinical trials. So far, 121 GPCRs are targets of approved drugs and 30 additional receptors have entered clinical trials and may expand the drugged GPCRome in the coming years. Here, we describe an online resource of GPCR drugs, clinical trial agents, targets and disease indications. This resource offers unique reference data, analysis and visualization, and is availed as a new section, 'Drugs and Agents in trial' integrated in the GPCR database, GPCRdb. Furthermore, it includes a target selection tool for prioritization of receptors for future drug discovery. This up-to-date knowledgebase will help identify strategies and trends in current GPCR drug discovery and give insights into which already drugged, or yet untapped targets have the largest potential in specific diseases.</p>","PeriodicalId":520448,"journal":{"name":"NPJ drug discovery","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jonne Terstappen, Elisabeth E Nibbelke, Stephanie Ascough, Emma Bergstrom, Louis J Bont, Brigitte J M Buiteman, Chris Chiu, Daniela Cianci, Pete Dayananda, Eveline M Delemarre, Jolanda D F de Groot-Mijnes, Matthew B B McCall, Johannes B Reitsma, Rob Schuurman, Lydia Taylor, Annet Troelstra, Anouk Versnel, Jacqueline Vlaskamp, Marco Viveen, Hanneke J A A van Zoggel, Natalie I Mazur
{"title":"Intranasal monoclonal antibodies do not prevent respiratory infection in a randomized, controlled experimental infection trial.","authors":"Jonne Terstappen, Elisabeth E Nibbelke, Stephanie Ascough, Emma Bergstrom, Louis J Bont, Brigitte J M Buiteman, Chris Chiu, Daniela Cianci, Pete Dayananda, Eveline M Delemarre, Jolanda D F de Groot-Mijnes, Matthew B B McCall, Johannes B Reitsma, Rob Schuurman, Lydia Taylor, Annet Troelstra, Anouk Versnel, Jacqueline Vlaskamp, Marco Viveen, Hanneke J A A van Zoggel, Natalie I Mazur","doi":"10.1038/s44386-025-00018-1","DOIUrl":"10.1038/s44386-025-00018-1","url":null,"abstract":"<p><p>Intranasal monoclonal antibodies (mAbs) offer a promising cost-reducing and non-invasive alternative to systemic administration. Intranasal palivizumab prevented respiratory syncytial virus (RSV) infection in mice but not in healthy infants. This proof-of-concept study evaluates the efficacy of intranasal palivizumab to prevent RSV infection. In this randomized, double-blind, placebo-controlled, experimental infection model, 28 healthy adults (18-55 years old) were randomized 1:1 to receive 1 mg/mL palivizumab in saline nasal drops or placebo one hour prior to RSV-A Memphis 37b challenge (EU clinical trial register 2020-004137-21, August 14, 2021). The primary outcome was viral load over time, determined by RT-qPCR. Intranasal palivizumab had no effect on viral load despite a 72% reduction in symptomatic infections and marginally reduced upper respiratory tract symptoms compared to placebo. Intranasal palivizumab does not protect against RSV infection under optimally controlled conditions. Intranasal mAbs are highly unlikely to be a feasible and cost-effective method of protection against respiratory infection.</p>","PeriodicalId":520448,"journal":{"name":"NPJ drug discovery","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Author Correction: The AI drug revolution needs a revolution.","authors":"Rachel DeVay Jacobson","doi":"10.1038/s44386-025-00022-5","DOIUrl":"10.1038/s44386-025-00022-5","url":null,"abstract":"","PeriodicalId":520448,"journal":{"name":"NPJ drug discovery","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shihang Wang, Ran Zhang, Xiangcheng Li, Fengyu Cai, Xinyue Ma, Yilin Tang, Chao Xu, Lin Wang, Pengxuan Ren, Lu Liu, Sanan Wu, Qiyang Qian, Fang Bai
{"title":"Recent advances in molecular representation methods and their applications in scaffold hopping.","authors":"Shihang Wang, Ran Zhang, Xiangcheng Li, Fengyu Cai, Xinyue Ma, Yilin Tang, Chao Xu, Lin Wang, Pengxuan Ren, Lu Liu, Sanan Wu, Qiyang Qian, Fang Bai","doi":"10.1038/s44386-025-00017-2","DOIUrl":"10.1038/s44386-025-00017-2","url":null,"abstract":"<p><p>The rapid evolution of molecular representation methods has significantly advanced the drug discovery process. Advances in language models, graph-based representations, and novel learning strategies have greatly improved the ability to characterize molecules. These AI-driven strategies extend beyond traditional structural data, facilitating exploration of broader chemical spaces and accelerating scaffold hopping. This review summarizes key advancements, discusses their advantages over conventional techniques, and highlights challenges in data quality and real-world applications.</p>","PeriodicalId":520448,"journal":{"name":"NPJ drug discovery","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anisha Mani, Mateusz Mendel, Paul Westwood, Claudia Bonardi, Wiebke Saal, Andreas Topp, Matthew Bilyard, Alessandro Brigo, Matthias Beat Wittwer, Jörg Benz, Bernd Kuhn, Achi Haider, Maude Giroud, James Keaney
{"title":"SARM1 base-exchange inhibitors induce SARM1 activation and neurodegeneration at low doses.","authors":"Anisha Mani, Mateusz Mendel, Paul Westwood, Claudia Bonardi, Wiebke Saal, Andreas Topp, Matthew Bilyard, Alessandro Brigo, Matthias Beat Wittwer, Jörg Benz, Bernd Kuhn, Achi Haider, Maude Giroud, James Keaney","doi":"10.1038/s44386-025-00016-3","DOIUrl":"10.1038/s44386-025-00016-3","url":null,"abstract":"<p><p>SARM1 has emerged as a promising therapeutic target in neurology due to its central role in axonal degeneration and its amenability to different modes of small molecule inhibition. One chemical approach to modulate SARM1 involves orthosteric inhibition via a SARM1-mediated base-exchange reaction between a small molecule and nicotinamide adenine dinucleotide (NAD<sup>+</sup>), the substrate of SARM1, to generate the active inhibitor. Here, we report that subinhibitory concentrations of SARM1 base-exchange inhibitors (BEIs) paradoxically increase SARM1 activity and worsen SARM1-induced cell death and neuronal damage in vitro. Low dose administration of RO-7529, a SARM1 BEI, exacerbated experimental autoimmune encephalomyelitis (EAE)-induced neurodegeneration in vivo. Our data highlight a unique pharmacological feature of SARM1 BEIs that may limit their therapeutic application in disorders associated with SARM1 activation and axonal degeneration.</p>","PeriodicalId":520448,"journal":{"name":"NPJ drug discovery","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The AI drug revolution needs a revolution.","authors":"Rachel DeVay Jacobson","doi":"10.1038/s44386-025-00013-6","DOIUrl":"10.1038/s44386-025-00013-6","url":null,"abstract":"","PeriodicalId":520448,"journal":{"name":"NPJ drug discovery","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elisabeth Schaffner-Reckinger, Atanasio Gómez-Mulas, Daniel Kwaku Abankwa
{"title":"Drugging Ras trafficking-are there new roads to travel?","authors":"Elisabeth Schaffner-Reckinger, Atanasio Gómez-Mulas, Daniel Kwaku Abankwa","doi":"10.1038/s44386-025-00012-7","DOIUrl":"10.1038/s44386-025-00012-7","url":null,"abstract":"<p><p>Inhibition of Ras trafficking was the first approach to target Ras in the clinic. With the advent of direct Ras inhibitors, trafficking inhibition may appear obsolete. However, targeting certain trafficking hubs may still offer unexpected opportunities. To exploit these, we need to learn more about the functioning of Ras in specific organelles, which are associated with e.g., cell differentiation. We here discuss future opportunities in that regard.</p>","PeriodicalId":520448,"journal":{"name":"NPJ drug discovery","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}