Bioinfo Chem
System biology and Infochemistry | Online ISSN 3071-4826
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Molecular Dynamics Simulations in Cancer Drug Design: From Atomic-Level Insights to Precision Therapeutics: A Review
Shamsuddin Sultan Khan 1*
Bioinfo Chem 2 (1) 1-12 https://doi.org/10.25163/bioinformatics.2110737
Submitted: 10 January 2020 Revised: 04 March 2020 Accepted: 12 March 2020 Published: 14 March 2020
Abstract
There is, perhaps, a quiet shift underway in cancer drug discovery—one that is less about discovering new molecules and more about understanding how they truly behave within the living, moving architecture of biology. Traditional approaches, while powerful, often rely on static representations of proteins, inadvertently overlooking the dynamic nature of molecular interactions. This review explores how Molecular Dynamics (MD) simulations are beginning to reshape this perspective, offering a more fluid and time-resolved understanding of drug–target interactions. By synthesizing findings across key oncological systems—including the Bcl-2 family, the p53–MDM2/MDMX regulatory axis, and mutant TP53–BRCA1 complexes—this study highlights how MD enables the identification of transient conformations, cryptic binding pockets, and residue-level interaction patterns that are otherwise inaccessible. These insights appear particularly relevant in addressing challenges of selectivity and resistance, where small structural differences can have disproportionately large functional consequences. At the same time, integrating MD with complementary techniques such as MM-PBSA free energy calculations and fragment-based drug discovery frameworks offers a more comprehensive, multi-scale approach to therapeutic design. Yet, despite these advances, uncertainties remain—especially regarding sampling limitations and translational predictability. Taken together, this review suggests that MD simulations are not merely computational tools but evolving conceptual frameworks, gradually shifting drug discovery from static observation toward dynamic, precision-driven intervention.Keywords: Molecular Dynamics; Cancer Drug Design; Bcl-2 Family; Protein–Protein Interactions; Precision Therapeutics
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