Dibenz[b,e]oxepin derivatives: novel antiallergic agents possessing thromboxane A2 and histamine H1 dual antagonizing activity. 1

Historical Strategies for Lead Generation

An increasing number of lead generation approaches are being applied to multi-target drug discovery (MTDD). Historically, focussed screening and a knowledge-based approach called framework combination have been most widely used – with varying degrees of success. More recently, alternative screening approaches such as HTS, fragment-based screening and in silico screening are being used alongside the traditional approaches in order to discover novel hits with attractive physicochemical and oral pharmacokinetic properties. Factors influencing the feasibility of discovering DMLs for particular combinations are discussed in this chapter. The role of natural products and the discovery of probes for chemical biology are also highlighted.

Promiscuous drugs as therapeutics for chemokine receptors

Chemokine receptor antagonists that held much promise for the treatment of autoimmune and inflammatory diseases have recently performed poorly in clinical trials, resulting in disappointment for both pharmaceutical companies and patients. This review focuses on the redundancy of the molecular target as one potential reason for the failure of some of these antagonists to fulfil their initial promise, and discusses the use of drugs that are capable of interacting with more than one drug target - so-called promiscuous drugs - as possible approaches to overcome this difficulty. Several clinically approved promiscuous drugs, such as aspirin and olanzapine, are already used successfully. This review discusses examples of promiscuous drugs for G-protein-coupled receptors, including progress in developing dual-specific chemokine receptor antagonists, and considers evidence for the possible therapeutic utility of such drugs.