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A Structural View on Medicinal Chemistry Strategies against Drug Resistance
Authors:Stefano Agnello  Michael Brand  Mathieu F Chellat  Silvia Gazzola  Rainer Riedl
Abstract:The natural phenomenon of drug resistance is a widespread issue that hampers the performance of drugs in many major clinical indications. Antibacterial and antifungal drugs are affected, as well as compounds for the treatment of cancer, viral infections, or parasitic diseases. Despite the very diverse set of biological targets and organisms involved in the development of drug resistance, the underlying molecular mechanisms have been identified to understand the emergence of resistance and to overcome this detrimental process. Detailed structural information on the root causes for drug resistance is nowadays frequently available, so next‐generation drugs can be designed that are anticipated to suffer less from resistance. This knowledge‐based approach is essential for fighting the inevitable occurrence of drug resistance.
Keywords:drug discovery  drug resistance  medicinal chemistry  structure–  activity relationships  structure-based drug design
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