Background & Aims: Biliary tract cancer (BTC) is a rare but aggressive malignancy
with limited treatment options and poor prognosis, necessitating novel therapeutic
strategies. Histone deacetylases (HDACs) play a critical role in the epigenetic
regulation of BTC progression, and HDAC inhibitors have shown promise in preclinical
studies. However, their clinical efficacy as monotherapies remains limited, driving the
exploration of multitarget approaches. Recent studies by Djokovic et al. highlight the
potential of combining HDAC and Rho-associated protein kinase (ROCK) inhibitors as
an antimetastatic strategy. This study aimed to develop machine learning (ML) models
for predicting the activity of HDAC6 and ROCK2 inhibitors and to apply these models
in the design and evaluation of novel dual HDAC/ROCK inhibitors.
Materials & Methods: Datasets for HDAC6 and ROCK2 inhibitors were extracted from
the ChEMBL database, preprocessed, and used to calculate 2D molecular descriptors.
Predictive models were developed using random forest regression to establish
quantitative structure–activity relationship (QSAR) models for both targets. The models
were applied for virtual screening of newly designed dual inhibitors, followed by
molecular docking studies to assess binding potential.
Results: The ML-driven QSAR models demonstrated high predictive accuracy for
HDAC6 and ROCK2 inhibitors. Virtual screening identified promising dual
HDAC/ROCK candidates, which were further evaluated through molecular docking.
The top candidates were synthesized and tested in enzyme assays confirming a lead
compound with potent activity, accurately predicted by the ML models. Further in vitro
studies in BTC cell lines are ongoing to assess anticancer efficacy.
Conclusion: This study presents an ML-guided approach for the rational design of
dual HDAC6/ROCK inhibitors, offering a promising therapeutic strategy for BTC. The
integration of computational modeling with experimental validation demonstrates the
potential of AI-driven drug discovery in oncology.Monothematic Conference, Liquid Biopsy in BTC: from bench to bedside, May 22-23, 2025, Mallorca, Spai
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