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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<?release-delay 0|0?>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">OR</journal-id>
<journal-title-group>
<journal-title>Oncology Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1021-335X</issn>
<issn pub-type="epub">1791-2431</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/or.2020.7636</article-id>
<article-id pub-id-type="publisher-id">OR-44-02-0589</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Improving the odds of success in antitumoral drug development using scoring approaches towards heterocyclic scaffolds</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Ion</surname><given-names>George Nicolae Daniel</given-names></name>
<xref rid="af1-or-44-02-0589" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Olaru</surname><given-names>Octavian Tudorel</given-names></name>
<xref rid="af1-or-44-02-0589" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Nitulescu</surname><given-names>Georgiana</given-names></name>
<xref rid="af1-or-44-02-0589" ref-type="aff">1</xref>
<xref rid="c1-or-44-02-0589" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Olaru</surname><given-names>Iulia Ioana</given-names></name>
<xref rid="af1-or-44-02-0589" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Tsatsakis</surname><given-names>Aristidis</given-names></name>
<xref rid="af2-or-44-02-0589" ref-type="aff">2</xref>
<xref rid="af3-or-44-02-0589" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Burykina</surname><given-names>Tatiana I.</given-names></name>
<xref rid="af3-or-44-02-0589" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Spandidos</surname><given-names>Demetrios A.</given-names></name>
<xref rid="af4-or-44-02-0589" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>Nitulescu</surname><given-names>George Mihai</given-names></name>
<xref rid="af1-or-44-02-0589" ref-type="aff">1</xref></contrib>
</contrib-group>
<aff id="af1-or-44-02-0589"><label>1</label>Faculty of Pharmacy, &#x2018;Carol Davila&#x2019; University of Medicine and Pharmacy, 020956 Bucharest, Romania</aff>
<aff id="af2-or-44-02-0589"><label>2</label>Department of Forensic Sciences and Toxicology, Faculty of Medicine, University of Crete, 71003 Heraklion, Greece</aff>
<aff id="af3-or-44-02-0589"><label>3</label>Department of Analytical and Forensic Medical Toxicology, Sechenov Medical University, 119991 Moscow, Russia</aff>
<aff id="af4-or-44-02-0589"><label>4</label>Laboratory of Clinical Virology, School of Medicine, University of Crete, 71003 Heraklion, Greece</aff>
<author-notes>
<corresp id="c1-or-44-02-0589"><italic>Correspondence to</italic>: Dr Georgiana Nitulescu, Faculty of Pharmacy, &#x2018;Carol Davila&#x2019; University of Medicine and Pharmacy, 6 Traian Vuia, 020956 Bucharest, Romania, E-mail: <email>georgiana.nitulescu88@gmail.com</email>; <email>georgiana.nitulescu@umfcd.ro</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>08</month><year>2020</year></pub-date>
<pub-date pub-type="epub"><day>05</day><month>06</month><year>2020</year></pub-date>
<volume>44</volume>
<issue>2</issue>
<fpage>589</fpage>
<lpage>598</lpage>
<history>
<date date-type="received"><day>02</day><month>04</month><year>2020</year></date>
<date date-type="accepted"><day>05</day><month>06</month><year>2020</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Ion et al.</copyright-statement>
<copyright-year>2020</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>One of the most commonly discussed topics in the field of drug discovery is the continuous search for anticancer therapies, in which small-molecule development plays an important role. Although a number of techniques have been established over the past decades, one of the main methods for drug discovery and development is still represented by rational, ligand-based drug design. However, the success rate of this method could be higher if not affected by cognitive bias, which renders many potential druggable scaffolds and structures overlooked. The present study aimed to counter this bias by presenting an objective overview of the most important heterocyclic structures in the development of anti-proliferative drugs. As such, the present study analyzed data for 91,438 compounds extracted from the Developmental Therapeutics Program (DTP) database provided by the National Cancer Institute. Growth inhibition data from these compounds tested on a panel of 60 cancer cell lines representing various tissue types (NCI-60 panel) was statistically interpreted using 6 generated scores assessing activity, selectivity, growth inhibition efficacy and potency of different structural scaffolds, Bemis-Murcko skeletons, chemical features and structures common among the analyzed compounds. Of the most commonly used rings, the most prominent anti-proliferative effects were produced by quinoline, tetrahydropyran, benzimidazole and pyrazole, while overall, the optimal results were produced by complex ring structures that originate from natural compounds. These results highlight the impact of certain ring structures on the anti-proliferative effects in drug design. In addition, considering that medicinal chemists usually focus their research on simpler scaffolds the majority of the time with no significant pay-off, the present study indicates several unused complex scaffolds that could be exploited when designing anticancer therapies for optimal results in the fight against cancer.</p>
</abstract>
<kwd-group>
<kwd>NCI-60 cell line panel</kwd>
<kwd>Bemis-Murcko scaffolds</kwd>
<kwd>privileged structures</kwd>
<kwd>screening oncology compounds</kwd>
<kwd>drug design</kwd>
<kwd>anti-proliferative activity</kwd>
<kwd>growth inhibition</kwd>
<kwd>cancer cell line</kwd>
</kwd-group></article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>The design and development of novel therapeutic small molecules is a major research field and a main focus of this research is the identification of more effective anticancer solutions (<xref rid="b1-or-44-02-0589" ref-type="bibr">1</xref>). A number of powerful and diverse array of methods have been developed to improve the success of drug design based on the three-dimensional structure of the pharmacological target (<xref rid="b2-or-44-02-0589" ref-type="bibr">2</xref>&#x2013;<xref rid="b5-or-44-02-0589" ref-type="bibr">5</xref>); however, numerous researchers are still successfully using the ligand-based strategies. These methods are based on the simple principle that similar structures will produce the same biological effect and have the advantage of a lower risk of failure (<xref rid="b6-or-44-02-0589" ref-type="bibr">6</xref>,<xref rid="b7-or-44-02-0589" ref-type="bibr">7</xref>). A closer analysis of the drug design process has revealed that medicinal chemistry specialists rely on their intuition when deciding the direction of the research, and often, they are affected by cognitive biases (<xref rid="b8-or-44-02-0589" ref-type="bibr">8</xref>,<xref rid="b9-or-44-02-0589" ref-type="bibr">9</xref>). One of the most important is the so-called confirmation bias. This represents the tendency of researchers to consider the data that support their hypotheses to a greater extent and not to actively search for evidence that would contradict their hypothesis (<xref rid="b9-or-44-02-0589" ref-type="bibr">9</xref>).</p>
<p>The confirmation bias can be easily observed by reading most of the medicinal chemistry articles in which researchers are supporting their focus on a particular type of structure by presenting various similar compounds sharing the targeted biological effect. For example, Sharma <italic>et al</italic> considered the thiazole ring as an essential core scaffold for anticancer drugs by presenting clinically proved drugs, such as dasatinib, dabrafenib, or ixabepilone (<xref rid="b10-or-44-02-0589" ref-type="bibr">10</xref>). Indole is another heterocycle that is regarded as useful in the target-based design of anticancer agents based on similar reasoning (<xref rid="b11-or-44-02-0589" ref-type="bibr">11</xref>). Natural scaffolds, such as the flavonoid core structure, are extensively used in the design of novel cancer drugs (<xref rid="b12-or-44-02-0589" ref-type="bibr">12</xref>,<xref rid="b13-or-44-02-0589" ref-type="bibr">13</xref>). Ismail <italic>et al</italic> argued that pyrazolo[3,4-d]pyrimidine derivatives have a good chance to target protein kinases and to be developed as anticancer agents (<xref rid="b14-or-44-02-0589" ref-type="bibr">14</xref>). Our own research group has focused on a particular chemophore, the pyrazole ring, as a scaffold for the design of anticancer agents (<xref rid="b15-or-44-02-0589" ref-type="bibr">15</xref>&#x2013;<xref rid="b18-or-44-02-0589" ref-type="bibr">18</xref>).</p>
<p>The objective of the present study was to identify an unbiased quantitative method which may be used to measure the usefulness of the most important heterocyclic structures in the development of anti-proliferative drugs. The scope of the present study was to help chemists focus on the chemical structure with better potential, as well as to understand their bias towards a particular scaffold.</p>
<p>Cancer cell lines serve as a major model for antineoplastic drug discovery and development. The National Cancer Institute (NCI) established a systematic screening program by assembling a panel of 60 cancer cell lines (NCI-60 panel) from multiple tumor types (brain, blood and bone marrow, breast, colon, kidney, lung, ovary, prostate and skin) (<xref rid="b19-or-44-02-0589" ref-type="bibr">19</xref>,<xref rid="b20-or-44-02-0589" ref-type="bibr">20</xref>). Over the past decades, a large number of compounds have been tested on the NCI-60 panel and several cytotoxic agents have emerged as first-line treatment options for a number of tumor types (<xref rid="b21-or-44-02-0589" ref-type="bibr">21</xref>).</p>
<p>A compound is first tested at a single concentration and then, if found active, it is tested at five different concentrations with 48-h drug exposure and 50&#x0025; growth inhibition (GI<sub>50</sub>), total growth inhibition (TGI), and 50&#x0025; lethal concentration (LC<sub>50</sub>) are computed (<xref rid="b22-or-44-02-0589" ref-type="bibr">22</xref>). Data analysis tools, such as COMPARE use these outputs on all 60 cancer cell lines to create a fingerprint profile that allows classification and can predict the mechanisms of action (<xref rid="b23-or-44-02-0589" ref-type="bibr">23</xref>,<xref rid="b24-or-44-02-0589" ref-type="bibr">24</xref>). The fingerprint of cellular response in the NCI-60 assay can be used to determine similar prototype compounds, the usefulness of this data mining approach being demonstrated in various studies (<xref rid="b25-or-44-02-0589" ref-type="bibr">25</xref>,<xref rid="b26-or-44-02-0589" ref-type="bibr">26</xref>).</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Creation and preparation of datasets</title>
<p>Two sets of data were collected freely from the DTP website (<uri xlink:href="https://dtp.cancer.gov/databases_tools/default.htm">https://dtp.cancer.gov/databases_tools/default.htm</uri>) representing one-dose screening values and five-dose screening data. The number reported in the one-dose data set is each cell line growth percentage (GI&#x0025;) following 48 h of exposure to 10<sup>&#x2212;5</sup> M solution of drug, relative to the no-drug control, for a specific cell line. A GI&#x0025; value &#x003C;100 and &#x003E;0 indicates a growth inhibition and a value &#x003C;0 represents a lethal effect of the tested compound. The 5-dose screening data set contains the negative log10 of the 50&#x0025; growth inhibitory concentration expressed as molar concentration (pGI<sub>50</sub>) for each tested compound.</p>
</sec>
<sec>
<title>Bemis-Murcko scaffold analysis</title>
<p>Bemis-Murcko skeletons represent the molecular frameworks resulting after the removal of the side-chain atoms and atom labels. All bond types are transformed into single ones (<xref rid="b10-or-44-02-0589" ref-type="bibr">10</xref>). The analysis was performed using DataWarrior 5.2.0 (<uri xlink:href="http://www.openmolecules.org/datawarrior/">http://www.openmolecules.org/datawarrior/</uri>) to generate the Bemis-Murcko scaffolds representing the cyclic frameworks incorporating only the rings and the chains connecting them. Bemis-Murcko scaffolds underline the importance of molecular topology and have been proven to be useful in several drug design studies (<xref rid="b11-or-44-02-0589" ref-type="bibr">11</xref>&#x2013;<xref rid="b15-or-44-02-0589" ref-type="bibr">15</xref>).</p>
</sec>
<sec>
<title>Plain ring analysis</title>
<p>DataWarrior 5.2.0 software was used to identify all ring systems in each compound without substituents. The double bonded heteroatoms connected directly to the ring system were taken into consideration. Both procedures for Bemis-Murcko scaffold and plain ring using sunitinib the Cancer Chemotherapy National Service Center number [(NSC Number) 750690] as an example are illustrated in <xref rid="f1-or-44-02-0589" ref-type="fig">Fig. 1</xref>.</p>
</sec>
<sec>
<title>Scoring methods</title>
<p>The one-dose data set matrix was analyzed in order to assess the performance of each chemical feature on generating potent anti-proliferative candidates. The average (A<sub>1D</sub>) of all GI&#x0025; values registered for a specific scaffold was calculated as an indicator of the anti-proliferative potency of that chemical feature as follows:</p>
<disp-formula>
<alternatives>
<mml:math id="umml1" display="block"><mml:mrow><mml:msub><mml:mi>A</mml:mi><mml:mrow><mml:mn>1</mml:mn><mml:mi mathvariant="normal">D</mml:mi></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:mo>&#x2211;</mml:mo><mml:mtext>GI</mml:mtext><mml:mi>&#x0025;</mml:mi></mml:mrow><mml:mrow><mml:mtext>No</mml:mtext><mml:mo>.</mml:mo><mml:mtext>of cell lines</mml:mtext></mml:mrow></mml:mfrac></mml:mrow></mml:math>
<graphic xlink:href="OR-44-02-0589-g00.jpg"/>
</alternatives>
</disp-formula>
<p>For each scaffold, a performance score (P<sub>1D</sub>) was defined as the number of GI&#x0025; values under the 50&#x0025; value threshold reported to the total number of GI&#x0025; values recorded for that scaffold. The corresponding mathematical formula is as follows:</p>
<disp-formula>
<alternatives>
<mml:math id="umml2" display="block"><mml:mrow><mml:msub><mml:mi mathvariant="normal">P</mml:mi><mml:mrow><mml:mn>1</mml:mn><mml:mi mathvariant="normal">D</mml:mi></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mn>100</mml:mn><mml:mo>&#x00D7;</mml:mo><mml:mfrac><mml:mrow><mml:mtext>No of cell lines GI</mml:mtext><mml:mo>%</mml:mo><mml:mo>&#x2264;</mml:mo><mml:mn>50</mml:mn></mml:mrow><mml:mrow><mml:mtext>No. of cell lines</mml:mtext></mml:mrow></mml:mfrac></mml:mrow></mml:math>
<graphic xlink:href="OR-44-02-0589-g01.jpg"/>
</alternatives>
</disp-formula>
<p>The scoring formula is similar to the measure of incidence in epidemiology (<xref rid="b27-or-44-02-0589" ref-type="bibr">27</xref>) considering an observed event an anti-proliferative effect &#x003E;50&#x0025;.</p>
<p>A third score was implemented to assess the selectivity of the anti-proliferative effect based on the number of outliers. Considering that each compound is tested on a panel of 60 cancer cell lines, a vector of data results. The lower outliers were identified as any GI&#x0025; data below the Tukey&#x0027;s lower boundary, a threshold (TLi) based on the interquartile range (IQR) and the first quartile (Q1) using the following formula:</p>
<disp-formula>
<mml:math id="umml3" display="block"><mml:mtable columnalign='left'><mml:mtr><mml:mtd><mml:mtext>IQR</mml:mtext><mml:mo>=</mml:mo><mml:mi>Q</mml:mi><mml:mo>3</mml:mo><mml:mo>&#x2212;</mml:mo><mml:mi>Q</mml:mi><mml:mn>1</mml:mn></mml:mtd></mml:mtr><mml:mtr><mml:mtd><mml:mtext>TLi</mml:mtext><mml:mo>=</mml:mo><mml:mi>Q</mml:mi><mml:mn>1</mml:mn><mml:mo>&#x2212;</mml:mo><mml:mn>1.5</mml:mn><mml:mo>&#x00D7;</mml:mo><mml:mtext>IQR</mml:mtext></mml:mtd></mml:mtr></mml:mtable></mml:math>
</disp-formula>
<p>where &#x2018;I&#x2019; represents the compound number, Q1 and Q3 represent first and third quartiles in the data vector of each compound, while IQR represents the difference between Q3 and Q1. The presence of a low outlier indicates that the corresponding cell is specifically sensitive to the tested compound.</p>
<p>The selectivity score (O<sub>1D</sub>) was calculated as the number of GI&#x0025; values below the TLi value reported to the total number of GI&#x0025; values recorded for each scaffold. The corresponding mathematical formula is as follows:</p>
<disp-formula>
<alternatives>
<mml:math id="umml4" display="block"><mml:mrow><mml:msub><mml:mi mathvariant="normal">O</mml:mi><mml:mrow><mml:mn>1</mml:mn><mml:mi>D</mml:mi></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mn>100</mml:mn><mml:mo>&#x00D7;</mml:mo><mml:mfrac><mml:mrow><mml:mtext>No. of cell lines GI</mml:mtext><mml:mo>%</mml:mo><mml:mo>&#x2264;</mml:mo><mml:mtext>TLi</mml:mtext></mml:mrow><mml:mrow><mml:mtext>No. of cell lines</mml:mtext></mml:mrow></mml:mfrac></mml:mrow></mml:math>
<graphic xlink:href="OR-44-02-0589-g02.jpg"/>
</alternatives>
</disp-formula>
<p>The same formulas were adjusted to calculate similar scores using the pGI data. In the case of the performance score (P<sub>pGI</sub>), the counted values where those &#x003E;5 and in the case of the selectivity score, the counted values were those above the Ti fence.</p>
<disp-formula>
<alternatives>
<mml:math id="umml5" display="block">
<mml:mtable rowspacing="4pt" columnspacing="1em">
<mml:mtr><mml:mtd><mml:mrow><mml:msub><mml:mi mathvariant="normal">A</mml:mi><mml:mrow><mml:mtext>pGI</mml:mtext></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:mstyle displaystyle='true'><mml:mo>&#x2211;</mml:mo><mml:mrow><mml:mtext>pGI</mml:mtext></mml:mrow></mml:mstyle></mml:mrow><mml:mrow><mml:mtext>No. of cell lines</mml:mtext></mml:mrow></mml:mfrac></mml:mrow></mml:mtd></mml:mtr>
<mml:mtr><mml:mtd><mml:mrow><mml:msub><mml:mi mathvariant="normal">P</mml:mi><mml:mrow><mml:mtext>pGI</mml:mtext></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mn>100</mml:mn><mml:mo>&#x00D7;</mml:mo><mml:mfrac><mml:mrow><mml:mtext>No. of cell lines pGI</mml:mtext><mml:mspace width="2pt"/><mml:mo>&#x003E;</mml:mo><mml:mspace width="2pt"/><mml:mo>5</mml:mo></mml:mrow><mml:mrow><mml:mtext>No. of cell lines</mml:mtext></mml:mrow></mml:mfrac></mml:mrow></mml:mtd></mml:mtr>
<mml:mtr><mml:mtd><mml:mrow><mml:msub><mml:mi mathvariant="normal">O</mml:mi><mml:mrow><mml:mtext>pGI</mml:mtext></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mn>100</mml:mn><mml:mo>&#x00D7;</mml:mo><mml:mfrac><mml:mrow><mml:mtext>No. cell lines pGI</mml:mtext><mml:mspace width="2pt"/><mml:mo>&#x2265;</mml:mo><mml:mspace width="2pt"/><mml:mtext>TUi</mml:mtext></mml:mrow><mml:mrow><mml:mtext>No. of cell lines</mml:mtext></mml:mrow></mml:mfrac></mml:mrow></mml:mtd></mml:mtr>
</mml:mtable>
</mml:math>
<graphic xlink:href="OR-44-02-0589-g04.tif"/>
</alternatives>
</disp-formula>
<p>where TUi represents the upper boundary for outlier identification and it is calculated using the following formula:</p>
<disp-formula>
<mml:math id="umml8" display="block"><mml:mrow><mml:mtext>TUi</mml:mtext><mml:mo>=</mml:mo><mml:mi>Q</mml:mi><mml:mn>3</mml:mn><mml:mo>+</mml:mo><mml:mn>1.5</mml:mn><mml:mo>&#x00D7;</mml:mo><mml:mtext>IQR</mml:mtext></mml:mrow></mml:math>
</disp-formula>
<p>In order to reduce false high-positive values caused by a low number of tested cells, all the scores were analyzed only if the total number of data points registered for a specific structure was &#x003E;500.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Creation of data sets</title>
<p>A total of 284,176 structures were downloaded from the DTP website and were manually curated by eliminating 119 erroneous cases. From this set, a total of 192,619 structures were eliminated as no GI&#x0025; or pGI<sub>50</sub> value were associated with the corresponding NSC code. The set of compounds with GI&#x0025; values resulted after the analysis of the one-dose set and represents 45,020 unique substances. The compounds with no associated structure were eliminated, yielding a final set of 44,960 compounds (set GI<sub>1D</sub>). The pGI<sub>50</sub> set contains 52,769 compounds. The compounds with pGI<sub>50</sub> values expressed as &#x00B5;g/ml were eliminated, resulting in a final set of 51,968 compounds (set PGI). The third set (AL) consists of the union of the 2 sets.</p>
<disp-formula>
<mml:math id="umml9" display="block"><mml:mrow><mml:mtext>AL</mml:mtext><mml:mo>=</mml:mo><mml:msub><mml:mrow><mml:mtext>GI</mml:mtext></mml:mrow><mml:mrow><mml:mn>1</mml:mn><mml:mi>D</mml:mi></mml:mrow></mml:msub><mml:mo>&#x222A;</mml:mo><mml:mtext>PGI</mml:mtext></mml:mrow></mml:math>
</disp-formula>
<p>The AL set consists of 91,438 unique compounds characterized by an NSC code, a chemical structure, and at least one biological endpoint (GI&#x0025;, pGI, or both).</p>
</sec>
<sec>
<title>Bemis-Murcko scaffolds</title>
<p>The structures of the compounds from all 3 data sets were transformed into their Bemis-Murcko skeleton using the procedure described in the methods section. The transformation of all the 91,438 structures in the AL set resulted in 11,763 distinct Bemis-Murcko scaffolds. For a number of 4,106 compounds representing 4.49&#x0025; of the set, the results were blank as they did not contain any ring structures.</p>
<p>Despite the high diversity of scaffolds, only 86 of these appear with a frequency above the 0.1&#x0025; threshold. The distribution of the scaffolds in all 91,438 structures follows the power law (R<sup>2</sup> = 0.961) with the frequency of occurrence for the i-ranked scaffold obeying the following formula:</p>
<disp-formula>
<mml:math id="umml10" display="block"><mml:mrow><mml:mi>F</mml:mi><mml:mrow><mml:mo>(</mml:mo><mml:mi>i</mml:mi><mml:mo>)</mml:mo></mml:mrow><mml:mo>=</mml:mo><mml:mn>7.066</mml:mn><mml:mo>&#x00D7;</mml:mo><mml:msup><mml:mi>i</mml:mi><mml:mrow><mml:mo>&#x2212;</mml:mo><mml:mn>0.972</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math>
</disp-formula>
<p>The same type of distribution was observed in a study on the distribution of Bemis-Murcko scaffolds in the organic subset Chemical Abstracts Service Registry (CAS Registry) (<xref rid="b28-or-44-02-0589" ref-type="bibr">28</xref>). There are two main reasons for such a distribution: Popularity or performance; however, the distribution alone is not sufficient to understand which of these factors causes it (<xref rid="b29-or-44-02-0589" ref-type="bibr">29</xref>). In order to provide an answer to this question, the performance and selectivity scores were implemented.</p>
<p>The top-ranking 10 scaffolds are presented in <xref rid="tI-or-44-02-0589" ref-type="table">Table I</xref> along with their frequency and corresponding scores A<sub>1D</sub>, A<sub>pGI</sub>, P<sub>1D</sub>, P<sub>pGI</sub>, O<sub>1D</sub> and O<sub>pGI</sub>.</p>
<p>The results clearly demonstrate that the most popular Bemis-Murcko scaffolds provide little guarantee that the compounds containing them will determine sufficient anti-proliferative effects. The BM10 scaffold presents the optimal scores amongst the top 10 used ones. The scores registered for the non-cyclic compounds are better than those of some BM scaffolds, indicating that the presence of a cyclic structure is not essential.</p>
<p>For all the compounds in the PGI set, the Bemis-Murcko analysis returned 9,540 scaffolds. For each scaffold, the aforementioned scores were calculated. The values were analyzed only if the total number of data points used was &#x003E;500. A total of 662 scaffolds met this criterion. Analyzing the A<sub>pGI</sub> values, only 142 scaffolds (21.45&#x0025;) had values &#x003E;5, and only 28 scaffolds (4.23&#x0025;) presented A<sub>pGI</sub> values &#x003E;6. Of these 28 scaffolds, apart from one two-ringed skeleton, all had between 3 to 7 rings, and at least 14 carbon atoms. Similarly, based on the P<sub>pGI</sub> values, only 121 of the scaffolds produced at least a 50&#x0025; growth inhibition in at least 50&#x0025; of the tested cells (P<sub>pGI</sub> &#x003E;50). Taking both scores into account, the optimal Bemis-Murcko skeletons are presented in <xref rid="f2-or-44-02-0589" ref-type="fig">Fig. 2</xref>.</p>
<p>The results indicated that the most successful Bemis-Murcko scaffolds had a very large complexity, which explains their limited use in drug design. It seems that the simple chemical structures are preferred, even if their potential to generate good leads is weak.</p>
</sec>
<sec>
<title>Plain ring global analysis</title>
<p>The analysis of all of the 91,438 structures in the AL set resulted in 10,074 distinct ring scaffolds. A total of 30,577 compounds (33.44&#x0025;) had 1 ring, 31,705 (34.67&#x0025;) contained 2 plain rings in their structure and 18.47&#x0025; contained 3 rings. Considering the frequency of appearance, the first ranked ring was benzene, which had a very high recurrence being present in 45.50&#x0025; of the whole AL set, while the second-ranked ring (pyridine) had a frequency of 3.18&#x0025;.</p>
<p>Only 73 ring scaffolds registered a frequency &#x003E;0.1&#x0025;. Based on the number of ring closures in each scaffold, the 1-ring scaffolds appear in 70.33&#x0025; of compounds, followed by the 2-ring scaffolds (16.82&#x0025;) and the 3-ring ones (5.94&#x0025;).</p>
<p>The analysis of the anti-proliferative potential of each plain ring was performed firstly at a global level, taking into account all occurrences of a certain ring in the analyzed data set. This method ignores the synergistic or antagonistic effect produced by the presence in the same molecule of other rings. The top most frequently used scaffolds (A01-A20) are presented in <xref rid="tII-or-44-02-0589" ref-type="table">Table II</xref> along with their frequency (in descending order) and corresponding global scores A<sub>1D</sub>, A<sub>pGI</sub>, P<sub>1D</sub>, P<sub>pGI</sub>, O<sub>1D</sub>, and O<sub>pGI</sub>.</p>
<p>The analysis of the A<sub>1D</sub> and A<sub>pGI</sub> scores indicated that of these top favorite rings, the optimal anti-proliferative effects were produced by quinoline (A08), tetrahydropyran (A05), benzimidazole (A11) and pyrazole (A14). The same 4 rings exhibited the optimal P<sub>1D</sub> and P<sub>pGI</sub> scores, even if the ranking order differed slightly. The outlier type scores, O<sub>1D</sub> and O<sub>pGI</sub>, exhibited similar values for all 20 rings. The importance of these rings can be also observed by comparing their scores with the corresponding Bemis-Murcko structures, such as BM05 in the case of pyrazole, BM02 for quinoline, BM04 for benzimidazole and BM01 for tetrahydropyran, highlighting the weight of the heteroatoms nature over the general topology.</p>
<p>The present study subsequently focused on the PGI set, as the compounds in this set have a higher potency. The analysis returned 8,725 distinct rings. The scores were analyzed if the total number of data points used was &#x003E;500, yielding 685 rings.</p>
<p>The structural analysis focused on the 40 rings (B01-B40) that had both A<sub>pGI</sub> values &#x003E;6 and P<sub>pGI</sub> &#x003E;60. The majority of these rings have complex structures and originate from natural compounds with well-established anticancer properties. Some representative ring structures are presented in <xref rid="f3-or-44-02-0589" ref-type="fig">Fig. 3</xref> together with their A<sub>pGI</sub>, P<sub>pGI</sub>, and O<sub>pGI</sub> scores and with examples of well-known drugs that feature them.</p>
<p>Plain ring independent analysis. The analysis of the global effect of each ring structure ignored that the anti-proliferative effect can be influenced by the presence in the molecular structure of other rings. In order to better evaluate the contribution of each ring structure, the analysis was performed only on the 30,577 compounds of the AL set that contain only one ring in their structure. The majority of the A01-A20 rings presented lower performance scores in the independent analysis when compared with the global approach. The most significant difference was observed in the case of the quinoxaline structure (A18), which has a P<sub>pGI</sub> value of 39.94 and an A<sub>pGI</sub> value of 4.89 in compounds that have only one ring vs. a P<sub>pGI</sub> value of 15.90 and an A<sub>pGI</sub> value of 4.48 in all the compounds. These results indicate that the association of the quinoxaline ring with other rings lowers the anticancer potential.</p>
<p>Analyzing the optimal P<sub>pGI</sub> and A<sub>pGI</sub> scores for the independent effect of each ring for which the 500 data point rule was respected, yielded as the optimal results, the structures presented in <xref rid="f3-or-44-02-0589" ref-type="fig">Fig. 3</xref>. It can be observed that these 7 rings presented in <xref rid="f4-or-44-02-0589" ref-type="fig">Fig. 4</xref> belong to the B01-B40 set, but not all B01-B40 rings exhibited significant score values in the independent analysis.</p>
<p>The most interesting rings appear to be B11, B13 and B20. The ring B13 is the skeleton of colchicine, a tricyclic alkaloid extracted from the plant <italic>Colchicum autumnale</italic> that strongly inhibits cellular mitosis by binding tubulin (<xref rid="b30-or-44-02-0589" ref-type="bibr">30</xref>), while B11 is a bioisosteric derivative of B13 found in the tubulin-binding allocolchicine (<xref rid="b31-or-44-02-0589" ref-type="bibr">31</xref>). Based on the O<sub>pGI</sub> score, the 4,8-dihydrobenzodithiophene-4,8-dione structure (B20) may be used to develop novel potent, yet selective, anti-proliferative drugs.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>The scope of present study was to perform an objective analysis of the impact of ring structures on the anti-proliferative effects in drug design. The results indicate that medicinal chemistry specialists focus their research on simple scaffolds, even if most of these have no significant pay-off guarantees. The reason is probably that the optimal chemical structures are complex and difficult to synthesize, and are therefore associated with high research costs. The use of a simple scaffold is based on the low-risk approach and is very similar to the repurposing strategy (<xref rid="b32-or-44-02-0589" ref-type="bibr">32</xref>). However, the present study has some limitations, considering the use of only one chemical repository. Anticancer research is far more complex and the NCI data represent just one sample.</p>
<p>Drug repurposing or drug repositioning is the identification of novel therapeutic uses for known drugs as an alternative to the long and expensive drug development programs beginning from scratch (<xref rid="b33-or-44-02-0589" ref-type="bibr">33</xref>&#x2013;<xref rid="b35-or-44-02-0589" ref-type="bibr">35</xref>). It is considered that the same thinking paradigm is used for heterocyclic rings. The repurposing of chemical scaffolds is based on the privileged structure concept. These types of structures are chemically accessible, have flexible and potent binding affinities towards a large type of biological targets, and possess good drug-like properties (<xref rid="b36-or-44-02-0589" ref-type="bibr">36</xref>).</p>
<p>If the privileged structure concept is focused on the assessment of the potential for a particular ring structure to interact with a number of targets, the present study was centered on the objective evaluation of the anti-proliferative potential of cyclic structures as scaffolds for anticancer drug design, regardless of their mechanisms of action. The scoring method in the present study provides an important new tool that could be successfully combined with the privileged structure analysis methods to identify better scaffolds. For example, the quinoline ring (A08) emerged in the present study as an effective ring and has been demonstrated as a privileged scaffold in cancer drug development (<xref rid="b37-or-44-02-0589" ref-type="bibr">37</xref>,<xref rid="b38-or-44-02-0589" ref-type="bibr">38</xref>). The pyrazole ring (A14) is another privileged structure, particularly when targeting protein kinases (<xref rid="b39-or-44-02-0589" ref-type="bibr">39</xref>,<xref rid="b40-or-44-02-0589" ref-type="bibr">40</xref>), which can generate interesting leads providing that it is joined by other heterocyclic structures.</p>
<p>The present study used a dual strategy, a topological method using Bemis-Murcko scaffolds to assess the importance of rings interconnection networks (<xref rid="b39-or-44-02-0589" ref-type="bibr">39</xref>), and a plain ring analysis to reveal the importance of specific heteroatoms and their relative position. In some cases, the results of both methods were similar. One important example is in the case of taxene derivatives. Paclitaxel is represented by the Bemis-Murcko scaffold S07 and by the plain ring B06, both with A<sub>pGI</sub> scores &#x003E;7. Docetaxel, a congener of paclitaxel, shares the ring B06, but is represented by the more potent Bemis-Murcko scaffold S04. Another important observation is the practice of structural simplification, a method of molecular truncation used to avoid large and low drug-like scaffolds (<xref rid="b41-or-44-02-0589" ref-type="bibr">41</xref>).</p>
<p>In conclusion, the scoring method developed and implemented herein can easily be used in any other similar research based on the NSC data. The method could focus on a particular cyclic structure and it can be used to find other ring structures with a similar inhibition profile. Even if the method used in the present study ignored the effects of substituents on the cyclic structures, the results clearly indicate that the nature of the ring structure can have a significant impact on the anticancer potential. Likewise, this method can be used in future research to quantify the impact of the ring structure compared to that of the substituents nature or position.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<sec>
<title>Funding</title>
<p>No funding was received.</p>
</sec>
<sec>
<title>Availability of data and materials</title>
<p>Data sharing is not applicable to this article, as no datasets were generated or analyzed during the current study.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>GMN was involved in the conceptualization of the study. All authors (GNDI, OTO, GN, IIO, AT, TIB, DAS and GMD) were involved in the study methodology. All authors have read and approved the final manuscript.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Competing interests</title>
<p>DAS is the Editor-in-Chief for the journal, but had no personal involvement in the reviewing process, or any influence in terms of adjudicating on the final decision, for this article. All the other authors declare that they have no competing interests.</p>
</sec>
<glossary>
<def-list>
<title>Abbreviations</title>
<def-item><term>CAS Registry</term><def><p>Chemical Abstracts Service Registry</p></def></def-item>
<def-item><term>GI<sub>50</sub></term><def><p>half maximal growth inhibition</p></def></def-item>
<def-item><term>IQR</term><def><p>interquartile range</p></def></def-item>
<def-item><term>LC<sub>50</sub></term><def><p>half maximal lethal concentration</p></def></def-item>
<def-item><term>NCI</term><def><p>National Cancer Institute</p></def></def-item>
<def-item><term>NSC Number</term><def><p>Cancer Chemotherapy National Service Center number</p></def></def-item>
<def-item><term>TGI</term><def><p>total growth inhibition</p></def></def-item>
</def-list>
</glossary>
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</back>
<floats-group>
<fig id="f1-or-44-02-0589" position="float">
<label>Figure 1.</label>
<caption><p>Example of the scaffold generation methods using sunitinib.</p></caption>
<graphic xlink:href="OR-44-02-0589-g03.jpg"/>
</fig>
<fig id="f2-or-44-02-0589" position="float">
<label>Figure 2.</label>
<caption><p>The Bemis-Murcko skeletons with the optimal performance are presented with the A<sub>pGI</sub>, P<sub>pGI</sub> and O<sub>pGI</sub> scores (illustrated in the figure in order of presentation from left to right). S01-S09 represent each scaffold number. A<sub>pGI</sub>, average of pGI values; P<sub>pGI</sub>, number of pGI values the &#x003E;5 value threshold; O<sub>pGI</sub>, number of pGI upper boundary outliers.</p></caption>
<graphic xlink:href="OR-44-02-0589-g06.jpg"/>
</fig>
<fig id="f3-or-44-02-0589" position="float">
<label>Figure 3.</label>
<caption><p>The ring structures with the optimal performance presented with the A<sub>pGI</sub>, P<sub>pGI</sub> and O<sub>pGI</sub> (illustrated in the figure in order of presentation from left to right) scores and examples of well-known drugs containing them. B01-B09 represent the number of each ring. A<sub>pGI</sub>, average of pGI values; P<sub>pGI</sub>, number of pGI values the &#x003E;5 value threshold; O<sub>pGI</sub>, number of pGI upper boundary outliers.</p></caption>
<graphic xlink:href="OR-44-02-0589-g09.tif"/>
</fig>
<fig id="f4-or-44-02-0589" position="float">
<label>Figure 4.</label>
<caption><p>The optimal 7 rings based on their A<sub>pGI</sub>, P<sub>pGI</sub> and O<sub>pG</sub>I scores (illustrated in the figure in order of presentation from left to right) calculated as independent effects. B01-B19 represent the number of each ring. A<sub>pGI</sub>, average of pGI values; P<sub>pGI</sub>, number of pGI values the &#x003E;5 value threshold; O<sub>pGI</sub>, number of pGI upper boundary outliers.</p></caption>
<graphic xlink:href="OR-44-02-0589-g10.jpg"/>
</fig>
<table-wrap id="tI-or-44-02-0589" position="float">
<label>Table I.</label>
<caption><p>Most commonly used Bemis-Murcko scaffolds and their anti-proliferative performance scores.</p></caption>
<table frame="hsides" rules="groups">
<tbody>
<tr>
<td>
<graphic xlink:href="OR-44-02-0589-g05.jpg"/></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-or-44-02-0589"><p>A<sub>1D</sub>, average of GI&#x0025; values; P<sub>1D</sub>, number of GI&#x0025; values the &#x003C;50&#x0025; value threshold; O<sub>1D</sub>, number of GI&#x0025; lower boundary outliers; A<sub>pGI</sub>, average of pGI values; P<sub>pGI</sub>, number of pGI values the &#x003E;5 value threshold; O<sub>pGI</sub>, number of pGI upper boundary outliers.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tII-or-44-02-0589" position="float">
<label>Table II.</label>
<caption><p>Most commonly used scaffolds and their corresponding global scores.</p></caption>
<table frame="hsides" rules="groups">
<tbody>
<tr>
<td>
<graphic xlink:href="OR-44-02-0589-g07.tif"/></td>
</tr>
<tr>
<td>
<graphic xlink:href="OR-44-02-0589-g08.tif"/></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn3-or-44-02-0589"><p>A<sub>1D</sub>, average of GI&#x0025; values; P<sub>1D</sub>, number of GI&#x0025; values the &#x003C;50&#x0025; value threshold; O<sub>1D</sub>, number of GI&#x0025; lower boundary outliers; A<sub>pGI</sub>, average of pGI values; P<sub>pGI</sub>, number of pGI values the &#x003E;5 value threshold; O<sub>pGI</sub>, number of pGI upper boundary outliers.</p></fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</article>