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Artificial Intelligence in Health                                     EBNA1 inhibitors against EBV in NPC



            While high-throughput screening can identify active   Nasopharyngeal carcinoma (NPC) is strongly
            compounds at low concentrations, it often produces a low   associated with Epstein-Barr virus (EBV). NPC typically
            hit rate or high false positives.  This leads to a significant   affects individuals in their mid-40s and is more prevalent
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            discrepancy between the number of hits identified and the   in men. It consistently exhibits EBV positivity, regardless
            number of viable lead compounds, which leads to wastage.  of geographic location. Annually, NPC accounts for

              One way to negate this problem is using quantitative   approximately 90,000  cases and 50,000 deaths recorded
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            structure-activity relationship (QSAR) in drug discovery.   globally.  Its distribution is unique, with Asian countries
            QSAR is a ligand-based drug design method that uses   representing around 80% of documented cases and
            mathematical models to correlate the chemical features of   mortality rates. In Malaysia, NPC ranks as the fourth
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            inhibitors to their bioactivity.  QSAR models streamline   most common cancer among males.  Among the Bidayuh
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            drug discovery by predicting compound activity based   community, part of Malaysia’s indigenous population, the
            on their structure and properties, allowing researchers to   risk of NPC is notably elevated, with men and women
            prioritize promising candidates. This targeted approach   experiencing a 2.3-fold and 1.9-fold increase, respectively,
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            reduces  the  need  for  extensive  testing,  saving  time,   compared to other populations during the same period.
            resources, and materials while accelerating the research   NPC poses a significant health concern, among which EBV
            process. It optimizes resource  allocation and promotes   latent infection stands out as a prominent contributor.
            sustainable research practices by focusing efforts on   EBV is a virus capable of infecting epithelial and B cells,
            compounds with a higher likelihood of success.  Another   facilitating its persistence within the host and transmission
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            advantage is that QSAR aids in designing active molecules   among humans. A  critical protein in maintaining viral
            in a “greener” way by reducing the need for extensive   stability  and  promoting  viral  gene  expression  is  called
            experimental synthesis and testing on animals. A  study   the EBV nuclear antigen 1 (EBNA1). EBNA1 interacts
            examined the toxicity of various ionic liquids (ILs), which   with the oriP region of the EBV genome, forming dimers
            have the potential to harm aquatic life. Their study utilized   and complexes crucial for DNA looping and maintaining
            advanced QSAR techniques to develop reliable models for   genome stability. 18,19  In addition, EBNA1 recruits cellular
            predicting IL toxicity without animal testing. Their QSAR   proteins to facilitate DNA replication.  EBNA1 binds to
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            models  demonstrated  high  predictive  accuracy,  with   the Family of Repeats (FR) element during cell division,
            classification models achieving over 86% accuracy and
            regression models showing a correlation (R ) >0.90 in the   tethering EBV episomes to cellular chromosomes for proper
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            test data. These high-performance models provided strong   segregation.   EBNA1 also activates EBV gene transcription
                                                               by interacting with the FR element, with specific regions
            predictions and pinpointed the structural elements of ILs                               24
            contributing to their cytotoxicity. These QSAR models   within EBNA1 being crucial for this function.  Moreover,
            offer valuable tools for designing safer and environmentally   EBNA1 affects several cellular signaling pathways in cell
            friendly ILs.  Notably, QSAR-based virtual screening has   transformation and growth. It amplifies STAT1 signaling,
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            emerged as a pivotal approach in contemporary scientific   enhances interferon responsiveness, and inhibits the
            investigations, facilitating the identification of potential   transforming growth factor beta and nuclear factor kappa
            drug candidates. QSAR has been used to design chalcone   B pathways, ultimately promoting viral persistence and
            derivatives that outperform standard tuberculosis drugs,   oncogenesis. 25,26  EBNA1 also disrupts promyelocytic
            identify potent neuraminidase inhibitors for influenza A,   nuclear bodies, impairing DNA repair, p53 activation, and
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            identify potent inhibitors for 5-HT  receptors for mood   apoptosis in response to DNA damage.  This disruption is
                                        1A
            and anxiety disorders, and identify potential antimalarial   mediated by interactions with cellular proteins ubiquitin-
            activity in compounds that have low toxicity towards   specific-processing protease 7 (USP7) and casein kinase 2,
            the mammalian cell. 7-10  QSAR was also used to identify   leading to promyelocytic leukemia protein degradation. 27-29
            critical structural features enhancing the inhibitory effects   EBNA1  interacts  with  USP7,  stabilizing  its  binding  and
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            of  compounds  against  liver  carcinoma  cells  in  tumor-  preventing p53 stabilization protease.  Consequently,
            targeting drug studies.  In antipsychotic/antidepressant   cells expressing EBNA1 exhibit reduced p53 accumulation
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            studies, QSAR models have aided in predicting the   upon DNA damage, facilitating cell survival and potentially
            activities of natural compounds against specific receptors,   contributing to tumorigenesis.  EBNA1 expression also
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            offering potential alternatives to synthetic drugs.  QSAR   correlates  with  increased  oxidative  stress,  characterized
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            methodologies were also used to clarify physicochemical   by elevated reactive oxygen species (ROS) levels and DNA
            factors influencing the activity and cytotoxicity of   damage. This phenomenon, mediated by the upregulation of
            compounds against human immunodeficiency viruses and   ROS-generating enzyme NADPH oxidase 2 (NOX2), may
            influenza viruses in antiviral drug studies. 13,14  promote genomic instability and tumor development. 31,32


            Volume 2 Issue 1 (2025)                         94                               doi: 10.36922/aih.4375
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