High-content phenotypic and pathway profiling to advance drug discovery in diseases of unmet need
Open accessAbstract
Conventional thinking in modern drug discovery postulates that the design of highly selective molecules which act on a single disease-associated target will yield safer and more effective drugs. However, high clinical attrition rates and the lack of progress in developing new effective treatments for many important diseases of unmet therapeutic need challenge this hypothesis. This assumption also impinges upon the efficiency of target agnostic phenotypic drug discovery strategies, where early target deconvolution is seen as a critical step to progress phenotypic hits. In this review we provide an overview of how emerging phenotypic and pathway-profiling technologies integrate to deconvolute the mechanism-of-action of phenotypic hits. We propose that such in-depth mechanistic profiling may support more efficient phenotypic drug discovery strategies that are designed to more appropriately address complex heterogeneous diseases of unmet need.
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In silico modeling, in vitro receptor binding studies, and in vivo trials in both rodents and humans have demonstrated that receptor cross-talk and synergistic signaling can be exploited rather than avoided.
“Importantly, in silico modeling, in vitro receptor binding studies, and in vivo trials in both rodents and humans have demonstrated that receptor cross-talk and synergistic signaling can be exploited rather than avoided.”
From The Triple‐Agonist Revolution: Retatrutide and the Paradigm Shift in Multi‐Hormonal Pharmacotherapy for Obesity and Cardiometabolic Comorbidities (2026) · cites this paper as [44]
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Flagged first, then by citations
Cited by
Sorted by citations
Ganamurali, N., & Sabarathinam, S. (2026) · Clinical Pharmacology in Drug Development · doi:10.1002/cpdd.70001 · Cited by 8 · see citing works
- Authors
- Hughes, R. E., Elliott, R. J. R., Dawson, J. C., & Carragher, N. O.
- Affiliations
- Edinburgh Cancer Research (GB)
- Corresponding author
- Carragher, Neil O.
- Venue
- Cell Chemical Biology
- Publisher
- Elsevier BV
- Published
- 2021-03
- Volume
- 28
- Issue
- 3
- Pages
- 338-355
- ISSN
- 2451-9448 (ISSN-L)
- 2451-9456
- OpenAlex
- W3138422230
- Cited by
- 62
- References
- 120
- Citations by year
- 2026: 12 · 2025: 15 · 2024: 13 · 2023: 9 · 2022: 7 · 2021: 6
- FWCI
- 0.68
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (vor, 382 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Cell chemical biology (publishedVersion)
- PubMed (publishedVersion)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, other-oa)
- Funders
- Brain Tumour Charity
- Cancer Research UK
- Topics
- Physical Sciences › Computer Science › Computational Theory and Mathematics › Computational Drug Discovery Methods
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bioinformatics and Genomic Networks
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Advanced Biosensing Techniques and Applications
- Keywords
- phenotypic drug discovery, high-content screening, target deconvolution, mechanism of action, drug attrition
- MeSH terms
- Disease, Pharmaceutical Preparations, Humans, Phenotype, Drug Discovery
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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