A comprehensive map of molecular drug targets
Open accessAbstract
The success of mechanism-based drug discovery depends on the definition of the drug target. This definition becomes even more important as we try to link drug response to genetic variation, understand stratified clinical efficacy and safety, rationalize the differences between drugs in the same therapeutic class and predict drug utility in patient subgroups. However, drug targets are often poorly defined in the literature, both for launched drugs and for potential therapeutic agents in discovery and development. Here, we present an updated comprehensive map of molecular targets of approved drugs. We curate a total of 893 human and pathogen-derived biomolecules through which 1,578 US FDA-approved drugs act. These biomolecules include 667 human-genome-derived proteins targeted by drugs for human disease. Analysis of these drug targets indicates the continued dominance of privileged target families across disease areas, but also the growth of novel first-in-class mechanisms, particularly in oncology. We explore the relationships between bioactivity class and clinical success, as well as the presence of orthologues between human and animal models and between pathogen and human genomes. Through the collaboration of three independent teams, we highlight some of the ongoing challenges in accurately defining the targets of molecular therapeutics and present conventions for deconvoluting the complexities of molecular pharmacology and drug efficacy.
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Tclin currently consists of about 600 protein targets.
“Tclin currently consists of ~600 protein targets9”
From Unexplored therapeutic opportunities in the human genome (2018) · cites this paper as [9]
The Concluding thoughts and future work section identifies Tclin as a subset of the merged drug-efficacy-target data, and Drugs, targets and therapeutic areas reports 667 unique human protein efficacy targets in the merged data. Our copy does not give a count for the Tclin subset, so it does not establish that Tclin itself contains about 600 protein targets; no page numbers are available in the supplied passages. (LLM, conf=0.82)
Experimental — accuracy not yet measuredGPCRs are the largest family of druggable targets in the human genome, with 20-30% of approved drugs acting on them.
“GPCRs represent the largest family of druggable targets in the human genome9, with between 20% and 30% of approved drugs acting on them53,54.”
From Unexplored therapeutic opportunities in the human genome (2018) · cites this paper as [9]
In the citing sentence, this source is cited for the drug-percentage claim, not the preceding ‘largest family’ claim. The Drugs, targets and therapeutic areas section reports that rhodopsin-like GPCRs account for the therapeutic effect of 33% of approved small-molecule drugs, rather than 20–30% of approved drugs generally. Our copy provides no page number for the passage. (LLM, conf=0.88)
Experimental — accuracy not yet measured217 drugs in DrugCentral act through 125 Tclin ion channels for MoA.
“There are 217 drugs annotated in DrugCentral10 as acting through 125 (T) ion channels for the MoA9.”
From Unexplored therapeutic opportunities in the human genome (2018) · cites this paper as [9]
In “Drugs, targets and therapeutic areas” (page unavailable), the paper says it combined DrugCentral with other databases and identifies ion channels as efficacy targets for approved drugs. It reports percentages for ion-channel targets and drugs, but does not give the claimed 217 drugs, 125 Tclin ion channels, or a DrugCentral-only count. (LLM, conf=0.86)
Experimental — accuracy not yet measuredProteins that directly regulate transcription had one of the highest success rates for drug approval among different classes of drug target proteins.
“Interestingly, among different classes of drug target proteins, proteins that directly regulate transcription had one of the highest success rates for drug approval, according to a critical evaluation of all bioactive molecules with drug-like properties in ChEMBL data43.”
From Effects of SPI1-mediated transcriptome remodeling on Alzheimer's disease-related phenotypes in mouse models of Aβ amyloidosis (2024) · cites this paper as [43]
The ‘Drugs, targets and therapeutic areas’ section reports relative enrichment of approved drugs for nuclear receptors when compared with compounds targeting them in ChEMBL. Nuclear receptors are a transcription-regulating target family, but the paper does not establish that proteins directly regulating transcription as a broader class had one of the highest drug-approval success rates. (LLM, conf=0.83)
Experimental — accuracy not yet measuredTclin assignment relied on exhaustive manual searches of primary literature and drug labels to identify mechanism-of-action links.
“Classification into this TDL category was achieved through exhaustive manual querying of primary literature and drug labels for MoA assignments with respect to molecular (protein) targets9”
From Unexplored therapeutic opportunities in the human genome (2018) · cites this paper as [9]
The targets of transcription factors are not randomly selected.
“One critical concept to keep in mind here is that the targets of transcription factors are not randomly selected.”
From Effects of SPI1-mediated transcriptome remodeling on Alzheimer's disease-related phenotypes in mouse models of Aβ amyloidosis (2024) · cites this paper as [43]
The Drugs, targets and therapeutic areas and Concluding thoughts and future work sections discuss proteins selected as drug targets, not genes selected by transcription factors. Searches for transcription-factor target selection and gene regulation found no passage addressing whether that selection is random; page numbers were not available in our copy. (LLM, conf=0.76)
Experimental — accuracy not yet measuredTarget genes of transcription factors are almost always within the same or similar pathways that need to be co-regulated in a coordinated manner.
“These target genes are almost always within the same or similar pathways that need to be co-regulated in a coordinated manner43,44.”
From Effects of SPI1-mediated transcriptome remodeling on Alzheimer's disease-related phenotypes in mouse models of Aβ amyloidosis (2024) · cites this paper as [43]
The Drugs, targets and therapeutic areas section classifies drug efficacy targets, while Cancer drivers and cancer targets discusses druggable pathways. Neither addresses whether transcription factors’ target genes are almost always in similar pathways or require coordinated co-regulation. Searches for transcription factors and co-regulated pathways found no passage supporting that point; page numbers were not available in our copy. (LLM, conf=0.76)
Experimental — accuracy not yet measuredAlthough some have entered clinical trials with a primary focus on PROTAC, the diverse range of protein regulation methods has undoubtedly laid a robust foundation for developing drugs targeting previously undruggable proteins.
“Although some have entered clinical trials with a primary focus on PROTAC, the diverse range of protein regulation methods has undoubtedly laid a robust foundation for developing drugs targeting previously undruggable proteins.477–479”
From Recent advances in targeting the “undruggable” proteins: from drug discovery to clinical trials (2023) · cites this paper as [479]
39 new targets were annotated as Tclin.
“39 new targets were annotated as Tclin, i.e. MoA targets through which approved drugs exert their therapeutic action (32–34).”
From DrugCentral 2023 extends human clinical data and integrates veterinary drugs (2023) · cites this paper as [32]
Tclin are protein drug targets via which approved drugs act, and currently include 659 human proteins.
“Tclin are protein drug targets via which approved drugs act (24–26), which currently includes 659 human proteins”
From TCRD and pharos 2021: mining the human proteome for disease biology (2021) · cites this paper as [24]
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- Authors
- Santos, R., Ursu, O., Gaulton, A., Bento, A. P., Donadi, R. S., Bologa, C. G., Karlsson, A., Al-Lazikani, B., Hersey, A., Oprea, T. I., & Overington, J. P.
- Affiliations
- European Bioinformatics Institute (GB)
- University of New Mexico (US)
- Corresponding author
- Hersey, Anne
- Oprea, Tudor I.
- Overington, John P.
- ORCID
- Venue
- Nature Reviews Drug Discovery
- Published
- 2016-12-02
- Volume
- 16
- Issue
- 1
- Pages
- 19-34
- ISSN
- 1474-1776 (ISSN-L)
- 1474-1784
- PMC
- PMC6314433
- OpenAlex
- W2558217333
- Cited by
- 2,427
- References
- 61
- Citations by year
- 2026: 236 · 2025: 302 · 2024: 307 · 2023: 247 · 2022: 275 · 2021: 284 · 2020: 251 · 2019: 209 · 2018: 200 · 2017: 107 · 2016: 4 · 2015: 1 · 2012: 2
- FWCI
- 13.41
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Drug Discovery (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Wellcome Trust (104104/A/14/Z, WT104104/Z/14/Z, WT086151/Z/08/Z)
- European Bioinformatics Institute
- Cancer Research UK (11566, 22897)
- National Institutes of Health (UL1TR001449)
- National Cancer Institute (U54CA189205, P30CA118100)
- National Center for Advancing Translational Sciences
- 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 › Biomedical Text Mining and Ontologies
- Keywords
- therapeutic target, molecular therapeutic targets, approved drugs, model organisms, oncology drugs, drug efficacy, molecular pharmacology
- MeSH terms
- Humans, Pharmacogenetics, Drug Prescriptions, United States, United States Food and Drug Administration, Genetic Variation, Genome, Human, Drug Delivery Systems, Drug Approval, Drug Discovery, Databases, Pharmaceutical
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