Project Report - Ganpat University Institutional Repository
Transcription
Project Report - Ganpat University Institutional Repository
1 Screening of natural compounds as Aromatase inhibitors for treatment of Breast Cancer-An insilico approach Submitted By Ankita R. Upadhyay Ganpat University, Gujrat Under the guidance of Mr. Biplab Bhattacharjee Manager –Operations Institute Of Computational Biology www.iocbindia.org 2 ACKNOWLEDGEMENT I, Ankita Upadhyay declare that this project entitled “Screening of natural compounds as Aromatase inhibitors for treatment of Breast Cancer-An insilico approach” has been prepared by me. It is great pleasure for me to acknowledgement the assistance & encouragement of a nu. of individuals in this effort. Mr. Biplab Bhattacharjee, my project guide for offering valuable guidance& encouragement during the entire project. He has been a great help & his contribution in the successful completion of this project. I also thank to ShibhinSir & Jayadeepa Madam for their grateful support.& thanks to my parents & my dear friend for their help & good wishes. 3 -: CONTENTS:-1. Introduction 1.1 Cancer 1.1.1 Treatment 1.2Breast Cancer 1.2.1 Risk factor 1.2.2 Signs &symptoms. 1.2.3 Staging 1.2.4 Test & Diagnosis 1.2.5 Treatment 1.3Drug discovery 1.3.1 Methodologies 1.4 Chemoprevention 1.4.1 Breast Cancer Chemoprevention 1.5 Nuclear Receptor Super family 1.5.1Estrogen pathway 1.6 Aromatase 1.6.1 Action of Aromatase 1.6.2 Role of Aromatase inhibitor 1.6.3 Plant Sources for Aromatase Inhibitor 2. Review of Literature 3. Flowchart 3.1Marerial & method 3.1.1 Databases o 3.1.1.1 Pub Med o 3.1.1.2PDB o 3.1.1.3Pubchem 3.1.2 Software o 3.1.2.1Marvin Sketch o 3.1.2.2 Quantum3.0.0. o 3.1.2.3 Argus lab o 3.1.2.4 Hex 4.5 o 3.1.2.5ADME Tox 4. Result 4.1 List of Aromatase inhibitor with Sources 4.2 List of Aromatase inhibitor with compound 4.3 Quantum, Argus Lab & Hex docking score 5. Discussion 4 5.1Table no.:4 Docking score: 5.2Table no.:5. IC50 Result 5.3Table no.:6 ADME-Tox properties 6. Conclusion 7. References 5 LIST OF FIGURES: FIGURE NO. FIGURE NAME PAGE NO. 1 2 Tumor cell Endoscopy 7 13 3 Chemoprevention 32 4 5 Nuclear receptor structure Structure of Estrogen (A), Estriol (B) and Estradiol (C) 38 38 6 Process of breast cancer 39 7 Actions of Aromatase 41 8 Plant Sources for Aromatase Inhibitor 44 9 Home page of Springer link 49 10 Home page of Pub med 50 11 12 13 14 15 16 The PDB home page of 3EQM Enter the molecule name—Chrysin Click the molecule, here Compound Summary-Chrysin Energy minimization for Tamoxifen in Marvin sketch The conformers of Tamoxifen obtained after energy minimization in Marvin sketch 54 55 56 56 57 58 17 Screen of Argus lab 58 18 Quantum homepage 59 19 Quantum homepage molecule 59 20 21 Quantum after loading the molecule Sequence on (The sequence of the protein with the water molecules is shown) 60 60 22 To remove the water molecule 61 6 23 24 After removing the water molecules A create a object 61 62 25 26 27 28 29 30 A copy of the ligand is created To rename the object The object is renamed as ligand The ligand being removed automatically after renaming The ligand in the protein complex is selected The hydrogen atoms are added and the protonation state is set 62 63 63 64 64 65 31 The number of hydrogen atoms (26) and the electric state 65 (0e) is shown 32 The chain is selected by clicking on the chain 66 33 The grid center for docking is selected 66 34 35 The active site are highlighted The protein showing the active site in red 67 67 36 37 Adding foreign ligand Screening of foreign ligand 68 68 38 39 40 41 42 43 44 45 Argus lab-open the homepage. Open the structure Tree view of 3EQM Hide unselected structure. Center molecule in window. View/center molecule in window. Add hydrogen Ctrl+c & ctrl+v the selected residue. 69 69 70 70 71 71 72 73 46 Right click on 603ASD & select “make a ligand group from this residue” .now group have two ligands name “1 ASD” & “2ASD”. 73 47 Right click on “1 ASD” in the group folder & select “modify group” option. In modify group dialog box, type in a new name like ‘lig’ Right click on the group named “lig” & select the “make a binding site group for this group 74 48 74 7 49 50 Selecting the Calculation/DOCK a Ligand Settings dialog box looks like: select the ligand to dock in the “Ligand “drop-box. Click on the “Calculate size”. Make sure “ARGUS DOCK”. Than ok. 75 75 51 76 53 54 55 56 57 See Argus Lab first generate the scoring grids used during the docking Go to calculation in the calculations folder select the Dock a Database Click on Get Ligands & select the sdf compound. See the result best Ligand phase-energy Open the homepage & go to file open receptor... Hex after loading the molecule Open the homepage & go to file open Ligand... 58 59 60 61 62 63 64 Go to controls----- docking----- enter. Docking control---activates ----hex progress See the Hex progress See the E total & rms Save the result... Save both---- enter the name ---ok ADME Box 79 80 80 81 81 82 85 65 TOX Box 85 66 Graph 85 52 . 76 77 77 78 78 79 8 LIST OF TABLES: TABLE NO TABLE NAME PAGE NO. 1. 2. List of Aromatase inhibitor with Sources List of Aromatase inhibitor with compound properties: 86 128 3. 4. 5. Quantum, Argus Lab & Hex Docking score Docking score IC50 Result: 136 141 143 6. 7. ADME-Tox properties Structure similarity with commercial drug 143 149 9 1. Introduction 1.1 Cancer Cancer is a class of diseases characterized by out-of-control cell growth. There are over 100 different types of cancer, and each is classified by the type of cell that is initially affected. Fig_1 tumor cell Cancer harms the body when damaged cells divide uncontrollably to form lumps or masses of tissue called tumors (except in the case of leukemia where cancer prohibits normal blood function by abnormal cell division in the blood stream). Tumors can grow and interfere with the digestive, nervous, and circulatory systems, and they can release hormones that alter body function. Tumors that stay in one spot and demonstrate limited growth are generally considered to be benign. More dangerous, or malignant, tumors form when two things occur: 1. A cancerous cell manages to move throughout the body using the blood or lymph systems, destroying healthy tissue in a process called invasion 2. That cell manages to divide and grow, making new blood vessels to feed itself in a process called angiogenesis. When a tumor successfully spreads to other parts of the body and grows, invading and destroying other healthy tissues, it is said to have metastasized. This process itself is called metastasis, and the result is a serious condition that is very difficult to treat. 10 In 2007, cancer claimed the lives of about 7.6 million people in the world. Physicians and researchers who specialize in the study, diagnosis, treatment, and prevention of cancer are called oncologists. How is cancer classified? Cancers are classified by the type of cell that resembles the tumor and, therefore, the tissue presumed to be the origin of the tumor. Examples include: Carcinoma: Malignant tumors derived from epithelial cells. This group represents the most common cancers, including the common forms of breast, prostate, lung and colon cancer. Sarcoma: Malignant tumors derived from connective tissue, or mesenchymal cells. Lymphoma and leukemia: Malignancies derived from hematopoietic (blood-forming) cells Germ cell tumor: Tumors derived from totipotent cells. In adults it is most oftenly found in the testicle and ovary; in fetuses, babies, and young children most often found on the body midline, particularly at the tip of the tailbone. Blastic tumor: A tumor (usually malignant) which resembles an immature or embryonic tissue. Many of these tumors are most common in children. Adeno- = gland Chondro- = cartilage Erythrocyte- = red blood cell Hemangio- = blood vessels Hepato- = liver Lipo- = fat Lympho- = white blood cell Melano- = pigment cell Myelo- = bone marrow 11 Myo- = muscle Osteo- = bone Uro- = bladder Retino- = eye Neuro- = brain In the U.S. and other developed countries, cancer is presently responsible for about 25% of all deaths. On a yearly basis, 0.5% of the population is diagnosed with cancer. The statistics given in the table is for adults in the United States, and may vary substantially in other countries. Cancer is the second leading cause of death in America, exceeded only by heart disease. Every year, cancer is diagnosed in more than a million people. The number of new cancer cases can be reduced substantially, and many cancer deaths can be prevented. Adopting healthier lifestyles—like avoiding tobacco use, increasing physical activity, achieving optimal weight, improving nutrition, and avoiding sun exposure—can significantly reduce a person's risk for cancer. Providing cancer screening, information, and referral services available and accessible to all individuals is also essential for reducing the high rates of cancer and cancer deaths. Cancers that can be prevented or detected earlier by screening account for about half of all cancer cases in the United States. What causes cancer? Cancer is ultimately the result of cells that uncontrollably grow and do not die. Normal cells in the body follow an orderly path of growth, division, and death. Programmed cell death is called apoptosis, and when this process breaks down, cancer begins to form. Unlike regular cells, cancer cells do not experience programmatic death and instead continue to grow and divide. This leads to a mass of abnormal cells that grows out of control. 12 Genes - the DNA type Cells can experience uncontrolled growth if there are damages or mutations to DNA, and therefore, damage to the genes involved in cell division. Four key types of gene are responsible for the cell division process: oncogenes tell cells when to divide, tumor suppressor genes tell cells when not to divide, suicide genes control apoptosis and tell the cell to kill itself if something goes wrong, and DNA-repair genes instruct a cell to repair damaged DNA. Cancer occurs when a cell's gene mutations make the cell unable to correct DNA damage and unable to commit suicide. Similarly, cancer is a result of mutations that inhibit oncogene and tumor suppressor gene function, leading to uncontrollable cell growth. Carcinogens Carcinogens are a class of substances that are directly responsible for damaging DNA, promoting or aiding cancer. Tobacco, asbestos, arsenic, radiation such as gamma and x-rays, the sun, and compounds in car exhaust fumes are all examples of carcinogens. When our bodies are exposed to carcinogens, free radicals are formed that try to steal electrons from other molecules in the body. Theses free radicals damage cells and affect their ability to function normally. What are the symptoms of cancer? Cancer symptoms are quite varied and depend on where the cancer is located, where it has spread, and how big the tumor is. Some cancers can be felt or seen through the skin - a lump on the breast or testicle can be an indicator of cancer in those locations. Skin cancer (melanoma) is often noted by a change in a wart or mole on the skin. Some oral cancers present white patches inside the mouth or white spots on the tongue. Other cancers have symptoms that are less physically apparent. Some brain tumors tend to present symptoms early in the disease as they affect important cognitive functions. Pancreas cancers are usually too small to cause symptoms until they cause pain by pushing against 13 nearby nerves or interfere with liver function to cause a yellowing of the skin and eyes called jaundice. Symptoms also can be created as a tumor grows and pushes against organs and blood vessels. For example, colon cancers lead to symptoms such as constipation, diarrhea, and changes in stool size. Bladder or prostate cancers cause changes in bladder function such as more frequent or infrequent urination. As cancer cells use the body's energy and interfere with normal hormone function, it is possible to present symptoms such as fever, fatigue, excessive sweating, anemia, and unexplained weight loss. However, these symptoms are common in several other maladies as well. For example, coughing and hoarseness can point to lung or throat cancer as well as several other conditions. When cancer spreads, or metastasizes, additional symptoms can present themselves in the newly affected area. Swollen or enlarged lymph nodes are common and likely to be present early. If cancer spreads to the brain, patients may experience vertigo, headaches, or seizures. Spreading to the lungs may cause coughing and shortness of breath. In addition, the liver may become enlarged and cause jaundice and bones can become painful, brittle, and break easily. Symptoms of metastasis ultimately depend on the location to which the cancer has spread. How is cancer diagnosed and staged? Early detection of cancer can greatly improve the odds of successful treatment and survival. Physicians use information from symptoms and several other procedures to diagnose cancer. Imaging techniques such as X-rays, CT scans, MRI scans, PET scans, and ultrasound scans are used regularly in order to detect where a tumor is located and what organs may be affected by it. Doctors may also conduct an endoscopy, which is a procedure that uses a thin tube with a camera and light at one end, to look for abnormalities inside the body. 14 Fig No.2 –Endoscopy Extracting cancer cells and looking at them under a microscope is the only absolute way to diagnose cancer. This procedure is called a biopsy. Other types of molecular diagnostic tests are frequently employed as well. Physicians will analyze your body's sugars, fats, proteins, and DNA at the molecular level. For example, cancerous prostate cells release a higher level of a chemical called PSA (prostate-specific antigen) into the bloodstream that can be detected by a blood test. Molecular diagnostics, biopsies, and imaging techniques are all used together to diagnose cancer. After a diagnosis is made, doctors find out how far the cancer has spread and determine the stage of the cancer. The stage determines which choices will be available for treatment and informs prognoses. The most common cancer staging method is called the TNM system. T (1-4) indicates the size and direct extent of the primary tumor, N (0-3) indicates the degree to which the cancer has spread to nearby lymph nodes, and M (0-1) indicates whether the cancer has metastasized to other organs in the body. A small tumor that has not spread to lymph nodes or distant organs may be staged as (T1, N0, M0), for example. TNM descriptions then lead to a simpler categorization of stages, from 0 to 4, where lower numbers indicate that the cancer has spread less. While most Stage 1 tumors are curable, most Stage 4 tumors are inoperable or untreatable. 15 1.1.1 Treatment Cancer treatment depends on the type of cancer, the stage of the cancer (how much it has spread), age, health status, and additional personal characteristics. There is no single treatment for cancer, and patients often receive a combination of therapies and palliative care. Treatments usually fall into one of the following categories: surgery, radiation, chemotherapy, immunotherapy, hormone therapy, or gene therapy. Surgery Surgery is the oldest known treatment for cancer. If a cancer has not metastasized, it is possible to completely cure a patient by surgically removing the cancer from the body. This is often seen in the removal of the prostate or a breast or testicle. After the disease has spread, however, it is nearly impossible to remove all of the cancer cells. Surgery may also be instrumental in helping to control symptoms such as bowel obstruction or spinal cord compression. Radiation Radiation treatment, also known as radiotherapy, destroys cancer by focusing high-energy rays on the cancer cells. This causes damage to the molecules that make up the cancer cells and leads them to commit suicide. Radiotherapy utilizes high-energy gamma-rays that are emitted from metals such as radium or high-energy x-rays that are created in a special machine. Early radiation treatments caused severe side-effects because the energy beams would damage normal, healthy tissue, but technologies have improved so that beams can be more accurately targeted. Radiotherapy is used as a standalone treatment to shrink a tumor or destroy cancer cells (including those associated with leukemia and lymphoma), and it is also used in combination with other cancer treatments. Chemotherapy Chemotherapy utilizes chemicals that interfere with the cell division process - damaging proteins or DNA - so that cancer cells will commit suicide. These treatments target any rapidly dividing cells (not 16 necessarily just cancer cells), but normal cells usually can recover from any chemical-induced damage while cancer cells cannot. Chemotherapy is generally used to treat cancer that has spread or metastasized because the medicines travel throughout the entire body. It is a necessary treatment for some forms of leukemia and lymphoma. Chemotherapy treatment occurs in cycles so the body has time to heal between doses. However, there are still common side effects such as hair loss, nausea, fatigue, and vomiting. Combination therapies often include multiple types of chemotherapy or chemotherapy combined with other treatment options. Immunotherapy Immunotherapy aims to get the body's immune system to fight the tumor. Local immunotherapy injects a treatment into an affected area, for example, to cause inflammation that causes a tumor to shrink. Systemic immunotherapy treats the whole body by administering an agent such as the protein interferon alpha that can shrink tumors. Immunotherapy can also be considered non-specific if it improves cancer-fighting abilities by stimulating the entire immune system, and it can be considered targeted if the treatment specifically tells the immune system to destroy cancer cells. These therapies are relatively young, but researchers have had success with treatments that introduce antibodies to the body that inhibit the growth of breast cancer cells. Bone marrow transplantation (hematopoetic stem cell transplantation) can also be considered immunotherapy because the donor's immune cells will often attack the tumor or cancer cells that are present in the host. Hormone therapy Several cancers have been linked to some types of hormones, most notably breast and prostate cancer. Hormone therapy is designed to alter hormone production in the body so that cancer cells stop growing or are killed completely. Breast cancer hormone therapies often focus on reducing estrogen levels (a common drug for this is tamoxifen) and prostate cancer hormone therapies often focus on reducing testosterone levels. In addition, some leukemia and lymphoma cases can be treated with the hormone cortisone. 17 Gene therapy The goal of gene therapy is to replace damaged genes with ones that work to address a root cause of cancer: damage to DNA. For example, researchers are trying to replace the damaged gene that signals cells to stop dividing (the p53 gene) with a copy of a working gene. Other genebased therapies focus on further damaging cancer cell DNA to the point where the cell commits suicide. Gene therapy is a very young field and has not yet resulted in any successful treatments. How can cancer be prevented? Cancers that are closely linked to certain behaviors are the easiest to prevent. For example, choosing not to smoke tobacco or drink alcohol significantly lower the risk of several types of cancer - most notably lung, throat, mouth, and liver cancer. Even if you are a current tobacco user, quitting can still greatly reduce your chances of getting cancer. Skin cancer can be prevented by staying in the shade, protecting yourself with a hat and shirt when in the sun, and using sunscreen. Diet is also an important part of cancer prevention since what we eat has been linked to the disease. Physicians recommend diets that are low in fat and rich in fresh fruits and vegetables and whole grains. Certain vaccinations have been associated with the prevention of some cancers. For example, many women receive a vaccination for the human papillomavirus because of the virus's relationship with cervical cancer. Hepatitis B vaccines prevent the hepatitis B virus, which can cause liver cancer. Some cancer prevention is based on systematic screening in order to detect small irregularities or tumors as early as possible even if there are no clear symptoms present. Breast self-examination, mammograms, testicular self-examination, and Pap smears are common screening methods for various cancers. 18 1.2Breast Cancer What is Breast cancer? Breast cancer is a malignant tumor that starts from cells of the breast. A malignant tumor is a group of cancer cells that may grow into (invade) surrounding tissues or spread (metastasize) to distant areas of the body. The disease occurs almost entirely in women, but men can get it, too. Cancer of the Breast can be defined as uncontrolled breast cell growth. . Cancer (medical term: malignant neoplasm) is a class of diseases in which a group of cells display uncontrolled growth (division beyond the normal limits), invasion (intrusion on and destruction of adjacent tissues), and sometimes metastasis (spread to other locations in the body via lymph or blood). These three malignant properties of cancers differentiate them from benign tumors, which are self-limited, and do not invade or metastasize. Most cancers form a tumor but some, like leukemia, do not. The branch of medicine concerned with the study, diagnosis, treatment, and prevention of cancer is oncology. How does Breast cancer spread? Breast cancer typically begins in the milk ducts of the breast. The cancer can pierce through or invade the wall of the duct into the surrounding breast tissue. There, the cancer can encounter microscopic blood vessels and lymph channels. The cancer cells can break through the walls of these vessels and travel outside the breast to other parts of the body (including the bone, liver, lung, or brain). This can occur when the cancer is barely able to be felt. This process is called metastasis. When breast cancer spreads outside the breast, cancer cells are generally found first in the lymph nodes under the arm. They have gotten there by migrating from the primary tumor through lymph channels. Cancer cells might also have spread to the bones, liver, lungs or brain. Cancer that spreads to another part of the body is the same disease and has the same name as the original cancer. When breast cancer spreads, it is called metastatic breast cancer, even though it is found in another part of the body. 19 1.2.1 Risk factor Breast cancer is actually the most common cancer of women. The misconception people have is that they think it happens at a very young age; actually the median age of breast cancer is 61, and so it's more common in older women than younger women. It's a commonly quoted statistic that 1 in 9 women will get breast cancer during their lifetime. But it doesn't mean that every woman has a 1 in 9 chance of getting breast cancer. Your risk is unique. It depends on lots of things. A more useful way to think about the general risk of getting breast cancer may be by age. The table below can give you some idea of your chance of getting breast cancer over certain periods of your life. Age Risk of breast cancer Up to age 25 1 in 15,000 Up to 30 1 in 1,900 Up to 40 1 in 200 Up to 50 Up to 60 Up to 70 Up to 80 1 in 50 1 in 23 1 in 15 1 in 11 Up to 85 Lifetime risk 1 in 10 1 in 9 Classification of Breast Cancer: Breast cancers are described along four different classification schemes, or groups, each based on different criteria and serving a different purpose: •Pathology - tumor based on its histological (microscopic anatomy) appearance and other criteria. The most common pathologic types of breast cancer are invasive ductal carcinoma, malignant cancer in the breast's ducts, and invasive lobular carcinoma, malignant cancer in the breast's lobules. •Grade of tumor - A well-differentiated (low grade) tumor resembles normal tissue. A poorly differentiated (high grade) tumor is composed of disorganized cells and, therefore, does not look like normal tissue. 20 Moderately differentiated (intermediate grade) tumors are somewhere in between. •Protein & gene expression status - Currently, all breast cancers should be tested for expression, or detectable effect, of the estrogen receptor (ER), progesterone receptor (PR) and HER2/neu proteins. 1.2.3 Staging Cancer stage is based on the size of the tumor, whether the cancer is invasive or non-invasive, whether lymph nodes are involved, and whether the cancer has spread beyond the breast. Stage 0 Stage 0 is used to describe non-invasive breast cancers, such as DCIS and LCIS. In stage 0, there is no evidence of cancer cells or noncancerous abnormal cells breaking out of the part of the breast in which they started, or of getting through to or invading neighboring normal tissue. Stage I Stage I describes invasive breast cancer (cancer cells are breaking through to or invading neighboring normal tissue) in which The tumor measures up to 2 centimeters, AND Stage II No tumor can be found in the breast, but cancer cells are found in the axillary lymph nodes (the lymph nodes under the arm), OR The tumor measures 2 centimeters or less and has spread to the axillary lymph nodes, The tumor is larger than 2 but no larger than 5 centimeters and has spread to the axillary lymph nodes, OR the tumor is larger than 5 centimeters but has not spread to the axillary lymph nodes Stage III No tumor is found in the breast. Cancer is found in axillary lymph nodes that are clumped together or sticking to other structures or cancer may have spread to lymph nodes near the breastbone, OR the tumor is 5 centimeters or smaller and has spread to axillary lymph nodes that are clumped together or sticking to other structures. Stage IV 21 "Metastatic at presentation" means that the breast cancer has spread beyond the breast and nearby lymph nodes, even though this is the first diagnosis of breast cancer. The reason for this is that the primary breast cancer was not found when it was only inside the breast. Metastatic cancer is considered stage IV 1.2.2 Signs &symptoms There are often no symptoms associated with the early stage prostate cancer. As the disease progresses and the tumour enlarge it may compress and constrict the urethra which runs through the gland, obstructing the flow of urine during urination. In this situation the patient may notice a weak, interrupted stream of urine that requires straining to urinate. On completion he may still feel that the bladder is not empty. However these symptoms are not specific to prostate cancer and are most commonly found in benign non-cancerous enlargements of the gland. Blood in the semen may also be a sign of prostate cancer, although again it is a common finding and not normally related to malignancy. If tumors have spread to the bones then it may cause pain. The spine is the most common site for this to occur. Although widespread use of screening mammograms has increased the number of breast cancers found before they cause any symptoms, some breast cancers are not found by mammogram, either because the test was not done or because, even under ideal conditions, mammograms do not find every breast cancer. The most common sign of breast cancer is a new lump or mass. A painless, hard mass that has irregular edges is more likely to be cancerous, but breast cancers can be tender, soft, or rounded. For this reason, it is important that any new breast mass or lump be checked by a health care professional experienced in diagnosing breast diseases. Other possible signs of breast cancer include: * swelling of all or part of a breast (even if no distinct lump is felt) * Skin irritation or dimpling * Breast or nipple pain * Nipple retraction (turning inward) 22 * Redness, scaliness, or thickening of the nipple or breast skin * A discharge other than breast milk Sometimes a breast cancer can spread to underarm lymph nodes and cause a lump or swelling there, even before the original tumor in the breast tissue is large enough to be felt. Why does Breast cancer occur? Genetics Researchers have isolated two genes that are common in a number of cases where breast cancer runs in the family. It is the alteration (or mutation) of these two genes that increases a person's risk of developing breast cancer. Most of the time, it appears that the mutation is inherited. For women, increased chances of developing breast cancer would be due a mutation of either gene. In men, it is predominantly a mutation of the BRCA2 gene (the other gene is called BRCA1). Hormones can play a role in the chances of developing breast cancer, more so in women than men, since it really relates to estrogen. When a woman goes through menstruation, pregnancy or childbirth, her level of estrogen fluctuates up and down. This hormone is basically telling cells to divide. The more they divide, the more potential there is for this division to create an abnormality in the new cells. Some of these irregular cells could become cancerous. How this affects a woman's chances of developing breast cancer is relates to the length of time she is menstruating, the age she has her first child and the age she goes through menopause. The risk increases when someone is very young when she has her first period, older when she has first child and older when she goes through menopause. Lifestyle According to the American College of Physicians, people (more so women than men) are more likely to develop breast cancer if they eat a diet high in fat. Actually, it has been suggested that lowering your calories from fat to below 30 percent for some and 20 percent for others will greatly reduce your chances of breast cancer. There has also been a suggestion that both obesity and alcohol abuse increase the occurrence of breast cancer. 23 Reduce the risk of Breast cancer 1. Pass on that last call for alcohol. Studies have determined that women who drink alcoholic beverages develop cancer at a higher rate. How much is too much? Based on studies, ladies who consume 2 to 5 drinks daily have about 1½ times the risk of women who don't consume alcohol. Sponsored Links Vegetables And Cancer Learn How You Can Fight Cancer With Vegetable Juicing. It risk IT Governance Certification from ISACA. Learn more now!www.isaca.org/CGEIT 2. Quitters DO prosper - when it comes to smoking. Although there has not been a direct link between smoking and breast cancer, studies suggest that smoking at an early age can increase a woman's risk. Not only can it be a risk for breast cancer, smoking is a definite risk factor for lung cancer. Need help quitting? Click on over to our Quit Smoking site, where you will find everything you need to know to kick the habit. 3. Get physical. Physical activity may reduce your risk of breast cancer. Studies by the Women's Health Initiative found that women who walked briskly 1.25 to 2.5 hours per week reduced a woman's breast cancer risk by 18%. Exercise doesn't always mean traditional gym exercises either. Check out the Top 10 Ways to Prevent Cancer Through Exercise for fun ideas. 4. Be aware of your family breast cancer history. Having a family or personal history of breast cancer may increase your risk. If an immediate woman in your family has had breast cancer, it is important to let your doctor know. Studies have shown that breast cancer can be genetic. Genetic testing and counseling is available for those concerned with their risk. Keep in mind, that just because your mother or sister had breast cancer, it does not mean you will definitely develop breast cancer. 24 5. Avoid hormone replacement therapy if possible. Studies have shown a link between long time hormone replacement therapy and breast cancer. This link suggests that combined HRT's (estrogen and progesterone) raise the risk factor. Five years after discontinuing HRT's the risk factor drops. HRT's also make mammograms less effective. If you need to take hormone replacement therapy, talk to your doctor about the risk and your personal condition. 6. Check your breasts every month. Checking your breasts every month may not reduce your risk of developing breast cancer, but it may help detect breast cancer early. The earlier breast cancer is found, the less aggressive the treatment. Take a look at "How To Perform a Self Breast Exam" to learn how to do an exam, or to see if you are doing it correctly. 7. Try to keep a low fat diet. A diet low in fat not only decreases the risk of obesity, it can reduce your risk of breast cancer. We know that estrogen plays a major role in the development of breast cancer. Fat tissue contains small amounts of estrogen and may increase your risk. There have been conflicting studies about fat intake and breast cancer risk, however all studies have concluded that obesity plays a big part in breast cancer development. 8. Don't forget to get a mammogram - it's not a choice. Like the breast self exam, a mammogram won't prevent the development of breast cancer, but it can detect cancer. Sometimes it can be difficult to feel a lump in the breast, and a mammogram is likely to detect any lumps that cannot be felt. 9. Have children earlier in life, if possible Having no children or having your first child in your mid-thirties or later increases the risk. 10. Consider breastfeeding instead of formula feeding. Researchers believe that the months without a period during pregnancy and breast feeding may reduce a woman's risk of breast cancer. This 25 accompanies the data that suggests that early menopause lowers the risk factor, as well. Increase the risk of Breast cancer Family history of breast cancer Breast cancer risk is higher among women whose close blood relatives have this disease. Having one first-degree relative (mother, sister, or daughter) with breast cancer approximately doubles a woman's risk. Having 2 first-degree relatives increases her risk about 5-fold. Although the exact risk is not known, women with a family history of breast cancer in a father or brother also have an increased risk of breast cancer. Altogether, about 20% to 30% of women with breast cancer have a family member with this disease. This means that most (70% to 80%) women who get breast cancer do not have a family history of this disease.) Personal history of breast cancer A woman with cancer in one breast has a 3- to 4-fold increased risk of developing a new cancer in the other breast or in another part of the same breast. This is different from a recurrence (return) of the first cancer. Race and ethnicity White women are slightly more likely to develop breast cancer than are African-American women. African-American women are more likely to die of this cancer. At least part of this seems to be because AfricanAmerican women tend to have more aggressive tumors, although why this is the case is not known. Asian, Hispanic, and Native-American women have a lower risk of developing and dying from breast cancer. Dense breast tissue Women with denser breast tissue (as seen on a mammogram) have more glandular tissue and less fatty tissue, and have a higher risk of breast cancer. Unfortunately, dense breast tissue can also make it harder for doctors to spot problems on mammograms. 26 Certain benign breast conditions Women diagnosed with certain benign breast conditions may have an increased risk of breast cancer. Some of these conditions are more closely linked to breast cancer risk than others. Doctors often divide benign breast conditions into 3 general groups, depending on how they affect this risk. Proliferative lesions with atypia: In these conditions, there is excessive growth of cells in the ducts or lobules of the breast tissue, and the cells no longer appear normal. They have a stronger effect on breast cancer risk, raising it 4 to 5 times higher than normal. They include: * Atypical ductal hyperplasia (ADH) * Atypical lobular hyperplasia (ALH) Women with a family history of breast cancer and either hyperplasia or atypical hyperplasia have an even higher risk of developing a breast cancer. For more information on these conditions, see the separate American Cancer Society document, Non-cancerous Breast Conditions. Women with lobular carcinoma in situ (LCIS) have a 7- to 11-fold increased risk of developing cancer in either breast. Menstrual periods Women who have had more menstrual cycles because they started menstruating at an early age (before age 12) and/or went through menopause at a later age (after age 55) have a slightly higher risk of breast cancer. This may be related to a higher lifetime exposure to the hormones estrogen and progesterone. Previous chest radiation Women who, as children or young adults, had radiation therapy to the chest area as treatment for another cancer (such as Hodgkin disease or non-Hodgkin lymphoma) are at significantly increased risk for breast cancer. This varies with the patient's age when they had radiation. If chemotherapy was also given, it may have stopped ovarian hormone 27 production for some time, lowering the risk. The risk of developing breast cancer from chest radiation is highest if the radiation was given during adolescence, when the breasts were still developing. Radiation treatment after age 40 does not seem to increase breast cancer risk. Diethylstilbestrol exposure From the 1940s through the 1960s some pregnant women were given the drug diethylstilbestrol (DES) because it was thought to lower their chances of miscarriage (losing the baby). These women have a slightly increased risk of developing breast cancer. Women whose mothers took DES during pregnancy may also have a slightly higher risk of breast cancer. For more information on DES see the separate American Cancer Society document, DES Exposure: Questions and Answers. Lifestyle-related factors and breast cancer risk Not having children, or having them later in life Women who have had no children or who had their first child after age 30 have a slightly higher breast cancer risk. Having many pregnancies and becoming pregnant at a young age reduce breast cancer risk. Pregnancy reduces a woman's total number of lifetime menstrual cycles, which may be the reason for this effect. How is Breast cancer diagnosed? Women with early breast cancer have no symptoms. This is why getting the recommended screening tests before any symptoms develop is so important. If something suspicious is found during a screening exam, or if you have any of the symptoms of breast cancer described below, your doctor will use one or more methods to find out if the disease is present. If cancer is found, other tests will be done to determine the stage (extent) of the cancer. Drug target for Breast cancer: Aromatase inhibitors stop the production of estrogen in postmenopausal women. Aromatase inhibitors work by blocking the enzyme Aromatase, which turns another enzyme, androgen, into small amounts of estrogen in the body. This means that less estrogen is available to stimulate the growth of hormone-receptor-positive breast cancer cells. 28 Aromatase inhibitors can't stop the ovaries from making estrogen, so Aromatase inhibitors only work in post-menopausal women. There are three Aromatase inhibitors: •Arimidex (chemical name: anastrozole) •Aromasin (chemical name: exemestane) •Femara (chemical name: letrozole) Each is a pill, usually taken once a day. Benefits of Aromatase inhibitors o A number of studies have compared Aromatase inhibitors with tamoxifen to see which type of medicine was more effective in treating early-stage, hormone-receptor-positive breast cancer in post-menopausal women. Based on the results, most doctors recommend that after initial treatment (surgery and possibly chemotherapy and radiation therapy): o An Aromatase inhibitor is the best hormonal therapy to start with. When treating early-stage, hormone-receptor-positive breast cancer, Aromatase inhibitors have more benefits and fewer serious side effects than tamoxifen. o Switching to an Aromatase inhibitor after taking tamoxifen for 2 to 3 years (for a total of 5 years of hormonal therapy) offers more benefits than 5 years of tamoxifen. o Taking an Aromatase inhibitor for 5 years after taking tamoxifen for 5 years continues to reduce the risk of the cancer coming back, compared to no treatment after tamoxifen. Side effects of Aromatase inhibitors o Aromatase inhibitors tend to cause fewer serious side effects than tamoxifen, such as blood clots, stroke, and endometrial cancer. But Aromatase inhibitors can cause more heart problems, more bone loss (osteoporosis), and more broken bones than tamoxifen, at least for the first few years of treatment. If you and your doctor are considering an Aromatase inhibitor as part of your treatment plan, you may want to ask your doctor about having a bone density test to see if a bone strengthening medicine might be necessary while you're taking the Aromatase inhibitor. o The most common side effects of Aromatase inhibitors are joint stiffness or joint pain. 29 o Joint pain from taking an Aromatase inhibitor can be troubling. But a 2008 British study suggests that women who experienced joint pain while taking hormonal therapy medicine were less likely to have the breast cancer come back (recur). Knowing that this side effect might indicate a reduced risk of the cancer coming back may help some people stick with treatment despite the side effects. o If you're experiencing side effects from taking one Aromatase inhibitor medicine, tell your doctor. You may be able to take a different medicine. Arimidex and Femara have similar chemical structures, while Aromasin has a different structure. Aromatase inhibitors may cost more than tamoxifen o Because Aromatase inhibitors are fairly new compared to tamoxifen, much less is known about their long-term side effects compared to tamoxifen. So far, no studies have directly compared one Aromatase inhibitor to another. o Aromatase inhibitors also cost more than tamoxifen, which is a generic medicine. Aromatase inhibitors may cost hundreds of dollars per month, compared to $40 to $100 per month for tamoxifen. If you have financial concerns or don't have insurance that will pay for an Aromatase inhibitor, you may be able to apply for financial assistance. See the pages on Arimidex, Aromasin, and Femara for more information. 1.4 Chemoprevention Breast cancer is more frequent in nulliparous women, while its incidence is significantly reduced by full-term pregnancy. The fact that the protection conferred by pregnancy is observed in women from different countries and ethnic groups, regardless of the endogenous incidence of this malignancy, indicates that this protection does not result from extrinsic factors specific to a particular environmental, genetic, or socioeconomic setting, but rather from an intrinsic effect of parity on the biology of the breast. Using an experimental system we have shown that treatment of young virgin rats with human chorionic gonadotropin (HCG), like full-term pregnancy, efficiently inhibits the initiation and progression of chemically induced mammary carcinomas. Treatment of young virgin rats with HCG induced a profuse lobular 30 development of the mammary gland, reduced the proliferative activity of the mammary epithelium, and induced the synthesis of inhibin, a secreted protein with tumor-suppressor activity. HCG treatment also increased the expression of the programmed cell death (PCD) genes testosterone repressed prostate message 2 (TRPM2), interleukin 1- converting enzyme (ICE), p53, c-myc, and bcl-XS, induced apoptosis, and down regulated cyclins. PCD genes were activated through a p53dependent process, modulated by c-myc, and with partial dependence on the bcl-2 family-related genes. The possibility that this hormonal treatment activates known or new genes was tested by differential display technique. We have identified a series of new genes, hormoneinduced-1 (HI-1) among them. The characterization of their functional role will contribute to clarify the mechanisms through which hCG inhibits the initiation and progression of mammary cancer. Of great significance was the observation that PCD genes remained activated even after lobular formations had regressed due to the cessation of hormone administration. We postulate that this mechanism plays a major role in the long-lasting protection exerted by hCG from chemically induced carcinogenesis, and might be also involved in the lifetime reduction in breast cancer risk induced in women by full-term pregnancy. The implications of these observations are two-fold: on one hand, they indicate that HCG, as pregnancy, may induce early genomic changes that control the progression of the differentiation pathway, and on the other, that these changes are permanently imprinted in the genome, regulating the long-lasting refractoriness to carcinogenesis. The permanence of these changes, in turn, makes them ideal surrogate markers of HCG effect in the evaluation of this hormone as a breast cancer preventive agent. 1.4.1 Breast Cancer Chemoprevention Principles of Chemoprevention Cancer chemoprevention is the inhibition, retardation or reversal of carcinogenic processes by chemical means, and includes the treatment of patients who have undergone successful treatment of a primary malignancy but are at increased risk of a second. This latter concept is designated “tertiary”chomoprevention. The prevention of 31 carcinogenesis at a premalignant stage is ‘primary’, and prevention at an early phase of malignancy is ‘secondary’. Several effective chemoprevention agents were first developed for adjuvant chemotherapy; the prevention action of Tamoxifen, for example, emerged when it was found to decrease breast tumours in the contralateral breast after surgery. Such overlap between chemotherapeutic and chemoprevention properties implies an opportunity to conduct pilot studies of new chemopreventive agents in patients who already have cancer, and this has been done with the putative agents piroxicam,difluoromethylornithine(DFMO),and perillyl alcohol. Although the development of malignancy is the result of a complex interaction between genetic and environmental influences, the multistep model of carcinogenesis has provided incorporated. Existing paradigms include clonal evolution and epigenetic changes, and these too offer pointers to targets for chemoprevention agents. In colorectal neoplasia, carcinogenesis has been characterized in exceptional detail. 32 Fig No.3 – Chemoprevention 1.5 Nuclear Receptor Super family Nuclear receptors play many important roles in eukaryotic development, differentiation, reproduction and metabolic homeostasis (Ribeiro et al.,1995; Bain et al., 2006). Proteins of the nuclear receptor super-family are single polypeptide chains with three major domains: a variable amino-terminal domain, a highly conserved DNA-binding domain (DBD), and a less conserved carboxyl-terminal ligand binding 33 domain (LBD). The superfamily is sub-divided into three classes. Class 1 is the steroid receptor family, and includes the progesterone receptor (PR), the estrogen receptor (ER) (Figure 1), the glucocorticoid receptor (GR), the androgen receptor (AR) and the mineralocorticoid receptor. Class 2, or the thyroid/ retinoid family, includes the thyroid receptor (TR), vitamin D receptor (VDR), the retinoic acid receptor (RAR) and the peroxisome proliferator-activated receptor (PPAR). The third class of nuclear receptors is known as the orphan receptor family. This class of nuclear receptor comprises a set of proteins sharing significant sequence homology to known nuclear receptors, but for which the ligands have not yet been identified. Orphan nuclear receptor offer a unique system for the discovery of novel signaling pathways that could provide new drug targets for the treatment of a variety of human diseases. Subfamily 1: Thyroid Hormone Receptor-like •Group A: Thyroid hormone receptor (Thyroid hormone) o 1: Thyroid hormone receptor-α (TRα; NR1A1, THRA) o 2: Thyroid hormone receptor-β (TRβ; NR1A2, THRB) •Group B: Retinoic acid receptor (Vitamin A and related compounds) o 1: Retinoic acid receptor-α (RARα; NR1B1, RARA) o 2: Retinoic acid receptor-β (RARβ; NR1B2, RARB) o 3: Retinoic acid receptor-γ (RARγ; NR1B3, RARG) •Group C: Peroxisome proliferator-activated receptor (fatty acids, prostaglandins) o 1: Peroxisome proliferator-activated receptor-α (PPARα; NR1C1, PPARA) o 2: Peroxisome proliferator-activated receptor-β/δ (PPARβ/δ; NR1C2, PPARD) o 3: Peroxisome proliferator-activated receptor-γ (PPARγ; NR1C3, PPARG) •Group D: Rev-ErbA (heme) o 1: Rev-ErbAα (Rev-ErbAα; NR1D1) o 2: Rev-ErbAβ (Rev-ErbAβ; NR1D2) •Group F: RAR-related orphan receptor (cholesterol, ATRA) 34 o o o 1: RAR-related orphan receptor-α (RORα; NR1F1, RORA) 2: RAR-related orphan receptor-β (RORβ; NR1F2, RORB) 3: RAR-related orphan receptor-γ (RORγ; NR1F3, RORC) •Group H: Liver X receptor-like (oxysterol) o 1: Liver X receptor-α (LXRα; NR1H3) o 2: Liver X receptor-β (LXRβ; NR1H2) o 3: Farnesoid X receptor (FXR; NR1H4) •Group I: Vitamin D receptor-like o 1: Vitamin D receptor (VDR; NR1I1, VDR) (vitamin D) o 2: Pregnane X receptor (PXR; NR1I2) (xenobiotics) o 3: Constitutive androstane receptor (CAR; NR1I3) (androstane) Subfamily 2: Retinoid X Receptor-like •Group A: Hepatocyte nuclear factor-4 (HNF4) (fatty acids) o 1: Hepatocyte nuclear factor-4-α (HNF4α; NR2A1, HNF4A) o 2: Hepatocyte nuclear factor-4-γ (HNF4γ; NR2A2, HNF4G) •Group B: Retinoid X receptor (RXRα) (retinoids) o 1: Retinoid X receptor-α (RXRα; NR2B1, RXRA) o 2: Retinoid X receptor-β (RXRβ; NR2B2, RXRB) o 3: Retinoid X receptor-γ (RXRγ; NR2B3, RXRG) •Group C: Testicular receptor o 1: Testicular receptor 2 (TR2; NR2C1) o 2: Testicular receptor 4 (TR4; NR2C2) •Group E: TLX/PNR o 1: Human homologue of the Drosophila tailless gene (TLX; NR2E1) o 3: Photoreceptor cell-specific nuclear receptor (PNR; NR2E3) •Group F: COUP/EAR o 1: Chicken ovalbumin upstream promoter-transcription factor I (COUP-TFI; NR2F1) o 2: Chicken ovalbumin upstream promoter-transcription factor II (COUP-TFII; NR2F2) 35 o 6: V-erbA-related gene|V-erbA-related (EAR-2; NR2F6) Subfamily 3: Estrogen Receptor-like •Group A: Estrogen receptor (Sex hormones: Estrogen) o 1: Estrogen receptor-α (ERα; NR3A1, ESR1) o 2: Estrogen receptor-β (ERβ; NR3A2, ESR2) •Group B: Estrogen related receptor o 1: Estrogen-related receptor-α (ERRα; NR3B1, ESRRA) o 2: Estrogen-related receptor-β (ERRβ; NR3B2, ESRRB) o 3: Estrogen-related receptor-γ (ERRγ; NR3B3, ESRRG) •Group C: 3-Ketosteroid receptors o 1: Glucocorticoid receptor (GR; NR3C1) (Cortisol) o 2: Mineralocorticoid receptor (MR; NR3C2) (Aldosterone) o 3: Progesterone receptor (PR; NR3C3, PGR) (Sex hormones: Progesterone) o 4: Androgen receptor (AR; NR3C4, AR) (Sex hormones: Testosterone) Subfamily 4: Nerve Growth Factor IB-like •Group A: NGFIB/NURR1/NOR1 o 1: Nerve Growth factor IB (NGFIB; NR4A1) o 2: Nuclear receptor related 1 (NURR1; NR4A2) o 3: Neuron-derived orphan receptor 1 (NOR1; NR4A3) Subfamily 5: Steroidogenic Factor-like •Group A: SF1/LRH1 o 1: Steroidogenic factor 1 (SF1; NR5A1) (phospholipids) o 2: Liver receptor homolog-1 (LRH-1; NR5A2) Subfamily 6: Germ Cell Nuclear Factor-like •Group A: GCNF o 1: Germ cell nuclear factor (GCNF; NR6A1) Subfamily 0: Miscellaneous 36 •Group B: DAX/SHP o 1: Dosage-sensitive sex reversal, adrenal hypoplasia critical region, on chromosome X, gene 1 (DAX1, NR0B1) o 2: Small heterodimer partner (SHP; NR0B2) •Group C: Nuclear receptors with two DNA binding domains (2DBDNR)] Nuclear receptors and mechanisms of signaling All nuclear receptors modulate gene transcription, although amongst the three classes there are differences in the mechanisms through which this is achieved (Ribeiro, 1995; Aranda and Pascual, 2001; Bain et al., 2006). Ligands for nuclear receptors circulate in the body bound to plasma proteins. Following dissociation from these proteins the ligands enter cells and bind to their receptors. Steroids and vitamin D probably enter cells through passive diffusion, whereas thyroid hormone and retinoic acid might gain cellular entrance via specific transport processes. Steroid receptors are bound to Hsps, such as Hsp90 and Hsp70, in the cytoplasm. Upon binding ligand, the free receptors then translocate to the nucleus and bind as homodimers to imperfect palindromic response elements at upstream promoter sites. DNA binding is coupled to the recruitment of transcriptional co-activators such as the p160 family (Xu and Li, 2003). Nuclear receptors can in some instances repress gene expression in a ligand-dependent manner, and in some cases promote gene transcription. The class 2 nuclear receptors typically function as heterodimers. TR, VDR, RAR and PPAR associate with the retinoid X receptor (RXR) and bind as a dimeric complex to direct repeat response elements (Ribeiro, 1995; Aranda and Pascual, 2001; Eckey et al., 2003; Bain et al., 2006). The heterodimers are bound to their response element regardless of whether ligands are present and in the absence of heat shock proteins. Gene 37 activation is suppressed by co-repressors such as silencing mediator for retinoic acid and thyroid hormone receptors (SMRT) and nuclear corepressor (NCoR). Co-repressors are displaced by ligand binding allowing transcriptional activation to take place (Collingwood et al., 1999). Nuclear receptor structure A typical nuclear receptor consists of a variable NH2 terminal region (the A/B domain) and a highly conserved DNA-binding domain (DBD or C domain) (Tata, 2002; Robinson-Rechavi et al., 2003; Bain et al., 2006). The DBD contains a P-box, which is a short motif responsible for DNA-binding specificity and is involved in dimerization of nuclear receptors including the formation of both heterodimers and homodimers. The elucidiation of the 3D structure of the DBD reveals the presence of two zinc fingers. A linker region known as domain D is situated between the DBD and the ligand binding domain. This region functions as a flexible hinge and contains the nuclear localization signal. Phosphorylation of the hinge region is coupled with increased transcriptional activation. The ligand binding domain (LBD or E domain) is responsible for the binding of cognate ligand or hormone. This domain also contains a ligandregulated transcriptional activation function (AF-2) necessary for recruiting transcriptional co-activators, which interact with chromatin remodeling proteins and the general transcriptional activation machinery. Most nuclear receptors contain an amino acid sequence Nterminal to the DBD in the variable A/B domain, which contains a transcriptional activation function known as AF-1. In contrast to the moderately conserved AF-2, the AF-1 shows weak conservation across the nuclear receptor super-family and may mediate differential promoter regulation in vivo. The AF-1 sequence functions as a ligandindependent transcriptional activator, but can also functionally synergize with AF-2. In addition to the domains described above some receptors contain a carboxyl-terminal region (F domain) of unknown function. 38 Proteins of the nuclear receptor super-family are single polypeptide chains consisting of three major domains: a variable amino-terminal domain, a highly conserved DNA-binding domain (DBD), and a less conserved carboxyl-terminal ligand binding domain (LBD). AF: activation function (domain 1 and 2). H: hinge. Mutations in the nuclear hormone receptors lead to a variety of inherited disorders. Mutations in X-linked ARs result in testicular feminization syndrome with androgen unresponsiveness or hypo-responsiveness. Glucorticoid resistance and hereditary vitamin D resistant rickets are rare autosomal recessive disorders linked to mutations in the LBD or the DBD of the GR or the VDR respectively (Ribeiro et al., 1995). Fig No.4– Nuclear receptor structure 1.5.1Estrogen pathway (A) (B) (C),. Figure 5: Structure of Estrogen (A), Estriol (B) and Estradiol (C) 39 Estrogen plays a critical role in the development of breast cancer, because it can stimulate the growth of breast tissues. If the breast contains abnormal cells, they may also be stimulated by estrogen to proliferate and become a tumor. The estrogen receptor (ER) is a member of the nuclear hormone family of intracellular receptors which is activated by the hormone 17βestradiol.[24] The main function of the estrogen receptor is as a DNA binding transcription factor which regulates gene expression. Fig No.6– process of breast cancer 40 1.6 Aromatase Aromatase is an enzyme that is responsible for a key step in the biosynthesis of estrogens. Because estrogens also promote certain cancers and other diseases, aromatase inhibitors are frequently used to treat those diseases.Steroids are composed of four fused rings (labeled A, B, C, and D in the figure below). Aromatase transforms the left-hand ring (the A-ring) of steroids to an aromatic state (hence the name) through oxidation and subsequent elimination of a methyl group.Aromatase converts testosterone to estradiol Aromatase is a member of the cytochrome P450 superfamily (EC 1.14.14.1), whose function is to aromatize androgens, producing estrogens. As such, it is an important factor in sexual development. Cellular and tissue location The enzyme is located in the endoplasmic reticulum of the cell and its activity is regulated by tissue specific promoters that are in turn controlled by hormones, cytokines, and other factors. The principal action of the enzyme transforms androstenedione to estrone and testosterone to estradiol. The aromatase enzyme can be found in many tissues including gonads, brain, adipose tissue, placenta, blood vessels, skin, bone, endometrium as well as in tissue of endometriosis, uterine fibroids, breast cancer, and endometrial cancer. Activity Factors known to increase aromatase activity include age, obesity, insulin, gonadotropins, and alcohol. Aromatase activity is decreased by prolactin, anti-müllerian hormone, and smoking. Aromatase activity appears to be enhanced in certain estrogen-dependent local tissue next to breast tissue, endometrial cancer, endometriosis, and uterine fibroids. Disorders Aromatase excess syndrome A number of investigators have reported on a rather rare syndrome of excess aromatase activity. In boys it can lead to gynecomastia and in girls to precocious puberty and gigantomastia. In both sexes, early epiphyseal closure leads to shortness. Aromatase deficiency syndrome This syndrome is due to a mutation of gene CYP19 and inherited in an autosomal recessive way. Accumulations of androgens during pregnancy may lead to virilization of a female at birth 41 (males are not affected). Females will have primary amenorrhea. Individuals of both sexes will be tall as lack of estrogen does not bring the epiphyseal lines to closure. 1.6.1 Action of Aromatase Fig No.7 – Actions of Aromatase Aromatase deficiency: This syndrome is due to a mutation of gene CYP19 and inherited in an autosomal recessive way. Accumulations of androgens during pregnancy may lead to virilization of a female at birth (males are not affected). Females will have primary amenorrhea. Individuals of both sexes will be tall as lack of estrogen does not bring the epiphyseal lines to closure. 42 1.6.2 Role of Aromatase inhibitor Aromatase inhibitors stop the production of estrogen in postmenopausal women. Aromatase inhibitors work by blocking the enzyme aromatase, which turns another enzyme, androgen, into small amounts of estrogen in the body. This means that less estrogen is available to stimulate the growth of hormone-receptor-positive breast cancer cells. There are three aromatase inhibitors: * Arimidex (chemical name: anastrozole) * Aromasin (chemical name: exemestane) * Femara (chemical name: letrozole) Each is a pill, usually taken once a day. Benefits of aromatase inhibitors A number of studies have compared aromatase inhibitors with Tamoxifen to see which type of medicine was more effective in treating early-stage, hormone-receptor-positive breast cancer in postmenopausal women. Based on the results, most doctors recommend that after initial treatment (surgery and possibly chemotherapy and radiation therapy): * An aromatase inhibitor is the best hormonal therapy to start with. When treating early-stage, hormone-receptor-positive breast cancer, aromatase inhibitors have more benefits and fewer serious side effects than Tamoxifen. * switching to an aromatase inhibitor after taking Tamoxifen for 2 to 3 years (for a total of 5 years of hormonal therapy) offers more benefits than 5 years of Tamoxifen. * taking an aromatase inhibitor for 5 years after taking Tamoxifen for 5 years continues to reduce the risk of the cancer coming back, compared to no treatment after Tamoxifen. Side effects of aromatase inhibitors Aromatase inhibitors tend to cause fewer serious side effects than Tamoxifen, such as blood clots, stroke, and endometrial cancer. But aromatase inhibitors can cause more heart problems, more bone loss (osteoporosis), and more broken bones than Tamoxifen, at least for the first few years of treatment. If you and your doctor are considering an aromatase inhibitor as part of your treatment plan, you may want to ask your doctor about having a bone density test to see if a bone 43 strengthening medicine might be necessary while you're taking the aromatase inhibitor. The most common side effects of aromatase inhibitors are joint stiffness or joint pain. Joint pain from taking an aromatase inhibitor can be troubling. But a 2008 British study suggests that women who experienced joint pain while taking hormonal therapy medicine were less likely to have the breast cancer come back (recur). Knowing that this side effect might indicate a reduced risk of the cancer coming back may help some people stick with treatment despite the side effects. If you're experiencing side effects from taking one aromatase inhibitor medicine, tell your doctor. You may be able to take a different medicine. Arimidex and Femara have similar chemical structures, while Aromasin has a different structure. Aromatase inhibitors may cost more than Tamoxifen because aromatase inhibitors are fairly new compared to Tamoxifen, much less is known about their long-term side effects compared to Tamoxifen. So far, no studies have directly compared one aromatase inhibitor to another. Aromatase inhibitors also cost more than Tamoxifen, which is a generic medicine. Aromatase inhibitors may cost hundreds of dollars per month, compared to $40 to $100 per month for Tamoxifen. If you have financial concerns or don't have insurance that will pay for an aromatase inhibitor, you may be able to apply for financial assistance. See the pages on Arimidex, Aromasin, and Femara for more information. 44 1.6.3 Plant Sources for Aromatase Inhibitor Lemon Dark chocolate Cauliflower Green tea Citrus Astragalus Aloe Vera Soybean oil Peanuts Broccoli Curcuma domestica Agaricus bisporus Fig No.8:Plant Sources for Aromatase Inhibitor 45 3.Review of Literature 1. Chrysin: Chrysin, also known as flavone X, inhibits aromatase, an enzyme responsible for breaking down testosterone into estrogen, thereby helping to maintain higher testosterone levels. chrysin can be taken alone or used along with other testosterone-boosting agents, such as androstenedione and DHEA. There are few human studies on chrysin; however, European Olympic athletes who took 1 to 3 grams of chyrsin reportedly experienced a 30 percent increase in testosterone 2. Phytoestrogen: Phytoestrogens are a group of plant-derived substances that are structurally or functionally similar to estradiol.1,2 Interest in phytoestrogens, particularly soy, has been fueled by epidemiologic studies that have suggested low incidence of breast cancer in countries with high soy intake, and this has been followed by in vitro and in vivo animal research suggesting a potential role for phytoestrogens in preventing breast cancer development.Dietary changes present one of the few socially acceptable modifiable risk factors for breast cancer, the second leading cause of cancer deaths in women.Hence, even a modest protective role of phytoestrogens could have important implications for publichealth. 3. Quercetin: Quercetin is the main reason an apple a day keeps the doctor away. It is a major antioxidant with important anti-aging benefits. It fights inflammation and reduces the cellular damage inflammation causes. By fighting inflammation, it also helps decrease swelling and pain, and keeps the circulatory system healthy.. It is an anti-viral, and an immune system supporter and liver protector. Research has suggested that quercetin has other anti-cancer benefits aside from inhibiting aromatase in breasts and prostates. Cabbage, onions and garlic are other good sources of this powerful flavonoid. 3.http://www.tmuscle.com/free_online_article/sports_body_training_performance_body building_supplements/naturally_occurring_aromatase_inhibitors 4 Kadohama, N., K. Shintani, and Y. Osawa, Tobacco alkaloid derivatives as inhibitors of breast cancer aromatase. Cancer Lett, 1993. 75(3): p. 175-182. Osawa, Y., et al., Aromatase inhibitors in cigarette smoke, tobacco leaves and other plants. J Enzyme Inhib, 1990. 4(2): p. 187-200 5Preventive effect of the flavonoid, quercetin, on hepatic cancer in rats via oxidant/antioxidant activity: molecular and histological evidences. http://www.raysahelian.com/aromatase.html 46 4. Naringenin: Naringenin, is an antioxidant, free radical scavenger, anti-inflammatory, and immune system modulator. It has been shown to promote proper metabolism of carbohydrates. It was shown to reduce hepatitis C virus production by infected liver cells in cell culture and to inhibit the secretion of very low density lipoprotein by cells. As a cancer fighter, it reduces oxidative damage to DNA. Naringenin is found in all citrus and may be the reason that diets high in citrus are negatively correlated with heart disease. However, naringenin should not be obtained from grapefruit or grapefruit juice, which has an inhibitory effect on the human cytochrome P450 isofrom, another enzyme in the same complex as the aromatase enzyme. This enzyme is involved in breaking down and metabolizing sex hormones and preventing their excess accumulation in the body, so inhibiting it is not a good idea. 5. apigenin: Apigenin is a non-mutigenic flavonoid that has significant chemoprotective action against UV radiation. Research has shown apigenin reduces oxidative damage of DNA, inhibits the growth and induces differentiation in human leukemia cells, inhibits cancer cell transduction, and induces appropriate cell death. Like quercetin, apigenin acts as an anti-inflammatory and as an antispasmodic. Apigenin is found in good supply in celery, parsley, artichokes, basil, and chamomile 6. Genistein: We conducted a range-finding experiment to determine the appropriate dosage of androstenedione and Letrozole that will be used in the silastic implants. Next we evaluated effect of dietary genistein on the growth of estrogen-dependent breast tumors using an intratumoral aromatase expressing postmenopausal breast cancer (MCF7Ca) model.. We identified an appropriate dosage of Letrozole and found that dietary genistein will stimulate the growth of MCF-7Ca tumors in the presences of Letrozole. Therefore, caution is necessary for postmenopausal women with estrogen-dependent breast cancer consuming dietary genistein. 6. http://www.drugbank.ca/drugs/DB03467 http://www.ncbi.nlm.nih.gov/sites/entrez http://www.raysahelian.com/aromatase.html 8. http://en.wikipedia.org/wiki/Apigenin http://www.raysahelian.com/aromatase.html 9. http://www.drugbank.ca/drugs/DB01645 http://www.raysahelian.com/aromatase.html 47 7. Astragalus: The success of the Als on breast cancer and their potential effect on other estrogen-responsive diseases have led our team of researchers to explore possible alternative Als in herbs. What we discovered was that the herbal combination of Curcuma, Cyperus, and Astragalus exhibits aromatase inhibition activity in rats, as presented in the following sections. This combination of herbs will be referred to as Myomin in this article. The succeeding in vitro, in vivo, and clinical studies will demonstrate Myomin's mechanism, functions, and applications. 8. Emoidin: Alnus glutinosa (buds): Contains Emodin, as antiaggregant, anti-inflammatory, antimutagenic, antiseptic, antitumor (yeast, leukemia, oral, prostate). Emodin treatment has shown to repress androgen-dependent transactivation of AR by inhibiting AR nuclear translocation. Emodin decreases the association of AR and heat shock protein 90 and increases the association of AR and MDM2, which in turn induces AR degradation through proteasome-mediated pathway in a ligand-independent manner. (See more about androgens under Silver Birch.) Emodin is capable of inhibiting cellular proliferation, inducing apoptosis, and preventing metastasis. 9. Ellagic acid: Estrogen receptor alpha (ERalpha)positive breast cancers that co-express transcription factors GATA-3 and FOXA1 have a favorable prognosis. These transcription factors form an autoregulatory hormonal network that influences estrogen responsiveness and sensitivity to hormonal therapy.[...]In this study, we report that insulin increases the expression of Tbet in breast cancer cells, which correlates with reduced expression of GATA-3, FOXA1, and the ERalpha:[...]-positive cells with intrinsic tamoxifen resistance as well as MCF-7 cells with acquired tamoxifen and fulvestrant resistance expressed elevated levels of T-bet and/or reduced levels of FOXA1 and GATA-3. 11. http://www.drugbank.ca/drugs/DB00668 http://findarticles.com/p/articles/mi_7396/is_317/ai_n45060728/ http://www.herbalremedies.com/estrogenex.html 13. http://www.freepatentsonline.com/y2004/0156926.html 46. http://breastcancerisabitch.blogspot.com/2009/02/foods-that-fight-cancer.html http://www.canceractive.com/cancer-active-pagelink.aspx?n=529&Title=Ellagic%20Acid 48 3. Flowchart Collection of Molecules via Literature Study Retrieval of Structures from PubChem Energy minimization using Marvin Sketch Retrieval of Receptor from PDB Docking in Quantum, Hex & Argus Lab Find ADME TOX Properties 49 Collection of Molecules via Literature Study Collection information regarding chemoprevention of Breast Cancer. Searching for chemo preventive molecules using databases, journals & articles. Pub Med Springer link Biomed central Science Direct Nature Filtering the search by selecting only naturally derived aromatase inhibitor which are not commercialized. Figure: 9: Home page of Springer link 50 Figure: 10: Home page of Pub med 51 3.1Marerial & method DATABASES: PUBMED PDB PUBCHEM SOFTWARES: MARVIN SKETCH ARGUS LAB QUANTUM HEX ADME TOX 52 3.1.1 Databases 3.1.1.1 Pub Med http://www.ncbi.nlm.nih.gov/pubmed Pub Med is a free resource that is developed and maintained by the National Center for Biotechnology Information (NCBI), at the U.S. National Library of Medicine (NLM), located at the National Institutes of Health (NIH). PubMed Coverage PubMed provides access to bibliographic information that includes MEDLINE, as well as: The out-of-scope citations (e.g., articles on plate tectonics or astrophysics) from certain MEDLINE journals, primarily general science and chemistry journals, for which the life sciences articles are indexed for MEDLINE. Citations that precede the date that a journal was selected for MEDLINE indexing. Some additional life science journals that submit full text to PubMedCentral and receive a qualitative review by NLM. PubMed Journal Information The Journals Database can be searched by subject or by using the journal title, the Title Abbreviation, the NLM ID (NLM's unique journal identifier), the International Organization for Standardization (ISO) abbreviation, and the print and electronic International Standard Serial Numbers (pISSNs and eISSNs). The database includes journals in all Entrez databases (e.g., PubMed, Nucleotide, and Protein). PubMed Citation Matchers Use the Single Citation Matcher for finding the citation for a particular article using title words or citation information, or to find an entire volume or issue of a journal, or to generate a bibliography by a first author. The Batch Citation Matcher allows users to match their own list of citations to PubMed citations, using bibliographic information such as journal, volume, issue, page number, and year. The Citation Matcher returns the corresponding PMID. This number can then be used to easily link to PubMed 53 3.1.1.2PDB http://www.rcsb.org/pdb The Protein Data Bank (PDB) archive is repository for 3D structural data of proteins and nucleic acids. The PDB archive contains information about experimentally-determined structures of proteins, nucleic acids, and complex assemblies. As a member of the wwPDB, the RCSB PDB curates and annotates PDB data according to agreed upon standards. The RCSB PDB also provides a variety of tools and resources. Users can perform simple and advanced searches based on annotations relating to sequence, structure and function. These molecules are visualized, downloaded, and analyzed by users who range from students to specialized scientists. The Worldwide PDB - wwPDB consist of organization that act as deposition, data processing and distribution centers for PDB data. The RCSB PDB is a member of the wwPDB, a collaborative effort with PDBe (UK), PDBj (Japan), and BMRB (USA) to ensure the PDB archive is global and uniform. The protein data bank was used to retrieve the estrogen receptor protein (3ert) for the docking studies on breast cancer.. 54 Figure 11: The PDB home page of 3EQM 55 3.1.1.3Pubchem http://pubchem.ncbi.nlm.nih.gov/ PubChem is a database of chemical molecules. The system is maintained by the National Center for Biotechnology Information (NCBI), a component of the National Library of Medicine, which is part of the United States National Institutes of Health (NIH). PubChem contains substance descriptions and small molecules with fewer than 1000 atoms and 1000 bonds. PubChem provides information on the biological activities of small molecules. It is a component of NIH's Molecular Libraries Roadmap Initiative.PubChem includes substance information, compound structures, and BioActivity data in three primary databases, Pcsubstance, Pccompound, and PCBioAssay, respectively. The PubChem substance database contains chemical structures, synonyms, registration IDs, description, related urls, database cross-reference links to PubMed, protein 3D structures, and biological screening results. If the contents of a chemical sample are known, the description includes links to PubChem Compound. Figure: 12- Enter the molecule name—Chrysin. 56 Figure: 13 Click the molecule,here Figure: 14- Compound Summary-Chrysin 57 3.1.2 Software 3.1.2.1Marvin Sketch Marvin sketch is a customizable GUI with a brand new design. The features of Marvin sketch are Configuration choices (including ISIS/Draw and ChemDraw like menu and icon arrangements),Chain drawing, displaying the last carbon number, Enhanced Query, S-group and R-group drawing features, Global IME support in Textboxes (allows entering East Asian characters) etc. The Lipinski properties were also calculated using Marvin Sketch. Figure:15 Energy minimization for Tamoxifen in Marvin sketch 58 Figure: 16 The conformers of Tamoxifen obtained after energy minimization in Marvin sketch 3.2.2 Argus lab: Figure: 17 Screen of Argus lab 59 3.1.2.2 Quantum3.3.0. Quantum is a software package of drug discovery and computational chemistry tools. Docking of each natural alternative against the target estrogen receptor alpha and the docking scores were done and saved The protocol to work with quantum is as follow:- Figure: 18: Quantum homepage Step 1: To load the molecule Fileopen moleculeselect the appropriate molecule from the folder. 60 Figure 20: Quantum after loading the molecule Step 2: Sequence on Click on the “sequence off” tab”sequence on” Figure 21: Sequence on (The sequence of the protein with the water molecules is shown) Step 3: To remove water molecules Actionsremove water 61 Figure 22: To remove the water molecule Figure 23: After removing the water molecules Step 4: To create a copy of the ligand 62 Right click on the ligandcreate object Figure 24: A create a object Figure 25: A copy of the ligand is created 63 Step 5: To rename the object created Actionsrename objectrename as “ligand” Figure 26: To rename the object Figure 27: The object is renamed as ligand 64 Step 6: To prepare the ligand for docking Small molecules/ionsnewselectselect the ligandnext (Hydrogen atoms are added and the protonation state is set)next (The number of hydrogen atoms and electric charge is obtained) Figure 28: The ligand being removed automatically after renaming Figure 29: The ligand in the protein complex is selected 65 Figure 30: The hydrogen atoms are added and the protonation state is set Figure 31: The number of hydrogen atoms (26) and the electric state (0e) is shown 66 Step 7: To select the chain Biomacromoleculesnewselectdocking /screeningselect the chain(by clicking on the any part of the protein) Figure 32: The chain is selected by clicking on the chain Step 8: To select the grid center Click on the protein to select the grid centeradjust the position of the grid boxnext Figure 33: The grid center for docking is selected 67 Figure 34: The active site are highlighted Step 9: Docking Projectligand dockingselect the protein and the ligandset for 10 conformersstart dockingshow results Figure 35: The protein showing the active site in red Step 10: To add foreign ligands 68 Small moleculesnewchoose molecules from the appropriate folder directoryselect the set of Figure 36: Adding foreign ligands Step 11: Projectlibrary screeningselect the protein and the ligandsset for 10 conformersstart screening Figure 37: Screening of foreign ligand 69 3.2.3ARGUS LAB Argus Lab is a molecular modeling program that runs on Window, Vista.ArgusLAb consist of a user interface that supports OpenGL graphics display of molecule structures and runs quantum mechanical calculation using the Argus compute server. The Argus compute server is constructed using the Microsoft Component Object Model (COM). Argus Lab Features: -- Extensive support for rendering surfaces. Powerful 3D interactive molecule builder. Build & optimize structures for the entire periodic table. Support for spectroscopy, geometry optimizations, energies & properties. Step: 1: Open the Argus lab, Import the protein molecule. Figure: 38: open the homepage. 70 Figure: 39: Open the structure. Step:2 :the tree view of 3EQM & open up the residues/misc folder to show the 3EQM residue. Figure: 40: Tree view of 3EQM 71 Figure:41: Hide unselected structure. Figure: 42 : Center molecule in window. 72 Figure: 43 : View/center molecule in window. Figure: 44: Add hydrogen 73 Figure: 45: ctrl+c & ctrl+v the selected residue. Figure: 46: Right click on 603ASD & select “make a ligand group from this residue” .now group have two ligands name “1 ASD” & “2ASD”. 74 Figure: 47: Right click on “1 ASD” in the group folder & select “modify group” option. In modify group dialog box, type in a new name like ‘lig’. & “2 ASD” type in name like ‘ligand’. Figure: 48: Right click on the group named “lig” & select the “make a binding site group for this group”. 75 Figure: 49: Selecting the Calculation/DOCK a Ligand….. Figure: 50: Settings dialog box looks like: select the ligand to dock in the “Ligand “drop-box. Click on the “Calculate size”. Make sure “ARGUS DOCK”. Than ok. 76 Figure: 51: See Argus Lab first generate the scoring grids used during the docking… Figure: 52: Go to calculation in the calculations folder select the Dock a Database… 77 Figure: 53: Click on Get Ligands & select the sdf compound. Figure: 54: See the result best Ligand phase-energy…….. 78 3.1.2.4 Hex 4.5 Figure: 55: Open the homepage & go to file Figure: 56: Hex after loading the molecule open receptor... 79 Figure: 57: Open the homepage & go to file Figure: 58: Go to controls----- docking----- enter. open Ligand... 80 59: Docking control---activates ----hex progress. Figure: 60: See the Hex progress…. 81 Figure: 61: See the E total & rms… Figure: 62 Save the result... 82 Figure: 63: Save both---- enter the name ---ok 3.1.2.5ADME Tox http://pharma-algorithms.com/ ADME is an acronym in pharmacokinetics and pharmacology for absorption, distribution, metabolism, and excretion, and describes the disposition of a pharmaceutical compound within an organism. The four criteria all influence the drug levels and kinetics of drug exposure to the tissues and hence influence the performance and pharmacological activity of the compound as a drug. Absorption/Administration:-For a compound to reach a tissue, it usually must be taken into the bloodstream - often via mucous surfaces like the digestive tract (intestinal absorption) - before being taken up by the target cells. This can be a serious problem at some natural barriers like the blood-brain barrier. Factors such as poor compound solubility, gastric emptying time, intestinal transit time, chemical instability in the 83 stomach, and inability to permeate the intestinal wall can all reduce the extent to which a drug is absorbed after oral administration. Absorption critically determines the compound's bioavailability. Drugs that absorb poorly when taken orally must be administered in some less desirable way, like intravenously or by inhalation (e.g. zanamivir). Distribution:-The compound needs to be carried to its effectors site, most often via the bloodstream. From there, the compound may distribute into tissues and organs, usually to differing extents. Metabolism:-Compounds begin to break down as soon as they enter the body. The majority of small-molecule drug metabolism is carried out in the liver by redox enzymes, termed cytochrome P450 enzymes. As metabolism occurs, the initial (parent) compound is converted to new compounds called metabolites. When metabolites are pharmacologically inert, metabolism deactivates the administered dose of parent drug and this usually reduces the effects on the body. Metabolites may also be pharmacologically active, sometimes more so than the parent drug. Excretion/Elimination:-Compounds and their metabolites need to be removed from the body via excretion, usually through the kidneys (urine) or in the feces. Unless excretion is complete, accumulation of foreign substances can adversely affect normal metabolism. Excretion of drugs by the kidney involves 3 main mechanisms: Glomerular filtration of unbound drug. Active secretion of (free & protein-bound) drug by transporters e.g. anions such as urate, penicillin, glucuronide, sulfate conjugates) or cations such as choline, histamine. Filtrate 100-fold concentrated in tubules for a favorable concentration gradient so that it may be reabsorbed by passive diffusion and passed out through the urine. 84 Toxicity:Sometimes, the potential or real toxicity of the compound is taken into account (ADME-Tox or ADMET). When the Liberation of the substance (from protective coating, or other excipients) is considered, we speak of LADME. Computational chemists try to predict the ADME-Tox qualities of compounds through methods like QSPR or QSAR.The route of administration critically influences ADME. Find the ADME & TOX properties for the best molecules. ADME Tox Box was opened using the URL: http://pharma-algorithms.com/webboxes/ Click on access free Demo ADME/Tox Web. Click on continue. Paste the canonical smile of the molecule or upload the files which are saved in .mol extension & click on calculate. ADME/Tox Properties were displayed. Each of the properties were noted & studied. Figure: 64: ADME Box 85 Figure: 65: TOX Box Figure: 66: Docking score graph 86 4. Result 4. Result 4.1Table no.: 1. List of Aromatase inhibitor with Sources. Sr.no. Compound name 1 Ascorbic Acid Structure Source broccoligreen red peppers, collard greens cauliflower lemon cabbage 87 2 Chrysin Passiflora coerulea passion flower 3 Phytoestrogens Citrus Tea Wine Dark chocolate 4 .Nicotine Citrus Tea Wine Dark chocolate 5 Quercetin Citrus Tea Wine Dark chocolate Neem 6 Naringenin Citrus Tea Wine Dark chocolate 88 7 Resveratrol Citrus Tea Wine Dark chocolate 8 Apigenin Citrus Tea Wine Dark chocolate Chamomile 9 Genistein Citrus Tea Wine Dark chocolate 10 Oleuropein Citrus Tea Wine Dark chocolate Red clover 89 11 Astragalus Astragalus 12 Aloe Vera Aloin 13 Emodin Aloe Vera 14 Campesterol soybean oil 90 15 Lupeol Olive Mango 16 Sitosterol Peanuts 17 Quinic acid Green tea 18 Rutin Broccoli Broccoli 91 19 Sec-butyl isothiocyanate Broccoli 20 Zeaxanthin Tufuling 21 Poricoic acid Tufuling 92 22 Zoledronic acid SAN ANTONIO 23 Beta Carotene Curcuma domestica 24 cyanocobalamin Curcuma domestica 25 Ar-turmerone Curcuma domestica 93 26 Zingiberene Curcuma domestica 27 Cineol Curcuma domestica 28 Borneol Curcuma domestica 29 α-Phellandrene Curcuma domestica 94 30 Sabinene Curcuma domestica 31 ar-curcumene Curcuma domestica 32 curcumol Curcuma domestica 33 Vitamin D3 Salmon, Mackerel 95 34 Epigallocatechin gallate Citrus Tea Wine Dark chocolate 35 Vitamin E Vegetable oils, nuts 36 Myristic acid Fish oil Agaricus bisporus 37 Palmitic acid Fish oil Agaricus bisporus 96 38 stearic acid Fish oil Agaricus bisporus 39 lauric acid Fish oil Agaricus bisporus 40 pentadecanoic acid Fish oil Agaricus bisporus 41 Allicin Garlic 97 42 Ajoene Garlic 43 Allylpropl Garlic 44 Diallyl Garlic 45 S-Allyl cysteine Garlic 46 Ellagic Acid strawberries 98 47 Folic Acid Leafy vegetables 48 Catechin Green tea 49 Theogallin Green tea 50 Caffeine Green tea 99 51 Theobromine Green tea 52 Theophylline Green tea 53 Thiamine Green tea 54 Riboflavin Green tea 100 55 Pyridoxine Green tea 56 Gallic acid Green tea 57 Melatonin walnuts 58 Indole-3-carbinol BROCCOLI ORANGES OATS TOMATOES BEANS 101 59 linoleic corn soybeans sunflower seeds canola oil olive oil. White button mushrooms 60 α-Linolenic acid corn soybeans sunflower seeds canola oil olive oil. White button mushrooms 61 oleic acids Moringa oleifera 62 Linamarin Cassava Latex 102 63 Azadirachtin Neem 64 Nimbin Neem 65 Gedunin Neem 66 Salannin Neem 103 67 Ryanodine Noni 68 Daidzein Red clover 69 Pratensein Red clover 70 Methyl salicylate Red clover 104 71 Eugenol Red clover 72 Androsta-1,4,6-triene-3 ,17-dione 73 Raffinose Soya bean 74 stachyose Soya bean 105 75 Stevioside Stevia 76 steviol Stevia 77 Amygdalin Apples Cherries Peaches Plums Almonds Papaya Nectarines 78 Vitamin K Grains and Nuts Broccoli 106 79 Arachidonic acid peanut oil 80 Pteropodine Uncaria tomentosa 81 Rhynchophylline Uncaria tomentosa 82 Hirsutine Uncaria tomentosa 107 83 Quinovic acid glycosides Uncaria tomentosa 84 Biotin liver, egg yolk, cereals, legumes and nuts 85 cinnamic acid Bee propolis Tobacco Leaves 86 Cinnamyl alcohol Bee propolis 108 87 Vanillin Bee propolis 88 Caffeic acid Bee propolis 89 Isalpinin Bee propolis 90 Pinocembrin Bee propolis 109 91 Galangin Bee propolis 92 Bee propolis ferulic acid. 93 Galactose dairy products sugar beets other gum 94 Rhamnose dairy products sugar beets chlorell 110 95 lapachol Pau d'arco 96 xyloidone Pau d'arco 97 Sesquiterpene lactone Sweet annie 98 Benzaldehyde Gauva 111 99 Alpha-copaene Gauva 100 Myrcene Gauva 101 Hexyl acetate Gauva 102 ethyl decanoate Gauva 112 103 Alpha-humulene Gauva 104 Ergosterol Beetroot 105 Octacosanol Beewax 106 Bisabolene Ginger 113 107 Phellandrene Ginger 108 Citral Ginger 109 Citronellol Ginger 110 linalool Ginger 114 111 Limonene. Ginger 112 Ginger Zingiberol 113 Camphene Ginger 114 Gingerol Ginger 115 115 Shogaol Ginger 116 Astaxanthin Pacific krill Antarctic krill 117 Phytol Scutellaria Barbatae 118 wogonin Scutellaria Barbatae 116 119 luteolin Scutellaria Barbatae 120 hispidulin Scutellaria Barbatae 121 Annotemoyin-2 Annona muricata 122 squamocin-I Annona muricata 117 123 Squamocin O2 Annona muricata 124 Motrilin Annona muricata 125 Squamostatin B Annona muricata 126 cherimolin-1 Annona muricata 118 127 Solanine Vernonia amygdalina 128 coumarine Vernonia amygdalina 129 Vernodalin Annona muricata 130 Vernolide Annona muricata 119 131 Hydroxyvernolide Annona muricata 132 Irofulven Mushrooms 133 Kolavenol Entada abyssinica 134 Alpha Pinene Bergamot 120 135 Alpha Bergaptnen Bergamot 136 Alpha Terpineol Bergamot 137 Linalyl Acetate Bergamot 138 Nerol Bergamot 121 139 Neryl Acetate Bergamot 140 Beta Bisabolene Bergamot 141 Betulinic Acid Betula alba Eurya Japonica 142 Oenothein B Epilobium parviflorum 122 143 Cyclosporin A Orange juice,Grape juice 144 Midazolam Orange juice,Grape juice 145 Triazolam Orange juice,Grape juice 146 Terfenadine Orange juice,Grape juice 123 147 Saquinavir Orange juice,Grape juice 148 Ethynylestradiol Orange juice,Grape juice 149 Pseudolaric Acid B Pseudolarix kaempferi 150 Indirubin Chinese antileukaemia 124 151 Withaferin A Withania somnifera 152 Morphine Jasmin 153 Codeine Jasmin 154 Colchine Jasmin 125 155 Emetine Jasmin 156 Rescinnamine Jasmin 157 Ajmaline Jasmin 158 Vinblastine Jasmin 126 159 Vincristine Jasmin 160 Eucalyptol Ocimum basilicum 161 Camphor Ocimum basilicum 162 Cis-ocimene Ocimum basilicum 127 163 Estragole Ocimum basilicum 164 Anethole Fennel 165 farnesol Lemon grass 166 Isovalerylaldehyde Lemon grass 128 167 Decanaldehyde Lemon grass 168 Pelletierine punica granatum L 169 Rotenone Jicama vine plant. 170 Arbutin Damiana leaf 171 Hexacosanol-1 Damiana leaf 129 4.2Table no.: 2. List of Aromatase inhibitor with compound properties: Sr.no. 1 Mol.weight 176.12412 [g/mol] 2 254.2375 [g/mol] 3 273.255385 [g/mol] 4 Mol.formula C6H8O6 XlogP 1.8 H.B.Donor H.b.Acceptor 4 6 1 2 4 C15H10O4 C15H10O5 2.7 3 5 162.23156 [g/mol] C10H14N2 1.2 0 2 5 302.2357 [g/mol] C15H10O7 1.5 5 7 6 272.25278 [g/mol] C15H12O5 2.4 3 5 7 228.24328 [g/mol] C14H12O3 3.1 3 3 8 270.2369 [g/mol] C15H10O5 1.7 3 5 9 270.2369 [g/mol] C15H10O5 2.7 3 10 540.51378 [g/mol] C25H32O13 0.4 6 13 11 321.21052 [g/mol] C19H13Br 6.2 0 0 12 418.39398 [g/mol] C21H22O9 2.2 7 9 13 270.2369 [g/mol] C15H10O5 2.7 3 5 14 400.68012 [g/mol] C28H48O 8.8 1 1 15 426.7174 [g/mol] C30H50O 9.9 1 1 16 414.7067 [g/mol] C29H50O 9.3 1 1 17 91.15864 [g/mol] C7H11O6 -1.7 4 6 18 610.5175 [g/mol] C27H30O16 -1.3 10 16 19 115.19666 [g/mol] C5H9NS 2.8 0 1 130 20 568.87144 [g/mol] C40H56O2 10.9 2 2 21 498.69394 [g/mol] C31H46O5 6.4 3 5 22 272.089622[g/mol] C5H10N2O7P2 -4.3 5 8 23 536.87264 [g/mol] C40H56 13.5 0 0 24 1355.365181 [g/mol] C63H88CoN14O14P 9 21 25 216.3187 [g/mol] C15H20O 4 0 1 26 204.35106 [g/mol] C15H24 5.2 0 0 27 154.24932 [g/mol] C10H18O 2.5 0 1 28 154.24932 [g/mol] C10H18O 2.7 1 1 29 136.23404 [g/mol] C10H16 3.2 0 0 30 136.23404 [g/mol] C10H16 3.1 0 0 31 202.33518 [g/mol] C15H22 5.4 0 0 32 236.34986 [g/mol] C15H24O2 2.8 1 2 33 384.63766 [g/mol] C27H44O 7.9 1 1 34 458.37172 [g/mol] C22H18O11 1.2 8 11 35 430.7061 [g/mol] C29H50O2 10.7 1 2 36 228.37092 [g/mol] C14H28O2 5.3 1 2 37 256.42408 [g/mol] C16H32O2 6.4 1 2 38 284.47724 [g/mol] C18H36O2 7.4 1 2 39 200.31776 [g/mol] C12H24O2 4.2 1 2 40 242.3975 [g/mol] C15H30O2 5.8 1 2 41 162.273 [g/mol] C6H10OS2 1.3 0 1 42 234.40186 [g/mol] C9H14OS3 1.7 0 1 131 43 148.28948 [g/mol] C6H12S2 2.4 0 0 44 146.2736 [g/mol] C6H10S2 2.2 0 0 45 161.22204 [g/mol] C6H11NO2S 2.1 2 3 46 302.19264 [g/mol] C14H6O8 1.1 4 8 47 441.39746 [g/mol] C19H19N7O6 1.1 6 11 48 290.26806 [g/mol] C15H14O6 0.4 5 6 49 344.27084 [g/mol] C14H16O10 1.2 7 10 50 194.1906 [g/mol] C8H10N4O2 0.1 0 3 51 180.16402 [g/mol] C7H8N4O2 0.8 1 3 52 180.16402 [g/mol] C7H8N4O2 0 1 3 53 265.35458 [g/mol] C12H17N4OS 1 2 4 54 376.3639 [g/mol] C17H20N4O6 1.5 5 8 55 169.17784 [g/mol] C8H11NO3 0.8 3 4 56 170.11954 [g/mol] C7H6O5 0.7 4 5 57 232.27834 [g/mol] C13H16N2O2 0.8 2 2 58 147.17386 [g/mol] C9H9NO 1.1 2 1 59 280.44548 [g/mol] C18H32O2 6.8 1 2 60 278.4296 [g/mol] C18H30O2 5.9 1 2 61 282.46136 [g/mol] C18H34O2 6.5 1 2 62 247.24508 [g/mol] C10H17NO6 1.8 4 7 63 720.71426 [g/mol] C35H44O16 -0.6 3 16 64 540.60144 [g/mol] C30H36O9 2.3 0 9 132 65 484.58124 [g/mol] C28H36O7 4 0 7 66 596.70776 [g/mol] C34H44O9 3.9 0 9 67 493.5467 [g/mol] C25H35NO9 -0.5 7 9 68 254.2375 [g/mol] C15H10O4 2.5 2 4 69 300.26288 [g/mol] C16H12O6 2.6 3 6 70 152.14732 [g/mol] C8H8O3 2.3 1 3 71 164.20108 [g/mol] C10H12O2 2 1 2 72 282.37678 [g/mol] C19H22O2 3 0 2 73 504.43708 [g/mol] C18H32O16 5.8 11 16 74 666.57768 [g/mol] C24H42O21 8 14 21 75 804.8722 [g/mol] C38H60O18 -1.2 11 18 76 318.4504 [g/mol] C20H30O3 3.8 2 3 77 457.42848 [g/mol] C20H27NO11 -2.7 7 12 78 450.69574 [g/mol] C31H46O2 10.9 0 2 79 304.46688 [g/mol] C20H32O2 6.3 1 2 80 368.42626 [g/mol] C21H24N2O4 1.6 1 5 81 384.46872 [g/mol] C22H28N2O4 2.3 1 5 133 82 83 368.46932 [g/mol] 486.68324 [g/mol] C22H28N2O3 C30H46O5 3.4 5.9 1 3 4 5 84 244.31064 [g/mol] C10H16N2O3S 0.3 3 3 85 148.15862 [g/mol] C9H8O2 2.1 1 2 86 134.1751 [g/mol] C9H10O 1.9 1 1 87 152.14732 [g/mol] C8H8O3 1.2 1 3 88 89 180.15742 [g/mol] 284.26348 [g/mol] C9H8O4 C16H12O5 1.2 2.6 3 2 4 5 90 256.25338 [g/mol] C15H12O4 2.7 2 4 91 270.2369 [g/mol] C15H10O5 2.3 3 5 92 194.184 [g/mol] C10H10O4 1.5 2 4 93 180.15588 [g/mol] C6H12O6 -2.6 5 6 94 164.15648 [g/mol] C6H12O5 -2.1 4 5 95 242.26986 [g/mol] C15H14O3 2.8 1 3 96 240.25398 [g/mol] C15H12O3 2.6 0 3 97 264.3169 [g/mol] C15H20O4 1.3 1 4 98 106.12194 [g/mol] C7H6O 1.5 0 1 99 204.35106 [g/mol] C15H24 4.5 0 0 100 136.23404 [g/mol] C10H16 4.3 0 0 101 144.21144 [g/mol] C8H16O2 2.4 0 2 102 200.31776 [g/mol] C12H24O2 4.6 0 2 103 204.35106 [g/mol] C15H24 4.5 0 0 104 517.55478 [g/mol] C23H27N5O7S 30.5 5 7 105 410.75952 [g/mol] C28H58O 3.8 1 1 106 204.35106 [g/mol] C15H24 4.7 0 0 107 136.23404 [g/mol] C10H16 3.2 0 0 134 108 152.23344 [g/mol] C10H16O 3 0 1 109 156.2652 [g/mol] C10H20O 3.2 1 1 110 154.24932 [g/mol] C10H18O 2.7 1 1 111 136.23404 [g/mol] C10H16 3.4 0 0 112 236.39292 [g/mol] C16H28O 4.5 1 1 113 136.23404 [g/mol] C10H16 3.3 0 0 114 294.38594 [g/mol] C17H26O4 3.1 2 4 115 276.37066 [g/mol] C17H24O3 3.7 1 3 116 596.83848 [g/mol] C40H52O4 10.3 2 4 117 296.531 [g/mol] C20H40O 8.2 1 1 118 284.26348 [g/mol] C16H12O5 3 2 5 119 286.2363 [g/mol] C15H10O6 1.4 4 6 120 300.26288 [g/mol] C16H12O6 1.7 3 6 121 312.4517 [g/mol] C14H15KN3OS 0 2 2 122 638.91514 [g/mol] C37H66O8 8 4 8 123 638.91514 [g/mol] C37H66O8 8 4 8 124 622.91574 [g/mol] C37H66O7 9.3 3 7 125 638.91514 [g/mol] C37H66O8 8 4 8 126 258.31386 [g/mol] C19H14O 4 1 1 127 868.05882 [g/mol] C45H73NO15 1.8 9 16 128 146.14274 [g/mol] C9H6O2 1.4 0 2 129 360.3579 [g/mol] C19H20O7 1.6 1 7 135 130 362.37378 [g/mol] C19H22O7 0.9 1 7 131 378.37318 [g/mol] C19H22O8 -0.3 2 8 132 246.30162 [g/mol] C15H18O3 -0.2 2 3 133 290.48336 [g/mol] C20H34O 6 1 1 134 135 136.23404 [g/mol] 216.1895 [g/mol] C10H16 C12H8O4 2.8 0 0 136 154.24932 [g/mol] C10H18O 1.8 1 1 137 196.286 [g/mol] C12H20O2 3.3 0 2 138 154.24932 [g/mol] C10H18O 2.9 1 1 139 196.286 [g/mol] C12H20O2 3.5 0 2 140 204.35106 [g/mol] C15H24 5.2 0 0 141 456.70032 [g/mol] C30H48O3 8.2 2 3 142 1571.0982 [g/mol] C68H50O44 1.3 25 44 143 1202.61124 [g/mol] C62H111N11O12 7.5 5 12 144 325.767323 [g/mol] C18H13ClFN3 2.5 0 3 145 343.20998 [g/mol] C17H12Cl2N4 2.4 0 3 146 471.67344 [g/mol] C32H41NO2 6.6 2 3 147 670.8408 [g/mol] C38H50N6O5 4.2 5 7 148 296.40336 [g/mol] C20H24O2 3.7 2 2 136 149 432.46362 [g/mol] C23H28O8 2.3 1 8 150 262.2628 [g/mol] C16H10N2O2 2.3 2 3 151 470.59772 [g/mol] C28H38O6 3.8 2 6 152 285.33766 [g/mol] C17H19NO3 0.8 2 4 153 299.36424 [g/mol] C18H21NO3 1.1 1 4 154 399.437 [g/mol] C22H25NO6 1 1 6 155 480.6389 [g/mol] C29H40N2O4 4.7 1 6 156 634.71598 [g/mol] C35H42N2O9 4.5 1 10 157 326.43264 [g/mol] C20H26N2O2 1.8 2 4 158 909.0526 [g/mol] C46H60N4O13S 4.711 5 16 159 824.95764 [g/mol] C46H56N4O10 2.8 3 12 160 154.24932 [g/mol] C10H18O 2.5 0 1 161 152.23344 [g/mol] C10H16O 2.2 0 1 162 136.23404 [g/mol] C10H16 4.3 0 0 163 148.20168 [g/mol] C10H12O 3.4 0 1 164 148.20168 [g/mol] C10H12O 3.3 0 1 165 222.36634 [g/mol] C15H26O 4.8 1 1 166 86.1323 [g/mol] C5H10O 1 0 1 167 168 156.2652 [g/mol] 141.2108 [g/mol] C10H20O C8H15NO 3.8 0.4 0 1 1 2 169 394.41718 [g/mol] C23H22O6 4.1 0 6 170 272.25124 [g/mol] C12H16O7 0.7 5 7 171 382.70636 [g/mol] C26H54O 12.7 1 1 137 4.3Table no.:3. Quantum, Argus Lab & Hex Docking score: No. Name 1 Aminoglutethimide 2 Testolactone (Teslac) Anastrozole 3 (Arimidex) 4 Letrozole (Femara) Exemestane 5 (Aromasin) 6 Vorozole (Rivizor) Formestane 7 (Lentaron) 8 Fadrozole (Afema) 9 3EQM 1 2 3 4 5 6 7 8 9 10 3EQM 11 12 13 14 15 16 17 18 19 1,4,6-androstatrien-3, 17-dione (ATD) Ascorbic Acid Chrysin Phytoestrogens .Nicotine Quercetin Naringenin Resveratrol Apigenin Genistein Oleuropein Astragalus Aloin Emodin Campesterol Lupeol Sitosterol Quinic acid Rutin Sec-butyl Quantum HEX G value RMS E value RMS -17.57 106.24 -19.95 -1 Argus lab -19.6 94.67 -9.87 -18.61 -24.3 96.73 108.85 -23.84 -11.46 -9.2672 -1 10.6252 -1 12.6331 -1 -13.653 -16.32 -20.47 94.67 96.75 -22.24 -17.07 -1 -1 -9.3331 -10.88 -10.37 -23.59 95.66 111.02 -15.75 -11.24 -1 -1 -10.38 -12.95 -26.12 -21.56 -18.7 -21.6 -20.16 -15.73 -23.37 -21.22 -25.08 -22.82 -20.42 -18.2 -22.17 -29.5 -26.01 -25.47 -39.4 -24.5 -21.75 -18.41 -23.69 -13.13 105.86 19.97 110.05 104.61 97.09 93.55 109.47 110.97 105.83 105.37 108.21 102.4 6.37 107.07 111.15 112 112.58 97.55 99.18 107.15 100.41 99.08 -14.6 -1 -14.83 -15.08 -15.27 -15.27 -8.3 -10.65 -9.62 -15.21 -14.93 -22.61 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -10.98 -12.718 -6.59 -10.278 -12.422 -7.34 -9.55 -9.71 -11.46 -10.35 -10.02 0 -27.66 -30.52 -18.43 -22.03 -18.72 -20.99 0 -23.76 -11.69 -1 -1 -1 -1 -1 -1 -1 -1 -1 -14.72 0 -10.85 0 0 0 -7.97 0 -6.56 Lipinsky rule Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes No Yes No No No Yes No Yes 138 isothiocyanate 20 3EQM 21 22 23 24 25 26 27 28 29 30 3EQM 31 32 33 34 35 36 37 38 39 40 3EQM 41 42 43 44 45 46 47 48 49 50 3EQM 51 52 Zeaxanthin Poricoic acid Zoledronic acid Beta Carotene cyanocobalamin Ar-turmerone Zingiberene Cineol Borneol α-Phellandrene Sabinene ar-curcumene curcumol Vitamin D3 Epigallocatechin gallate Vitamin E Myristic acid Palmitic acid stearic acid lauric acid pentadecanoic acid Allicin Ajoene Allylpropl Diallyl S-Allyl cysteine Ellagic Acid Folic Acid Catechin Theogallin Caffeine Theobromine Theophylline Fail -21.2 Fail -30.24 Fail Fail -19.67 -19.86 -15.95 -13.95 Fail -11.87 -13.29 -24.34 -21.18 -0.91 Fail 21.87 Fail 93.97 Fail Fail 95.59 98.41 97.32 95.94 Fail 93.01 8.63 112.74 107.98 106.9 -15.75 -1 0 No -24.7 -16.26 -16.26 -34.96 0 -19.41 0 -19.29 Fail 0 -1 -1 -1 -1 -1 -1 -1 -1 Fail -1 0 0 0 0 -11.878 -12.27 -8.79 -9.25 0 -9.8 Yes No No No Yes Yes Yes Yes Yes Yes -11.36 -14.27 -18.09 -1 -1 -1 -12.06 -11.2 0 Yes Yes No -34.27 -15.27 -29.29 -30.78 -26.55 -28.93 112.85 107.04 107.17 115.89 103.72 104.59 -20.48 -11.83 -8.56 -7.98 -6.91 -10.29 -1 -1 -1 -1 -1 -1 No No Yes No No Yes -29.92 -19.86 -14.03 -17.33 -13.2 -12.32 -15.33 -20.41 -26.78 -16.58 -21.75 -11.04 -19.28 -16.32 -17.24 109.48 20.55 92.16 101.13 97.22 99.13 97.58 99.57 101.68 99.67 97.55 94.75 20.17 107.74 108.28 -5.94 -1 0 0 -11.224 -11.93 -12.674 -10.342 116276 -8.64 -10.83 -15.03 -14.13 -7.73 -14.5 -21.42 -10.82 -25.67 -12.95 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -7.7659 -10.599 -8.3388 -9.0611 -7.8112 -8.7216 -9.8648 -9.9197 -9.4515 -4.8859 Yes Yes Yes Yes Yes Yes No Yes No Yes -9.47 -10.55 -1 -1 -4.9326 -4.9077 Yes Yes No 139 53 54 55 56 57 58 59 60 3EQM 61 62 63 64 65 66 67 68 69 70 3EQM 71 Thiamine Riboflavin Pyridoxine Gallic acid Melatonin Indole-3-carbinol linoleic α-Linolenic acid oleic acids Linamarin Azadirachtin Nimbin Gedunin Salannin Ryanodine Daidzein Pratensein Methyl salicylate Eugenol Androsta-1,4,6-triene3 ,17-dione Raffinose stachyose Stevioside steviol Amygdalin Vitamin K Arachidonic acid Pteropodine 72 73 74 75 76 77 78 79 80 3EQM 81 Rhynchophylline 82 Hirsutine Quinovic acid 83 glycosides 84 Biotin 85 cinnamic acid -24.94 104.65 -5.14 -1 -32.14 110.37 -16.96 -1 -18.72 105.68 -15.19 -1 -20.78 107.19 -15.04 -1 -18.97 110.83 -17.48 -1 -16.42 107.68 -13.71 -1 -31.08 108.22 -18.67 -1 Stopped Stopped stopped Stopped 8.46 7.36 -29.86 116.52 -9.01 -1 -13.41 105.28 -10.39 -1 Fail Fail -19.73 -1 -8.8 105.5 -32.33 -1 -18.52 85.75 -18.34 -1 -19.14 102.26 -15.34 -1 -16.78 98.79 -31.17 -1 -27.42 105.96 -16.03 -1 -27.29 112.45 -13.16 -1 -18 108.85 -7.48 -1 -18.26 5.67 -17.61 106.05 -16.2 -1 -8.6123 -7.1596 -6.9589 -8.2819 -8.5331 -8.1227 -14.727 0 Yes Yes Yes Yes Yes Yes No No 0 -7.7826 0 0 0 0 0 -9.7565 -9.5339 -8.1565 Yes Yes No No Yes No Yes Yes Yes No -9.4711 Yes -13.56 -5.2 14.54 676.96 13.68 -8.64 -26.19 -24.64 -27.13 -25.72 -25.35 -21.86 96.08 113.64 110.35 106.43 115.02 110.04 111.69 115.42 110.87 5.15 109.5 95.14 -13.98 -26.76 -22.94 -34.05 -19.42 -21.47 -12.42 -14.42 -14.41 -1 -1 -1 -1 -1 -1 -1 -1 -1 -12.633 0 0 0 -13.525 0 0 -14.944 0 Yes No No No Yes No Yes Yes Yes -8.5 0 -1 -1 -8.9502 -10.133 Yes Yes -21.54 -30.56 -22.39 94.35 111.71 102.59 -20.33 -15.75 -17.9 -1 -1 -1 0 -9.0323 -9.6275 No Yes Yes 140 86 87 88 89 90 3EQM 91 92 93 94 95 96 97 98 Cinnamyl alcohol Vanillin Caffeic acid Isalpinin Pinocembrin -15.81 -16.78 -24.9 -20.98 -19.23 -17.03 -21.57 -24.07 -15.09 -16.23 -22.55 -19.22 -20.35 -13 102.72 103.27 112.03 102.11 105.93 19.05 108.3 109.71 108.35 111.31 114.29 111.92 96.81 111.72 -18.97 0 -17.73 -9.43 -13.11 -1 -1 -1 -1 -1 -9.1332 -7.6467 -9.3408 -9.7448 -10.058 Yes Yes Yes Yes Yes 0 -8.46 -9.57 0 -14.98 -9.58 -31.43 -11.13 -1 -1 -1 -1 -1 -1 -1 -1 -10.005 -8.9502 -6.1938 -6.7902 -11.544 -10.43 -10.272 -8.3353 Yes Yes Yes Yes Yes Yes Yes Yes -17.43 -15.51 -25.57 108.64 113.82 5.74 -9.41 -7.37 -1 -1 -8.3353 -12.14 Yes Yes -15.66 113.97 -24.07 -1 -9.9604 Yes 109.49 106.31 110.14 Fail 109.5 112.43 111.7 109.54 109.14 15.06 115.65 -5.81 -15.14 -14.84 -11.24 -14.27 -21.56 -10.74 0 0 -1 -1 -1 -1 -1 -1 -1 -1 -1 ###### -12.105 0 -12.729 -12.133 -9.575 -9.5945 -9.2665 9.475 Yes Yes Yes Yes Yes No Yes Yes Yes Limonene. -21.39 -16.2 -27.28 Fail -20.58 -15.62 -18.5 -18.53 -11.58 -19.16 -12.72 -24.07 -1 -9.4172 Yes Zingiberol Camphene Gingerol Shogaol Astaxanthin -16.92 -12.28 -20.46 -22.34 Fail 112.56 122.31 111.92 123.8 Fail -16.41 -19.97 -18.32 -14.41 -15.57 -1 -1 -1 -1 -1 -11.34 -9.5637 -10.843 -11.829 0 Yes Yes Yes Yes No Galangin ferulic acid. Galactose Rhamnose lapachol xyloidone Sesquiterpene lactone Benzaldehyde 99 Alpha-copaene 100 Myrcene 3EQM Hexyl acetate 101 102 103 104 105 106 107 108 109 110 3EQM 111 112 113 114 115 116 ethyl decanoate Alpha-humulene Ergosterol Octacosanol Bisabolene Phellandrene Citral Citronellol Citral 141 117 118 119 120 3EQM 121 122 123 124 125 126 127 128 129 130 3EQM 131 132 133 134 135 136 137 138 139 140 3EQM 141 142 143 144 145 146 147 148 149 150 3EQM 151 Phytol wogonin luteolin hispidulin Annotemoyin-2 squamocin-I Squamocin O2 Motrilin Squamostatin B cherimolin-1 Solanine coumarine Vernodalin Vernolide Hydroxyvernolide Irofulven Kolavenol Alpha Pinene Alpha Bergaptnen Alpha Terpineol Linalyl Acetate Nerol Neryl Acetate Beta Bisabolene Betulinic Acid Oenothein B Cyclosporin A Midazolam Triazolam Terfenadine Saquinavir Ethynylestradiol Pseudolaric Acid B Indirubin Withaferin A -25.42 111.91 -20.5 112.9 -23.3 110.9 -16.7 113.69 -17.62 18.44 -22.82 96.36 Fail Fail Fail Fail Fail Fail Fail Fail Fail Fail -21.89 108.69 Fail Fail Stopped Stopped Fail Fail -17.75 20.12 -27.59 108.6 -13.78 94.69 -22.92 111.57 -12.7 95.53 -15.64 98.58 -15.39 109.3 -17.84 96.68 -20.73 105.72 -32.67 102.76 -24.84 103.96 -12.54 3.33 Fail Fail Fail Fail Fail Fail -20.97 109.69 -22.4 108.29 -16.1 113.27 60.42 106.22 -23.17 113.63 -21.52 109.37 -23.21 102.91 -22.61 6.05 41.93 106.19 -12.12 -16.32 -13.93 -12.61 -1 -1 -1 -1 -12.187 -9.7062 -9.8326 -6.604 No Yes Yes No -17.71 -23.1 -23.1 -16.79 -30.49 0 -22.82 -12.14 -14.6 -17.25 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -10.094 0 0 0 0 -14.406 0 -8.7796 0 10.895 Yes No No No No Yes No Yes Yes Yes -19.39 -12.14 -10.57 -9.63 -20.48 -20.48 -12.54 -8.59 -10.27 -9.76 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -9.5551 -11.093 -13.951 -9.1635 -9.6195 -9.6195 9.7154 -9.5316 -10.342 -12.418 Yes Yes Yes Yes No Yes Yes Yes Yes No -22.03 -28.72 -25.17 -18.9 -16.06 -11.44 -31.81 -10.82 -25.67 -14.32 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 0 0 0 -11.158 -12.5 0 0 -9.9196 -9.4515 -10.25 Yes No No Yes Yes No No Yes Yes Yes -23.21 -1 0 Yes 142 152 153 154 155 156 157 158 159 160 3EQM 161 162 163 164 165 166 167 168 169 170 171 Morphine Codeine Colchine Emetine Rescinnamine Ajmaline Vinblastine Vincristine Eucalyptol Camphor Cis-ocimene Estragole Anethole farnesol Isovalerylaldehyde Decanaldehyde Pelletierine Rotenone Arbutin Hexacosanol-1 -19.3 4.26 -19.08 19.87 54.32 Fail Fail -18.72 -15.45 -12.96 -12.75 -17.57 -17.19 -18.38 -18.87 -12.56 -17.12 -14.95 -22.41 -24.85 Fail 114.19 112.09 109.45 102.94 102.65 Fail Fail 106.75 103.2 5.66 111 112.37 108.23 112.61 115.58 116.94 107.71 109.79 105.1 104.41 Fail -18.36 -18.72 -25.01 -16.1 -30.7 -12.83 -27.32 -22.9 -9.2 -1 -1 -1 -1 -1 -1 -1 -1 -1 -10.649 0 -8.947 0 0 -11.446 0 -14.72 -8.7985 Yes Yes Yes Yes No Yes No No Yes -16.77 -16.2 -21.27 -20.48 -15.32 -17.59 0 -28.75 -16.13 -16.5 -7.7 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -9.5953 -9.8392 -9.364 -9.5443 -12.464 7 -9.0682 -7.403 0 -9.2137 -14.102 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No 4.4Table no.:4 Docking score: Sr.no No. 1 2 3 4 5 6 7 8 Name Aminoglutethimide Testolactone (Teslac) Anastrozole (Arimidex) Letrozole (Femara) Exemestane (Aromasin) Vorozole (Rivizor) Formestane (Lentaron) Fadrozole (Afema) 1,4,6-androstatrien-3, 9 17-dione (ATD) Quantum -17.57 -19.6 -18.61 -24.3 -16.32 -20.47 -10.37 -23.59 -26.12 143 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 1 2 3 5 6 7 8 9 11 13 25 36 39 46 53 54 56 61 68 69 81 82 84 85 91 92 97 115 139 150 169 170 Ascorbic Acid Chrysin Phytoestrogens Quercetin Naringenin Resveratrol Apigenin Genistein Astragalus Emodin Ar-turmerone Myristic acid lauric acid Ellagic Acid Thiamine Riboflavin Gallic acid oleic acids Daidzein Pratensein Rhynchophylline Hirsutine Biotin cinnamic acid Galangin ferulic acid. Sesquiterpene lactone Shogaol Neryl Acetate Indirubin Rotenone Arbutin -18.7 -21.6 -20.16 -23.37 -21.22 -25.08 -22.82 -20.42 -29.5 -25.47 -19.67 -29.29 -28.93 -20.41 -24.94 -32.14 -20.78 -29.86 -27.42 -27.29 -25.35 -21.86 -30.56 -22.39 -21.57 -24.07 -20.35 -22.34 -32.67 -23.21 -22.41 -24.85 144 4.5Table no.:5. IC50 Result: Sr.no No. 1 1 2 2 3 3 4 5 5 6 6 7 7 8 8 9 9 11 10 13 11 25 12 36 13 39 14 46 15 53 16 54 17 56 18 61 19 68 20 69 21 81 22 82 23 84 24 85 25 91 26 92 27 28 29 30 31 32 97 115 139 150 169 170 Name Ascorbic Acid Chrysin Phytoestrogens Quercetin Naringenin Resveratrol Apigenin Genistein Astragalus Emodin Ar-turmerone Myristic acid lauric acid Ellagic Acid Thiamine Riboflavin Gallic acid oleic acids Daidzein Pratensein Rhynchophylline Hirsutine Biotin cinnamic acid Galangin ferulic acid. Sesquiterpene lactone Shogaol Neryl Acetate Indirubin Rotenone Arbutin Quantum IC50 e value -18.7 9.83 -1 -21.6 1.88 1 -20.16 6.45 2 -23.37 6.86 -1 -21.22 2.09 -1 -25.08 3.43 -1 -22.82 2.65 -1 -20.42 3.6 -1 -29.5 1.05 0 -25.47 1.78 0 -19.67 8.31 -1 -29.29 1.75 0 -28.93 2.37 0 -20.41 1.11 0 -24.94 2.56 -2 -32.14 2.97 -1 -20.78 9.89 -1 -29.86 3.45 0 -27.42 4.13 -1 -27.29 5.1 -6 -25.35 1.39 0 -21.86 9.08 -1 -30.56 2.74 -1 -22.39 1.17 0 -21.57 3.38 -1 -24.07 9.88 -1 -20.35 -22.34 -32.67 -23.21 -22.41 -24.85 5.25 2.32 1.9 1.53 6.25 2.29 0 0 0 0 -1 0 145 4.6Table no.:6 ADME-Tox properties: S. N o MOLECULE ADME Properties Oral bioavailabi lity 1 Ascorbic Acid 2 Chrysin 3 Phytoestrog ens 4 Quercetin 5 Naringenin Probability that compound has: %F(Oral) > 30%: 0.033 %F(Oral) > 70%: 0.008 Probability that compound has: %F(Oral) > 30%: 0.811 %F(Oral) > 70%: 0.756 Probability that compound has: %F(Oral) > 30%: 0.849 %F(Oral) > 70%: 0.409 Probability that compound has: %F(Oral) > 30%: 0.033 %F(Oral) > 70%: 0.008 Probability that compound has: %F(Oral) > 30%: 0.350 %F(Oral) > 70%: 0.049 Solu bility -1.65 TOXICITY Properties Drug binding to plasma protein vd (volum e of distrib ution) AME S %PPB: 98.22% 0.34 L/kg Health effect B* C* G* K* Li* Lu* 0.960 0.78 0.36 0.61 0.07 0.12 0.91 0.65 L/kg 0.549 0.48 0.5 4 0.2 7 0.5 2 0.3 5 0.2 7 0.64 L/kg 0.194 0.46 0.61 0.46 0.59 0.51 0.25 0.60 L/kg 0.69 0.69 0.27 0.41 0.54 0.09 0.38 0.65 L/kg 0.072 0.34 0.66 0.48 0.81 0.32 0.27 LogKaHSA: 3.49 -3.37 %PPB: 87.10% LogKaHSA : 4.11 -3.38 %PPB: 87.87% LogKaHSA : 3.91 -3.88 %PPB: 93.68% LogKaHSA : 3.92 -3.10 %PPB: 86.32% LogKaHSA : 3.89 146 %PPB: 76.03% 6 -3.09 LogKaHSA: 3.76 %PPB: 76.03% 0.76 L/kg 0.124 0.56 0.50 0.36 0.13 0.53 0.13 0.64 L/kg 0.309 0.71 0.38 0.06 0.46 0.34 0.25 0.64 L/kg 0.194 0.46 0.61 0.46 0.59 0.51 0.25 %PPB: 99.86% %PPB: 99.86% 1.000 0.94 0.82 0.98 0.63 0.90 0.98 LogKaHSA : 6.05 LogKaHS A : 6.05 %PPB: 93.90% 0.92 L/kg 0.991 0.19 0.57 0.56 0.21 0.33 0.68 2.15 L/kg 0.299 0.21 0.33 0.08 0.17 0.15 0.20 0.40 L/kg 0.009 0.15 0.08 0.05 0.11 0.06 0.04 0.38 L/kg 0.015 0.14 0.19 0.06 0.04 0.05 0.05 LogKaHSA : 3.76 Resveratrol 7 Apigenin 8 Genistein 9 Astragalus 10 Emodin 11 Arturmerone 12 Myristic acid 13 lauric acid Probability that compound has: %F(Oral) > 30%: 0.849 %F(Oral) > 70%: 0.409 Probability that compound has: %F(Oral) > 30%: 0.849 %F(Oral) > 70%: 0.409 Probability that compound has: %F(Oral) > 30%: 0.811 %F(Oral) > 70%: 0.205 Probability that compound has: %F(Oral) > 30%: 0.722 %F(Oral) > 70%: 0.209 Probability that compound has: %F(Oral) > 30%: 0.811 %F(Oral) > 70%: 0.302 Probability that compound has: %F(Oral) > 30%: 0.854 %F(Oral) > 70%: 0.450 Probability that compound has: %F(Oral) > 30%: 0.854 -3.35 %PPB: 87.87% LogKaHSA : 3.91 -3.38 %PPB: 87.87% LogKaHSA : 3.91 -7.31 -3.54 LogKaHSA : 4.34 -3.73 %PPB: 92.71% LogKaHSA : 3.84 -5.68 %PPB: 99.02% LogKaHSA : 4.87 -4.38 %PPB: 96.77% LogKaHSA : 4.54 147 %F(Oral) > 70%: 0.450 14 Ellagic Acid 15 Thiamine 16 Riboflavin 17 Gallic acid 18 oleic acids 19 Daidzein 20 Pratensein Probability that compound has: %F(Oral) > 30%: 0.033 %F(Oral) > 70%: 0.010 Probability that compound has: %F(Oral) > 30%: 0.363 %F(Oral) > 70%: 0.097 Probability that compound has: %F(Oral) > 30%: 0.479 %F(Oral) > 70%: 0.193 Probability that compound has: %F(Oral) > 30%: 0.033 %F(Oral) > 70%: 0.010 Probability that compound has: %F(Oral) > 30%: 0.854 %F(Oral) > 70%: 0.450 Probability that compound has: %F(Oral) > 30%: 0.811 %F(Oral) > 70%: 0.756 Probability that compound has: %F(Oral) > 30%: 0.722 %F(Oral) > 70%: 0.248 -3.63 %PPB: 88.99% 0.61 L/kg 0.391 0.90 0.27 0.95 0.95 0.83 0.73 0.96 L/kg 0.384 0.47 0.47 0.87 0.78 0.19 0.66 0.76 L/kg 0.182 0.88 0.90 0.91 0.53 0.91 0.66 0.29 L/kg 0.157 0.25 0.06 0.21 0.09 0.08 0.09 0.49 L/kg 0.011 0.19 0.17 0.06 0.21 0.10 0.49 1.03 L/kg 0.057 0.48 0.54 0.45 0.58 0.35 0.29 0.63 L/kg 0.448 0.40 0.86 0.77 0.80 0.41 0.20 LogKaHSA : 3.61 -3.76 %PPB: 9.97% LogKaHSA : 1.46 -3.00 %PPB: 56.33% LogKaHSA : 2.44 -1.02 %PPB: 15.40% LogKaHSA : 3.38 -6.46 %PPB: 99.89% LogKaHSA : 5.52 -3.50 %PPB: 85.22% LogKaHSA : 3.75 -3.35 %PPB: 89.25% LogKaHSA : 3.87 148 21 Rhynchoph ylline 22 Hirsutine 23 Biotin 24 cinnamic acid 25 Galangin 26 Ferulic acid. 27 Sesquiterpe ne lactone 28 Shogaol Probability that compound has: %F(Oral) > 30%: 0.350 %F(Oral) > 70%: 0.060 Probability that compound has: %F(Oral) > 30%: 0.350 %F(Oral) > 70%: 0.060 Probability that compound has: %F(Oral) > 30%: 0.944 %F(Oral) > 70%: 0.600 Probability that compound has: %F(Oral) > 30%: 0.950 %F(Oral) > 70%: 0.838 Probability that compound has: %F(Oral) > 30%: 0.596 %F(Oral) > 70%: 0.409 Probability that compound has: %F(Oral) > 30%: 0.950 %F(Oral) > 70%: 0.924 Probability that compound has: %F(Oral) > 30%: 0.350 %F(Oral) > 70%: 0.207 Probability that compound has: %F(Oral) > 30%: 0.759 -2.30 %PPB: 77.85% 1.82 L/kg 0.104 0.89 0.89 1.00 0.92 0.68 0.83 2.97 L/kg 0.031 0.37 0.98 0.96 0.87 0.62 0.70 0.26 L/kg 0.005 0.55 0.07 0.38 0.08 0.32 0.39 0.35 L/kg 0.102 0.11 0.12 0.04 0.05 0.07 0.25 0.62 L/kg 0.864 0.37 0.78 0.15 0.45 0.16 0.30 0.34 L/kg 0.057 0.12 0.41 0.01 0.04 0.12 0.38 1.03 L/kg 0.162 0.88 0.87 0.98 0.95 0.87 0.86 2.05 L/kg 0.116 0.26 0.60 0.05 0.12 0.21 0.82 LogKaHSA : 3.69 -3.14 %PPB: 85.07% LogKaHSA : 3.91 -1.90 %PPB: 52.22% LogKaHSA : 3.74 -2.36 %PPB: 71.37% LogKaHSA : 4.05 -3.47 %PPB: 92.59% LogKaHSA : 4.26 -2.02 %PPB: 55.51% LogKaHSA : 3.82 -1.43 %PPB: 12.93% LogKaHSA : 2.36 4.02 %PPB: 71.11% LogKaHSA : 3.98 149 %F(Oral) > 70%: 0.205 29 Neryl Acetate 30 Indirubin 31 Rotenone 32 Arbutin Probability that compound has: %F(Oral) > 30%: 0.350 %F(Oral) > 70%: 0.039 Probability that compound has: %F(Oral) > 30%: 0.950 %F(Oral) > 70%: 0.773 Probability that compound has: %F(Oral) > 30%: 0.811 %F(Oral) > 70%: 0.286 Probability that compound has: %F(Oral) > 30%: 0.060 %F(Oral) > 70%: 0.025 -2.79 %PPB: 93.25% 2.02 L/kg 0.261 0.14 0.72 0.14 0.10 0.06 0.30 1.55 L/kg 0.207 0.32 0.42 0.81 0.35 0.25 0.31 2.07 L/kg 0.454 0.94 0.98 1.00 0.98 0.95 1.00 0.75 L/kg 0.031 0.48 0.33 0.17 0.08 0.03 0.17 LogKaHSA : 3.55 -4.14 %PPB: 74.27% LogKaHSA : 4.04 -4.87 %PPB: 94.84% LogKaHSA : 3.67 -1.03 %PPB: 31.05% LogKaHSA : 1.85 150 5. Discussion: 5.1Table: 7: structure similarity with commercial drug: Testolactone (Teslac) Chrysin Quercetin Phytoestrogens 151 Naringenin Resveratrol Apigenin Genistein Astragalus 152 Emodin Ellagic Acid Riboflavin List of most similar structure with Testolactone (Teslac) Astragalus Ellagic Acid 153 Around 170 potential chemo preventive molecules were selected from pubchem.The docking scores were compared with the reference ligand score (-17.57kcal/mol).following 32 molecules had lower docking score than reference molecule. Diagnosis of Breast cancer is quite difficult. In addition to copying with potentially life-threatening illness, one must make complex decision about treatment. Hence its better to prevent cancer than curing it. At present the best-known options for chemoprevention of Breast cancer is selective estrogen receptor modulator (SERM)- Testolactone (Teslac),Anastrozole (Arimidex), Letrozole (Femara), Exemestane (Aromasin). This project find out those naturally inhibitor of Breast cancer as better as Testolactone (Teslac) or better than that. Using various bioinformatics databases & software we have checked the efficiency of these chemoprevention molecules & the results suggest that out of 171 molecules. We docked 32 potent Chemo preventive molecules had lower docking score than the reference molecule. Lower docking score (more negative) of a molecule the more well it’s effectiveness as an inhibitor. Thus, sequence which has the least docking score may be an effective chemo preventive inhibitor of breast cancer. Now comparing the structure of natural compound & Testolactone (Teslac).After this comparison I get two structures which are more match with Testolactone (Teslac) structure. Two natural compounds are Astragalus & Ellagic Acid. Conclusion: Natural molecules include all the small molecules that are biologically active and those natural molecules which can treat diseases are under specific trails. Metabolites are also natural molecules which are used in various treatments like cancer, diabetes, nervous disorders, etc. metabolites are organic compounds that are not directly involved in the normal growth, development or reproduction of organisms. Metabolites among which flavonoids, alkaloids and glycosides were taken for analysis of their effectiveness against Aromatase for breast cancer. Flavonoids, alkaloid and glycosides among the metabolites, were taken for the docking studies on breast cancer. Testolactone (Teslac) is one of the successful drugs for breast cancer in spite of its side effects 154 was considered as a reference drug. All the 171 natural molecules were docked against Aromatase, which is one of the causatives for breast cancer. Testolactone (Teslac) when docked against 3EQM, gave a docking score of –(19.6) Testolactone (Teslac) Since is the effective drug, the molecules showing values close to docking score of Testolactone (Teslac) were taken as the effective molecules against breast cancer. A total of top 32 molecules with their docking score were taken. Ascorbic Acid, Chrysin, Quercetin, Genistein, Astragalus, Ellagic Acid show the nearest docking scores to Testolactone (Teslac).So these molecules may possibly prevent breast cancer. After comparing the structure of natural compound & Testolactone (Teslac).After this comparison I get two structures which are more match with Testolactone (Teslac) structure. Two natural compounds are Astragalus & Ellagic Acid. Thus, the appropriate use of a Screening of natural compounds, An insilico approach on the understanding of its mechanism of action at all levels, namely at the molecular, cellular, tissue & organ levels as well as in the animal as a whole without this knowledge we can only make intuitive decision in selective preventive agent & hope that a useful chemical result will be forthcoming. More data are needed to accurately access risk. TERMINOLOGY: DRUG --Drug is defined as "a chemical substance used in the treatment, cure, prevention, or diagnosis of disease or used to otherwise enhance physical or mental well-being." Drugs may be prescribed for a limited duration, or on a regular basis for chronic disorders. DOCKING-- Docking is a method which predicts the preferred orientation of one molecule to a second when bound to each other to form a stable complex.Knowledge of the preferred orientation in turn may be used to predict the strength of association or binding affinity between two molecules using for example scoring functions. 155 ENERGY MINIMISATION--Energy Minimisation is a non-dynamical calculation used to find a local potential energy minimum near the starting structure.Even though molecular dynamics are not being performed. It is usually needed to do one of these calculations before attempting MD, because the process of solvating your initial solute structure usually introduces some bad contacts that need to be relaxed before you attempt to heat the system, ie. give it kinetic energy. LIGAND--Ligand (latin ligare = to bind) is a substance that is able to bind to and form a complex with a biomolecule to serve a biological purpose. In a narrower sense, it is a signal triggering molecule binding to a site on a target protein, by intermolecular forces such as ionic bonds, hydrogen bonds and Van der Waals forces RECEPTOR--Receptor is a molecule of protein, embedded in a membrane, to which a mobile signaling (or "signal") molecule may attach. The membrane may be on the surface of a cell (the "cell membrane" or "plasma membrane"), or within it, in the cytoplasm LIPINSKI RULE OF FIVE--Lipinski's Rule of Five is a rule of thumb to evaluate druglikeness, or determine if achemical compound with a certain pharmacological or biological activity has propertiesthat would make it a likely orally active drug in humans. The rule was formulated by Christopher A. Lipinski in 1997, based on the observation that most medication drugs are relatively small and lipophilic molecules.The rule describes molecular properties important for a drug's pharmacokinetics in the human body, including their absorption, distribution, metabolism, and excretion ("ADME"). However, the rule does not predict if a compound is pharmacologically active Lipinski's Rule of Five states that, in general, an orally active drug has no more than one violation of the following criteria: Not more than 5 hydrogen bond donors (nitrogen or oxygen atoms with one or more hydrogen atoms) Not more than 10 hydrogen bond acceptors (nitrogen or oxygen atoms) A molecular weight under 500 g/mol A partition coefficient log P less than 5 156 PARTITION COEFFICIENT(LogP)--The partition coefficient is a ratio of concentrations of un-ionized compound between the two solutions. 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