Research Appraisalother

In silico discovery of novel small-molecule PD-L1 inhibitors through a multi-stage computational workflow integrating machine learning and molecular dynamics

Journal of computer-aided molecular designGarmabdari, Amir, Ayyoubzadeh, Seyed Mohammad, Ashkezari, Fateme Dehghani et al.25 May 2026DOI

Clinical Snapshot

75CEBM
Evidence: Moderateother

PICO Framework

P — PopulationPD-L1 protein target and FDA-approved drug library for virtual screening
I — InterventionMulti-stage computational workflow using machine learning (XGBoost), molecular docking, molecular dynamics simulations, and binding free-energy calculations
C — ComparatorReference PD-L1 inhibitors and unmodified Pralatrexate
O — OutcomesBinding affinity predictions, IC50 values, molecular stability metrics (RMSD), and MM-GBSA binding energies

Bottom Line

This computational study presents a promising multi-stage workflow for discovering small-molecule PD-L1 inhibitors, identifying Pralatrexate as a repurposing candidate and developing an optimized derivative (D1) with superior predicted binding properties. The integrated approach combining machine learning, molecular docking, and dynamics simulations represents a robust methodology for drug discovery. However, the findings remain entirely computational and require comprehensive experimental validation including in vitro binding assays, cellular activity testing, and safety evaluation before any clinical consideration. While the computational predictions are encouraging, clinicians should await experimental confirmation of efficacy and safety profiles. The work contributes valuable methodology to cancer immunotherapy drug discovery but does not yet provide actionable clinical evidence.

Evidence: Moderate

Key Findings

  • P Value: Not applicable for computational study

  • Effect Size: D1 binding affinity: -86.21 kcal/mol vs reference: -73.65 kcal/mol

  • Primary Outcome: Discovery of optimized PD-L1 inhibitor derivative D1 with superior binding properties

  • Nnt Or Sensitivity: ML model: R2_train = 0.925, R2_test = 0.743

  • Confidence Interval: Not reported for computational predictions

Clinical Application

Requires extensive experimental validation, toxicity testing, and clinical trials before implementation Would require TGA approval pathway for novel therapeutics; potential PBS listing considerations for cancer immunotherapy if proven effective Cancer patients requiring PD-L1 checkpoint inhibition, particularly those unsuitable for monoclonal antibody therapy

Abstract

Cancer immunotherapy targeting the PD-1/PD-L1 pathway has transformed modern oncology; however, developing small-molecule inhibitors as viable alternatives to monoclonal antibodies remains a major challenge. In this study, an integrated computational framework is established in which machine learning, molecular docking, molecular dynamics simulations, and binding free-energy calculations are combined to enable the discovery and optimization of novel PD-L1 inhibitors. A validated ML-QSAR model was constructed using the XGBoost algorithm (R2_train = 0.925, R2_test = 0.743) on a dataset of 74 known inhibitors with consistent assay conditions. Through virtual screening of FDA-approved drugs, Pralatrexate was subsequently identified as a promising repurposing candidate, demonstrating a higher predicted binding affinity than the reference inhibitors. Structure-based modification of Pralatrexate yielded the derivative D1, which exhibited improved computational binding properties across all evaluation methods. Molecular dynamics simulations indicated that the D1-PD-L1 complex achieved greater stability than both the free protein and the reference complex, with reduced RMSD fluctuations and preserved key interactions with tyrosine residues Tyr56(A/B). MM-GBSA calculations further confirmed D1's superior binding affinity (-86.21 kcal/mol vs. - 73.65 kcal/mol for the reference), and predicted IC50 values suggested enhanced inhibitory potential. This multi-stage computational workflow effectively integrates machine learning predictions with atomic-level binding analyses, providing a robust platform for accelerated drug discovery. The optimized derivative D1 thus represents a promising candidate for experimental validation and further development as a potential cancer immunotherapeutic agent.

References

  1. 1.Garmabdari, A., Ayyoubzadeh, S. M., Ashkezari, F. D., Shahhosseini, S., Tabatabai, S. A., & Rezaee, E. (2024). In silico discovery of novel small-molecule PD-L1 inhibitors through a multi-stage computational workflow integrating machine learning and molecular dynamics. Journal of Computer-Aided Molecular Design. https://doi.org/10.1016/j.rechem.2024.101791
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