The most prevalent monogenic multisystem condition in the world, i.e. sickle cell anemia which is characterized by acute sickness and progressive organ deterioration. It is one of the most significant hemoglobinopathies in the world in terms of frequency and socio-economic impact, and the World Health Organisation recently recognized it as a concern of global public health. It is a multisystem, monogenic illness with a high morbidity and fatality rate. Since the 1980s, innovative methods for treating sickle cell disease have been implemented, such as the administration of newborn screening programmes, the introduction of penicillin prophylaxis for sickle cell children, and the use of transcranial Doppler screening for the detection of cerebral vasculopathy and the prevention of stroke. Better sickle cell therapies have long been recognized as being necessary by haematologists. The rigid RBC's cause a variety of problems There are now four authorized medicines for the treatment of SCD. One of them medicines is hydroxyurea (HU), which causes the production of foetal hemoglobin (Hb F) in order to prevent the polymerization of Hb S. Because about 30% of patients had less response, in part due to poor compliance, its use has been restricted. As it reduces oxidative stress, Endari or L-glutamine was licenced in 2017 for the treatment of SCD, but it was ineffective. Later, the FDA authorised the two additional medications Voxelotor (Oxybryta or GBT-440) and Crizanlizumab (Adakveo). As a monoclonal antibody that targets "P- selectin," Crizanlizumab reduces the frequency of painful Vaso-occlusive events. The Voxelotor, on the other hand, is an aromatic aldehyde that is connected to haemoglobin.
A powerful and capable tool for in silico screening is molecular docking. It is becoming increasingly more significant in the process of rational medication design. Finding a suitable ligand that fits the protein's binding site energetically and geometrically is a computational process called docking. In other terms, it is a study of the interaction between two or more molecules, such as a protein and a ligand. The challenge resembles a 3D puzzle to be solved. In-depth study has been done on the use of computational approaches in this field during the past ten years to better understand how intermolecular complexes occur. It is well known that molecular binding occurs when a ligand binds to the pocket of a receptor. In the current work, the pharmacophore hybrid technique is a very useful and frequently employed approach for exploring new and more potent molecules in contemporary chemistry. A molecule that has a general increase in potency or exhibits synergistic effects is produced by the union of two or more bioactive molecules in one unit. The administration of a single medication will result in more predictable pharmacokinetic and pharmacodynamic features as well as increased patient compliance, making single molecules that act on numerous targets a better treatment candidate than drug combinations. These considerations led us to suggest fusing three moieties—heterocyclic rings, an amino acid bridge, and aromatic hydroxyl benzaldehydes—into one. Prior to production, molecular docking was used to screen the candidate compounds in-silico. The proposed compounds were screened in-silico prior to synthesis employing molecular docking study then after most prominent compounds which were found active in docking giving good binding activity score, further toxicity predicted by ADMETSAR Software. Caffeic acid (3,4-dihydroxycinnamic acid) (CA) interacts with and inhibits the oxidative reactions of myoglobin (Mb) and hemoglobin (Hb), and this interaction underlies its antioxidative action in meat. It has strong antioxidant effect on Hb S that surpassed the effects of other small drug molecules investigated so far. Moreover, CA demonstrated an antisickling properties by increasing Hb delay time for polymerization. The most noticeable effect was the ability of Caffeic acid to considerably reduce HbFe4 + content formed during the reaction of peroxide and Hb 9,8.