Cancer is a disease characterized by the uncontrolled multiplication and dissemination of abnormal cells throughout the body [1, 2]. These cells are capable of forming tumors, invading adjacent tissues and organs, and spreading throughout the body via the circulation or lymphatic system [3]. There are numerous forms of cancer, such as breast, lung, prostate, colon, and skin cancer [4]. It is not completely understood what causes cancer, but it is believed to be a combination of genetic and environmental factors. Tobacco use, alcohol consumption, inadequate diet and lack of physical activity, exposure to certain substances and radiation, and certain genetic mutations are common cancer risk factors [5]. Surgery, radiation therapy, chemotherapy, immunotherapy, or a combination of these methods may be used to treat cancer. [6].
Adenosine is a molecule that plays an essential function in the energy metabolism of the body, but it can also promote the growth and spread of cancer cells [7–10] by binding to G protein-coupled adenosine receptors (GPCRs) on the surface of cancer cells [11]. When adenosine binds to GPCRs on cancer cells, it stimulates signaling pathways that promote cell proliferation, prevent apoptosis (programmed cell death), and increase blood vessel development by increasing angiogenic factor production [12]. These actions can boost cancer cell growth and spread, as well as increasing resistance to chemotherapy and radiation therapy [13].
The A2AAR plays a unique function in cancer growth and development compared to other adenosine receptors. A2AAR activation could have a greater effect on malignancy than other adenosine receptors, because it is selectively expressed in wide range of tumor cells as well as tissue, including breast, lung, colon, and prostate cancers [14, 15] It has a high affinity for adenosine, allowing even modest concentrations of adenosine to activate the receptors and promote cancer-related signaling pathways [16]. It has been demonstrated that A2AAR activation suppresses the immune response, allowing cancer cells to evade immune surveillance and promoting tumor growth. It is believed that this effect is more pronounced for A2AAR than for other adenosine receptors [17]. This receptor has a distinct structural conformation compared to other adenosine receptors, which may contribute to its unique signaling and functional properties. These characteristics of A2AAR may make it an especially potential target for cancer research and therapy [8].
Multiple studies have demonstrated that inhibiting adenosine receptors can inhibit the development and spread of certain types of cancer [18]. Caffeine and theophylline are two medicines that target adenosine receptors, have been shown in laboratory experiments and animal models to decrease cancer cell proliferation [9].
M1069, an orally active medication, is one of the antagonists that stops adenosine from interacting with G-protein coupled receptor subtypes such as A2A/A2B [19]. It is not being developed primarily to treat cancer. It is being developed instead as a treatment for alpha-1 antitrypsin deficiency (AATD), a hereditary condition that can cause lung and liver damage [20]. Nonetheless, several studies have looked at utilizing AAT, the protein from which M1069 is formed, as a cancer treatment. AAT has been shown to have anti-inflammatory and anti-protease activities, as well as some indications that it may have anticancer characteristics[21].
This medication molecule circulates throughout the body and binds to the A2AAR on the surface of cancer cells, initiating a signaling cascade that can result in cell death or cell proliferation inhibition. The selectivity of M1069 for A2AARs receptors minimizes off-target effects and increases the likelihood that the drug will reach its intended target [22]. In this work, we use an computational method to investigate the interaction of the antagonist drug molecule M1069 with the target A2AAR protein. As previously stated, the drug2 molecule M1069 is an A2AAR inhibitor. So, by analyzing the interaction, we can learn how efficiently the drug molecule is connecting with the target protein, and this will help to reduce therapeutic failure and boost treatment efficiency.