For those of us who work with molecular models every day, we often find ourselves applying reductionist thinking in drug design research. That is, we tend to focus on the physicochemical behaviour of drug compounds docking with receptor targets. This is often viewed as an atomic scale phenomenon. Hence, we take the reductionist view of drug discovery and design as a series of docking events between small-molecule compounds and their targets.
However, two recent provocative and intriguing articles argue for a more functional, integrative, systems biology point of view (see Walker et al., "Functional pharmacology: the drug discovery bottleneck?", Drug Discovery Today, vol. 3(5), pp. 208-215, 2004; Buehler, "Advancing drug discovery - beyond design", PharmaGenomics, July/August, pp. 24 - 26, 2004). Both authors suggest that drug design research protocols should focus on hierarchical levels above that of simple protein-ligand docking. They suggest viewing drug design in terms of cell signaling pathways, metabolic pathways, molecular ensembles, and in-vivo pharmacology. These higher integrative levels may more accurately describe the actions of drug compounds.
Perhaps reductionist and integrative approaches should be pursued simultaneously. Recent trends suggest that virtual high-throughput screening and docking studies should be immediately followed by bioavailability and bioactivity studies (i.e. reductionist -> functional) and then back again if necessary. This iterative approach combines the best of both worlds.