Drug Discovery and Drug Design Flashcards

1
Q

What are all the steps in the drug discovery process?

A
  • Target identification - Target assay construction/screening - Target validation/medicinal chemistry safety - Phase 1 testing: safety - Phase 2: safety and efficacy - Phase 3: large scale - Phase 4: FDA review and approval
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Name all the different ways in which a drug may be discovered

A
  • Screening compound libraries - Serendipity - Improvements on current drugs - Farming existing knowledge from other cultures - Targeted drug design - Redeployment of existing drugs for new purposes - From receptor theories
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the criteria for screening compound libraries?

A
  • Must know what receptor is - Obtain compound library via commercial route or drug discovery unit - Effective moeitys but also ‘space fillers’ available - Ideally need a high throughput assay
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What can be looked for when screening a compound library?

A
  • Downstream signalling, activation of second messengers - Enzyme activity (e.g a fluorescent substrate used) - Calcium influx (can read influx)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the output from screening compound libraries?

A
  • Initial screens look for ativation of receptor/signalling cascades to identify ‘hit’ molecules - Further develop hits in order to refine the molecule
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the advantages and disadvantages of screening compound libraries?

A

Adv - Rapid and wide reaching - Require little technical expertise Disadv - Requires careful analysis - Many compounds are unsuitable to be drugs - Can be cheap but also very expensive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Give an example of a serendipitous drug discovery

A

Penicillin is derived from a mold (staphylococcus) found growing on cell culture plates, observed to have antibiotic properties by Flemming

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is pharmacology through farming knowledge?

A
  • Through listening to local remedies by other cultures - May be looking at synergistic effect of multiple drugs - Fractions can then be extracted and activity determined
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the pros and cons of farming knowledge?

A

Pros - All cultures have traditional remedies - Types of disease targeted are known - Good patient perception - Environmental and economic benefits Cons - Fear that globilization is ‘diluting’ tradition - Receptor is likely unknown - Costs to produce pure drug can be high

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is targetted drug design?

A

Where both the receptor and endogenous ligand are known and so the receptor is targeted through the addition/blocking of the ligand - Can we modify ligand into drugable compound? (PROTEIN BASED THERAPEUTICS)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the pros and cons of targeted drug design (specifically protein based therapies)?

A

Pros - We know a lot about proteins and they are well tolerated Cons - Hard to administer - Rapid in vivo degradation - May be immunogenic - Expensive and difficult to manufacture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the effects of leptin as a drug against Alzheimers disease?

A
  • Prevents detrimental effects of of beta amyloid on hippocampal LTP - Prevents beta amyloid mediated cell death - Prevents beta amyloid from upregulating the phosphorylation of tau - Leptin insensitivity causes phospho-tau upregulation in vivo
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the advantages and disadvantages of leptin as a drug?

A

Pros - Counteracts AD at multiple levels - Already licensed to treat obesity - Well tolerated by the body (already made as a hormone) Cons - Large and expensive molecule (however activity now found to only require 15 proteins!) - Hard to administer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How may protein drug compounds be stabilised?

A
  • Modelling and synthesis of synthetic peptides to then conduct peptide-protein studies - Halgoenated peptides are much more stable and bromine can sometimes cross blood-brain barrier - Also can cyclise by joining side chains/amino group/carboxyl group. This provides resistance to proteolysis but can restrict the degrees of freedom and so decrease binding specificity to receptors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is sequence modification?

A

Natural - enhancing potency of interaction of protein with receptor by a few changes Unnatural - designed to introduce new functionalities with potential beneficial effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the pros and cons of peptide drug design?

A

pros - High selectivity - High potency - Low toxicity - If small can be cheap - Easy to modify Cons - poor pharmacokinetics - risk of immune system reaction - hard to administer - if big then expensive

17
Q

What things are looked for in cell based assays?

A

Further biochemical verification – search for biomarkers, functional changes, detailed signalling modifications

18
Q

Which techniques can be used for cell based assays?

A

Extraction of DNA, RNA, proteins, lipids, and detailed image analysis

19
Q

What are the advantages of cell based assays?

A
  • Increase in complexity from high throughput assays
  • Amenable to a large number of research techniques allowing detailed image analysis
  • Cheaper and more ethical than animal models (however some cell cultures are expensive e.g neurons)
20
Q

What are the use of animal models in drug testing?

A
  • See how drug functions in complex mammalian system (however increasing use of drosophila and c elegans)
  • Absolute requirement of drug development
  • However must be refined as much as possible beforehand to minimise use
  • Limited research techniques available but can be precisely targetted
21
Q

Describe phase 1 trials?

A
  • Prior to them beginning all data examined
  • small group of healthy volunteers (young men)
  • Look for any side effects, tolerability, pharmokinetics (drug excreted/metabolised) and carrying out of experiments
22
Q

Describe phase 2 trials?

A
  • Small group of people with target disease at the same level of progression, dose response experiments to calculate optimal dose in humans
  • First indication of whether drug will work for someone’s condition
  • Monitor disease progression and efficacy in small population before moving to multi-centre trials (Usually not successful)
23
Q

Give an example of an unsuccesful phase 1 trial

A

Northwick park drug trial for leukemia and rhumatoid arthiritis drug - All developed severe side-effects - Cytokine storm induced, patients loosing parts of fingers and now a huge increase in their own cancer risk

24
Q

Give an example of an unsuccesful phase 2 trial

A
  • Tirasemtiv is an orally bioavailable molecule that sensitizes the troponin complex in fast-twitch skeletal muscle fibers to calcium, could be used to treat ALS - Was negative on a functional scale but did increase muscle strength - Was discontinued but possibility that it could work at a different point in the progression of the disease or given for longer
25
Q

What are phase 3 trials?

A
  • Double blind and requiring thousands of participants
  • Pharmoeconomic analysis (is this cost effective?)
  • Expensive and labour intensive
26
Q

What are phase 4 trials?

A
  • Post marketing monitoring
  • Looking for rare side effects or long term effects
  • May restrict group to who it is available (e.g women and children) as drugs can act differently at different times in life
27
Q

What is tetratology?

A

study of abnormal development and the causes of congenital malformations

28
Q

What is a teratrogen?

A

an agent that induces congenital malformations

29
Q

When is a fetus most vunerable to teratogens?

A

3 weeks - nervous system and heart are developing which are vunerable 3-9 weeks - critical period where teratogens can have debilitating and life threatening effects

30
Q

What two ways can drugs given to a mother affect a baby?

A
  • Through breastmilk - Through embreyonic development
31
Q

What are the functions of the placenta?

A
  • Gaseous exchange - Nutrient supply - Removal of waste products - Active transport of maternal antibodies - Hormone production to maintain pregnancy
32
Q

What factors affect differences between how a drug may behave in a mother and fetus?

A
  • Placenta may change drug confirmation - Fetus has no fat stores and therefore different pharmacokinetics as drugs cannot accumulate in fat - More cell division - Critical periods of cell death for patterning - Placenta is not uniform can be diffuse membrane or zonal
33
Q

How may teratogens be studied?

A

FETAX system - use of frog embreyos, are quick to develop (3 days) and so therefore can conduct many tests however do not show placental effects