Drug Discovery & Development 2 Flashcards

1
Q

What are the 2 approaches to drug discovery?

A

Top-down
Bottom-up

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2
Q

What is top-down discovery?

A
  • Candidate drugs screened for effect on phenotype
  • Screening on whole animals, organs or cells
  • Relevance to disease
  • Can only be based on screening for phenotypic changes relevant to treatment of disease
  • Biochemical target is identified after phenotypic activity is demonstrated
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3
Q

What is bottom-up discovery?

A
  • Candidate drugs tested for effect on biochemical target molecule
  • Testing on biochemical target (receptor, enzyme, DNA etc)
  • Defined target for rational drug design
  • Can be based on screening of libraries (including natural product extracts) or on structure-based design
  • Identification and validation of biochemical target (protein or DNA) is an essential early step
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4
Q

Target based drug discovery route

A
  • Target identification and validation
  • Hit generation
  • Lead discovery, De novo synthesis
  • Lead optimisation
  • Pre-clinical tests (animal)
  • Clinical trials
  • Licensing and marketing
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5
Q

Why does the biochemical target need to be validated?

A

Validation ensures that, if a drug binds to the target, the desired phenotypic change is achieved

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6
Q

Identification, assessment, validation of the target.
what is the identification process?

A
  • Understanding biochemical pathways
  • Understanding signalling pathways
  • Understanding expression of genes - profiling
  • Data mining
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7
Q

Identification, assessment, validation of the target.
what is the assessment process?

A
  • Drugability
  • Availability of structure
  • Shape of binding pocket - potency and selectivity
  • Selectivity
  • Redundancy/duplication
  • Does the enzyme catalyse the RDS in a pathway?
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8
Q

Identification, assessment, validation of the target.
what is the validation process?

A
  • Knock-down/knock-out/siRNA
  • Knock-in/over expression
  • Crude small-molecule inhibitor
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9
Q

What is off-target toxicity?

A

Toxicity resulting from the drug binding to other protein targets in the cell
Can be addressed by design of drugs which are more selective for the target protein

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10
Q

What is on-target toxicity?

A

Toxicity resulting from the drug binding to the intended protein target
Unintended consequences
Cannot be addressed by drugs which are more selective for the protein target

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11
Q

What is the next stage of drug discovery after validating the target?

A

Identifying hit compounds by screening

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12
Q

What does hit compound screening identify?

A
  • Identify hit compounds which bind to the target as inhibitors, agonists or antagonists
  • Screen libraries for synthetic compounds
  • Screen libraries for natural products
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13
Q

What is HTS?

A
  • High-throughput screening (HTS)
  • Automated/robotic up to 10000 compounds d^-1
  • HTS assay can be enzyme-activity assay, cellular, spheroids or small organisms
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14
Q

What is MTS?

A
  • Medium-throughput screening
  • Automated/manual 10-1000 compounds d^-1
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15
Q

Why design structured compounds of the target?

A
  • 3D structures allow target protein to design ligands
  • Fragment based drug discovery
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16
Q

What is the process from Hit to Lead drug discovery?

A
  • Re-test hits to confirm activity
  • Dose-response curve
  • Test for cellular activity
  • Counter-screening
  • Ease of synthesis
  • Ranking and clustering of hits
  • Freedom to operate (patentability)
17
Q

What is involved in lead optimisation?

A
  • Synthesis of analogues
  • Maximising affinity for target
  • Maximising selectivity over other targets
  • Avoiding “difficult” functional groups
  • Maximising efficacy in cellular assays
  • Physicochemical parameters – solubility, Lipinski’s Guidelines for orally bioavailable drugs
  • Avoiding metabolically or chemically sensitive groups
  • ADMET predictions
  • SAR and QSAR