L12: Models of drug target discovery and evaluation Flashcards

1
Q

What are the characteristics of a good target?

A
  • Highly expressed in cancer cells: Ideally, broadly expressed in cancers: To help most patients with that cancer, cost effective to research
  • Selectively expressed in cancer cells
  • Contribute metastatically to cancer pathology: either GOF/LOF
  • Expression correlates with cancer stage/clinical outcome: Eg people with this BM have poorer prognosis etc, monitoring BM
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2
Q

What is the process of drug discovery?

A

Target selection -> In vitro cancer target validation assays -> In vivo cancer target validation assays -> In vitro drug evaluation assays -> In vivo drug evaluation assays

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3
Q

How do you select a target?

A

Rational approach
- Identifying likely targets from known cancer promoting pathways (Would require a lot of information)
- “Reverse genetics” (from gene to phenotype)
- time consuming
Unbiased approach eg. SKY painting
- Uses a screen or an expression profile to identify probable targets without considering their known functions
- “forward genetics” (from phenotype (what you observe) to gene)

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4
Q

How is unbiased approach done?

A

RNAi screens/CRISPR screen
- Specific, individual genes are “knocked down” to find genes that regulate key cancer processes
- Unlike expression studies, can identify potential targets by function (whether the protein is functional)
- Limited to studies in cell lines.
- Tell you which gene/protein plays the most important role in cancer growth

How to do it?
- If oncogene is KO, decreased cell growth
- If TSG is KO, increased cell growth eg. DEATH receptor
- If drug resistance gene KO, decreased growth in the presence of drug

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5
Q

How is in vitro cancer target validation performed?

A
  • Performed in cells isolated from human tumours and grown in monoculture
  • To perform 5 assays: Gene expression analysis, cell rounding assay, proliferation assay, motility (migration) assay, in vitro metastasis assay
    1) Engineer cells lines (GOF/LOF):
  • LOF: using siRNA, shRNAi to silence the gene
  • GOF: overexpress the gene
  • Allows analysis of specific role of target
  • If OG; LOF would return to normal phenotype and GOF will cause cancer
    2) Cell-based assays - Viability
  • MTT (reagent): measures cell metabolism
  • If cell is alive after KO target, metabolism occurs -> MTT turns blue (mitochondrial reductase) -> means it may not be our target since we want cancer cells to die after KO the target gene
    3) Cell-based assays - Proliferation
  • If we KO the target/add a drug -> how do label the newly proliferating cells
  • BrdU incorporation -> label actively dividing cell (incorporated into DNA when it is actively dividing) -> labels S-phase cells
    4) Cell-based assays - Death
  • To test if a drug kills cells/target kills cells -> measure apoptosis using Annexin V translocation (lipids flip during apoptosis, recognising the flip annexin V)
    5) Cell-based assays - Motility
  • to show that my target affects cells and whether it plays a role in metastasis (one of the goals for cancer research is to prevent metastasis)
  • Using scratch assay -> how fast the cancer cells fills the gap after scratching
    6) Cell-based assays - Metastatic potential
  • Matrigel invasion assay
  • [Refer to slides] Cell suspension placed in upper chamber (no GF in the gel chamber but GF in solution) -> Invasive cells pass through basement membrane layer and cling to the bottom of the Boyden chamber membrane. Non-invasive cells stay in upper chamber -> After removal of non-invasive cells, invaded cells are stained and quantified
  • To see how many cells/how long the cells take to eat through the gel and move to GF solution
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6
Q

What are some limitations of in vitro studies?

A
  • Behavior of cultured cells is often different from tumors in vivo
  • Monocultures do not have cellular diversity of heterogeneous tumors
  • Monocultures cannot evaluate contribution of immune system or stromal cells
  • Absence of controls for toxicity
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7
Q

What assays can you do with 3D in vitro models and some advantages?

A
  • Using spheroids, possible to recreate the TME (Include cancer cell lines, primary tumour cells and cancer stem cells) to validate targets: Efficacy Testing, Cell Migration, Toxicity Testing, Cell Differentiation, Embryoid Body Formation, Angiogenesis, Colony Formation, Cell Expansion, Spheroid Formation, Cell-to-Cell Interactions, Genomic Expressions, Cell-to- ECM Interactions, Proteomic Expressions
  • 3D Organoids proliferation assays - High content analysis: label organoids with Edu (similar to BrdU) -> Test GOF/LOF or drug -> Image Edu+ Green and Edu- Red to look at the ratio of red vs green -> Quantify green signal compared to control
  • 3D Organoids Apoptosis assays - Co culture assays: Can create the tumour immune environment -> To test how the immune cells react to drug/target
  • 3D Organoid Assays - Metastatic potential: Spherical/Spiky (looking for blood vessel for invasion, highly metastatic) + Using biotech chips to test invasion (invading gel interface)
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8
Q

What assays are done for in vivo cancer target validation?

A
  • Xenograft (either through subcutaenous or orthotopic)
  • Allograft/isograft
  • Genetic models (for OG/TSG): KO or overexpression of candidate target
  • For genes that modify tumour progression eg. VEGF: Crossing KO mice and transgenic mice -> transgenic mice that spontaneously form tumour
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9
Q

How do you validate using xenograft mice?

A
  • Xenograft models: the inoculation of cells (dispersed, organs, tissues) from one individual (source) to another from a different species.
  • Usually involves the use of models with an impaired immune system for avoiding rejection
  • Eg. Nude mice (Immunosuppressed, athymic), NOD-SCID mice (immunodeficient, no acquired immunity) -> No immune response due to human cells
    Can be done through:
    Subcutaneous: Injecting empty vector on one side (control, no tumour) and overexpress target gene on another side (forms tumour)
    Orthotopic: Injecting at the place where cancer takes plc eg. lung cancer cells at lung, bladder cancer cells at bladder -> forming orthotopic tumours
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10
Q

What are the adv and disadv of subcutaneous and orthotopic?

A

Subcutaneous:
Adv:
- Easy
- Monitor growth with calipers
Disadv
- Usually do not metastasize (Cannot study where it goes to)
- Non-physiologic extracellular environment

Orthotopic:
Adv:
- Often metastasize
- Similar extracellular environment -> more close to what happens
Disadv:
- Require more technical skill -> a lot of training
- Usually cannot use calipers -> cannot use ruler to measure the tumour

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11
Q

What are the advantages and disadvantages of using xenograft?

A

Adv:
- More clinically relevant tumor model. (Compared to cell culture)
- Malignant cells are human.
- Reproducible models.
- Variety of tumor lines available.
- Validated model for the predictive assessment of cytotoxics.
- In vivo studies of acquired drug resistance and its circumvention.

Disadv:
- Stromal component of tumors is rodent (no communication between cancer cells and TME/immune cells)
- Hosts are immunodeficient.
- Tumors growth in non-natural sites (heterotopic).
- The subcutaneous model generally does not metastasize: not a good model for studying anti-metastatic strategies.

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12
Q

What is allograft and how is it done?

A
  • the inoculation of cells (dispersed, organs, tissues) from one to another individual (source) from the same species. For cancer research the mostly used models are Mice and rats.
  • Taking mouse cells in vitro/vivo -> transfer to another mouse of same/diff species
  • syngeneic: genetically identical, or sufficiently identical and immunologically compatible
  • allogenic: different individual from same species (genomic identity slightly different -> to identify which cells are host/new
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13
Q

What is the adv and disadv of allograft?

A

Adv:
- Can be perfomed in immunocompetent mice (allows analysis of immune contribution)
- More accurately represents tumor stromal interactions

Disadv:
- Tumor cells are murine and less representative of human disease -> more like solving mouse cancer

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14
Q

What are transgenic models?

A

[Refer to slides]
- Mouse in which its genetic material has been altered using genetic engineering techniques
- Genetically altered mouse models (GAMM) or genetically engineered models (GEM) for human cancers have been critical to the investigation and characterization of OG/TSG expression and function and the associated cancer phenotype.
- Forming genetic models with tissue-specific overexpression of target gene

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15
Q

What are some adv and disadv of transgenic model?

A

Adv:
- Tumor arises “naturally”.
- Can be followed for a long time course -> can study as normal cancer progression

Disadv:
- Breeding and maintenance: Expensive
- Tumors arise at variable stages from animal-animal and nodule- nodule. (may not develop cancer/only know 1 year later)
- The tumor cells are rodent.
- The stroma is rodent.
- Tumors difficult to follow.
- End-points is frequently survival.
- Often a good model for biology study. Not always useful for drug discovery -> Humans usually experience more genetic changes (Eg. not just HER2 but other genetic mutations too, hence not the same reaction)

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16
Q

What are some endpoint assays used for evaluation of these in vivo models?

A
  • Tumour weight (cutting up the model and weighing)
  • Subcutaneous: Tumour volume (length x width^2)
  • Survival time assay (Kaplan-Meier curve, studying survival -> severity/metastasis)
  • Labeled tumour models (Engineer tumour cells to express a fluorescent/luminescent protein, then used for xenografts)
    -^ Tracing (for orthotopic/metastatic purpose) -> tumour lines that carry GFP/RFP/FLUC (firefly luciferase) -> Imaging
  • Bioluminescence imaging (inject luciferin -> cell with lucifer converts d-luciferin to oxyluciferin + light -> camera to see expression of light) -> eg. in orthotopic bladder cancer -> detection of metastasis -> imaging density/photon count
17
Q

What are some adv and disadv of labelled tumour models?

A

Adv:
- Tumor response can be followed
- Metastasis can be visualized
- Internal tumor nodules can be measured

Disadv:
- Clonal cell lines (poor representation of original)
- Costly equipment for visualization

18
Q

What are some adv and disadv of mouse models?

A

Adv:
- Fast
- Reproducible
- Relatively inexpensive
- More clinically relevant than in vitro studies
- Allows analyses of cell autonomous and cell non-autonomous effects

Disadv:
- Short lifespan of mice -> different cellular context
- Rapid growth of tumors results in different tumor environment
- Differences in physiology/immune responses

19
Q

How to conduct in vitro/in vivo drug evaluation assays?

A
  • Similar to in vitro/in vivo cancer target validation assays, just for different purpose
  • For target validation: 1) Using WT vs engineered cells 2) Engineering of cells may change cell properties
  • For pre-clinical studies (drug evaluation): 1) Untreated cells vs drug-treated cells 2) Performed in unmodified cells, allowing studies in many different cell lines
  • For pre-clin: also 1) additional models may be tested eg. xenografts of human tumours 2) complicated by PK properties of drug candidate 3) mouse metabolism of drug may be different from human metabolism
  • For pre clinical studies: in vivo assays are similar (similar evaluation)
  • (Slide 50) New pre-clinical type of assay: Patient-derived xenografts (new gold standard): Fresh cancer tissue from patients -> first generation tissue xenograft in mouse for drug screening for personalized cancer therapy -> Transplantable tissue lines to other mouse (For basic cancer research, anti-cancer drug discovery and development, preclinical drug testing, drug screening for personalized cancer therapy)
20
Q

What are 2 uses of PDX?

A
  • Drug evaluation for heterogeneity of patient tumour cells -> Can evaluate which drug and which dosage is best for individual patient
  • Evaluation of immune-based therapy: interaction between immune cells and cancer -> Some has pro cancer signals eg increased PDL-1, turn off T cells