L4: preclinical studies in drug development Flashcards

1
Q

what is the legal requirement for preclinical studies in the US

A

US federal laws require that animal research occur to show the safety and efficacy of new treatments before any human research is allowed to be conducted

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2
Q

define efficacy

A

ability of a drug to produce a desired effect under ideal circumstances.

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3
Q

what is translational medicine

A
  • A category of biomedical research
  • Interdisciplinary area of study that aims to see the efficacy of drugs by testing mechanisms and processes
  • focuses on application

Goals
* create diagnostic tests
* Develop drugs
* Clinical impact
* Venture in different fields of science with collaboration

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4
Q

what are the three R’s in animal research

A

Animal research is crucial but we must consider the three Rs to ensure the research is justified

Replacement
*Computer models
* Invertebrates instead of vertebrates
- can we use yeast, worms or anything else

Reduction
* Fewer animals, experimental design
- required by law to use least amount of animals

Refinement
* Improved experimental design and husbandry
* Minimize pain and distress
- can we limit the pain as much as possible

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5
Q

what is a xenograft mouse models

A
  • when human tumors are injected in the skin of the mouse.
  • we use immunocompromised mice that can accept the xenograft
  • the tumour grows and drugs can be applied to see if it works – if it works the tumour will shrink
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6
Q

what is ACVR1

A

ACVR1 is a receptor that is mutated in childhood brain cancer (DIPG)

M4K Medicine for Kids tried to develop a drug against it

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7
Q

describe the normal and mutated ACVR1 signaling pathway

A

normally:
- ACVR1 is a cell surface receptor which responds to a ligand and tuns on a cascade of downstream events/genes. this is done by signaling that occurs when the ligand binds to the receptor

mutated:
- however, when the ACVR1 receptor is mutated, there is increased signaling for a longer duration and of greater intensity. this creates a mutant ACVR1 protein which causes more downstream events/ leads to the overgrowth of cells (as seen in DIPG)

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8
Q

describe the results / novel compounds that M4K found when testing drugs against DIPG

A

“They found that two of the chemicals from the new series were particularly good at blocking signals sent out by ACVR1 and killing ACVR1-mutant cells, while having very little effect on healthy brain cells.”
* evidence of selectivity

After the researchers transplanted human brain cancer cells in mice, they found that the potential new drugs:
* stopped ACVR1 activity
* shrunk tumours and
* extended survival by 25 per cent (from 67 to 82 days).

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9
Q

what is ALS (Amyotrophic lateral sclerosis) disease?

A
  • Progressive and fatal disease
  • Causes motor neurons to break down
  • Drug development involved preclinical models
  • there are still active clinical trials
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10
Q

What did drug development look like for ALS (in the preclinical stages)? what is a possible testing system for ALS?

A
  • in 2022 Canada was the first country to approve an experimental drug treatment for ALS
  • a system to treat ALS would be to look at the speed and movement of worms
  • one sample with normal worms and measure theur duration and speed
  • experimental sample of worms that have been genetically engineered to mimic ALS
  • the measurements of both sample would show the model of ALS has decreased movement and speed.
  • goal would be to apply drugs to the experimental sample and help restore their motor neurons to that of the healthy sample
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11
Q

how is anxiety modeled in mice?

A
  • Mice prefer dark and enclosed spaces (nocturnal species)
  • Open and light spaces are less preferred
  • if its a non-anxious mouse it will spend more time in light areas
  • Some anxiety tests in mice assess social interactions between mice
  • There is no single model system
  • Use a combination
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12
Q

how can we test anxiety in mice

A

open field exploration
- box or maze with light and dark sections.

  • record the mice and observe how they act and how much time they spend in each region
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13
Q

what are 4 types of studies researchers did to test for covid vaccines

A

cell cultures
primary cells
animal models
clinical trials

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14
Q

what is the ACE2 receptor in relation to COVID and how does that relate to preclinical work

A

they found that the ACE2 receptor is the receptor that allows the SARS-CoV2 protein to enter human cells.
to design a drug that will block this entrance they created mice with humanized ACE2 receptors for COVID preclinical studies

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15
Q

How are humanized mice helpful in modeling drug development? what is it an example of

A
  • we can get human stem cells and inject mice with it to make a humanized mice which is an ideal pre-clinical model
  • we can then translate the results to humans and discover drugs that work
  • this is an example of translational medicine and research
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16
Q

what is an example of a vaccine that was made via translational research with mice

A

meningitis vaccines

17
Q

how many lives have vaccines saved

A

3 quarters of a million children and 21 million hospitilizations