Lecture 2: Rational design, new modalities Flashcards

1
Q

The Drug Development Process

A

Research
Development
Commercialisation

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2
Q

Flow Chart of Drug Discovery

A
  1. Identify and define medical needs
  2. Research on disease mechanism:
    Identify and validate targets (receptors) involved in disease processes
  3. Search for lead compounds that interact with the targets
  4. Optimize the properties of the lead
    compounds to generate potential drug molecules
  5. Perform drug development and pre-clinical studies (in vitro and in vivo studies)
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3
Q

Structure Based Drug Design

A

Ligand Based: Knowledge of structures of ligands allows development of a
“pharmacophore”

Receptor Based: Knowledge of structures of receptors allows in silico screening and modelling/prediction of interactions.

Complex Based: Knowledge of structures of complexes allows very detailed analysis of interactions and structure based design.

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4
Q

Methods available for high resolution
structure determination:

A

X-ray crystallography,
NMR spectroscopy,
Cryo-Electron Microscopy

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5
Q

X-ray crystallography advantages and disadvantages

A

Advantages:
Very high resolution and accuracy. Ideal for complexes. Ideal for large proteins. Fast to generate data for different ligands.

Disadvantages:
Requires crystals. Packing artefacts. Not ideal for dynamics.

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6
Q

NMR spectroscopy advantages and disadvantages

A

Advantages:
In solution – as in real life! Good for dynamic systems. Allows monitoring of binding events – screening.

Disadvantages:
Lower resolution, can be time consuming. Requires solubility of analytes. Limited to smaller proteins.

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7
Q

Cryo-EM

A
  • Collect 2D images of different
    orientations via electron beams
  • Reconstruct a 3D map
  • Model protein within map

Ads
- Easier sample prep and low amounts
- Excellent for big proteins and complexes

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8
Q

Nuclear Magnetic Resonance
(NMR) in Drug Design

A
  • A technique for determining molecular
    structures (Ligands, Receptors, Complexes)
  • Based on magnetic properties of nuclei
  • Certain nuclei have a ‘spin’ and a ‘magnetic moment’ (e.g. 1H, 13C, 15N, but not 12C)
  • Applications in drug design often involve isotope labelling strategies to utilize these nuclei.
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9
Q

Resonance Frequency
-Chemical Shift

A
  • Reflects the local environment at each
    individual nucleus.
  • Electrons surrounding a nucleus provides shielding from the magnetic field.
  • Affected by neighboring atoms.
  • Range: 10 ppm for 1H and a couple of
    hundred ppm for 15N and 13C.
  • Spectrometers are 500 MHz-1.2 GHz for 1H
  • Higher field spectrometer -better sensitivity and dispersion of signals!
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10
Q

Pharmacophore

A
  • Map of key features based on knowledge of structures of several ligands
  • Can be used to predict binding to a
    receptor and guide exploration of
    modifications to increase binding and
    selectivity.
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11
Q

In silico screening

A
  • Take known structure of target protein
  • Use computers to “dock” potential ligands into active sites on protein surface
  • Rank potential ligands
    – Quality of fit
    – Drug-like properties
    – Ease of synthesis
  • Test hypothesis by making compounds
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12
Q

SAR by NMR

A

structure-activity relationships (SAR) are obtained from NMR. With this technique, compounds with nanomolar affinities for the FK506 binding protein were rapidly discovered by tethering two ligands with micromolar affinities

  1. Find molecules that bind
  2. Optimise
  3. Discover 2nd ligand
  4. Optimize 2nd ligand
  5. Link fragments
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13
Q

Thermodynamic principles of
linked fragment approach

A

Free energies of binding are (roughly) additive, so effects on binding constants are multiplicative

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14
Q

SAR-BY NMR:
development of FKBP inhibitors

A

FKBR binds calcineurin and a floating thing (?lol)

Biological effect:
* Stops activity of calcineurin and
inhibits T-cell proliferation

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15
Q

SAR by NMR: disadvantages

A
  • Requires the NMR data of the target
    protein to be assigned
  • Relatively large library
    – Large number of samples to be screened
    – Large amounts of 15N protein (a few
    hundred milligram)
  • Not easy to find two compounds that can bind in a way they can be linked –
    fragment expansion may be easier
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16
Q

What makes a good drug?
Lipinski’s Rule of Five

A

The “rule of 5” states that: good absorption/permeation and oral
availability is more likely when:
A. There are no more than 5 H-bond donors (expressed as the sum
of OHs and NHs);
B. There are no more than 10 H-bond acceptors (expressed as the
sum of Ns and Os).
C. The MWT is less than 500;
D. The LogP is less than 5;

The Rule of 5 got its name from the cut-off values for each of the four parameters that define the “drug-likeness” of potential drug candidates: all of these values are close to five or a multiple of five.

“We found that the sum of Ns and Os in the molecular formula was greater than 10 in 12% of the compounds. Eleven percent of compounds had a MWT of over 500. Ten percent of compounds
had a CLogP larger than 5 and in 8% of compounds the sum of OHs and NHs in the chemical structure was larger than 5.”

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17
Q

Peptides as Drugs?

A
  • Very high potency
  • Incredible selectivity
  • Generally fewer side effects
  • Less accumulation in tissue

H- high potency
H - high selectivity
F - fewer side effects
L - less accumulation in tissue

Have you Heard of Fantastic Lipid (peptides??)

However…
* Poor drug-like characteristics:
* Rapidly degraded
* Poor bioavailability
* Often not possible to administer orally

PORP / poor or poor

18
Q

Challenges for Modern Drug Design

A

Very strict safety guidelines! E.g. drugs like paracetamol would never be approved today

Must represent an improvement over current standard treatments

Cost are increasing and success rates using existing methods are relatively low

19
Q
  1. New targets – New modalities
A
  • Protein-protein Interactions
  • Protein-nucleic acid interactions
  • Intracellular targets
  • Difficult to target with traditional small molecules and biologics
  • New types of drugs – New ‘modalities’ are required
20
Q

New Modalities – New Techniques

A
  • Advances in chemical synthesis
  • Advances in conjugation strategies
  • Advances in recombinant expression technologies
  • Advances in purification and analysis methods.
  • Advances in delivery, e.g. nanoparticles and liposomes
21
Q

Peptides and Peptidomimetics

A

More than 60 peptides are approved and more than 140 being clinically
evaluated.

Successful examples:
§ Lupron - prostate cancer
§ Byetta – Type II diabetes

But generally poor half life and permeability, thus not suitable for intracellular targets.

22
Q

“Peptidomimetics” ( classes A-D)

A

Class A - modified peptides
- peptides mainly formed by a-aa with minor side chain or backbone alterations

Class B - modified peptides/ foldamers
- peptides with various backbone and side chain alterations also including foldamers

Class C - structural mimetics
- small molecule-like scaffolds that project substituents in analogy to peptide side chain

Class D - mechanistic mimetics
- molecules that mimic the mode of action of a peptide without a direct link to its side chains

23
Q

Cyclisation

A

the process by which the atoms of a compound become a closed ring

24
Q

How are naturally occurring cyclic peptides made

A
  1. SFTI-1 is buried within a precursor that encodes a seed storage albumin
  2. Albumins are processed by asparginyl endoproteases
  3. Processing enzyme has been hijacked by SFTI-1
25
Q

Stapled Relaxin-3 Agonist

A

Stapling of the B-chain helix on the side of the helix that is not
involved in the interaction is sufficient to restore structure and
activity in the absence of the A-chain

26
Q

Stabilising b-sheet structure

A
  • Cyclisation either of the backbone or the side chains.
  • Optimising the turn structure. A particular favoured template is a D-Pro/L-Pro dipeptide.
  • Naturally occurring b-hairpins stabilised either by side chain cyclisation via disulfides or backbone cyclisation exist. E.g. theta-defensins and conotoxin MrIa
  • Disulfides can be replaced by other functionalities to further improve stability by removing the possibility of reduction.
27
Q

Bicyclic scaffolds

A
  • Increased conformational rigidity of
    bicyclic peptides amplify target affinity and specificity by reducing
    entropy
  • Small molecules scaffolds such as
    tris(methylene)benzene fold peptides
    containing three cysteine residues.
  • TNFα inhibitor anticachexin C1
    (KD=0.45 μM)
  • inhibit intracellular targets, including the PTP1B phosphatase, the
    peptidyl-prolyl isomerase , and the
    K-Ras GTPase.
  • Can be used with phage display
    techniques
28
Q

Grafting into disulfide-rich scaffolds

A

Scaffolds: Think of scaffolds as stable, three-dimensional structures made of proteins. These structures are strong because they contain many disulfide bonds, which are chemical links between sulfur atoms in the protein.

Disulfide Bonds: These bonds act like “glue” that helps the scaffold keep its shape and resist breaking down. They make the scaffold very stable.

Grafting: Grafting means adding new pieces onto something. In this case, scientists add or insert a new piece of protein or peptide (a small chain of amino acids) into the stable scaffold structure.

Purpose: The goal is to create a new molecule that combines the stability of the scaffold with the specific functions of the grafted piece. This can be useful for creating new drugs or therapeutic proteins that are stable and have desired properties, like targeting specific cells or proteins in the body.

  • Multiple disulfides provides
    significant stability
  • “Grafting” has been applied
    to conotoxin, SFTI-1, θdefensins and cyclotide scaffolds to generate
    inhibitors of proteases, growth factors, GPCRs, kinases, and PPIs
  • Intracellular targets: Ligand from substrate binding site of BCR-ABL tyrosine kinase (abletide) - IC50 value of 1.3μM.
  • Highly stable in serum
  • Multiple grafts can be used
29
Q

Peptide foldamers

A
  • Organised patterns of a,b,g amino acids form ordered oligomers
    that can be used to mimick e.g. helices.
  • Proteases don’t break down non-natural amino acids.
30
Q

Hybrid peptide macrocycles

A
  • Class A peptidomimetics with
    central macrocyclic structure with short peptide sequence and a
    small-molecule entity, such as heterocycles and/or natural
    product-like structures.
  • IB-01211 has five azole rings linked to a D-allo-Ile-Val dipeptide and
    demonstrated telomerase inhibition
31
Q

Lipidation of peptides

A

Lipidation helps with half life due to albumin binding preventing kidney clearance and permeability.

  • Ozempic/ Semaglutide
  • GLP-1 agonist
  • Half life ~1 week
  • Side chain modified with fatty
    acid
  • Once weekly dosing
32
Q

Summary Peptidomimetics

A
  • The most advanced group of new modalities with several variants in the clinic.
  • Permeability is still the biggest challenge but advances in understanding of mechanisms are
    helping.
  • Strategies such as systematic design of cyclic variants and N-methylation are promising strategies.
  • Lipidation helps with both half-life due to albumin binding preventing kidney clearance and permeability
  • Advances in formulation and delivery strategies have increased usefulness.
33
Q

Oligonucleotides (ON)

A
  • An alternative strategy to direct protein targeting is to effect protein expression by either inhibiting or enhancing translation through modulation of RNA
  • Translation of mRNA by the ribosomal machinery is regulated by noncoding RNAs such as microRNA
  • The controlled sequence of events may be targeted by oligonucleotides (ONs) at different steps
  • Examples include antisense oligonucleotides (ASO), small interfering RNA (siRNA), modified RNA (modRNA), ribozymes and aptamers
34
Q

Classes and mechanisms of ON

A

Antisense ON (ASO)
small interfering RNA (siRNA)
Ribozymes and Gene editing
mod RNA
Protein recognition with aptamers

  • ASOs usually single strand of 16–20 stabilized nucleotides binds target RNA sequence
  • ASO block RNA function through sequence complementarity or promote degradation of the RNA strand by nucleases
  • Target RNA can either be mRNA (blocking translation or modulating splicing) or miRNA, reducing degradation of mRNA (enhancing translation)
  • siRNAs are composed of double-stranded stabilized ONs of 20–25 nucleotides and exploit RNA interference (RNAi). RNAi represents an evolutionary conserved mechanism in which small noncoding double-stranded RNA (dsRNA) silences gene expression. siRNA action is analogous to miRNA, and these dsRNAs are first processed by dicer

Ribozymes and Gene editing
* Ribozymes are RNAs with enzyme-like activity that catalytically cleave specific target RNAs.
* susceptible to degradation by nucleases, and chemical modification is required
* Since discovery of CRISPR-Cas9 interest in utilizing this technique for gene editing or replacement have surged
* RNA, with complementary sequence to a target gene (DNA), is connected to the Cas9 endonuclease gene. Genes are administered as plasmids and the guide RNA and Cas9 protein are expressed. The guide RNA directs Cas9 to the gene and the Cas9 protein cuts the DNA

35
Q

Chemical modification of ON

A
  • ON molecules often display poor stability in vivo
  • Ubiquitously expressed nucleases cleave the phosphodiester backbone
  • Bind weakly to plasma proteins and are rapidly filtered by the kidney
  • Modifications required!

Backbone modifications
- Phosphodiester backbone has been replaced by neutral, anionic, or cationic linkers.

Modification of the sugar
- The 2′-hydroxy group of the ribose is often replaced by fluorine or alkylated.

Gapmers
- Modification at the 2′-hydroxy group of the ribose prevents degradation by Rnase H

ugh what

36
Q

Gapners

A

Mechanism:

Hybridization: The gapmer binds to its complementary RNA sequence in the cell.

RNase H Activation: The central DNA gap attracts RNase H.

RNA Cleavage: RNase H cuts the RNA at the site bound by the gapmer, leading to the breakdown of the target RNA.

37
Q

Summary and Perspective on ON

A

Rapidly growing field but still lots to learn about RNA regulation.

Currently 5 compounds approved by the FDA

Cellular uptake is good for single-strand but poor for double strand ON

Further development of delivery and distribution is required, but conjugation to other carriers such
as peptides, carbohydrates or aptamers

38
Q

Mixed modalities

A

We have a tool box of modalities that include peptides, oligonucleotides, small molecules, carbohydrates, natural product.
* Combining two or more modalities through either merging or conjugating single entities offers the
possibility of further increasing their potential.
* 1) strategies are directed at modulating the properties, distribution, or efficacy by the addition of another modality to improve the other component’s pharmacological activity
* 2) synergizing the pharmacological activity of both components

39
Q

Conjugates for targeted delivery

A

……..

40
Q

Peptidomimetics: definition, disadvantages and ways to overcome them

A

Peptidomimetic: a small protein like chain designed to mimic a peptide (google definition)

New drug modality that mimics peptide bonds. Made by burying code inside DNA

Disadvantages:
-poor half life
-poor permeability

Ways to overcome: (Steph buys hot looking guys)
Stapling
Bicyclic scaffolds
Hybrid peptide macrocycles
Lipidation to increase stability and permeability
Grafting onto disulfide rich scaffolds