lecture III: drug screening & discovery Flashcards
Historical drug discovery
Natural medicines, previous drugs were known, then refined.
→biological effect was discovered before target validation
Historical drug discovery steps
- Biologically (clinically) observed agent
- Bioassay
- Biological hit
- Lead optimization
- Preclinical & clinical studies
- Drug
- Medically validated target
- Better Drugs → high success rate!
Target-based drug discovery
“Genes-to-drugs”
- genome sequencing would reveal new targets
- main issue: many targets are not biologically validated
- drugs can be developed, but they don’t work in vivo
Target-based drug discovery steps
- Molecular genetics (target selection)
- Target-based HTS assay
- Target hit
- Lead optimization
- Preclinical and clinical studies
- Drug → high failure rate :(
Phenotype-based drug discovery
Return to biology first!
- one specific protein is not targeted, but rather a certain phenotype
- not really interested on how the drug works, but as long as you get the desired phenotype, then you go with it
Phenotype-based drug discovery steps
- Human cell systems
- Biological hit
- Lead optimization
- Preclinical and clinical studies
- Drug
- Medically validated target
- Better drugs → high success rate!
Cell-based assays
- Immortalized cell lines
→cancerous, human embryonic kidney, HEK293 cells, HeLa - Primary cell culture from tissue
- Induced pluripotent stem cells (iPSC)
Biosafety cabinet
Allows work in a sterile environment
Human iPSC
iPSC are derived from skin or blood cells that have been reprogrammed back into an embryonic-like pluripotent state that enables the development of an unlimited source of any type of human cell needed for therapeutic purposes.
Human iPSC types
- from healthy subjects
- from disease patients
- from diseased patient genetically reversed to healthy (isogenic)
iPSC target-based screen read-out
target protein specific
iPSC phenotype-based screen read-out
increase/decrease of a phenotype
Zebrafish assay
A type of in vivo assay where Zebrafish can be used to assess the toxicity of drug candidates in early screening assays, sometimes in a high-throughput manner.
→can be target-based or phenotype-based
→advantage: whole system
High-throughput screening (HTS)
High-throughput screening (HTS) is a drug discovery process that allows automated testing of large numbers of chemical and/or biological compounds for a specific biological target, for example through binding assays.
→issue of false positive hits
→“fail fast, fail cheap”
Key elements for developing a HTS screening assay
- Quick, simple, robust, relevant
- Positive read-out
→i.e. fluorescence increases upon drug binding - Direct read-out
→as little handling as possible - Good dynamic range
→good z factor - Proper model: in vitro / in vivo
- Cost effective
→hopefully you can then identify a lead compound!
Examples of phenotype-based screens (lecture)
- ZIKA virus decreases CAS3 (responsible for apoptosis), but with addition of drug, CAS3 inhibition decreases.
→read-out: CAS3 inhibition
→not the best as it is NOT a positive read-out - Lipid droplets in AD. ApoE4 expressing cells have more lipid droplets as compared to ApoE3.
→read-out: number of lipid droplets per cells
Consideration before a target-based screen
- Evidence that modification of the POI will cure the disease
- Evidence that the target is drugable
- Evidence of selectivity
Consideration before a phenotype-based screen
- Evidence that the phenotype will cure the disease
- Relevance of the phenotype for the disease
- Relevance of cell type and stimulus for the disease
Considerations before a drug screen (!!)
Choose the disease and the clinical outcome you anticipate (cure or amelioration). Is there a target? Multiple? Which one do you select?
- Evidence that a modification will cure the disease
→use KO mice, literature review, human mutations - Evidence that the target is drugable
→consider similar pharmacological compounds that may need optimization - Evidence of selectivity
→expression pattern of protein, unique phenotype/cellular pathway, localization
HTS: positive hit range
Positive hits are active in the range of 30 μM - 1 nM
NME
New Molecular Entity
NME success order: first-in-class drug
- Phenotype-based screening (37%)
- Biologics
- Target-based screening
- Modified natural substances
NME success order: follower drug
1.Target-based screening (51%)
2. Biologics
3. Phenotype-based screening
4. Modified natural substances
Best drug options: overall
- Synthetic small molecule
- Biologic
- Natural substance
- Natural product