Midterm Review Flashcards
What are biologics?
a substance made from a living organism or its products that is used in the prevention, treatment, or cure of disease of human beings
ex) vaccines
What are small molecules?
low molecular weight organic compounds made through highly reproducible processes involving chemical synthesis
What are the advantages and disadvantages of biologics and small molecules?
Biologics:
A: interactions with difficult targets like PPIs, specificity for a particular target (small molecules can’t differentiate between related PPIs)
D: not oral, more expensive, high molecular complexity = intricate manufacturing that depends on living organisms
Types of biologics
- Recombinant proteins replace missing/dysfunctional protein
- Humalog: modified human insulin
- Somatotrophin: human growth hormone
- Factor VIII (hemophilia)
- EPO (RBCs) for anemia - Monoclonal antibodies block large target molecules
- Etanercept (RA) - Enzymes
- pulmozyme: purified DNase used to decrease the viscosity of lung mucosal layer in CF
- Botulin Toxin
How does Etanercept work?
competitive inhibitor of TNF; used to treat RA; produced in CHO cells
How does Botulin Toxin work?
has metalloprotease activity that cleaves SNAP-25 (which is part of the SNARE family), resulting in no neurotransmitter (acetylcholine) release, thus paralyzing the muscle
Examples of biologics in industry
- enzymes like lactase (glucose+galactose), amylase (starch breakdown), cellulase (hydrocarbons into sugars)
- biopolymers like xanthan gum
What are biosimilars and what are the challenges?
A biosimilar is a biologic that is highly similar to and has no clinically meaningful difference from an existing biologic
(can only be sold after the patent of the original biologic is no longer valid)
advantages
- economic savings in development (more efficient manufacturing process, already FDA approved, low risk)
disadvantages
- process differences may result in unpredicted effects (temp, pH, etc.)
- post-translational modifications could influence binding to target, half-life, aggregate formation, immunogenicity
How is a biosimilar established?
comparable quality, PK/PD, efficacy, safety
What is a stem cell?
a single cell that can replicate itself or differentiate into many cell types
What are the 3 properties of SCs?
- capable of dividing and renewing themselves for long periods
- unspecialized
- give rise to specialized cell types
What is cellular differentiation?
Maturation process of primitive cells into the specialized, functional cell types of the body, such as when the blood stem cell produces red blood cells, white blood cells, and platelets
Types of stem cells?
- totipotent: maximum potential; give rise to any type of cell; fertilized egg and cells up to 8 cell stage
- pluripotent: potential to make any differentiated cell in the body (ectoderm, endoderm, mesoderm); ES
- multipotent: restricted fate to becoming one of a few types of cells; bone marrow
How do you isolate ESCs?
fertilization, remove ICM, grow in dish, change culture conditions to stimulate cells to differentiate
What are iPSCs? How do you make iPSCs?
a type of pluripotent cell made directly from a somatic cell
- harvest fibroblasts
- infect with Oct4, Sox2, Klf4, and c-Myc TFs
- correct unwanted mutations by gene targeting
- differentiate into embryoid bodies
- transplant corrected version back in
How do you make a liver organoid according to the paper we read?
iPSCs put under conditions with different factors to produce hepatic endoderm, mesenchymal cells, and endothelial cells that produce liver organoids
What is a Pharmacophore?
a part of a molecular structure that is responsible for a particular biological or pharmacological interaction that it undergoes
Why would companies want to make similar drugs?
differences in chemical composition of drugs based on same pharmacophore can cause differences in:
1. dosages needed to bring about the drug’s effect
2. uptake by different tissues and cells
3. duration of the drug’s effects in the body
4. side effects and toxicity
5. protocols and costs for synthesis, purification, storage, formulation
6. intellectual property – allowing different companies to sell similar drugs (composition of matter/patent scavenging)
How to discover a new drug?
- harnessing known or testing novel natural products (Aspirin)
- Identify novel druggable and validated targets and employ large-scale chemical screening methods to discover new chemical compounds (NCEs) = Gleevac
What are the problems with natural products?
active agent must be identified, purified, and synthesized
target of action might not be known even if physiological effects are
What is pharmacokinetics?
what the body does to a drug
- duration, max tolerated concentration, min effective concentration, AUC (drug exposure)
- ADME = (absorption, distribution, metabolism, elimination)
what is pharmacodynamics?
the effect of a drug on the body
potency: amount of drug necessary to produce a biological response of a certain magnitude
efficacy: ability of the drug to produce a response by the activation of the receptor
What are the stages of a clinical trial?
drug discovery
preclinical: research on a new drug usually done on animals to learn about mechanisms of action, determine how well the treatment works, and see if it is safe to test on humans
Phase 1 (safety): Researchers test an experimental drug or treatment in a small group of people (approximately 20-80) for the first time to evaluate its safety and identify side effects
Phase 2 (efficacy): The experimental drug or treatment is administered to a larger group of people/animals to determine its effectiveness and to further evaluate its safety.
Phase 3 (larger sclae): The experimental drug or treatment is administered to a large group of people/animals (300-3,000 or more) to confirm its effectiveness, monitor side effects, and compare it with standard or equivalent treatments. And compare to certain patient populations
Phase 4: Phase IV: Already FDA approved drugs–look at safety over time and other aspects of the treatment, such as quality of life or cost effectiveness.
what are some characteristics of clinical trials?
blind vs. double blind
randomization of participants
comparison to standard of care vs. placebo
Why invest in healthcare?
causes of mortality and innovation: infectious disease, cardiovascular disease, cancer
What does the modern biopharma environment look like?
originally, big pharma did everything in-house: major R&D, new medicines all the way and commercializing them
now, fund VC startups to do discovery to early clinical trials; “de-risked” enough for large pharma to buy
What is venture capital?
a type ofprivate equitycapital provided by outside investors to new businesses that promise to grow fast. Venture capital investments are usually high risk but offer the potential for above-average returns
How do VCs make money?
2% management fee: operations, salaries, etc.
20% performance fee aka carried interest: 20% of returns to partners, 80% to LP
look for 3x returns
What is DNA sequencing and synthesis?
reading vs. writing DNA; from template without template
Why is sequencing easier than synthesis?
NGS is rapid and accurate in determining nucleotide sequences from DNA templates. Can process longer continuous stretches of DNA
DNA synthesis: creation of DNA molecules without a pre-existing template is more complex, has size limitations, increased error rates
What are the two methods of DNA synthesis?
- Phosphoramidite chemistry: adds one nucleotide at a time to a growing chain using a solid support to immobilize it
- Deprotection, add nucleotide 3’ to 5’, oxidation, wash excess reagents, repeat
- Iteration of these steps until the desired DNA sequence is synthesized - Enzymatic DNA synthesis: oligos are systematically synthesized in a cyclic, 2-step process
- Elongate: terminal deoxynucleotidyl transferase (TdT) adds a single nucleotide to iDNA
- Deprotect: reversible terminator is removed and ready for elongation
**faster, greener version
What is the significance of using a solid support in DNA synthesis?
allows for the sequential addition of nucleotides, with repeated cycles of washing to remove excess reagents; streamlines the synthesis process
What are the limitations of phosphoramidite chemistry?
efficiency drops with length of sequence; large-scale assemblies have to be constructed in stages from smaller strands
What is column-based solid-phase oligonucleotide synthesis?
high-throughput, column-based system that allows for the parallel synthesis of multiple oligonucleotides