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Presented by- Nitin
Contents
Building better drugs: developing and regulating
engineered therapeutic proteins
Therapeutic proteins
Although a reliable count of functionally distinct proteins in humans is lacking,
estimates suggest that the number runs to at least several tens of thousands
Abnormality in one or more of these proteins leads to disease condition
Therapeutic proteins represented 17% of new drugs approved by the USA Food
and Drug Administration (FDA) in 2005 but increased to 32% by 2011
Factors VIII and IX as replacement therapy for hemophilia has significantly
extended the life expectancy of patients
Withdrawals
Due to safety issues
Vatreptacog alpha, BAY86-6150 bioengineered recombinant factor VIIa
Hypersensitivity reactions
Peginesatide, a novel functional analog of erythropoietin
 Engineered proteins: therapeutics by design
Need- very short serum half-life and poor bioavailability
heterologous expression systems such as E. coli or yeast lack post-
translational modifications
Technologies:
Fusion proteins- unstructured recombinant polypeptides called XTEN have
been successfully used to generate fusion proteins with improved
pharmacokinetic properties
Also PEGylated proteins
Alteration of sequence
Deletions, insertions, and point mutations in a wild type sequence are
performed
eg. deletion of the B-domain of Factor VIII results in higher secretion of the
protein into the media as compared with the full-length form of Factor VIII
Codon optimization
Codon optimization is a technique to maximize the protein expression
Reports increase up to 30-fold
Codon optimization softwares-GENEMAKER, General Codon Usage Analysis
(GCUA) -a program Gene composer, Gene designer, JCat , Optimizer etc
 Concluding remarks
There has been unprecedented progress, during the past decade, in
the development of platform technologies that further being
improved
The rapid progress of many different scientific disciplines holds
promise for more predictable criteria for the licensure of these
products
And less burdensome regulatory requirements
Pharmacology in China: Overview
 1. Formation(1923–1949)
Part of Chinese civilization for more than 5000 years, Contemporary
pharmacology in China began around 1930
Ephedra - Dr K.K. Chen, paved the way for subsequent exploration in
sympathomimetics.
The Chinese Society of Physiology in 1926
 2. Growth(1949–1985)
Experienced a steady growth since 1949 Major discoveries in this period include
sodium dimer-captosuccinnate, antitumor agents such as camptothecins,
hydroxycamptothecins
Treatment of acute promyelocytic leukemia with all-trans retinoic acid was
another original discovery made in China
Then came period of ‘ cultural revolution’
Chinese Pharmacological Society was established in 1979 and started to publish a
journal in English – Acta Pharmacologica Sinica in 1980.
The society finally joined the International Union of Pharmacology
(IUPHAR) in 1985, signaling China’s entry onto the international stage of
pharmacology
 Expansion (1986–present)
Since China joined the World Trade Organization (WTO) in 2001, funding
for scientific research has risen steadily. National Centre for Drug
Screening (NCDS) along with a number of other
Recently via the foundation of the Chinese National Compound Library
(CNCL) HAVE approx.1.3 million sample collections
 Outlook
Although pharmacological studies on TCM will continue to be a focal point,
strong emphases will be directed towards basic and original research
 ‘Lead Project’ on personalized medicine at the Chinese Academy of
Sciences
Computational methods for drug design and
discovery: focus on China
Drug discovery in China
Taking the structure-based drug design (SBDD) as an example, the
publication of scientific papers from China during 2006 to 2010
ranked fifth (citation ranking is seventh)
Among Asian countries, China ranked the top in both the number of
publications and citations
Computational strategies and techniques in drug design
Pharmacophore modelling
Measures to what extent a query molecule possesses the spatial
arrangement of features essential for protein–ligand interaction,
requires less time to screen a ligand than docking
Reverse docking
Identifying targets is the first key step, One of the computational
approaches demonstrated to be efficient and cost effective in target
identification
The identified protein ‘hit’ can then serve as a potential candidate
oct.13 tips NTN
 Drug repositioning
To boost the productivity of the current drug design process “new uses for
an existing drug”.
Besides classical target- and ligand-based computational methods, in recent
years, many drug repositioning approaches based on systems biology
have been developed. For ex.- network-based inference (NBI) method
which used the topology similarity of the ligand–target network to
prioritize new targets for a given drug, or vice versa.
There are some databases that focus on the biological actions of drugs, for
example, DrugBank, TTD , SuperTarget and MATADOR , STITCH
(search tool for interactions of chemicals)
 Protein–ligand interaction
Molecular docking plays a central role in predicting protein–ligand
interactions, which has been extensively used for drug hit discovery
and lead optimization
 Virtual screening and lead optimization
Hit identification also VS.
A useful VS tool named SHAFTS (SHApe FeaTure Similari- ty) , which is a
hybrid approach comparing both molecular shape and pharmacophore
features
 1. Pharmacophore-based VS is an established in silico tool that has
resulted in the identification of many active compounds in drug discovery
programs.
 2. . Shape-based VS is another useful tool for searching for novel lead
compounds
 3. Commercial chemical libraries for high-throughput screening (HTS)
are primary sources for hit identification
 In silico prediction of ADME/T properties
These properties to the failure rates of drug discovery and the resultant
mounting cost of bringing a new drug to the market
Web-based SOM prediction service, provides medicinal chemists a visual and
easy-to-use interface for addressing some metabolism-related problems.
 Successful applications of CDDD
 Cases of drug target identification
A natural product isolated from ‘Ceratostigma willmottianum’ was found
effective in inhibiting the bacterium- H.Pylori
Finding using Tar- FisDock includes revealing the mechanism of gingerol
(in control n management of cancer)
Another case study of in silico target prediction include fibroblast growth
factor receptors (FGFRs), as targets for the treatment of various
human cancers.
Qian and colleagues used the reverse pharmacophore mapping approach
PharmMapper to identify target candidates for an active compound
that they previously synthesized and showed great in vitro
antiproliferative effects
 Cases of hit discovery
Molecular docking is one of the most widely employed
New Delhi metallo-b-lactamase-1 (NDM-1) has recently attracted
extensive attention for its rapid dissemination and resistance to
almost all known b-lactam antibiotics, Shen et al provided useful
clues for the rational design of effective NDM-1 inhibitors
Another distinguished contribution made by Chinese researchers is the
identification of a new indication for an old drug cinanserin, a well-
characterized serotonin antagonist
 Concluding remarks
CDDD is a multidisciplinary technology SPEEDS UP DD
The philosophy embodied in CDDD is shifting from ‘one gene, one
drug, and one disease’ to ‘multicomponent therapeutics, network
targets
Regulation of the Hippo pathway and implications for
anticancer drug development
 Hippo tumor suppressor pathway
also known as the Salvador/Warts/Hippo (SWH) pathway
The Hippo– YAP/TAZ pathway was linked to diverse G-
protein coupled receptor (GPCR) ligands and receptor
signalling
 Role in organ size regulation and tumorigenesis
 Composition of hippo pathway
 In mammals, the core components of the Hippo pathway
consist of serine/threonine kinases MST1/2, Lats1/2 and
their adaptor proteins Sav1 and Mob MOBKL1A and
MOBKL1B
 Control by the Hippo pathway
 implicated in diverse cellular and tissue properties which includes-
apicobasal polarity,
• Cell- cell adhesion1
• Contact inhibition2
• Planer cell polarity3
• Mechanotransduction4
• Various diffusible signals5
Dysregulation: caused by gene mutation or aberrant expression,
promotes cell proliferation and tumorigenesis
 Recent advances related with hippo pathway
 1. Recent reports show that Ga12/13-, Gaq/11-, Gai/o-coupled
GPCRs activate YAP/TAZ and promote nuclear translocation
 2. Gas-coupled GPCRs suppress YAP/TAZ activity
 3. Also, dobutamine- a Ga-coupled b-adrenergic agonist, inhibits
YAP-dependent gene transcription
 4. Epinephrine and glucagon also inhibit YAP/TAZ activity by
activation of Gas–cAMP–protein kinase A (PKA)–Lats1/2
 5. Growth factor signalling:
TGF-b
IGF
EGF
 Interact with several effectors of those pathways such as b-catenin and
Smad proteins
 WHERE AS, impact on human cancer in which YAP/TAZ are highly
expressed
Structural and energetic analysis of drug inhibition of the
influenzaA M2 proton channel
 TypeA influenza virus matrix protein 2 (A M2)
highly selective proton channel in the viral envelope
Role in viral infection and replication- a target of anti-influenza
drugs
Drugs acting through these channels
Amantadine
Rimantadine
Problem- these drugs have met with resistance!
 M2 channel
Homotetramer comprising four 97- residue transmembrane (TM)
peptides
TheTM domain is composed of four parallel a helices
 Drug design targeting drug-resistant mutant M2
channels
Involves following approaches:
1. Pharmacophores of adamantane-based drugs
includes one large hydrophobic adamantane group and a polar
group, mimicking the structures of amantadine and
rimantadine
2. Designing drugs with novel scaffolds
M2 channel is structurally flexible, can accommodate
hydrophobic groups with different shapes and sizes
Using different types of hydrophobic groups
3. Drug design targeting the S31N mutant
S31N mutation introduces large polar Asn31 side chains and
abolishes the hydrophobic interactions
Accomplished by Ammonium group placed with variations
From obesityto substance abuse: therapeutic opportunities for 5-
HT2C receptor agonists
5-HT system
 Have established impact on drug therapy arena of CNS acting
drugs
 In 2000 top five selling central nervous system (CNS) drugs
had a modulatory effect on 5-HT function as a recognized part
of their mechanism of action
In obesity
 control of ingestive behavior, modulation of behavioral effects
 Lorcaserin (Lorqess) – was approved by the FDA in 2012 for
the treatment of obesity
 alter various behaviors and underlying neurobiological systems
relevant to drug abuse and addiction
 likely act directly on paraventricular nucleus to alter metabolic aspects
of feeding
 Characteristics of the 5-HT2C receptor
Only known G protein-coupled receptor (GPCR) that undergoes RNA
editing
Differing behavioral phenotypes have also been described in transgenic
mice expressing specific isoforms of 5-HT2C
The ability of fenfluramine and sibutramine to reduce food intake partly
depends on 5-HT2C receptors
 Behavioral effects of drugs of abuse
Most drugs of abuse directly or indirectly enhance DA
‘Ro60-0175’ reduced reinstatement of cocaine-seeking
behavior (antagonist M100907 reduces ) reduced
attenuated nicotine-induced locomotion, nicotine self-
administration
reduced impulsivity found experimentally in rats
Psychoactive effects including
‘detached’ ‘spaced out’, ‘floating’
- Treating nicotine dependence with 5-HT2C receptor agonists may be
a more realistic therapeutic objective
Concluding remarks
Drug abuse and addiction is a potential therapeutic target for 5-HT2C
receptor agonists, and to further suggest that the mechanisms that
contribute to antiaddictive property may similarly contribute to
efficacy against obesity
Opportunities to evaluate lorcaserin for smoking cessation and
psychostimulant abuse
oct.13 tips NTN

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oct.13 tips NTN

  • 3. Building better drugs: developing and regulating engineered therapeutic proteins Therapeutic proteins Although a reliable count of functionally distinct proteins in humans is lacking, estimates suggest that the number runs to at least several tens of thousands Abnormality in one or more of these proteins leads to disease condition Therapeutic proteins represented 17% of new drugs approved by the USA Food and Drug Administration (FDA) in 2005 but increased to 32% by 2011 Factors VIII and IX as replacement therapy for hemophilia has significantly extended the life expectancy of patients Withdrawals Due to safety issues Vatreptacog alpha, BAY86-6150 bioengineered recombinant factor VIIa Hypersensitivity reactions Peginesatide, a novel functional analog of erythropoietin
  • 4.  Engineered proteins: therapeutics by design Need- very short serum half-life and poor bioavailability heterologous expression systems such as E. coli or yeast lack post- translational modifications Technologies: Fusion proteins- unstructured recombinant polypeptides called XTEN have been successfully used to generate fusion proteins with improved pharmacokinetic properties Also PEGylated proteins Alteration of sequence Deletions, insertions, and point mutations in a wild type sequence are performed eg. deletion of the B-domain of Factor VIII results in higher secretion of the protein into the media as compared with the full-length form of Factor VIII Codon optimization Codon optimization is a technique to maximize the protein expression Reports increase up to 30-fold Codon optimization softwares-GENEMAKER, General Codon Usage Analysis (GCUA) -a program Gene composer, Gene designer, JCat , Optimizer etc
  • 5.  Concluding remarks There has been unprecedented progress, during the past decade, in the development of platform technologies that further being improved The rapid progress of many different scientific disciplines holds promise for more predictable criteria for the licensure of these products And less burdensome regulatory requirements
  • 6. Pharmacology in China: Overview  1. Formation(1923–1949) Part of Chinese civilization for more than 5000 years, Contemporary pharmacology in China began around 1930 Ephedra - Dr K.K. Chen, paved the way for subsequent exploration in sympathomimetics. The Chinese Society of Physiology in 1926  2. Growth(1949–1985) Experienced a steady growth since 1949 Major discoveries in this period include sodium dimer-captosuccinnate, antitumor agents such as camptothecins, hydroxycamptothecins Treatment of acute promyelocytic leukemia with all-trans retinoic acid was another original discovery made in China Then came period of ‘ cultural revolution’ Chinese Pharmacological Society was established in 1979 and started to publish a journal in English – Acta Pharmacologica Sinica in 1980.
  • 7. The society finally joined the International Union of Pharmacology (IUPHAR) in 1985, signaling China’s entry onto the international stage of pharmacology  Expansion (1986–present) Since China joined the World Trade Organization (WTO) in 2001, funding for scientific research has risen steadily. National Centre for Drug Screening (NCDS) along with a number of other Recently via the foundation of the Chinese National Compound Library (CNCL) HAVE approx.1.3 million sample collections  Outlook Although pharmacological studies on TCM will continue to be a focal point, strong emphases will be directed towards basic and original research  ‘Lead Project’ on personalized medicine at the Chinese Academy of Sciences
  • 8. Computational methods for drug design and discovery: focus on China Drug discovery in China Taking the structure-based drug design (SBDD) as an example, the publication of scientific papers from China during 2006 to 2010 ranked fifth (citation ranking is seventh) Among Asian countries, China ranked the top in both the number of publications and citations Computational strategies and techniques in drug design Pharmacophore modelling Measures to what extent a query molecule possesses the spatial arrangement of features essential for protein–ligand interaction, requires less time to screen a ligand than docking Reverse docking Identifying targets is the first key step, One of the computational approaches demonstrated to be efficient and cost effective in target identification The identified protein ‘hit’ can then serve as a potential candidate
  • 10.  Drug repositioning To boost the productivity of the current drug design process “new uses for an existing drug”. Besides classical target- and ligand-based computational methods, in recent years, many drug repositioning approaches based on systems biology have been developed. For ex.- network-based inference (NBI) method which used the topology similarity of the ligand–target network to prioritize new targets for a given drug, or vice versa. There are some databases that focus on the biological actions of drugs, for example, DrugBank, TTD , SuperTarget and MATADOR , STITCH (search tool for interactions of chemicals)  Protein–ligand interaction Molecular docking plays a central role in predicting protein–ligand interactions, which has been extensively used for drug hit discovery and lead optimization
  • 11.  Virtual screening and lead optimization Hit identification also VS. A useful VS tool named SHAFTS (SHApe FeaTure Similari- ty) , which is a hybrid approach comparing both molecular shape and pharmacophore features  1. Pharmacophore-based VS is an established in silico tool that has resulted in the identification of many active compounds in drug discovery programs.  2. . Shape-based VS is another useful tool for searching for novel lead compounds  3. Commercial chemical libraries for high-throughput screening (HTS) are primary sources for hit identification  In silico prediction of ADME/T properties These properties to the failure rates of drug discovery and the resultant mounting cost of bringing a new drug to the market Web-based SOM prediction service, provides medicinal chemists a visual and easy-to-use interface for addressing some metabolism-related problems.
  • 12.  Successful applications of CDDD  Cases of drug target identification A natural product isolated from ‘Ceratostigma willmottianum’ was found effective in inhibiting the bacterium- H.Pylori Finding using Tar- FisDock includes revealing the mechanism of gingerol (in control n management of cancer) Another case study of in silico target prediction include fibroblast growth factor receptors (FGFRs), as targets for the treatment of various human cancers. Qian and colleagues used the reverse pharmacophore mapping approach PharmMapper to identify target candidates for an active compound that they previously synthesized and showed great in vitro antiproliferative effects  Cases of hit discovery Molecular docking is one of the most widely employed New Delhi metallo-b-lactamase-1 (NDM-1) has recently attracted extensive attention for its rapid dissemination and resistance to
  • 13. almost all known b-lactam antibiotics, Shen et al provided useful clues for the rational design of effective NDM-1 inhibitors Another distinguished contribution made by Chinese researchers is the identification of a new indication for an old drug cinanserin, a well- characterized serotonin antagonist  Concluding remarks CDDD is a multidisciplinary technology SPEEDS UP DD The philosophy embodied in CDDD is shifting from ‘one gene, one drug, and one disease’ to ‘multicomponent therapeutics, network targets
  • 14. Regulation of the Hippo pathway and implications for anticancer drug development  Hippo tumor suppressor pathway also known as the Salvador/Warts/Hippo (SWH) pathway The Hippo– YAP/TAZ pathway was linked to diverse G- protein coupled receptor (GPCR) ligands and receptor signalling  Role in organ size regulation and tumorigenesis  Composition of hippo pathway  In mammals, the core components of the Hippo pathway consist of serine/threonine kinases MST1/2, Lats1/2 and their adaptor proteins Sav1 and Mob MOBKL1A and MOBKL1B
  • 15.  Control by the Hippo pathway  implicated in diverse cellular and tissue properties which includes- apicobasal polarity, • Cell- cell adhesion1 • Contact inhibition2 • Planer cell polarity3 • Mechanotransduction4 • Various diffusible signals5
  • 16. Dysregulation: caused by gene mutation or aberrant expression, promotes cell proliferation and tumorigenesis
  • 17.  Recent advances related with hippo pathway  1. Recent reports show that Ga12/13-, Gaq/11-, Gai/o-coupled GPCRs activate YAP/TAZ and promote nuclear translocation  2. Gas-coupled GPCRs suppress YAP/TAZ activity  3. Also, dobutamine- a Ga-coupled b-adrenergic agonist, inhibits YAP-dependent gene transcription  4. Epinephrine and glucagon also inhibit YAP/TAZ activity by activation of Gas–cAMP–protein kinase A (PKA)–Lats1/2  5. Growth factor signalling: TGF-b IGF EGF  Interact with several effectors of those pathways such as b-catenin and Smad proteins  WHERE AS, impact on human cancer in which YAP/TAZ are highly expressed
  • 18. Structural and energetic analysis of drug inhibition of the influenzaA M2 proton channel  TypeA influenza virus matrix protein 2 (A M2) highly selective proton channel in the viral envelope Role in viral infection and replication- a target of anti-influenza drugs Drugs acting through these channels Amantadine Rimantadine Problem- these drugs have met with resistance!  M2 channel Homotetramer comprising four 97- residue transmembrane (TM) peptides TheTM domain is composed of four parallel a helices
  • 19.  Drug design targeting drug-resistant mutant M2 channels Involves following approaches: 1. Pharmacophores of adamantane-based drugs includes one large hydrophobic adamantane group and a polar group, mimicking the structures of amantadine and rimantadine 2. Designing drugs with novel scaffolds M2 channel is structurally flexible, can accommodate hydrophobic groups with different shapes and sizes Using different types of hydrophobic groups 3. Drug design targeting the S31N mutant S31N mutation introduces large polar Asn31 side chains and abolishes the hydrophobic interactions Accomplished by Ammonium group placed with variations
  • 20. From obesityto substance abuse: therapeutic opportunities for 5- HT2C receptor agonists 5-HT system  Have established impact on drug therapy arena of CNS acting drugs  In 2000 top five selling central nervous system (CNS) drugs had a modulatory effect on 5-HT function as a recognized part of their mechanism of action In obesity  control of ingestive behavior, modulation of behavioral effects  Lorcaserin (Lorqess) – was approved by the FDA in 2012 for the treatment of obesity  alter various behaviors and underlying neurobiological systems relevant to drug abuse and addiction  likely act directly on paraventricular nucleus to alter metabolic aspects of feeding
  • 21.  Characteristics of the 5-HT2C receptor Only known G protein-coupled receptor (GPCR) that undergoes RNA editing Differing behavioral phenotypes have also been described in transgenic mice expressing specific isoforms of 5-HT2C The ability of fenfluramine and sibutramine to reduce food intake partly depends on 5-HT2C receptors  Behavioral effects of drugs of abuse Most drugs of abuse directly or indirectly enhance DA ‘Ro60-0175’ reduced reinstatement of cocaine-seeking behavior (antagonist M100907 reduces ) reduced attenuated nicotine-induced locomotion, nicotine self- administration
  • 22. reduced impulsivity found experimentally in rats Psychoactive effects including ‘detached’ ‘spaced out’, ‘floating’ - Treating nicotine dependence with 5-HT2C receptor agonists may be a more realistic therapeutic objective Concluding remarks Drug abuse and addiction is a potential therapeutic target for 5-HT2C receptor agonists, and to further suggest that the mechanisms that contribute to antiaddictive property may similarly contribute to efficacy against obesity Opportunities to evaluate lorcaserin for smoking cessation and psychostimulant abuse

Editor's Notes

  1. XTEN is a proprietary recombinant polypeptide that, when genetically fused to a therapeutic payload of interest, extends the in vivo half-life of these peptides and proteins in a tunable manner………………….. . Codon optimization is a technique to maximize the protein expression in living organism by increasing the translational efficiency of gene of interest by transforming DNA sequence of nucleotides of one species into DNA sequence of nucleotides of another species
  2. (site of metabolism)
  3. New Delhi Metallo-beta-lactamase-1 (NDM-1)[1] is an enzyme that makes bacteria resistant to a broad range of beta-lactam antibiotics. These include the antibiotics of the carbapenem family, which are a mainstay for the treatment of antibiotic-resistant bacterial infections. The gene for NDM-1 is one member of a large gene family that encodes beta-lactamase enzymes called carbapenemases. Bacteria that produce carbapenemases are often referred to in the news media as "superbugs" because infections caused by them are difficult to treat. Such bacteria are usually susceptible only topolymyxins and tigecycline.[2] NDM-1 was first detected in a Klebsiella pneumoniae isolate from a Swedish patient of Indian origin in 2008. It was later detected in bacteria in India, Pakistan, the United Kingdom, the United States,[3] Canada,[4] and Japan.[5] The most common bacteria that make this enzyme are Gram-negative such as Escherichia coli and Klebsiella pneumoniae, but the gene for NDM-1 can spread from one strain of bacteria to another by horizontal gene transf 2010..
  4. Hippo signaling is an evolutionarily conserved pathway that controls organ size by regulating cell proliferation, apoptosis, and stem cell self renewal. In addition, dysregulation of the Hippo pathway contributes to cancer development - See more at: http://www.cellsignal.com/contents/science-pathway-research-stem-cell-markers/hippo-signaling-pathway/pathways-hippo#sthash.Je5bAyPF.dpuf
  5. These methods have led to the successful designs of effec-tive drug candidates for several M2 mutants and show great promise
  6. recommend lorcaserin with certain restrictions and patient monitoring. The restrictions include patients with a BMI of over 30, or with a BMI over 27 and a comorbidity like high blood pressure or type 2 diabetes
  7. RNA editing is a molecular process through which some cells can make discrete changes to specific nucleotide sequences within a RNA molecule after it has been generated by RNA polymerase. RNA editing is relatively rare, and common forms of RNA processing (e.g. splicing, 5'-capping and 3'-polyadenylation) are not usually included as editing. Editing events may include the insertion, deletion, and base substitution of nucleotides within the edited RNA molecule.