This document summarizes the drug design and discovery process. It discusses choosing a disease target and identifying a bioassay to test biological activity. The key steps include finding a lead compound, synthesizing analogs to establish structure-activity relationships, optimizing the structure, and testing efficacy and toxicity in animal models. Clinical trials are then carried out to market the drug. Rational drug design approaches like computer-aided modeling are also described.
This document summarizes the drug design and discovery process. It discusses choosing a disease target and identifying a bioassay to test biological activity. The key steps include finding a lead compound, synthesizing analogs to establish structure-activity relationships, optimizing the structure, and testing efficacy and toxicity in animal models. Clinical trials are then carried out to market the drug. Rational drug design approaches like computer-aided modeling are also described.
M.Pharm, MBA, PhD Assistant Professor B. K. Mody Government Pharmacy College, Rajkot 1 Drug Discovery 1. Choose a disease 2. Choose a drug target through genomics, proteomics 3. Identify a “bioassay”, bioassay = A test used to determine biological activity. 4. Find a “lead compound” 5. Synthesize analogs of the lead 6. Identify Structure-Activity-Relationships (SAR’s) 7. Identify the “pharmacophore” 8. Optimize structure to improve interactions with target 9. Determine toxicity and efficacy in animal models. 10. Determine pharmacodynamics and pharmacokinetics of the drug. 11. Patent the drug 12. Continue to study drug metabolism and test for toxicity 13. Design a manufacturing process 14. Carry out clinical trials 15. Market the drug 1. Drug Discovery 4.4 Structure-based and Ligand- 1.1 Discovery without Rational Design based drug design approaches 1.2 Modern Rational Drug Design 4.5 3D pharmacophore modeling 2. Drug discovery process 4.6 Rational drug design 2.1 Identification of biological targets 4.6.1 Design of enzyme 2.2 Validation of biological targets inhibitors 2.3 Lead structure search 4.6.2 De Novo Ligand design 2.4 Lead optimization 5. Quantitative Structure Activity 2.5 Preclinical studies Relationship (QSAR) 2.6 Clinical trials 5.1 Parameters 2.7 Formulations for clinical studies 5.1.1 Hydrophobicity 3. Computer-aided drug design 5.1.2 Electronic 3.1 Type of study Software 5.1.3 Steric effects 3.2 Protein-Ligand & Protein-Protein 5.2 Quantitative models docking 5.2.1 Hansch analysis 4. Molecular modeling and drug design 5.2.2 Free Wilson analysis 4.1 Molecular mechanics- force 5.3 Other QSAR approaches like 4.2 Energy minimization methods HQSAR, CoMFA, CoMSIA 4.3 Conformational analysis 6. Combinatorial chemistry and High- 4.3.1 Systematic search Throughput Screening (HTS) 4.3.2 Monte Carlo simulation 4.3.4 Molecular dynamic simulationa 1.1 Discovery without Rational Design •Medicinal Chemistry Folklore • Cinchona bark for chills and fevers • Ephedra was used as a heart stimulant • Opium poppy juice as an analgesic agent, •Discovery of Penicillins • John Burdon-Sanderson had done so in 1870, ironically also at St. Mary’s Hospital in London, the same institution where Fleming made the rediscovery In 1928 •Discovery of Librium • first benzodiazepine tranquilizer drug, Librium • Not quinazoline 3-oxide,but, rather, was the benzodiazepine 4-oxide •Discovery of Drugs through Metabolism Studies Metabolite of terfenadine, fexofenadine was also found to be a nonsedating antihistamine, but it can be metabolized even in the presence of antifungal agents. •Discovery of Drugs through Clinical Observations • An antihistamine, dimenhydrinate was found also to be effective in car sickness; a further study proved its effectiveness in the treatment of seasickness and airsickness. It then became the most widely used drug for the treatment of all forms of motion sickness. • Bupropion hydrochloride an antidepressant drug was found to help patients stop smoking and became the first drug marketed as a smoking cessation aid (Zyban). 1.2 Modern Rational Drug Design 2. Drug discovery Process The two principal origins of modern pharmaceutical industries are apothecaries, which initiated wholesale production of drugs in the mid- nineteenth century, and dye and chemical companies that were searching for medical applications for their products in the late nineteenth century Merck, Hoffmann-La Roche, Wellcome, Abbott, Smith Kline, Eli Lilly, also started as apothecaries in the nineteenth century. Bayer, Ciba, Sandoz, and Pfizer began as dye and chemical manufacturers. 2.1 Identification of Targets
• Pharmaceutical companies will tend to avoid
products with a small market (i.e. a disease which only affects a small subset of the population) • Pharmaceutical companies will also avoid products that would be consumed by individuals of lower economic status (i.e. a disease which only affects third world countries) • Most research is carried out on diseases which afflict “first world” countries: (e.g. cancer, cardiovascular diseases, depression, diabetes, flu, migraine, obesity). 2.1 Identification Targets
• The Orphan Drug Act of 1983 was passed to
encourage pharmaceutical companies to develop drugs to treat diseases which affect fewer than 200,000 people in the US 2.1 Identification Targets The majority of drugs exert their effects through interactions with specific macromolecules in the body. Many of these macromolecular drug targets are proteins. You may recall that proteins are long polymer chains of amino acid residues that can loop and fold to produce grooves, cavities, and clefts that are ideal sites for interactions with other large or small molecules. 2.1 Identification Targets Other drugs exert their effects by interacting with a different class of macromolecules called nucleic acids, which consist of long chains of nucleotide residues. some drugs form covalent bonds with their targets, in the majority of cases, including those in Protein target and Nucleic Acid 2.1 Identification Targets • Noncovalent interactions are responsible for the affinity between the drug and the target. The main classifications of such noncovalent attractive forces are ionic interactions, ion–dipole interactions, dipole–dipole interactions, hydrogen bonding, charge– transfer complexes, hydrophobic interactions, cation–π interactions, halogen bonding, and van der Waals forces. • For example, a negatively charged moiety on the drug will be attracted to a positively charged residue on the target, or a phenyl ring on the drug will be attracted to the hydrophobic side chains of amino acids such as phenylalanine, leucine, valine, and others. 2.1 Identification Targets
Interaction of the drug zanamivir with its enzyme target neuraminidase.
2.1 Identification of Targets
Nucleic acids, for example, DNA, have an important role in cell
replication, and drugs that bind to DNA can disrupt this function. This mechanism is responsible for the action of some anticancer and anti-infective drugs 2.2 Validation of Targets • It has been estimated that there are only 324 drug targets for all classes of approved drugs (266 are human-genome derived proteins; the rest are pathogen targets) and only 1357 unique drugs, of which 1204 are small molecules and 166 are biologics • One approach to identify targets is to compare the genetic make-up of a large number of patients with the disease with that of a large number of normal patients, and identify which genes, and therefore the corresponding proteins 2.2 Validation of Targets • Another approach is to apply one of the several methods of selectively eliminating the function of a particular protein and observing the consequence in an isolated biochemical pathway or a whole animal. • Alternatively, antibodies to a specific protein can be developed that block the function of the protein. 2.2 Validation of Targets • It has been estimated that the probability of getting a compound for a novel target into preclinical (animal) development is only 3%, but it is 17% for an established target. • However, the use of a well-established target can result in “me-too” drugs (drugs that are structurally very similar to already known drugs and act by the same mechanism of action), producing more drugs of the same class. • With appropriate marketing, a company is able to benefit economically from the “me-too” approach although society may not realize a significant benefit. 2.2 Validation of Targets
On the other hand, a novel target can lead to
drugs that have novel properties that can treat diseases or subpopulations of diseases not previously treated. While this approach is more expensive and usually has a lower probability of success, it is also potentially more rewarding both for society and also for the finances of the company that established the new mechanism of treatment. 2.3 Lead Search First, however, it needs to be noted that drugs are not generally discovered. What is more likely discovered is known as a “lead compound” (or lead). The lead is a prototype compound that has a number of attractive characteristics, including the desired biological or pharmacological activity, but may have other undesirable characteristics, for example, high toxicity, other biological activities, absorption difficulties, insolubility, or metabolism problems. 2.3 Lead Search A lead compound typically has most or all of the following characteristics – It interacts with the target in a manner consistent with that needed to achieve the desired effect. – It is amenable to synthetic modifications needed to improve properties. – It possesses, or can be modified to possess, physical properties consistent with its ability to reach the target after administration by a suitable route. 2.3 Lead Search Common sources of lead compounds are (1) The natural ligand or substrate for the target of interest Dopamine is the natural ligand for the family of dopamine receptors. Increasing dopamine concentrations is an important aim for the treatment of Parkinson’s disease. Therefore, dopamine was the lead compound for the discovery of rotigotine 2.3 Lead Search Common sources of lead compounds are (2) Another substance already known to interact with the target of interest. • For example, the plant alkaloid cytisine and nicotine was known to interact with nicotinic acetylcholine receptors. Cytisine was the lead compound used for the Pfizer’s development of varenicline a drug that helps patients quit smoking. 2.3 Lead Search Common sources of lead compounds are (3) Random or targeted screening • Screening refers to the exercise of conducting a biological assay on a large collection of compounds to identify those compounds that have the desired activity. Initially, these compounds may bind weakly to the target and are known as hits. Hits can be considered as predecessors to leads. • Assays that rapidly measure binding affinities to targets of interest, called high-throughput screens. For example, activation of dopamine receptors, increase in the concentration of Ca2+ ions inside the cell & measurement of changes in the intracellular Ca2+ concentration in cells (with Ca2+-sensitive dyes) that express dopamine receptors (either naturally or by transfection) can be used to identify ligands for these receptors. 2.3 Lead Search Common sources of lead compounds are (4) Fragment-based screening • Several screening methods using, for example, X-ray crystallography or NMR spectrometry have been developed to identify simple molecules (fragments) possessing typically modest affinity for a target, with the intent of connecting two or more of these fragments to create a useful lead compound.