Drug Discovery Flashcards

(45 cards)

1
Q

What are some physicochemical properties for an orally active drug?

A

MW less than 500
Lipophillicity is less than 5
no. of hydrogen bond donors is less than 5
no of bond acceptors is less than 10

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2
Q

What else must be considered in physicochemical properties?

A

number of aromatic groups
number of rotatable bonds
polar surface area
presence of known toxic groups

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3
Q

What are tools for modern drug discovery?

A

recombinant proteins
large compound libraries
high throughput screening

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4
Q

What is screened in drug discovery?

A

repurpose drugs
tool molecules
demonstrate ligandability

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5
Q

What are the sources of chemical starting points?

A
existing drugs
endogenous ligands
natural products
fragment screening
focussed screening
diversity screening
rational design
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6
Q

How many compounds does diversity screening cover?

A

100000-1000000 compound

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7
Q

What is good for HTS?

A

does not need any knowledge of natural ligands or mode of binding

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8
Q

What is the issue of HTS?

A

large amount of data to analyse

integrity of compound collection

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9
Q

How many compounds does focused screening look at?

A

1000-10000

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10
Q

What does focussed screening look at?

A

well characterised proteins and target families

structure based drug discovery

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11
Q

What are the applications of rationale drug design?

A

useful in conjunction with fragment and focussed screening
useful in refining activity of existing ligand series
crystallography may provide info about mechanism of action

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12
Q

What does fragment screening do?

A

follows rule of 3
MW less than 300
logP less than 3
less hydrogen bond donors than 3

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13
Q

How do you optimise fragment screening?

A

optimise by adding to the molecule

limitations of fragment screening

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14
Q

What are the pros of fragment screening?

A

smaller libraries
potential to produce better fitting compounds
better starting points

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15
Q

What are the cons of fragments screening?

A

fragments have low potency
specific/specialised assay tec
need crystal structure

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16
Q

How might you screen for GPCRs?

A
radioligand binding assays
GTPyS
Functional cell based assay
Calcium sensitive dye screening
Alphascreen
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17
Q

What is the b-arrestin Assay?

A

complementation assay - agonist elicited recruitment of b-arrestin

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18
Q

How is the pharmacokinetics of lead compounds optimised?

A

look at the the route to absorption
how well it dissolves, pH, intestinal bacteria
liver metabolism
active transport to bile etc

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19
Q

What is the aim of DMPK?

A

to promote the rapid selection and progression of compounds with human DMPK properties appropriate to the intended therapy and dosing regimen

20
Q

What does in vitro metabolism assays look at?

A

liver microsomes

liver hepatocytes

21
Q

What pharmacokinetic parameters must be met?

A
t1/2
Cmax
bioavailabilty
clearance
1st pass metabolism
22
Q

What factos are important for absorption?

A
diffusion
active transport
passive paracellular transport
absorption by p-gp
receptor mediated transport
23
Q

What is the CCR5 receptor a target for?

A

HIV infection

24
Q

Where is CCR5 expressed?

A

on immune t-cells and macrophages

25
What does reduced CCR5 expression do?
cause HIV resistance
26
What was found to be a anti-viral against CCR5?
Maraviroc
27
What is maraviroc?
highly selective CCR5 antagonist
28
Where does maravoric bind?
to a deep pocket in residues of TM I, II, III,IV, V, VI and VII allosteric site blocks agonist
29
What is important in drug safery?
``` regulatory guideline cellular toxicity assess behaviour of animals analysis of blood samples histopathology ```
30
What are important considerations in cardiovascular safety?
BP HR cardiac arrythmias
31
What is torsades de pointe?
drug induced arrhythmia
32
What needs to be considered for cardiovascular safety?
blockade of hERG channel
33
What are some cardiac safety channels?
hERG hNav1.5 L-type Ca
34
What other forms of toxicity are important?
reproductive toxicity teratogenicity cancers
35
How are the toxicities tested?
in vivo in animals
36
What are the limitations to in vivo tests?
expensive developmental differences species difference
37
What are the limitations of in vitro tests?
false pos and negs | metabolism into teratogen
38
What was withdrawn after drug launch?
COX 2 Inhibitors
39
Why were COX 2 inhibitors removed?
increases risk of heart attack and stroke
40
What was a problem in TRPV1 antagonists?
caused life threatening increases in body temp
41
What are some translational biomarkers?
Efficacy Pharmacokinetic Safety Predictive
42
What can translational biomarkers affect?
the Phase 0 study go or no go decisions non-invasive assessment
43
What are important considerations?
does compound reach target does compound interact with target does it exert the intended effect does it exert a beneficial effect on the disease - fMRI, MRI, animal
44
What happens in personalised medicine?
treatment outcomes depend on genotype such as in breast cancer
45
What are some mutations in breast cancer?
ER positive HER2 positive - over expression of EGF BRCA1 and BRCA2 - DNA damage repair issues