Lecture 23 - Drug Discovery and Development Flashcards

1
Q

Functional classification of Protein Theraputics

Group I: Enzymes and regulatory proteins - Ia

A

Replaces a protein that is deficient or abnormal (ex. insulin, growth hormone, factor VIII, factor IX)

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2
Q

Functional classification of Protein Theraputics

Group I: Enzymes and Regulatory Proteins - Ib

A

Augmenting a existing pathway (ex. EPO, G-CSF, IL-11, FSH, HCG, interferons)

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3
Q

Functional classification of Protein Theraputics

Group I: Enzymes and regulatory proteins - Ic

A

Providing a novel function or activity (ex. botulinum toxin, streptokinase)

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4
Q

Functional classification of Protein Theraputics

Group II: Targeted proteins - IIa

A

Interfering with a molecule or organism (ex. Avastin to treat colon cancer, anti-TNF antibodies, anti-CD20, anti-CD3)

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5
Q

Functional classification of Protein Theraputics

Group II: Targeted Proteins - IIb

A

Delivers other compounds or proteins (ex. Ontak: anti-IL2 antibody, cancer drug delivery)

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6
Q

Functional classification of Protein Theraputics

Group III: Protein vaccines - IIIa

A

Protecting against a deleterious foreign agent (e. HPV vaccine, Prevnar 13)

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7
Q

Functional classification of Protein Theraputics

Group III: Protein vaccines - IIIb

A

Treating an autoimmune disease (ex. Anti-Rh IgG)

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8
Q

Functional classification of Protein Theraputics

Group III - Protein vaccines - IIIc

A

Treats cancer (under development)

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9
Q

Functional classification of Protein Theraputics

Group IV: Protein diagnostics

A

Secretin (pancreatic exocrine dysfunction, gastinoma), HIV antigens, Hep C antigens, GHRH (abnormal growth hormone release), ACTH (adrenal insufficiency), glucagon (aid to slow GI motility)

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10
Q

What is a biomarker?

A

A biological molecule found in blood, other body fluids, or tissues that is a sign of a normal or abnormal process, or of a condition or disease

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11
Q

What is drug discovery?

A

Spans the period from the identification of a potential therapeutic target to the selection of molecules to be tested in humans (everything before preclinical trials)

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12
Q

What is drug development?

A

The period from the preclinical studies tat support clinical trials to te approval of the drug by regulatory authorities (Usually 3 phases of clinical trials)

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13
Q

What are the advantages to a compound-centered approach to drug discovery?

A
  • Bioactive or natural products already have certain biological activity
  • May be easier to isolate compound from natural source than synthesize
  • May be feasible to use the natural compound as a starting point to form a semisynthetic product

Microorganisms, plants, animals, synthetic chemicals, natural ligands

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14
Q

What are the disadvantages to a compound-centered approach to drug discovery?

A
  • It takes significant effort to isolate and synthesize a natural product
  • In vivo mechanism of action is often unknown for many atural products at first
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15
Q

Examples of drugs made using a compound-centered approach

A

Cyclosporine, Digoxin, Morphine, Penicillin G, Streptokinase

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16
Q

What is the target-centered approach to drug discovery?

A

Uses a known molecule in the disease pathway as a target (ex. receptors, enzymes, transporters, kinases, and ion channels)

17
Q

What are the advantages of Target-centered drug discovery?

A
  • If the validated target has been associated wit a disease process, a hit has a relatively high likelyhood of useful pharmacologic activity
  • It may be easier to devise assays capable of isolating the effect of potential hits on the known target