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PHARMACOGENOMICS AS
PERSONALIZED MEDICINE IN
DRUG DEVELOPMENT
HIRA AROOJ
PHARMACOGENOMICS ..?
How genes affect a person’s
response to drugs
combines pharmacology (the
science of drugs) and
genomics (the study of genes
and their functions)
develop effective, safe
medications that can be
prescribed based on a
person’s genetic makeup
SCENERIO
1 TAB XY DRUG
DIAGNOSIS
PERSONALIZED MEDICINE
• President’s Council of Advisors on Science and
Technology defines PM as “the tailoring of medical
treatment to the specific characteristics of each
patient.[It]does not literally mean the creation of
drugs or medical devices that are unique to a
patient. Rather, it involves the ability to classify
individuals into subpopulations that are uniquely or
disproportionately susceptible to a particular
disease or responsive to a specific treatment.”
• NCI defines PM as “a form of medicine that uses
information about a person’s genes, proteins, and
environment to prevent, diagnose, and treat
disease.”
“Doctorshavealwaysrecognizedthat
everypatientisunique,anddoctorshave
alwaystriedtotailortheirtreatmentsas
besttheycantoindividuals.Youcan
matchabloodtransfusiontoabloodtype
—thatwasanimportantdiscovery.Whatif
matchingacancercuretoourgenetic
codewasjustaseasy,justasstandard?
Whatiffiguringouttherightdoseof
medicinewasassimpleastakingour
temperature?”--PresidentBarack
Obama,January30,2015
ROLE OF PHARMACOGENOMICS IN DRUG
DEVELOPMENT PROCESS
STRUCTURAL
PHARMACOGENOMICS
FNCTIONAL
PHARMACOGENOMICS
GENE mapping
CHROMOSOME
mapping
DNA Sequencing
SNP
Polymorphism
Drug target
interaction
Gene expression
Linkage analysis
Disease marker
Drug development and optimization
Functional
changes by
structural
makeup
Structural
difference in
genetic
makeup
PHARMACO-
GENOMICS IN
DRUG DISCOVERY
AND
DEVELOPMENT
TARGET
IDENTIFICATION
AND
OPTIMIZATION
PHARMACO-
GENOMIC
MARKERS
DRUG
REPOSTIONING
AND DRUG
ADVERSE
REACTIONS
DRUG
RESISTANCE and
DRUG TARGET
POLYMORPHISM
DRUG
TRANSPORTERS
DRUG
METABOLIZING
ENZYMES
Based on
pharmacogenomic
profile determines
safety and efficacy
Utilization of SNP’s gene
Based on sensitivity and
activity profile of drugs
Use for identification
of pharmacological
identification for older
molecules
Expression level of different
proteins of drug
transportation, metabolism,
drug distribution
Molecular and functional
characterization of drug
transporters through
cloning and structural
elucidation
Ultra rapid metabolizers,
extensive metabolizers,
intermediate
metabolizes and poor
metabolizers
Poor and
intermediate
Normal
metabolizer
Ultra rapid
metabolizer
HOW DOES PHARMACOGENOMICS
WORK???
Your DNA can affect multiple steps in this process
to influence how you respond to the drug
DRUG RECEPTOR
Breast Cancer and T-DM1
STATINS AND MUSCLE PROTEINS
DRUG UPTAKE
Depression and Amitriptyline
DRUG BREAKDOWN
DRUG TARGTED DEVELOPMENT CYSTIC FIBROSIS
this all work is done by using system
CHEMINOFRMATICS
Gathering and systematic use of chemical information, and
application of this information to predict the behavior of
unknown compounds in-silico
Pharmacogenomics Medicinal chemistry and CADD
 Identification of chemical
structure, SNP’s, genetic
variations
 Synthesis design
 Molecular modeling and docking
STEP BY STEP PROCESS LEADING TO NEW DRUG CANDIDATE
GENOME GENE PROTEIN HTS HIT LEAD CANDIDATE DRUG
GENOMICS
BIOINFORMATICS
STRUTURAL CHEMISTRY
CHEMINFORMATICS
STRUCTURE BASED DRUG DESIGN
ADMET MODELING
CFTR Protein
PGx as personalized medicine in drug development

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PGx as personalized medicine in drug development

  • 1. PHARMACOGENOMICS AS PERSONALIZED MEDICINE IN DRUG DEVELOPMENT HIRA AROOJ
  • 2. PHARMACOGENOMICS ..? How genes affect a person’s response to drugs combines pharmacology (the science of drugs) and genomics (the study of genes and their functions) develop effective, safe medications that can be prescribed based on a person’s genetic makeup SCENERIO 1 TAB XY DRUG
  • 3.
  • 5. PERSONALIZED MEDICINE • President’s Council of Advisors on Science and Technology defines PM as “the tailoring of medical treatment to the specific characteristics of each patient.[It]does not literally mean the creation of drugs or medical devices that are unique to a patient. Rather, it involves the ability to classify individuals into subpopulations that are uniquely or disproportionately susceptible to a particular disease or responsive to a specific treatment.” • NCI defines PM as “a form of medicine that uses information about a person’s genes, proteins, and environment to prevent, diagnose, and treat disease.” “Doctorshavealwaysrecognizedthat everypatientisunique,anddoctorshave alwaystriedtotailortheirtreatmentsas besttheycantoindividuals.Youcan matchabloodtransfusiontoabloodtype —thatwasanimportantdiscovery.Whatif matchingacancercuretoourgenetic codewasjustaseasy,justasstandard? Whatiffiguringouttherightdoseof medicinewasassimpleastakingour temperature?”--PresidentBarack Obama,January30,2015
  • 6. ROLE OF PHARMACOGENOMICS IN DRUG DEVELOPMENT PROCESS STRUCTURAL PHARMACOGENOMICS FNCTIONAL PHARMACOGENOMICS GENE mapping CHROMOSOME mapping DNA Sequencing SNP Polymorphism Drug target interaction Gene expression Linkage analysis Disease marker Drug development and optimization Functional changes by structural makeup Structural difference in genetic makeup
  • 7. PHARMACO- GENOMICS IN DRUG DISCOVERY AND DEVELOPMENT TARGET IDENTIFICATION AND OPTIMIZATION PHARMACO- GENOMIC MARKERS DRUG REPOSTIONING AND DRUG ADVERSE REACTIONS DRUG RESISTANCE and DRUG TARGET POLYMORPHISM DRUG TRANSPORTERS DRUG METABOLIZING ENZYMES Based on pharmacogenomic profile determines safety and efficacy Utilization of SNP’s gene Based on sensitivity and activity profile of drugs Use for identification of pharmacological identification for older molecules Expression level of different proteins of drug transportation, metabolism, drug distribution Molecular and functional characterization of drug transporters through cloning and structural elucidation Ultra rapid metabolizers, extensive metabolizers, intermediate metabolizes and poor metabolizers Poor and intermediate Normal metabolizer Ultra rapid metabolizer
  • 8.
  • 9. HOW DOES PHARMACOGENOMICS WORK??? Your DNA can affect multiple steps in this process to influence how you respond to the drug
  • 11. STATINS AND MUSCLE PROTEINS DRUG UPTAKE
  • 13. DRUG TARGTED DEVELOPMENT CYSTIC FIBROSIS
  • 14. this all work is done by using system CHEMINOFRMATICS Gathering and systematic use of chemical information, and application of this information to predict the behavior of unknown compounds in-silico Pharmacogenomics Medicinal chemistry and CADD  Identification of chemical structure, SNP’s, genetic variations  Synthesis design  Molecular modeling and docking
  • 15. STEP BY STEP PROCESS LEADING TO NEW DRUG CANDIDATE GENOME GENE PROTEIN HTS HIT LEAD CANDIDATE DRUG GENOMICS BIOINFORMATICS STRUTURAL CHEMISTRY CHEMINFORMATICS STRUCTURE BASED DRUG DESIGN ADMET MODELING CFTR Protein

Editor's Notes

  1. When conducting research, it is easy to go to one source: Wikipedia. However, you need to include a variety of sources in your research. Consider the following sources: Who can I interview to get more information on the topic? Is the topic current and will it be relevant to my audience? What articles, blogs, and magazines may have something related to my topic? Is there a YouTube video on the topic? If so, what is it about? What images can I find related to the topic?
  2. Once you find your sources, you will want to evaluate your sources using the following questions: Author: Who is the author? Why should I believe what he or she has to say on the topic? Is the author seen as an expert on the topic? How do you know? Current: How current is the information in the source? When was the source published? Is the information out-of-date? Accuracy: Is the content accurate? Is the information presented objectively? Do they share the pros and cons?
  3. After consulting a variety of sources, you will need to narrow your topic. For example, the topic of internet safety is huge, but you could narrow that topic to include internet safety in regards to social media apps that teenagers are using heavily. A topic like that is more specific and will be relevant to your peers. Some questions to think about to help you narrow your topic: What topics of the research interest me the most? What topics of the research will interest my audience the most? What topics will the audience find more engaging? Shocking? Inspiring?
  4. Now, that you have narrowed your topic, you will want to organize your research in a structure that works. There are some common organizational patterns based on the kind of research you are doing. Organizational Structures: Cause and Effect- this kind of structure is great for explaining the causes and effects of a topic Compare and Contrast- in this pattern you highlight the similarities and differences of the topic Explain process- this structure is great for outlining a series of steps to follow; Definition- if you want to make sure your audience understands what something is using illustrations, meanings, clarifying misconceptions, you may want to use this structure Classification- a common organizational structure is grouping like topics or facts from the research together. For instance, in the internet safety about social media apps, you may organize the research where you look at each social media app one at a time
  5. After you’ve done your research, it’s time to put your presentation together. The first step in the process is to introduce the topic. This is a great time to connect your topic to something that your audience can relate. In other words, why should they listen to all the information you will be sharing in your research presentation? What is in it for them? You may also want to include a graphic or image to grab their attention. Feel free to duplicate this slide by right-clicking on this slide in the slides pane to the left and select Duplicate Slide. The next step in your presentation is to state your claim or topic clearly. Your teacher may even call this your thesis. As you state your thesis, you may find that this layout is not the best layout for your claim or topic. You can change the layout by clicking the drop-down menu next to the Layout in the Slides menu section. You can choose Two Content, Comparison, or Picture with Caption. Note: A different layout might change the look of the icons on this page. You will also want to state your facts. You have done the research now share some of the interesting facts with your audience. Facts do not have to be boring; you can communicate facts in a variety of ways by going to the Insert Tab. In the Insert tab you can: Insert pictures from your computer or online. Add a chart Create some SmartArt Insert a variety of icons to help your facts come to life. Note: You can change the color of the icons by selecting the icon and then click on the Format tab and then Graphics Fill. From there, you will choose a color from the list or choose More Fill Colors to give you more options. Since this research presentation is a result of your hard work and searching, you want to make sure you support the claims or points in your presentation with facts from your research findings. Make sure you give the author proper credit for helping you share your ideas. If one of your sources has a video that is relevant to your topic, you can add the video as added support. Keep in mind the length of the video and the amount of time you have for your presentation. For a 5 minute speech, the video should be no longer than 30 seconds. Questions to consider: How will you state the author of the source? Will you need to cite the source on the slide? What are some ways you can engage your audience so they feel like they are a part of the presentation? Some ideas to consider is by taking a quick poll like: by a show of hands, how many of you think school uniforms are a way to cut down on bullying? Another suggestion is to have them hold up a certain number of fingers to see if they agree or disagree. Finally, you can share a story that the audience can relate to that makes them laugh. After all the applause, your audience may have some questions. Be prepared to answer some of their questions by making a list of questions you think they might ask. You may also want to share the presentation with them by providing the link to your presentation, if they want more information.
  6. You can use this slide as your opening or closing slide. Should you choose to use it as a closing, make sure you review the main points of your presentation. One creative way to do that is by adding animations to the various graphics on a slide. This slide has 4 different graphics, and, when you view the slideshow, you will see that you can click to reveal the next graphic. Similarly, as you review the main topics in your presentation, you may want each point to show up when you are addressing that topic. Add animation to images and graphics: Select your image or graphic. Click on the Animations tab. Choose from the options. The animation for this slide is “Split”. The drop-down menu in the Animation section gives even more animations you can use. If you have multiple graphics or images, you will see a number appear next to it that notes the order of the animations. Note: You will want to choose the animations carefully. You do not want to make your audience dizzy from your presentation.