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THE QUEST FOR THE CURE
THE DRUG DISCOVERY CRISIS

     Are we running out of drugs??
HOW DO DRUGS WORK
            Most drugs (their active principle) are small molecules



                                                           OMEPRAZOL

DIAZEPAM
                                 IBUPROFEN




                                                         PROZAC




 ATORVASTATIN
DRUGS OF ABUSE

                                                   C
                                                   o
                                                   c
                                                   a
                                                   i
                                                   n
                                                   e
   Morphine


                                             Cannabinol (THC)




Heroine (Bayer, 1874)

                        The active principle is also a small molecule
                        Addiction as a side effect makes them not useful
HOW DO DRUGS WORK
Protein                                Drugs work by binding to specific proteins (enzymes)
                                       and modifying their activity

                                       The selectivity of a drug in provided by the 3D
                                       structure of the target protein




     Antibiotics and antivirals are drugs that inhibit bacterial and viral proteins,
     while leave ours untouched
      Besides the large number of drugs available,
      only 2% of the human proteins are known to targeted by the drugs
HOW NEW DRUGS ARE
           DISCOVERED
In the past:

• by identifying the active ingredient from traditional
  remedies (plant extracts…etc. )
• by serendipitous discovery (e.g. penicillin,
  benzodiazepines)

Nowadays:

• Large scale testing of chemical collections
• Rational design
HOW NEW DRUGS ARE
                       DISCOVERED

Basic Science                          Screening thousand
                                          of compounds


  Target        Development of an assay
 candidate       for the desired activity                   Preclinical & clinical studies




                                   Rational design based on :
                                 • Structure of the target.
                                 • Modification of known drugs
STAGES IN THE DRUG DISCOVERY PROCESS
Target selection




 Food and Drug Administration (FDA) in the United States (or comparable agency in other countries)

  The development of a new drug can take several decades and billion dollars invested

                                  Lombardino & Lowe. Nature Reviews Drug Discovery (2004) 3, 853-862
THE DRUG DISCOVERY CRISIS
                                    The future
                              • The better understanding of human
                                biology will offer new candidates to find drugs
Are we running out of drugs??   (We must support basic research!!!)

                               • New technologies for the rational design of drugs
                                 are in development. They will reduce costs and
                                 will provide new medicines.

                               • There is little knowledge yet about how
                                drugs interact.

                               • Gene therapy methods will join the “small molecule”
                                 toolbox once their safety is assured.

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Alp Drug discovery and development

  • 1. THE QUEST FOR THE CURE
  • 2. THE DRUG DISCOVERY CRISIS Are we running out of drugs??
  • 3. HOW DO DRUGS WORK Most drugs (their active principle) are small molecules OMEPRAZOL DIAZEPAM IBUPROFEN PROZAC ATORVASTATIN
  • 4. DRUGS OF ABUSE C o c a i n e Morphine Cannabinol (THC) Heroine (Bayer, 1874) The active principle is also a small molecule Addiction as a side effect makes them not useful
  • 5. HOW DO DRUGS WORK Protein Drugs work by binding to specific proteins (enzymes) and modifying their activity The selectivity of a drug in provided by the 3D structure of the target protein Antibiotics and antivirals are drugs that inhibit bacterial and viral proteins, while leave ours untouched Besides the large number of drugs available, only 2% of the human proteins are known to targeted by the drugs
  • 6. HOW NEW DRUGS ARE DISCOVERED In the past: • by identifying the active ingredient from traditional remedies (plant extracts…etc. ) • by serendipitous discovery (e.g. penicillin, benzodiazepines) Nowadays: • Large scale testing of chemical collections • Rational design
  • 7. HOW NEW DRUGS ARE DISCOVERED Basic Science Screening thousand of compounds Target Development of an assay candidate for the desired activity Preclinical & clinical studies Rational design based on : • Structure of the target. • Modification of known drugs
  • 8. STAGES IN THE DRUG DISCOVERY PROCESS Target selection Food and Drug Administration (FDA) in the United States (or comparable agency in other countries) The development of a new drug can take several decades and billion dollars invested Lombardino & Lowe. Nature Reviews Drug Discovery (2004) 3, 853-862
  • 9. THE DRUG DISCOVERY CRISIS The future • The better understanding of human biology will offer new candidates to find drugs Are we running out of drugs?? (We must support basic research!!!) • New technologies for the rational design of drugs are in development. They will reduce costs and will provide new medicines. • There is little knowledge yet about how drugs interact. • Gene therapy methods will join the “small molecule” toolbox once their safety is assured.