The route to new therapeutics often ends in costly failure. The secret of success is the rapid and accurate identification of drug targets with true potential, says Caitlin Smith.
David Szymkowski says drug failures can be due to poor target validation.
For the pharmaceutical industry, the Human Genome Project has proved to be both a blessing and a curse. Where potential drug targets were once hard to come by, the industry is now awash with them. This has left researchers with the unenviable challenge of sifting through the data in search of the elusive proteins that are instrumental in human disease.
Akin to seeking a needle in a haystack, this herculean task has boosted the importance of rapid screening technologies. Of the roughly 35,000 genes in the human genome, only a few have known functions. So the task of identifying and verifying a positive lead is key to effective drug development.
Drugs fail in the clinic for two basic reasons: they either don't work or they prove to be unsafe. "Both of these are often the direct result of sloppy early target validation," says David Szymkowski, director of biotherapeutics at the biopharmaceutical company Xencor in Monrovia, California.
Validation is a crucial step in the drug-discovery process. Most drugs are inhibitors that block the action of a particular target protein. But the only way to be completely certain that a protein is instrumental in a given disease is to test the idea in humans. Obviously such clinical trials cannot be used for initial drug development, which means that a potential target must undergo a validation process — its role in disease must be clearly defined before drugs are sought that act against it, or before it is used to screen large numbers of compounds for drug activity.
Deciding to develop a drug against a particular target is a big commitment in terms of time and money. Once a target enters a pharmaceutical company's pipeline, it can take about 12 years to develop a marketable drug. Each new drug that reaches the market represents research and development costs of close to US$1 billion.
"Reducing failures early in development is far more important than filling a pipeline with poorly chosen late-stage products likely to fail, and fail expensively," says Szymkowski.
Purifying proteins for functional assessment at Xencor
Computer models are a fast, relatively cheap option for initial screening of both targets and potential drugs. These models usually focus on how the two types of candidate structures interact with each other.
De Novo Pharmaceuticals in Cambridge, UK, has a suite of software for the process, covering virtual screens, docking programs and ligand-based design.
If the structure of the target protein's active site is known, the company's SiteExplorer can predict potential drug-binding sites, and can evaluate interactions between these sites and the drug candidates. If the structure is unknown, then its Quasi2 software will produce a virtual protein based on molecular features known to be important in binding in other targets. Drugs can then be designed against the model.
De Novo also offers software to aid the design of chemical probes used in target validation. The SkelGen suite of programs can then use these data to generate new chemical structures optimized for interaction with a target's active site.
The company is collaborating with GeneFormatics of San Diego, California, in a programme focused on inhibitors of the M10 family of matrix metalloproteinases, enzymes that are involved in cancer and inflammatory disorders. GeneFormatics is using proteomics to identify the target enzymes and characterize their active sites, while De Novo is running docking models and virtual screens of small molecules against the proteins.
Software that can model drug–receptor interactions is available from a number of companies including Tripos of St Louis, Missouri; Accelrys in San Diego, California; and Metaphorics in Mission Viejo, California. In addition, some software is available free to researchers at non-profit organizations, such as AutoDock 3 made by the Scripps Research Institute in La Jolla, California, and GOLD from the Cambridge Crystallographic Data Centre, UK. Molsoft in La Jolla, California, which makes the ICM molecular modelling software, last month released an ICM browser for the Apple Macintosh.
The Accelrys suite of structural homology programs identifies the possible function, fold family and three-dimensional structure of target proteins by comparing them with sequences and structural homologues of known function. Once the protein's structure is determined, functional information can be gleaned using different modules within Accelrys's Insight II program, which supports a number of processes including X-ray crystallography, nuclear-magnetic-resonance studies and protein engineering.
Target Engine from LION Bioscience in Heidelberg, Germany, aids target selection by offering the ability to analyse gene sequence and expression data, find homologous structures, map potential functional features onto protein structure, view related gene annotation and protein pathway information and use text mining to find functional relationships.
In biotherapeutics, proteins themselves are developed as active drugs. One software suite designed to help optimize protein function is Protein Design Automation (PDA) produced by Xencor. "We don't screen DNA sequences," says Szymkowski. "More specifically, PDA computationally screens massive numbers of amino-acid changes in a known protein structure." It then derives functional information from the three-dimensional protein structure and designs novel features into the protein to optimize its function.
Xerion's XCALIBUR switches off target proteins by laser.
Another route to target validation hinges on disrupting gene expression to reduce the amount of the corresponding protein, and so identify the physiological role of the target. Examples of this technique include gene knockouts, antisense technology and RNA interference (RNAi).
In the realm of drug discovery, antisense technology — the use of short oligonucleotides to target specific messenger RNAs for destruction — was developed as a way of finding oligonucleotide-based drugs that interfere with gene expression, rather than with protein function. But the technology is currently enjoying greater success as a high-throughput method of target validation because it offers a highly specific and efficient way to inhibit the expression of potential target proteins in vitro and in vivo.
GeneTrove, the genomics division of Isis Pharmaceuticals in Carlsbad, California, is one of the companies active in this field. It is focusing on the untapped pool of potential therapeutic target RNAs for both target validation and drug discovery, says Nicholas Dean, GeneTrove's vice-president of functional genomics. It offers custom target-validation packages that include optimized antisense inhibitors against any target of interest and control oligonucleotides for testing in cell-culture model systems. It also applies antisense technology to target validation in vivo in animal models.
Biognostik, a biotechnology company in Göttingen, Germany, offers a drug-target validation kit that can be used in vitro or in vivo. It includes five target-specific phosphorothioate antisense inhibitors and two random-sequence oligonucleotides to control for nonspecific effects. It has also developed a sequence-design system called RADAR, which determines antisense oligonucleotides based on specificity, minimal nonspecific effects or protein binding, and the ability to be taken up into cells.
Sequitur, a functional-genomics company in Natick, Massachusetts, has a slightly different approach to rapid target validation. It combines an antisense library with high-throughput DNA microarray assays to test the effects of the antisense molecules on gene expression. The company's technology was used recently to validate a major therapeutic target for Alzheimer's disease. Sequitur also carries out target validation based on RNAi (see 'The silent treatment', page 343).
Custom phosphorothioate antisense oligonucleotides for research are available from firms such as Sigma-Genosys at the Woodlands, Texas; atugen in Berlin, Germany; and Integrated DNA Technologies in Coralville, Iowa. Gene Tools in Philomath, Oregon, offers morpholino antisense oligonucleotides, and Danish companies Cureon in Copenhagen and Exiqon in Vedbæk offer modified oligonucleotides based on 'locked nucleic acid' technology that can be used for antisense.
The proteomics approach
One disadvantage of doing target validation at the genetic level is that many genes produce several different protein isoforms, which can have subtly different functions (see 'A question of form', page 341). Post-translational modifications can also give protein variations. As a result, a developing approach in target validation is to focus on manipulating the activity of the potential target protein itself. "As the vast majority of drugs target proteins, validating targets is best done by modulating protein activity, not expression levels," Szymkowski says.
Proteomics — the study and manipulation of the protein make-up of a cell — is making it easier to distinguish and target just one specific form of a protein. This allows researchers to avoid unwanted changes in the expression of other proteins — another potential drawback of genetic manipulations.
Stefan Henning, director of functional biology at Xerion Pharmaceuticals in Martinsried, Germany, agrees that validation at the proteomics level is a powerful approach. "On a technical level, the development of protein microarrays, multidimensional liquid-based protein separation and technologies that manipulate protein expression and protein–protein interactions will have their impact," he says.
Xencor has developed ProCode, which enables researchers to study the functions of a cell's protein make-up. A ProCode library is a protein-expression library from any cell or tissue of interest, in which every protein (after translation) is tagged with a plasmid, a small circular piece of DNA containing its corresponding complementary DNA (cDNA). The library can be expressed in cultures of the appropriate mammalian cells so that proper protein folding and processing are retained. The expressed proteins can be screened for their interactions with potential drugs, and the cDNA tags allow easy identification of any protein that gives a positive reaction.
Xerion's XCALIbur carries out simultaneous identification and functional validation of potential drug targets. Using target-specific antibodies to identify the proteins and chromophore-assisted laser inactivation (CALI) to 'switch off' target proteins by photochemically modifying their functional sites, XCALIbur can validate specific targets for particular diseases or find new potential targets with disease-associated functions.
XCALIbur is incorporated into the Xstream platform, which takes a disease-based approach to target validation. It searches for hits from a suite of antibodies specifically created against the proteome of a diseased cell. The antibodies bind near to functional sites of proteins and contain dyes that are released by CALI, thereby inactivating the proteins' functional sites. If this inactivation has an effect on the disease, the protein is precipitated by the attached antibody and analysed by mass spectroscopy and database searches.
Validation in vivo
One of the most important tests for a potential drug is an assessment of its role in disease in an animal model. But animal models for certain diseases, such as psychiatric illnesses, are extremely difficult to develop.
"The greatest challenge in target validation is the procurement or development of the correct animal models for the human disease in question," says Bob Gordon, De Novo's vice-president of biology. "For example, there are few, if any, reliable animal models for stroke. So validation is effectively done in phase III trials in the clinic. Progress in this disease area is understandably slow and expensive."
In vivo target validation using gene knockouts, in which genes are deleted or disrupted to halt their expression, is a powerful method of predicting drug action. "Many of the targets for the top-selling drugs of the biopharmaceutical industry have been knocked out," says Arthur Sands, president and chief executive of Lexicon Genetics in the Woodlands, Texas.
This kind of target validation is based on the assumption that knocking out the gene for the potential target has the same effect as administering a highly specific inhibitor of the target protein in vivo.
"With the effective use of mouse knockout technology, expensive drug-discovery activities can be focused on the drug targets that are most likely to lead to breakthrough therapeutics," says Sands. Furthermore, target-specific side effects can be discovered before time and money are invested in drug design.
But mammals are not the only creatures in use — zebrafish have recently entered the fray as a model animal for some human diseases. The fish are more affordable, easier to keep, and faster to raise than mammals, giving a higher-throughput system. Drugs can also be tested for toxicity and their potential therapeutic activity against the target more easily than in mammals.
Perhaps surprisingly, genes that cause disease in zebrafish are similar to those in humans, for example in angiogenesis, inflammation and insulin regulation. The transparency of zebrafish embryos also makes them suitable for large-scale, high-throughput genetic and drug screens.
Zygogen in Atlanta, Georgia, has developed a transgenic zebrafish system called Z-Tag which can be used for target validation. The company can also make various zebrafish organs visible by tagging the tissues with fluorescent markers.
One of the most widely used models of human disease is the mouse, but working with mice can be both time-consuming and expensive. Lexicon Genetics has met this challenge by industrializing the generation of mouse knockouts, using gene targeting, gene trapping and mouse embryonic-stem-cell technologies. The result is the company's Genome 5000 programme, which aims to analyse 5,000 genes over the next five years — over 750 have already been done. Custom transgenic and knockout mice are also available from Deltagen in Redwood City, California, and memorec stoffel in Cologne, Germany.
Researchers are slowly but surely making progress in validating the targets revealed by the Human Genome Project. But proving that a target protein has a causative role in human disease remains a real challenge. "The most exciting technologies are, and will be, those that address the issue of elucidating causative roles of targets in human disease, as opposed to simple associations," says Aram Adourian, a senior director at the biopharmaceutical firm Beyond Genomics in Waltham, Massachusetts (see 'A whole picture', page 345).
More challenging tasks lie in discovering the effects of interactions between newly validated targets in both healthy and diseased models. Such complex information will require not only information systems to correlate multiple variables and outcomes, but also a sophisticated knowledge of protein–protein interactions under a variety of conditions. But for now, researchers are taking it one target at a time.