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The case for cancer-associated fibroblasts: essential elements in cancer drug discovery? 癌症相关成纤维细胞的案例:癌症药物发现的基本要素?
Pub Date : 2022-01-01 DOI: 10.4155/fdd-2021-0004
Gabrielle Brewer, Anne-Marie Fortier, Morag Park, Christopher Moraes

Although cancer-associated fibroblasts (CAFs) have gained increased attention for supporting cancer progression, current CAF-targeted therapeutic options are limited and failing in clinical trials. As the largest component of the tumor microenvironment (TME), CAFs alter the biochemical and physical structure of the TME, modulating cancer progression. Here, we review the role of CAFs in altering drug response, modifying the TME mechanics and the current models for studying CAFs. To provide new perspectives, we highlight key considerations of CAF activity and discuss emerging technologies that can better address CAFs; and therefore, increase the likelihood of therapeutic efficacy. We argue that CAFs are crucial components of the cancer drug discovery pipeline and incorporating these cells will improve drug discovery success rates.

尽管癌症相关成纤维细胞(CAFs)因支持癌症进展而受到越来越多的关注,但目前针对CAFs的治疗选择有限,并且在临床试验中失败。作为肿瘤微环境(TME)的最大组成部分,CAFs改变TME的生化和物理结构,调节癌症的进展。本文综述了CAFs在改变药物反应中的作用、对TME机制的修改以及目前研究CAFs的模型。为了提供新的视角,我们强调了CAF活动的关键考虑因素,并讨论了能够更好地解决CAF问题的新兴技术;因此,增加了治疗效果的可能性。我们认为,CAFs是癌症药物发现管道的关键组成部分,结合这些细胞将提高药物发现的成功率。
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引用次数: 3
Breakthrough medicines during the COVID-19 pandemic era. COVID-19大流行时期的突破性药物。
Pub Date : 2022-01-01 DOI: 10.4155/fdd-2022-0002
Eswara Naga Hanuma Kumar Ghali, Vijian Dhevan, Shravan K Narmala, Meena Jaggi, Subhash C Chauhan, Murali M Yallapu
Eswara Naga Hanuma Kumar Ghali1,2, Vijian Dhevan3, Shravan K Narmala4, Meena Jaggi1,2, Subhash C Chauhan1,2 & Murali M Yallapu*,1,2 1Department of Immunology & Microbiology, School of Medicine, The University of Texas Rio Grande Valley, McAllen, TX 78504, USA 2South Texas Center of Excellence in Cancer Research, School of Medicine, University of Texas Rio Grande Valley, McAllen, TX 78504, USA 3Department of Surgery, University of Texas Rio Grande Valley, Harlingen, TX 78550, USA 4DHR Health Hematology Oncology Institute, DHR Health, Edinburg, TX 78539, USA *Author for correspondence: Tel.: +956 296 1734; murali.yallapu@utrgv.edu
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引用次数: 0
Kinetic intracellular assay measures compound binding kinetics at intracellular targets within living cells 细胞内动力学测定测量活细胞内细胞内靶标处的化合物结合动力学
Pub Date : 2021-12-01 DOI: 10.4155/fdd-2021-0010
Charles S Lay, Daniel A. Thomas, P. Craggs
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引用次数: 0
Quo vadis artificial intelligence and personalized medicine? Quovadis人工智能和个性化医疗?
Pub Date : 2021-11-12 DOI: 10.4155/fdd-2021-0009
A. Banegas-Luna, Miguel Carmena-Bargueño, H. Pérez‐Sánchez
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引用次数: 0
The role of immunotherapy in treating lung cancer: current status and future perspective 免疫疗法在肺癌治疗中的作用:现状及展望
Pub Date : 2021-10-18 DOI: 10.4155/fdd-2021-0006
Carlton Bijesh Ray, Vinesan Vijayarasa, Maariyah Vankad, M. Sherif, A. Harky
Lung cancers have the worst incident and mortality rates. Cancers such as advanced non-small-cell lung carcinomas are inoperable and often the only treatment available is chemo-radiotherapy. There has been little improvement in long-term survival recently, prompting research into novel treatments. Immune checkpoint inhibitors (ICIs) are a form of immunotherapy used in lung cancer. The efficacy of ICIs is dependent on: the part of the pathway affected; the presence of prognostic biomarkers; the method of efficacy assessment; the stage of the disease and other drugs involved. Monoclonal antibodies, Toll-like receptor agonists and cancer vaccines have shown modest effects on survival. Refinement of treatment regimens and prognostic biomarkers will help improve the survival of patients in the future.
肺癌的发病率和死亡率最高。晚期非小细胞肺癌等癌症是无法手术的,通常唯一可用的治疗方法是放化疗。最近,长期生存率几乎没有改善,这促使人们对新的治疗方法进行研究。免疫检查点抑制剂(ICIs)是一种用于癌症的免疫疗法。ICIs的疗效取决于:受影响的途径部分;预后生物标志物的存在;疗效评价方法;疾病的阶段和所涉及的其他药物。单克隆抗体、Toll样受体激动剂和癌症疫苗对存活率的影响不大。完善治疗方案和预后生物标志物将有助于提高患者未来的生存率。
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引用次数: 1
Role of pharmaceutical sciences in future drug discovery 药物科学在未来药物发现中的作用
Pub Date : 2021-09-01 DOI: 10.4155/fdd-2021-0005
S. Bonam, M. Sekar, Girija S Guntuku, S. G. Nerella, Krishna M Pawar A, S. Challa, Gopala Kmt Eswara, Sivamma Mettu
The recent emergence of COVID-19 influenced the layman’s knowledge of drugs. Although several drugs have been discovered serendipitously, research has moved to the next-generation era of drug discovery. The use of drugs is inevitable and they have become lifesavers in the present era. Although research from different scientific backgrounds has supported the translational research of drug discovery, the prime role of pharmacy has to be remembered. Here we have summarized the role of some important subjects in pharmacy education, which have paved different ways in drug discovery and development.
最近新冠肺炎的出现影响了外行人对药物的认识。尽管有几种药物是偶然发现的,但研究已经进入了药物发现的下一代时代。药物的使用是不可避免的,它们已经成为当今时代的救命稻草。尽管来自不同科学背景的研究支持了药物发现的转化研究,但必须记住药学的主要作用。在这里,我们总结了一些重要学科在药学教育中的作用,它们为药物的发现和开发铺平了不同的道路。
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引用次数: 3
Biofabrication of advanced in vitro and ex vivo cancer models for disease modeling and drug screening 生物制造先进的体外和离体癌症模型,用于疾病建模和药物筛选
Pub Date : 2021-09-01 DOI: 10.4155/fdd-2020-0034
Kylie G. Nairon, A. Skardal
Bioengineered in vitro models have advanced from 2D cultures and simple 3D cell aggregates to more complex organoids and organ-on-a-chip platforms. This shift has been substantial in cancer research; while simple systems remain in use, multi-tissue type tumor and tissue chips and patient-derived tumor organoids have grown rapidly. These more advanced models offer new tools to cancer researchers based on human tumor physiology and the potential for interactions with nontumor tissue physiology while avoiding critical differences between human and animal biology. In this focused review, the authors discuss the importance of organoid and organ-on-a-chip platforms, with a particular focus on modeling cancer, to highlight oncology-focused in vitro model platform technologies that improve upon the simple 2D cultures and 3D spheroid models of the past.
生物工程体外模型已经从2D培养和简单的3D细胞聚集体发展到更复杂的类器官和器官芯片平台。这种转变在癌症研究中具有重大意义;虽然简单的系统仍在使用,但多组织类型肿瘤和组织芯片以及患者来源的肿瘤类器官已经迅速发展。这些更先进的模型为癌症研究人员提供了基于人类肿瘤生理学和与非肿瘤组织生理学相互作用的潜力的新工具,同时避免了人类和动物生物学之间的关键差异。在这篇重点综述中,作者讨论了类器官和芯片上器官平台的重要性,特别关注癌症建模,以强调肿瘤为重点的体外模型平台技术,这些技术改进了过去简单的2D培养和3D球体模型。
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引用次数: 1
An interview with Dr. Mike Robertson on the development of novel drugs for HIV treatment in diverse populations 采访麦克·罗伯逊博士关于开发治疗不同人群艾滋病病毒的新药
Pub Date : 2021-08-09 DOI: 10.4155/fdd-2021-0007
Michael Robertson
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引用次数: 1
COVID-19 vaccines: challenges and promises of trials, manufacturing and allocation of doses COVID-19疫苗:试验、生产和剂量分配的挑战和前景
Pub Date : 2020-11-01 DOI: 10.4155/fdd-2020-0031
B. Spadaro
Tweetable abstract Reflections on challenges and promises of COVID-19 vaccine development show opportunities for innovation and collaboration between stakeholders.
对COVID-19疫苗开发挑战和前景的反思显示了利益攸关方之间的创新和合作机会。
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引用次数: 5
Evaluation of potential anti-COVID-19 therapies 评估潜在的抗covid -19疗法
Pub Date : 2020-11-01 DOI: 10.4155/fdd-2020-0029
Clare L Box, Kevin S J Thompson
COVID-19 – the infectious disease caused by the SARS-CoV-2 virus, a member of the ssRNA coronavirus family – has given rise to over 51.5 million confirmed infections and 1,275,979 deaths worldwide, as of 12 November 2020 [1]. It is known to be related to both the SARS-CoV and MERS-CoV viruses, responsible for severe acute respiratory syndrome and Middle East respiratory syndrome, respectively [2–4]. Human-to-human transmission of COVID-19 is widely recognized to be through a respiratory mechanism [3]. The severity of the disease ranges from asymptomatic to fatal [4,5]. The main reported symptoms include fever, nonproductive cough and loss of taste and smell, with severe cases reporting acute respiratory distress, viral pneumonia and requiring intubation and mechanical ventilation [1,4,6]. To date, there is no clinically approved vaccine available, nor any antiviral drug treatment for severe cases of this disease [1,4]. Virus-encoded anti-infective targets A number of potential drug targets expressed by members of the coronavirus family have been identified. These include the ‘Spike’ glycoprotein, a trimer that binds to ACE2 on the host cell membrane [3,4]. This allows fusion of the viral and host cell membranes and viral entry into the cell [3]. Other potential targets include the cysteine proteases – 3CLpro (also known as Mpro) and PLpro – which are essential for production of new mature virions [7,8]. Another potential target is RdRP, which is needed for replication of the viral genome [5]. Drug repurposing In order to rapidly progress new drug therapies into clinical use against COVID-19, drug repurposing has been widely investigated [9]. This has the advantage that potential therapeutics have already been approved for use in humans [9]. Virtual screening has been widely employed to aid in the repurposing of existing drug therapies for COVID-19 [2,10]. This approach is more rapid and economical than conventional lab-based testing. A number of potential drug treatments have been identified using this process. These include remdesivir, previously used for treatment of the Ebola and hepatitis C viruses and ribavirin, previously used for treatment of respiratory syncytial virus infection, hepatitis C and some hemorrhagic fevers. Remdesivir is reported to target RdRP, whereas ribavirin has been reported to target both 3CLpro and RdRP [2,6,11]. Recently, the US FDA (MD, USA) approved the use of remdesivir for COVID-19 patients aged over 12 years [12]. However, the WHO (Geneva, Switzerland) have released unpublished data from a clinical trial suggesting remdesivir does not reduce the mortality rate, shorten hospital stays or reduce the need for ventilation in patients with severe COVID-19 [1]. Other clinical trials of drug combinations are still ongoing. Development of new therapeutic antiviral agents The need to develop novel, targeted antivirals to treat SARS-CoV-2 infection is clear. However, the drug discovery and development process is lik
COVID-19是由ssRNA冠状病毒家族成员SARS-CoV-2病毒引起的传染病,截至2020年11月12日,全球已造成5150多万例确诊感染和1,275,979例死亡。已知它与SARS-CoV和MERS-CoV病毒都有关系,这两种病毒分别导致严重急性呼吸综合征和中东呼吸综合征[2-4]。COVID-19的人际传播被广泛认为是通过呼吸机制进行的。该病的严重程度从无症状到致命不等[4,5]。报告的主要症状包括发热、无反应性咳嗽和味觉和嗅觉丧失,严重者报告急性呼吸窘迫、病毒性肺炎并需要插管和机械通气[1,4,6]。迄今为止,还没有临床批准的疫苗,也没有针对该病重症病例的抗病毒药物治疗[1,4]。由冠状病毒家族成员表达的许多潜在药物靶点已被确定。其中包括“Spike”糖蛋白,这是一种与宿主细胞膜上的ACE2结合的三聚体[3,4]。这使得病毒和宿主细胞膜融合,病毒进入细胞[3]。其他潜在的靶标包括半胱氨酸蛋白酶3CLpro(也称为Mpro)和PLpro,它们对于产生新的成熟病毒粒子至关重要[7,8]。另一个潜在的靶标是RdRP,它是病毒基因组复制所必需的。为了将新的药物疗法快速应用于临床,药物再利用已经得到了广泛的研究。这样做的好处是,潜在的治疗方法已经被批准用于人类。虚拟筛查已被广泛用于帮助重新利用现有的COVID-19药物治疗[2,10]。这种方法比传统的基于实验室的测试更快速、更经济。许多潜在的药物治疗已被确定使用这一过程。这些药物包括以前用于治疗埃博拉病毒和丙型肝炎病毒的瑞德西韦,以及以前用于治疗呼吸道合胞病毒感染、丙型肝炎和某些出血热的利巴韦林。据报道,Remdesivir靶向RdRP,而利巴韦林同时靶向3CLpro和RdRP[2,6,11]。最近,美国FDA (MD, USA)批准了瑞德西韦用于12岁以上的COVID-19患者。然而,世界卫生组织(瑞士日内瓦)发布了一项未发表的临床试验数据,表明瑞德西韦不能降低COVID-19重症患者的死亡率、缩短住院时间或减少对通气的需求。其他药物组合的临床试验仍在进行中。开发新的治疗性抗病毒药物显然需要开发新的靶向抗病毒药物来治疗SARS-CoV-2感染。然而,药物发现和开发过程可能过于漫长,无法应对当前的大流行。对任何针对SARS-CoV-2靶点的潜在新疗法的结构-活性关系的基本理解是至关重要的。冠状病毒之间氨基酸序列同源性高。例如,SARS-CoV-2刺突糖蛋白和3CLpro与SARS-CoV的氨基酸序列同源性分别为76%和96%[2,10]。在序列同源性高且蛋白质结构相似的情况下,针对SARS-CoV开发的抑制剂可能对SARS-CoV-2有效[5,9]。如果没有,这些化合物至少可能为优化和随后的药物开发提供良好的线索[5,9]。计算建模和虚拟筛选可以帮助快速识别导联,在实验室功能测试和x射线晶体学的支持下,生成新的结构-活性关系,进一步优化导联。当设计检测潜在治疗方法时,重要的是要考虑目标蛋白的功能状态。例如,来自sars冠状病毒的3CLpro被发现仅在溶液[13]中作为二聚体具有活性。研究还表明,在C端或n端附加的亲和力标签可能会降低其酶活性[13]。由于与SARS-CoV-2的3CLpro序列高度同源,在建立合适的筛选方法时应检查这些标准[2,13]。基于fret的荧光底物试验和未标记的3CLpro已被用于确定靶向SARS-CoV 3CLpro的潜在药物样配体的IC50[8,13]。同样,等温滴定量热法(ITC)已被用于确定潜在药物[8]的结合亲和力。宿主编码的治疗靶点ACE2在肺泡上皮细胞(以及心脏、肾脏和睾丸)上表达,是SARS-Cov-2刺突糖蛋白结合[3]的靶点。 这种相互作用允许SARS-CoV-2膜与宿主细胞融合并进入病毒基因组[3]。已经试验了一种可能的治疗方法,使用重组可溶形式的人ACE2来阻断Spike与细胞表面表达的ACE2的结合。这可以阻止病毒进入宿主细胞,阻断病毒复制,减少病毒负担[3,14]。我们使用无标记表面等离子体共振(SPR)技术分析ACE2和Spike糖蛋白之间的生物分子相互作用的未发表的观察结果很好地证明了这一点。与可溶性ACE2预孵育的穗糖蛋白显著降低了固定在SPR传感器表面的穗与ACE2的结合。抗炎药物COVID-19的治疗不仅限于抗病毒药物。它们还包括使用药物来减少宿主的免疫反应。一个有文献记载的问题是Ang II的增加,除了其心血管作用外,它还作为炎症蛋白[16]。angii被ace2[16]降解。刺突-ACE2复合物的内吞作用,即SARS-CoV-2进入细胞的机制,被认为会导致ACE2可用性降低,进而导致Ang II的增加。高水平的Ang II结合AT1导致信号级联,导致促炎反应[16]。这反过来又可能导致急性呼吸窘迫。有人提出AT1阻滞剂可用于与Ang II竞争AT1结合位点[16]。对各种AT1阻滞剂的亲和力已经用放射性配体结合试验[16]来测量,[16]是药物发现过程中另一个有用的工具。其他减少炎症反应的方法包括使用地塞米松等皮质类固醇治疗,使用呼吸机的患者死亡率可降低三分之一。这种治疗方法对严重感染的患者很有用,可以减少副作用。然而,皮质类固醇没有抗病毒特性,不推荐用于早期疾病bbb的治疗。以抗体为基础的疗法输注来自covid -19感染后康复的献血者的血浆,其中含有针对SARS-CoV-2抗原的抗体,已被预防性地用于预防高危人群的感染[18,19]。然而,来自单个感染后供体的血浆最多只能满足三个受体。使用靶向病毒刺突糖蛋白的重组单克隆抗体并大量生产,克服了感染后血浆供应有限的问题[18,19]。单克隆抗体在重症患者中的临床试验正在进行中,但有效的治疗方法尚未被批准[1,18]。所有这些蛋白质输注疗法(抗体和可溶性ACE2)都受到宿主蛋白质降解的限制,需要定期再治疗以维持保护。与大多数病毒性疾病一样,通过全球疫苗接种计划预防在宿主中建立感染和随后的病毒传播被认为是最成功的方法。在等待有效疫苗获得批准的同时,许多国家正在实施社交距离和使用面罩来控制病毒bbb的传播。对有效疫苗的需求是显而易见的。据报道,目前正在进行150多项疫苗试验[1,4]。大多数疫苗针对SARS-CoV-2刺突糖蛋白[4]。各种类型的疫苗目前正在进行不同阶段的临床试验,包括蛋白质亚单位疫苗、基于rna的疫苗和复制病毒载体疫苗[4]。辉瑞(美国纽约州)和BioNTech(德国美因茨)最近宣布,他们的密码子优化mRNA疫苗(BNT162b1)三期试验在预防COVID-19感染方面的有效性为90%。然而,这些数据还没有经过同行评审。一种有效的疫苗将有助于防止疾病的传播,使社会保持距离的措施得以缓解,并使社会恢复正常。结论:虽然药物再利用取得了一些有限的成功,但很明显,需要一种靶向抗病毒药物来治疗持续的SARS-CoV-2感染患者。针对SARS-CoV-2的疫苗最有可能防止感染在宿主体内建立,从而防止病毒的进一步传播,从而降低全球死亡率。
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Future drug discovery
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