Planning Committee/Program Chairs
Albert P. Li, Phase 1 Molecular
Toxicology, Inc.
Chandra Prakash, Pfizer Global Research & Development
John Watson, Promega Corp.
Session I:
Prediction of Human Drug Toxicity
(Chair:
Albert P. Li)
9:00 AM – 9:30 AM
Overview: Why did we fail in
the prediction of human drug toxicity? (Albert P. Li, Phase 1 Molecular Toxicology, Inc.,
Santa Fe, NM) There were over thirty drugs that
were associated with severe, often fatal, drug toxicity which was realized only
after marketing. In this overview, the current practice in drug
development is critically reviewed. The roles of new technologies such as
human in vitro experimental systems, toxicogenomics, toxicoproteomics, and
toxicometabolomics, in the early prediction of human drug toxicity will be
discussed.
9:30 AM – 10:00 AM
Comparative
Cytotoxicity Assay Using CYP-expressing Human Liver Cell Lines (Jim Xu; Pfizer - Groton Labs;
Groton, CT)
10:00 AM – 10:30
AM
High Throughput Screening
for Human Liver Based Toxicity (James H. Kelly; Amphioxus Cell Technologies, Inc.;
Houston, TX) The success
of high throughput drug development has emphasized the need for suitable
toxicity and metabolism tools matched to HT discovery and lead
optimization. We have developed a human
liver based system using a cell line and simple robust assays that can be
applied at the earliest stages of drug discovery. We have examined several aspects of drug
metabolism and present evidence that the system is capable of a wide variety of
liver specific metabolism. Specific
inductions of mRNA for cyp1A2 and 3A4 are presented, along with corresponding
activity measurements and mechanism based toxicity. We have screened a small, diverse library to
demonstrate the utility of this system and were able to identify compounds with
a variety of toxic effects as well as compounds active in altering signaling
pathways. Moreover, by examining series
of structurally related compounds, toxicity-related SAR can be developed,
yielding real time information for use in new synthesis. Coupling such high throughput toxicity tools
to current discovery efforts will allow simultaneous optimization of both the
therapeutic and drug-like properties of new drug candidates.
10:30 AM – 10:45 AM – BREAK
Session II: Emerging
Technologies for Toxicity Testing
(Chairs: Chandra Prakash and John
Watson)
10:45 AM – 11:15 PM
Ion channel high throughput assays for the prediction of
human QT prolongation (Keith Tang, Aurora Biomed
Inc., Vancouver, B. C., CANADA) Cardiovascular disease and cardiac arrhythmias are one of the most
common causes of death in the developed world. Arrhythmias can be associated
with myocardial infraction, cardiac hypertrophy, and a rare congenital
inherited condition known as long QT syndrome.
The human ether-a-go-go related gene (hERG) is one of the molecular
targets of QT syndrome. Drug
interactions with hERG can lead to life threatening arrhythmias. The Ion
Channel Reader (ICR) series provides high throughput screening technology based
on Atomic Absorption Spectroscopy (AAS), which detects ion channel activity
using Flux Assays. ICR offers sensitive, precise and reproducible measurements
generating accurate drug rank order similar to that of patch clamp data.
Recently, Aurora Biomed has optimized the Rb+ Flux Assay to quantify
hERG channel inhibition for several known blockers, thus providing a powerful
analytical tool for QT liability assessment.
11:15 AM – 11:45
AM.
Apoptosis vs. Cytotoxicity vs. Necrosis: Use of Cell-Based Assays to
Distinguish Between Different Mechanisms of In Vitro Toxicity (John
Watson, Promega Corp., Madison, WI) The use of automated cell based assays for
in vitro toxicity screening of chemical compounds is becoming an increasingly
important aspect of the drug discovery process.
Historically, in vitro toxicity testing provided information about the
dose of a test compound required to kill half of the cells present, but no
information was gathered about the mechanism of cell death. Designing physiologically relevant cell-based
assay protocols and measuring the appropriate endpoints during early screening
process can help gather information about the mechanism of toxicity of
candidate compounds, such as distinguishing between apoptosis and acute
necrosis. Cells undergoing the process of apoptosis in vitro eventually loose
membrane integrity and show the characteristics of secondary necrosis. We will
present results of using a combination of assays to measure different endpoints
including: an ATP assay to measure cellular metabolism, a caspase-3/-7 assay to
measure apoptosis marker, and LDH release as an indicator of membrane integrity
to measure cell viability.
11:45 AM – 12:15 PM
HALO - A New Multi-parameter
In Vitro Hemotoxicity Testing Platform for All Stages of
Drug Development.
(Ivan N. Rich; HemoGenix LLC; Irmo, SC) Successful drug development is
dependent on early screening and detection of toxicity and efficacy. The need
for assay platforms that can predict toxicity and efficacy, before costly
preclinical and, more importantly, clinical trials begin, is an absolute
requirement. Alternative, in vitro assays can fulfill this requirement. Assay
systems that employ fresh human target tissue provide the best and most
reliable means to detect early toxicity and efficacy of new drug candidates. To
date, routine in vitro hemotoxicity testing has not been used during early
screening because the assay systems have been low throughput, labor intensive
and expensive to perform. Despite this, the in vitro assays that detect stem
cells and their progeny of the blood-forming system, have been demonstrated to
provide a high degree of predictability and correlate with effects in the
intact animal or patient. The new HALO (Hemotoxicity Assays via Luminescence
Output) platform now provides a high-throughput, predictive, multitasking,
multilineage and multitarget source testing system that can be used for early
toxicity screening and all other stages of drug development. HALO is designed
to detect both cell proliferation and apoptosis in all 8 primary blood-forming
lineages, as well as stem cells, side-by side, and can compare the effects of
compounds on human and a variety of animal target cells simultaneously.
12:15 AM – 1:45
PM - LUNCH BREAK
1:45 PM – 2:15 PM
In Vitro Toxicology Screening and
Toxicity Characterization Using Automated Microscopy (David Monteith; Lilly Research
Laboratories; Greenfield, IN) The presentation will
provide an outline of strategies and data using automated microscopy systems in
the screening and characterization of pharmaceutical toxicities. Specific
examples will include evaluation of neurite outgrowth in a neurotox screen and
multi-parameter evaluation of lysosomes and mitochondria to characterize
hepatotoxicity. Automated microscopy techniques can be a valuable tool to
characterize the potential mechanism of toxicity for a compound. While also a
powerful tool for in vitro toxicology screening, limitations in throughput of
automated microscopy require prioritization of candidate molecules to
effectively assist pharmaceutical discovery.
2:15 PM – 2:45 PM
Screening for Xenobiotic-Mediated
P450 Induction in the Rat Using a Dedicated DNA Microarray System (Michael D. Kane; Genomic Solutions, Inc.; Ann Arbor, MI)
Known inducers of CYP1A1-1A2, CYP3A, and CYP2E1 in rat (beta-naphthoflavone; 40
mg/kg IP, dexamethasone; 50 mg/kg IP, and isoniazid; 100 mg/kg IP,
respectively) were dosed daily in rats for 1 or 4 days, and hepatic microsomes
and RNA was isolated. Microsomal samples were assayed for enzyme activity. RNA
samples were assayed for drug-induced changes in all known P450 isoforms in
rat, and other gene products involved in metabolism and hepatic physiology (171
genes or gene families in total) using a dedicated DNA microarray.
Beta-naphthoflavone (BNP) treatment resulted in a 23.9- and 26-fold increase in
CYP1A1 mRNA on day 1 and 4, respectively, which was accompanied by an 11.4- and
13.5-fold increase in CYP1A1 enzyme activity. A similar response was seen in
CYP1A2 following BNP treatment. Similarly, dexamethasone treatment and
isoniazid treatment resulted in increases in both mRNA and enzyme activity
levels in day 1 and day 4 samples. The DNA microarray also provided information
from all study samples on drug-induced changes in many other metabolically
relevant genes (mRNAs) from the same sample, augmenting information regarding
the response of hepatic tissue to xenobiotic exposure.
2:45 PM – 3:15 PM
Novel Probe Substrates for
Drug-Metabolizing Cytochrome p450s (James J. Cali, Ph.D.; Promega Corp.;
Madison, WI) The modern
approach to drug discovery includes the screening of large chemical libraries
against targets of interest. Because of the central role of cytochrome p450s
(p450) in drug metabolism it is also desirable to screen library compounds for
their interactions with the drug metabolizing p450s. Knowledge of p450/drug
interactions is predictive of drug disposition in a patient and useful for
determining which compounds should be moved forward in the drug development
process. P450 screening assays that can be processed in a high throughput mode
are particularly attractive. Novel cytochrome p450 substrates will be described
that can be used in scalable assays as probes for the effects of new chemical
entities on cytochrome p450 activities. Kinetics of the reactions and
cytochrome p450 isoform specificity of the substrates
will be discussed.
3:15 PM – 3:30 PM
- BREAK
3:30 PM – 4:00 PM-- CANCELLED
Automation and
Validation of High Throughput In Vitro
Multi-parameter Toxicity Screens (Thomas M. Fletcher III; Southern Research Institute; Birmingham,
AL) The success of high throughput screening (HTS) programs at identifying new
lead compounds has accentuated the need for related metabolism and toxicology
tools to be used in parallel with activity optimization systems. Examination of a compounds toxicological profile
early in the discovery process can allow medicinal chemists to choose one class
of compounds for development in favor of another. We have successfully automated a series of
HTS toxicology assays that can be used to provide real time feedback in conjunction
with early activity screens. Data on the
optimization and validation of a number of commercially available
multiparameter toxicity assay panels on fully automated robotic systems will be
presented.
4:30 PM – 5:30 PM
Round Table Discussion
END OF
DAY/SYMPOSIUM
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