Toxicology is the study of the adverse effects of
chemicals, particularly drugs, on living organisms. The understanding of
drug-body interactions is crucial to drug development. Drug absorption,
distribution, metabolism, and excretion (ADME) is critical in all phases of drug
development programs by providing key insights in how a drug will ultimately be
treated or accepted by the body. In the late 1980s to the mid-1990s, 40% of all
drug failures in clinical trials were due to unfavorable toxicology and ADME
profiles. With the improvement of ADME and toxicology testing, the failure rate
has now been reduced to 14%. Regarding how SABiosciences' Toxicology and Drug ADME related PCR arrays can help analyze the toxicology and
ADME profiles of drug candidates, see details here.
Many candidate agents fail during clinical testing because of their unfavorable pharmacokinetic properties, unacceptable adverse
effects, excessive toxicities, or the lack of efficacy. A key to the success of
synthesizing molecules through the research and development process is the
possession of desirable properties such as an adequate solubility, an ability to
cross critical membranes (the intestinal and, sometimes, the blood-brain
barrier), reasonable metabolic stability, and safety in humans. Depending on the
therapeutic area being investigated, it might also be desirable to avoid certain
enzymes or transporters to circumvent potential drug-drug interactions. It may
also be important to limit the induction of further toxicities.
For a drug to reach target cells, it must first be absorbed by the body, most
often through the blood stream first. Three parameters that measure the
absorption of a compound are: solubility, stability, and the n-octanol/water
partition coefficient. The n-octanol/water partition coefficient (LogP)
indicates how a compound enters nonpolar regions of the body such as fat and
cell membranes. It is an important indicator of drug permeability. The
blood-brain barrier can be a serious obstacle for brain targeting drugs.
Absorption critically determines the drug's bioavailability, meaning the
fraction of an administered dose of unchanged drug that reaches the systemic
circulation. There are a few in vitro permeability assays including the use of
synthetic lipophilic membranes, Caco-2 and MDCK (Madin-Darby canine kidney) cell
monolayers. Other methods include immobilized artificial membrane columns and
human serum albumin columns.
After a drug is absorbed into the blood stream, it rapidly circulates through
the body. The average circulation time of blood is 1 minute. As the blood
circulates, the drug moves from the blood stream into the tissues. Most drugs do
not spread evenly throughout the body. Water-soluble drugs tend to stay within
the blood and the interstitial space between the cells. Fat-soluble drugs tend
to concentrate in fatty tissues. Some drugs accumulate in certain tissues which
have high affinity to certain drugs. Factors affecting distribution rate, such
as blood flow rate and membrane permeability, and factors affecting distribution
extent, such as tissue properties, pH values, and plasma protein binding all
contribute to drug distribution. Drug characteristics affect both distribution
rate and extent.
Drugs begin to break down as soon as they enter the body. Although some drug
metabolites are pharmacologically more active, drug metabolism is generally a
detoxification process in which a drug is converted to polar metabolites that
can be eliminated more easily from the body. Drug metabolism, mostly occurring
in liver, can be divided into phase I and phase II reactions. Phase I reactions
occur before phase II reactions and involve oxidation, reduction, hydrolysis,
cyclization, or decyclization reactions. Oxidation is the most common phase I
reaction and it involves the heme-containing cytochrome P450, NADPH, and oxygen.
Following phase I reactions, many metabolites are polarized enough to be
excreted. Metabolites that are not sufficiently polar may undergo phase II
metabolism which involves conjugation with large molecular groups that further
reduce the biological activity of the metabolite (if any). Conjugation occurs
with glucuronic acid, sulfonates, glutathione, or amino acids. Functional groups
that are often attached to these large molecules include carboxyl, hydroxyl,
amino, and sulhydryl groups. SABiosciences' Drug Metabolism and Drug Metabolism:
Phase I Enzymes PCR arrays can be used to detect the drug metabolism abnormality
via gene expression analysis.
Drug can be excreted into urine, bile, saliva, gut, alveolar, milk, sweat, and
tears. The kidney is the principle organ of drug excretion. Drug transporters
are expressed in many tissues such as the intestine, liver, kidney, and brain,
and play key roles in drug absorption, distribution, and excretion. Most drug
transporters can be classified into two superfamilies: the ATP-binding cassette
(ABC) superfamily and the solute carrier (SLC) superfamily. ABC drug
transporters largely contribute to multiple drug resistance. Bacterial
resistance to antibiotics and tumor resistance to anti-cancer drugs are two
manifestations of multiple drug resistance. ABCB / MDR / P-glycoprotein, ABCC /
MRP, ABCG2 / breast cancer resistance protein / BCRP, and lung resistance
protein / LRP / major vault protein / MVP are the major players in multiple drug
resistance. You can use SABiosciences' Drug Transporters and Cancer Drug
Resistance and Metabolism PCR arrays for your studies.
Many drugs, especially most cancer chemotherapeutic drugs, damage DNA. The major
forms of DNA damage include single-strand breaks (SSB), double-strand breaks (DSB),
alteration of bases, hydrolytic depurination, hydrolytic deamination of cytosine
and 5-methylcytosine bases, formation of covalent adducts with DNA, and
oxidative damage to bases or to the phosphodiester backbone of DNA. DNA damage
is caused by five main types of reactions: oxidation, alkylation (usually
methylation), hydrolysis of bases, bulky adduct formation, and mismatch of bases
due to DNA replication errors. The vast majorities of these lesions are repaired
through base excision repair (BER), nucleotide excision repair (NER), and
mismatch repair (MMR) mechanisms. In BER, the damaged base is removed by a DNA
glycosylase, resynthesized by a DNA polymerase, and a DNA ligase performs the
final nick-sealing step. NER recognizes bulky, helix-distorting lesions. Both
NER and MMR involve the recognition of damaged DNA, removal of the damaged DNA,
and deployment of various repair proteins and enzymes. SABiosciences provides
DNA Damage Signaling Pathway PCR array to help you analyze DNA repair
mechanisms.
Heat shock, oxidative stress, and endoplasmic reticulum (ER) stress are three
other major forms of cellular stress. The expression of heat shock proteins can
be increased by stress such as infection, inflammation, exercise, exposure to
toxins, starvation, hypoxia, or water deprivation. Consequently, the heat shock
proteins are also referred to as stress proteins and their upregulation is part
of the stress response. Conditions interfering with the function of the ER are
collectively called ER stress. ER stress is induced by accumulation of unfolded
protein aggregates or by excessive protein traffic usually caused by viral
infection. Chaperones are proteins that assist proper protein folding. Many
chaperones are heat shock proteins because protein folding is severely affected
by temperature. SABiosciences provides Heat Shock Proteins and Unfolded Protein
Response PCR arrays to detect cellular stresses on the gene expression level.
Oxidative stress occurs when the generation of reactive oxygen species (ROS;
also called free radicals) in a system exceeds the system's ability to
neutralize or eliminate them. ROS can damage DNA, RNA, lipids, and proteins.
Oxidative damage therefore has been implicated in the cause of many diseases
such as cancer, diabetes, neurodegenerative, and cardiovascular diseases and
affects aging. The brain is extremely susceptible to oxidative damage due to its
high lipid content and oxygen consumption. The transcription factor Nrf2
(NF-E2-related factor 2) is a master regulator of the expression of a subset of
genes which encode proteins responsible for detoxication of electrophiles and
reactive oxygen species (ROS) as well as the removal or repair of their damaging
effects and products. Mitochondria are a primary site of production of free
radicals. While more than 98% of the molecular oxygen taken up by cells is fully
utilized by cytochrome c oxidase to form water, this enzyme also can release
free radicals. Other enzymes of the respiratory chain, in particular complexes I
and III, also produce ROS. Mitochondrial ROS have become targets for drug
discovery in recent years since their production is characteristic of early
stages of apoptosis. Superoxide dismutase 2 (SOD2) is a key mitochondrial
enzymatic antioxidant. Mice lacking SOD2 die within the first week of life due
to mitochondrial dysfunction and oxidative stress. Tumor suppressor protein p53
is a master transcription factor that organizes cellular responses to a variety
of stresses. ROS act as both an upstream signal that triggers p53 activation and
a downstream factor that mediates apoptosis. Direct detection of ROS and other
free radicals is difficult because these molecules are short-lived and highly
reactive in a nonspecific manner. SABiosciences' widely used Oxidative Stress
& Antioxidant Defense PCR array can be deployed to analyze oxidative stress
in the research model of your choice. Stress and Toxicity PathwayFinder PCR
array can help pinpoint the mechanism of toxicity.