The key to good drug design is working out and capturing the clinical spectrum of disease and the exact role a potential therapeutic target plays in the disease. In the words of the German researcher, Paul Ehrlich, known for his countless contributions to the field of pharmacology, “corpora non agunt nisi fixate” - drugs will not act unless they are bound.1 The Oxford Dictionary of Biochemistry and Molecular Biology defines a drug target as “a biological entity (usually a protein or gene) that interacts with, and whose activity is modulated by, a particular compound.”
This article highlights the properties of an attractive drug target, outlines the approaches used to identify targets, and discusses the key steps involved in target validation and the benefits and challenges of using siRNA to validate targets.
"A good drug target needs to be relevant to the disease phenotype and should be amenable to therapeutic modulation. At the same time, you need to have a good therapeutic window to assure that any therapeutic modality aimed at the target will not cause side effects by disrupting the physiological function of the target in healthy tissue." Dr. Kilian V. M. Huber, Structural Genomics Consortium & Target Discovery Institute, University of Oxford.
Identifying a biological target that is ‘druggable’ – a target is termed ‘druggable’ if its activity (behavior or function) can be modulated by a therapeutic – whether it be a small molecule drug, or biologic. Proteins and nucleic acids are both examples of biological targets.2
But what makes a ‘good’ target?
Properties of a promising drug target2…
- The target has a confirmed role in the pathophysiology of a disease and/or is disease-modifying.
- Target expression is not evenly distributed throughout the body.
- The target’s 3D-structure is available to assess druggability.
- The target is easily ‘assayable’ enabling high-throughput screening.
- The target possesses a promising toxicity profile, potential adverse effects can be predicted using phenotypic data.
- The proposed target has a favorable intellectual property (IP) status. (relevant for pharma companies)
Strategies for Identifying Drug Targets
Besides the literature, there are numerous other target identification strategies, which can be based on one of two target identification strategies (Figure 2). The first is target deconvolution – in this scenario you begin with a drug that appears efficacious and the target is identified retrospectively. The other is known as target discovery – this approach works on the concept that ‘if you want a new drug you must find a new target’, once a target is identified compound libraries are then screened to find a drug that binds to the target and elicits the desired effect.
"In principle, there is no regulatory requirement to know the molecular target of a drug or clinical candidate since all that matters in the end is that a drug is safe and efficacious. In fact, there are a number of approved drugs for which the mechanism-of-action is unknown. However, the drug development process is obviously greatly facilitated if the target is known since this enables rational design of new molecules with improved potency and safety profiles." Dr. Kilian V. M. Huber, Structural Genomics Consortium & Target Discovery Institute, University of Oxford.
Target Deconvolution vs Target Discovery
The phenotypic approach to drug discovery falls within the realm of target deconvolution, and involves exposing cells, isolated tissues, or animal models, to small molecules to determine whether a specific candidate molecule exerts the desired effect – which is observed by a change in phenotype.3 Whilst numerous animal models can be used for the characterization of small molecules and small-scale drug screening approaches, use of mammalian cells is often favored due to their compatibility with high-throughput screening (HTS) and greater physiological relevance.
The phenotypic approach goes beyond individual proteins or nucleic acids and involves the study of entire signaling pathways. The drug’s effect is determined before the specific biological (drug) target that underlies the observed phenotypic response is identified.
Target deconvolution can be achieved by numerous methods including; affinity chromatography, expression-cloning, protein microarray, ‘reverse transfected’ cell microarray, and biochemical suppression.4
Advantages and challenges of phenotypic drug discovery
The greatest advantage phenotypic approaches have over target-based is their ability to demonstrate the efficacy of a drug in the context of a cellular environment. The drug is acting on the target in its ‘normal’ biological context, rather than on a purified target in a biochemical screen.
Cost, availability of cells, complex assay methodology, and throughput are all potential challenges associated with cell-based phenotypic screens. However, as assays become miniaturized and the use of three-dimensional cell models (organoids and spheroids) continue to gain momentum, both scalability and physiological relevance have been improved, leading to greater adoption of phenotypic approaches.
In addition, this resurgence in phenotypic screening has encouraged further major technological advances, including the development of iPS cell technologies, gene-editing tools, and detection and imaging assays,5 which have again positively impacted this approach.
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In target-based drug discovery, biological (drug) targets are already established (or ‘discovered’) before lead discovery starts – hence target discovery is the cornerstone of target-based screening.6 The target’s role in a disease process is known, this target is then used to create relevant systems-based assays, and vast compound libraries are screened in search of a ‘hit’ – a candidate drug.3,4
Advantages and challenges of target-based discovery
The fact that knowledge of a drug candidate’s molecular mechanism is understood from the offset presents as a key advantage over phenotypic approaches and target-based methods are typically easier to carry out, less-expensive to develop, and the process is generally faster.6
Target-based drug discovery can exploit numerous approaches (including crystallography, computational modeling, genomics, biochemistry, and binding kinetics) to uncover exactly how a drug interacts with the target of interest, enabling:6
- Development of the structure-activity relationship (SAR) (the relationship between the structure and biological activity of a molecule)
- Development of biomarkers
- Discovery of future therapeutics that act at the specific target of interest
|Technique||Drug discovery approach|
|Affinity chromatography||Target deconvolution|
|Protein microarray||Target deconvolution|
|Reverse transfected cell microarray||Target deconvolution|
|Biochemical suppression||Target deconvolution|
|siRNA||Target deconvolution/ discovery/ validation|
|DNA microarray||Target discovery|
|Systems biology||Target discovery|
|Study of existing drugs||Target discovery|
Validating Drug Targets
Target validation is the process of demonstrating the functional role of the identified target in the disease phenotype.7 Whilst the validation of a drug’s efficacy and toxicity in numerous disease-relevant cell models and animal models is extremely valuable – the ultimate test is whether the drug works in a clinical setting.8,9
Target validation can be broken down in to two key steps.
- Reproducibility. Once a drug target is identified, whether it be via a specific technique (Table 1) or from review of literature, the first step is to repeat the experiment to confirm that it can be successfully reproduced.
- Introduce variation to the ligand (drug)-target-environment.
"The only real validation is if a drug turns out to be safe and efficacious in a patient, a major challenge is that many targets fail late in the clinic, several years after initiation of the project. Thus, we have to improve on our ability to identify promising targets early on and open science and sharing of data may help in this regard." Dr. Kilian V. M. Huber, Structural Genomics Consortium & Target Discovery Institute, University of Oxford.
siRNA for target validation
Several different target-validation techniques can be used to elucidate target function,7 however, by far the most popular and most widely used approach utilizes small interfering RNAs (siRNAs).7,9 siRNA allows you to mimic the effect of the drug via mRNA modulation resulting in the temporary suppression of a gene-product – your drug target.8 It is therefore possible to demonstrate the ‘value’ of the target without actually using/having the drug. By observing the phenotypic effect that results from a decrease in the target protein you can confirm whether the target warrants further development.
|You can investigate the effect of inhibiting a potential target without having a drug||Down-regulating a gene is not the same as inhibiting a specific region of the gene-product (target)|
|siRNA enables to you mimic the effect of a drug more accurately than if you were to ‘knockout’ a gene||Down-regulating a gene can have a more exaggerated effect compared to that seen from decreasing the concentration of the gene-product (target)|
|Knowledge of protein structure is not required to use siRNA ||There may still be some protein synthesis occurring as it is not possible to achieve 100% down-regulation with siRNA|
|siRNA is an inexpensive method of target validation||siRNA delivery is challenging|