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Model Organisms in Drug Discovery

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As described above, the extensive <strong>in</strong>formation around C. elegans presenil<strong>in</strong><br />

suggests a viable entry po<strong>in</strong>t for high-throughput compound screen<strong>in</strong>g for<br />

potential leads <strong>in</strong> Alzheimer’s disease. The presenil<strong>in</strong> prote<strong>in</strong>s sel-12 and hop-1<br />

<strong>in</strong> C. elegans process Notch by similar mechanisms to those of mammalian<br />

Notch and APP process<strong>in</strong>g. Lead compounds were tested that <strong>in</strong>hibit<br />

presenil<strong>in</strong> enzyme activity and these compounds behave as partial loss of<br />

Notch function, suggest<strong>in</strong>g that affected tissues <strong>in</strong> C. elegans are accessible to<br />

compounds (Figure 6.2). Genetic mutations <strong>in</strong> sel-12 are partial loss of<br />

presenil<strong>in</strong> function and <strong>in</strong> the sel-12;hop-1 double mutant are complete loss of<br />

presenil<strong>in</strong> function. Because C. elegans presenil<strong>in</strong> mutant phenotypes are easy<br />

to score, a compound screen could be devised to screen for drug-<strong>in</strong>duced sel-<br />

12;hop1 phenotypes <strong>in</strong> a sel-12 mutant background. To allow large numbers<br />

of compounds to be screened, automated sort<strong>in</strong>g mach<strong>in</strong>es are available that<br />

dispense worms and Drosophila embryos or larvae <strong>in</strong> a multiwell format<br />

(Furlong et al., 2001).<br />

The S2 cell-based system is also amenable to compound screens and, when<br />

compared to whole-organism approaches, has the advantage of m<strong>in</strong>iaturization<br />

and high-throughput formatt<strong>in</strong>g. In Figure 6.7 we show that parthenolide<br />

<strong>in</strong>hibits a NF-kB pathway very similar to that of humans and the drug’s<br />

transcriptional profil<strong>in</strong>g signature closely matches that of an NF-kB (Relish)<br />

RNAi treatment. One could consider automated screen<strong>in</strong>g of compounds that<br />

<strong>in</strong>hibit NF-kB transcriptional activation of a reporter construct. In some<br />

cases, the lack of pathway redundancy <strong>in</strong> Drosophila and C. elegans may work<br />

to their advantage <strong>in</strong> screen<strong>in</strong>g technologies.<br />

Lead compound discovery may be aided by evaluat<strong>in</strong>g transcriptional<br />

profil<strong>in</strong>g. The specificity of the candidate drug can be tested by match<strong>in</strong>g drug<br />

treatment patterns to gene expression profiles of RNAi directed to the<br />

validated target. An antagonist that is specific to the <strong>in</strong>tended target should<br />

produce an expression profile similar to that of target RNAi. Suboptimal<br />

drugs will <strong>in</strong>teract with non-<strong>in</strong>tended targets. Many off-site targets <strong>in</strong> model<br />

organisms will likely translate to many off-site targets <strong>in</strong> humans.<br />

6.10 Future perspectives<br />

FUTURE PERSPECTIVES 177<br />

It is clear from our work <strong>in</strong> the pharmaceutical <strong>in</strong>dustry that there will<br />

cont<strong>in</strong>ue to be a strong demand to understand how drugs work at the<br />

molecular level. Only recently has the MOA of acetam<strong>in</strong>ophen – one of the<br />

most widely used drugs available for decades – come to light (Chandrasekharan<br />

et al., 2002). The massive <strong>in</strong>formation-driven growth <strong>in</strong> fields such as<br />

computational chemistry, structural biology and bio<strong>in</strong>formatics is lead<strong>in</strong>g to<br />

unparalleled opportunities <strong>in</strong> drug design and empowered drug discovery. The<br />

strength of the chemical genetic approach stems from the ability of mutations

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