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Pharmaceutical Discovery, Sep 1, 2005 
Can Medical Image Analysis Change the Economics of Drug Development?
Edward Ashton

The Importance of Introducing Gene Expression Analysis Into Pharmacological Development
Evolving technologies for gene expression analysis offer a compromise between high cost microarrays restrictive single-endpoint screens.
Joseph Monforte
Pharmaceutical Discovery

Joseph Monforte, PhD
The rate at which the genetics of complex diseases are being deciphered has been accelerating at an astounding pace. Using the latest genomic tools, researchers have begun to characterize in great detail multiple genetic mechanisms that give rise to such diseases as cancer, cardiovascular diseases, neurodegenerative disorders and diabetes, as well as numerous functional pathways associated with disease response such as stress and immune response, cell cycle regulation, cell differentiation, cell proliferation and cell death. This exponential growth in our knowledgebase of disease genetics has led to the identification of a large array of genes, proteins and pathways that potentially play a central role in disease development and may be potential targets for therapeutic intervention.

Experimentally delving deeper into how these genes may function pathologically and protectively in disease is an area of intense study in the research community. More challenging is figuring out the most efficient means for translating these discoveries into well-characterized compounds and compound classes that can influence these genes and, as a consequence, offer the potential for new therapeutic classes.

Cost Limitation

 

Steve Casey
Many of the newest analytical methods, such as multiplexed gene expression analysis using DNA microarrays, have not been applied to compound screening and discovery. A major reason for this roadblock is cost. DNA microarrays continue to cost hundreds of dollars per sample to run, while the high-throughput screening strategy, involving brute force scans through hundreds of thousands or even millions of compounds, can only be done if the cost of a single assay runs around a few cents. Because of this limitation, the predominant screening assay formats used today fall into two categories: target-specific and phenotypic.

Target-specific screens, such as protein binding, enzyme activity, and reporter gene assays focus on capturing the effects of a given compound on a single gene or protein endpoint, while phenotypic screens typically capture gross cellular changes such as viability, apoptosis, proliferation or ion flux. Both of these screening approaches have significant value, but they fall short when it comes to assessing the effectiveness of new compounds targeting complex, multigenic diseases like cancer and diabetes. Target-specific screens are too focused and cannot observe multigenic responses to perturbations. Cell-based phenotypic screens are too broad and cannot be used to differentiate the multiple pathways that can be altered to produce a phenotypic response nor can they effectively be used to optimize and direct compound development toward specific mechanisms of action.

Quantitative Multiplexed PCR

Fortunately, newer methods for gene expression analysis are evolving that offer a compromise between the high cost of microarray-based gene expression analysis and single endpoint screens. As an example, quantitative multiplexed PCR techniques such as the Beckman GeXP system offer the ability to analyze 20-30 genes at a relatively modest cost of running a single PCR reaction. Other multiplexed processes based on flow cytometry or using low density microarrays also offer some promise for achieving lower cost.

In addition to a high level of multiplexing, the PCR-based approach has the added advantage of flexibility. Because of the simple nature of nucleic acids it is relatively straightforward to use a particular gene expression analysis method to analyze virtually any gene. This is a central tenet to the creation and use of microarrays. And unlike protein-targeted and phenotypic screens, which can take upwards of 6 months to develop, the simple polymeric nature of mRNA means that assay development can be very fast, e.g. a few days, and that the methods established to develop and run one particular assay can be readily and simply applied to any other gene-expression-based screen as needed. The ultimate value of such PCR-based screens may not be in the primary, high-throughput screen but as a method for quickly and cost-effectively following up in the characterization of any hits from these screens for a variety of responses related to efficacy, potency and toxicity.

To effectively select and prioritize lead compounds with improved odds of utility, one must characterize compounds for both their potency in affecting a desired target (or, more frequently these days, multiple targets) and also their secondary, off-target activities, such as toxicity. Early recognition of unwanted side-effects of pharmacologically active substances is vital to avoiding costly failures in the clinical arena. For example, liver damage is still the leading reason for withdrawing drugs from the market and for abandoning lead candidates during development [1-3]. Unfortunately, a full assessment of all lead compounds using current toxicological methods is impractical because of the high costs of such tests. And other problems complicate matters, such as the long time required to conduct studies, high compound requirements and the relevance of animal findings to humans.

Gene Sets

Interestingly, classical toxicology and high throughput screening suffer similar limitations: the primary tests, both in vitro and in vivo, generally cannot assess the effects of compounds at the multigenic, gene response level. The tests are either too focused (e.g. the Ames test for DNA mutation) or too broad (e.g. gross animal tissue pathology). To address this deficit, researchers in the field of toxicogenomics have made significant progress in applying gene expression methods to develop sets of predictive gene markers for a variety of toxicological endpoints. For example, Thomas et.al. [4] used microarray studies to identify 12 key transcripts out of 1200 that can predictively track 5 major toxicological responses. While Burczynski et.al. [5] identified a 20 gene set for quantifying cytotoxicity and DNA damage in HepG2 cells, and Amin, et.al [6] identified a 29-gene set indicative of renal toxicity. In fact, dozens of genes have been identified that are able to track the effects of compounds in terms of triggering specific responses, such as metabolic induction, oxidative stress, DNA damage response, proliferation and the like.

As can be seen in the work in toxicogenomics, the assessment of specific compound activities can be tracked with relatively modest sets of genes. This is a common theme in gene expression analysis. While it is important to observe more than one gene, there are no 30,000-gene diseases, nor are there compounds that affect 30,000 genes. It is now often possible through preliminary microarray studies and literature review to quickly develop a set of genes, often 50 or fewer, that can be used to characterize a particular set of candidate compounds for a variety of gene and pathway-specific responses, both specific to the desired target pathways and undesirable toxicological endpoints. Moreover, these gene expression responses are proving to be better predictors than current methods for how the different compounds will behave as they are moved from in vitro models to in vivo studies and ultimately on to humans.

Joseph Monforte, PhD is Vice President and Chief Scientific Officer at Althea Technologies, Inc., 11040, Roselle St., San Diego, CA 92121,
Please address all correspondence to Steve Casey, founder and COO of Expression Analysis Inc., a provider of regulatory compliant genomic processing services, who can be reached at

References

1) Chitturi, S. and George, J. (2002) Hepatotoxicity of commonly used drugs: nonsteroidal anti-inflammatory drugs, antihypertensives, antidiabetic agents, anticonvulsants, lipid-lowering agents, psychotropic drugs. Semin Liver Dis, 22: 169-183.

2) Farrell, G. C. and Liddle, C. (2002) Drugs and the liver updated. Semin Liver Dis, 22: 109-113.

3) Lasser, K. E., et.al. (2002) Timing of new black box warnings and withdrawals for prescription medications. Journal of the American Medical Association, 287: 2215-2220.

4) Thomas, R.S., et.al. (2001) Identification of Toxicologically Predictive Gene Sets Using cDNA Microarrays. Molecular Pharmacology 60: 1189-1194

5) Burczynski, M.E. et.al. (2000) Toxicogenomics-Based Discrimination of Toxic Mechanism in HepG2 Human Hepatoma Cells, Tox. Sci. 58,399-415.

6) Amin, R.P. et.al. (2004) Identification of putative gene based markers of renal toxicity, Environ. Health Perspect. 112(4), 465-79