Kerns E.H. Drug-like properties (Amsterdam, 2008). - ОГЛАВЛЕНИЕ / CONTENTS
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ОбложкаKerns E.H. Drug-like properties: concepts, structure design and methods: from ADME to toxicity optimization. - Amsterdam: Elsevier, 2008. - xix, 526 p. - ISBN 978-0-1236-9520-8
 

Оглавление / Contents
 
Preface ..................................................... xviii

Dedication ..................................................... xx


Part 1. Introductory Concepts ................................... 1


1. Introduction ................................................. 3
Problems ........................................................ 5
References ...................................................... 5

2. Advantages of Good Drug-like Properties ...................... 6

   2.1. Drug-like Properties Are an Integral Part of Drug
        Discovery ............................................... 6
        2.1.1. Many Properties Are of Interest in
               Discovery ........................................ 7
        2.1.2. Introduction to the Drug Discovery and
               Development Process .............................. 8
        2.1.3. Development Attrition is Reduced by
               Improving Drug Properties ........................ 9
        2.1.4. Poor Drug Properties Also Cause Discovery
               Inefficiencies ................................... 9
        2.1.5. Marginal Drug Properties Cause
               Inefficiencies During Development ............... 10
        2.1.6. Poor Properties Can Cause Poor Discovery
               Research ........................................ 11
   2.2. Changing Emphasis on Properties in Discovery ........... 12
   2.3. Property Profiling in Discovery ........................ 14
   2.4. Drug-like Property Optimization in Discovery ........... 15
   Problems .................................................... 15
   References .................................................. 16

3. Barriers to Drug Exposure in Living Systems ................. 17

   3.1. Introduction to Barriers ............................... 17
   3.2. Drug Dosing ............................................ 18
   3.3. Barriers in the Mouth and Stomach ...................... 19
   3.4. Gastrointestinal Tract Barriers ........................ 20
        3.4.1. Permeation of the Gastrointestinal
               Cellular Membrane ............................... 22
        3.4.2. Passive Diffusion at the Molecular Level ........ 23
        3.4.3. Metabolism in the Intestine ..................... 24
        3.4.4. Enzymatic Hydrolysis in the Intestine ........... 24
        3.4.5. Absorption Enhancement in the Intestine ......... 26
   3.5. Barriers in the Bloodstream ............................ 27
        3.5.1. Plasma Enzyme Hydrolysis ........................ 27
        3.5.2. Plasma Protein Binding .......................... 27
        3.5.3. Red Blood Cell Binding .......................... 28
   3.6. Barriers in the Liver .................................. 28
        3.6.1. Metabolism ...................................... 29
        3.6.2. Biliary Excretion ............................... 29
   3.7. Barriers in the Kidney ................................. 29
   3.8. Blood-Tissue Barriers .................................. 30
   3.9. Tissue Distribution .................................... 30
   3.10.Consequences of Chirality on Barriers and
        Properties ............................................. 31
   3.11.Overview of In Vivo Barriers ........................... 31
   Problems .................................................... 32
   References .................................................. 33


Part 2. Physicochemical Properties ............................. 35


4. Rules for Rapid Property Profiling from Structure ........... 37

   4.1. Lipinski Rules ......................................... 37
   4.2. Veber Rules ............................................ 39
   4.3. Other Rules ............................................ 39
   4.4. Application of Rules for Compound Assessment ........... 39
   Problems .................................................... 41
   References .................................................. 42

5. Lipophilicity ............................................... 43

   5.1. Lipophilicity Fundamentals ............................. 43
   5.2. Lipophilicity Effects .................................. 45
   5.3. Lipophilicity Case Studies and Structure
        Modification ........................................... 46
Problems ....................................................... 47
References ..................................................... 47

6. rKa ......................................................... 48

   6.1. rKa, Fundamentals ...................................... 48
   6.2. rKa Effects ............................................ 50
   6.3. rKa Case Studies ....................................... 50
   6.4. Structure Modification Strategies for rKa .............. 54
   Problems .................................................... 54
   References .................................................. 55

7. Solubility .................................................. 56

   7.1. Solubility Fundamentals ................................ 57
        7.1.1. Solubility Varies with Structure and
               Physical Conditions ............................. 57
        7.1.2. Dissolution Rate ................................ 57
        7.1.3. Structural Properties Affect Solubility ......... 57
        7.1.4. Kinetic and Thermodynamic Solubility ............ 60
   7.2. Effects of Solubility .................................. 62
        7.2.1. Low Solubility Limits Absorption and
               Causes Low Oral Bioavailability ................. 62
        7.2.2. Good Solubility is Essential for IV
               Formulation ..................................... 63
        7.2.3. Acceptance Criteria and Classifications
               for Solubility .................................. 63
        7.2.4. Molecular Properties for Solubility and
               Permeability Often are Opposed .................. 67
   7.3. Effects of Physiology on Solubility and
        Absorption ............................................. 68
        7.3.1. Physiology of the Gastrointestinal Tract ........ 68
        7.3.2. Species Differences in Gastrointestinal
               Tract ........................................... 68
        7.3.3  Food Effect ..................................... 69
   7.4. Structure Modification Strategies to Improve
        Solubility ............................................. 70
        7.4.1. Add Ionizable Groups ............................ 71
        7.4.2. Reduce Log P .................................... 73
        7.4.3. Add Hydrogen Bonding ............................ 73
        7.4.4. Add Polar Group ................................. 74
        7.4.5. Reduce Molecular Weight ......................... 74
        7.4.6. Out-of-Plane Substitution ....................... 75
        7.4.7. Construct a Prodrug ............................. 76
   7.5. Strategies for Improving Dissolution Rate .............. 77
        7.5.1. Reduce Particle Size ............................ 77
        7.5.2. Prepare an Oral Solution ........................ 78
        7.5.3. Formulate with Surfactants ...................... 78
        7.5.4. Prepare a Salt Form ............................. 78
   7.6. Salt Form .............................................. 78
        7.6.1. Solubility of Salts ............................. 78
        7.6.2. Effect of Salt Form on Absorption and Oral
               Bioavailability ................................. 80
        7.6.3. Salt Selection .................................. 81
        7.6.4. Precautions for Using Salt Forms  82
   Problems .................................................... 82
   References .................................................. 84

8. Permeability ................................................ 86

   8.1. Permeability Fundamentals .............................. 86
        8.1.1. Passive Diffusion Permeability .................. 87
        8.1.2. Endocytosis Permeability ........................ 89
        8.1.3. Active Uptake Permeability ...................... 89
        8.1.4. Paracellular Permeability ....................... 89
        8.1.5. Efflux Permeability ............................. 89
        8.1.6. Combined Permeability ........................... 89
   8.2. Permeability Effects ................................... 90
        8.2.1. Effect of Permeability on Bioavailability ....... 90
        8.2.2. Effect of Permeability on Cell-Based
               Activity Assays ................................. 91
   8.3. Permeability Structure Modification Strategies ......... 92
        8.3.1. Ionizable Group to Non-ionizable Group .......... 92
        8.3.2. Add Lipophilicity ............................... 92
        8.3.3. Isosteric Replacement of Polar Groups ........... 93
        8.3.4. Esterify Carboxylic Acid ........................ 93
        8.3.5. Reduce Hydrogen Bonding and Polarity ............ 94
        8.3.6. Reduce Size ..................................... 94
        8.3.7. Add Nonpolar Side Chain ......................... 96
        8.3.8. Prodrug ......................................... 96
   Problems .................................................... 97
   References .................................................. 98


Part 3. Disposition, Metabolism, and Safety ................... 101


9. Transporters ............................................... 103

   9.1. Transporter Fundamentals .............................. 103
   9.2. Transporter Effects ................................... 104
        9.2.1. Transporters in Intestinal Epithelial
               Cells .......................................... 108
        9.2.2. Transporters in Liver Hepatocytes .............. 108
        9.2.3. Transporters in Kidney Epithelial Cells ........ 110
        9.2.4. Transporters in Blood-Brain Barrier
               Endothelial Cells .............................. 110
        9.2.5. Consequences of Chirality on Transporters ...... 110
   9.3. Efflux Transporters ................................... 111
        9.3.1. P-glycoprotein (MDR1, ABCB1) [Efflux] .......... 111
        9.3.2. Breast Cancer Resistance Protein
               (BCRP, ABCG2)[Efflux] .......................... 116
        9.3.3. Multidrug Resistance Protein 2 (MRP2,
               ABCC2) [Efflux] ................................ 116
        9.3.4. Efflux Transporters in the BBB ................. 116
   9.4. Uptake Transporters ................................... 117
        9.4.1. Organic Anion Transporting Polypeptides
               (OATPs, SLCOs) [Uptake] ........................ 117
        9.4.2. Di/Tri Peptide Transporters (PEPT1,
               PEPT2) [Uptake] ................................ 117
        9.4.3. Organic Anion Transporters (OATs)
               [Uptake] ....................................... 118
        9.4.4. Organic Cation Transporter (OCT) [Uptake] ...... 118
        9.4.5. Large Neutral Amino Acid Transporter
               (LAT1) [Uptake] ................................ 118
        9.4.6. Monocarboxyiic Acid Transporter (MCT1)
               [Uptake] ....................................... 118
        9.4.7. Other Uptake Transporters ...................... 118
        9.4.8. Structure Modification Strategies for
               Uptake Transporters ............................ 119
   Problems ................................................... 119
   References ................................................. 120

10.Blood-Brain Barrier ........................................ 122

   10.1.BBB Fundamentals ...................................... 123
        10.1.1.BBB Permeation Mechanisms ...................... 124
        10.1.2.Brain Distribution Mechanisms .................. 125
        10.1.3.Brain-CSF Barrier .............................. 127
        10.1.4.Interpreting Data for Brain Penetration ........ 128
   10.2.Effects of Brain Penetration .......................... 129
   10.3.Structure-BBB Penetration Relationships ............... 130
   10.4.Structure Modification Strategies to Improve
        Brain Penetration ..................................... 131
        10.4.1.Reduce Pgp Efflux .............................. 132
        10.4.2.Reduce Hydrogen Bonds .......................... 132
        10.4.3.Increase Lipophilicity ......................... 133
        10.4.4.Reduce MW ...................................... 133
        10.4.5.Replace Carboxylic Acid Groups ................. 133
        10.4.6.Add an Intramolecular Hydrogen Bond ............ 133
        10.4.7.Modify or Select Structures for
               Affinity to Uptake Transporters ................ 133
   Problems ................................................... 134
   References ................................................. 135

11.Metabolic Stability ........................................ 137

   11.1.Metabolic Stability Fundamentals ...................... 138
        11.1.1.Phase I Metabolism ............................. 139
        11.1.2.Phase II Metabolism ............................ 143
   11.2.Metabolic Stability Effects ........................... 145
   11.3.Structure Modification Strategies for Phase I
        Metabolic Stability ................................... 146
        11.3.1.Block Metabolic Site By Adding Fluorine ........ 147
        11.3.2.Block Metabolic Site By Adding Other
               Blocking Groups ................................ 149
        11.3.3.Remove Labile Functional Group ................. 150
        11.3.4.Cyclization .................................... 151
        11.3.5.Change Ring Size ............................... 151
        11.3.6.Change Chirality ............................... 152
        11.3.7.Reduce Lipophilicity ........................... 152
        11.3.8.Replace Unstable Groups ........................ 153
   11.4.Structure Modification Strategies for Phase II
        Metabolic Stability ................................... 154
        11.4.1.Introduce Electron-Withdrawing Groups
               and Steric Hindrance ........................... 154
        11.4.2.Change Phenolic Hydroxyl to Cyclic
               Urea or Thiourea ............................... 155
        11.4.3.Change Phenolic Hydroxyl to Prodrug ............ 155
   11.5.Applications of Metabolic Stability Data .............. 156
        11.6.Consequences of Chirality on Metabolic
             Stability ........................................ 160
        11.7.Substrate Specificity of CYP Isozymes ............ 162
             11.7.1.CYP 1A2 Substrates ........................ 162
             11.7.2.CYP2D6 Substrates ......................... 163
             11.7.3.CYP2C9 Substrates ......................... 164
   Problems ................................................... 165
   References ................................................. 167

12.Plasma Stability ........................................... 169

   12.1.Plasma Stability Fundamentals ......................... 169
        12.1.1.Consequences of Chirality on Plasma
               Stability ...................................... 170
   12.2.Effects of Plasma Stability ........................... 170
   12.3.Structure Modification Strategies to Improve
        Plasma Stability ...................................... 172
        12.3.1.Substitute an Amide for an Ester ............... 172
        12.3.2.Increase Steric Hindrance ...................... 173
        12.3.3.Electron-Withdrawing Groups Decrease
               Plasma Stability for Antedrug .................. 173
   12.4.Applications of Plasma Stability Data ................. 174
        12.4.1.Diagnose Poor In Vivo Performance .............. 174
        12.4.2.Alert Teams to a Liability ..................... 174
        12.4.3.Prioritize Compounds for In Vivo Animal
               Studies ........................................ 174
        12.4.4.Prioritize Synthetic Efforts ................... 175
        12.4.5.Screening of Prodrugs .......................... 175
        12.4.6.Guide Structural Modification .................. 176
               Problems ....................................... 176
               References ..................................... 177

13.Solution Stability ......................................... 178

   13.1.Solution Stability Fundamentals ....................... 178
   13.2.Effects of Solution Instability ....................... 180
   13.3.Structure Modification Strategies to Improve
        Solution Stability .................................... 180
        13.3.1.Eliminate or Modify the Unstable Group ......... 180
        13.3.2.Add an Electron-Withdrawing Group .............. 181
        13.3.3.Isosteric Replacement of Labile
               Functional Group ............................... 182
        13.3.4.Increase Steric Hindrance ...................... 182
   13.4.Applications of Solution Stability Data ............... 183
   Problems ................................................... 185
   References ................................................. 185

14.Plasma Protein Binding ..................................... 187

   14.1.Plasma Protein Binding Fundamentals ................... 187
        14.1.1.Consequences of Chirality on PPB ............... 189
   14.2.PPB Effects ........................................... 190
        14.2.1.Impact of PPB on Distribution .................. 191
        14.2.2.Effect of PPB on Clearance ..................... 192
        14.2.3.Effect of PPB on Pharmacology .................. 192
   14.3.PPB Case Studies ...................................... 193
   14.4.Structure Modification Strategies for PPB ............. 193
   14.5.Strategy for PPB in Discovery ......................... 194
   14.6.Red Blood Cell Binding ................................ 194
   Problems ................................................... 194
   References ................................................. 195

15.Cytochrome P450 Inhibition ................................. 197

   15.1.CYP Inhibition Fundamentals ........................... 197
   15.2.Effects of CYP Inhibition ............................. 199
   15.3.CYP Inhibition Case Studies ........................... 201
        15.3.1.Consequences of Chirality on CYP
               Inhibition ..................................... 202
   15.4.Structure Modification Strategies to Reduce CYP
        Inhibition ............................................ 203
   15.5.Reversible and Irreversible CYP Inhibition ............ 204
   15.6.Other DDI Issues ...................................... 205
        15.6.1.Candidate as Victim to a Metabolism
               Inhibition Perpetrator ......................... 205
        15.6.2.Candidate as a Victim or Perpetrator at
               a Transporter .................................. 206
        15.6.3.Candidate as a Victim or Perpetrator of
               Metabolic Enzyme Induction ..................... 206
   Problems ................................................... 206
   References ................................................. 207

16.hERG Blocking .............................................. 209

   16.1.hERG Fundamentals ..................................... 209
   16.2.hERG Blocking Effects ................................. 211
   16.3.hERG Blocking Structure-Activity Relationship ......... 212
   16.4.Structure Modification Strategies for hERG ............ 213
   Problems ................................................... 213
   References ................................................. 214
   Additional Reading ......................................... 214

17.Toxicity ................................................... 215

   17.1.Toxicity Fundamentals ................................. 216
        17.1.1.Toxicity Terms and Mechanisms .................. 217
        17.1.2.Toxicity Mechanisms ............................ 217
   17.2.Toxicity Case Studies ................................. 221
   17.3.Structure Modification Strategies to Improve
        Safety ................................................ 222
   Problems ................................................... 222
   References ................................................. 223

18.Integrity and Purity ....................................... 224

   18.1.Fundamentals of Integrity and Purity .................. 224
   18.2.Integrity and Purity Effects .......................... 224
   18.3.Applications of Integrity and Purity .................. 226
        18.3.1.Case Study ..................................... 226
   Problems ................................................... 227
   References ................................................. 227

19.Pharmacokinetics ........................................... 228

   19.1.Introduction to Pharmacokinetics ...................... 228
   19.2.PK Parameters ......................................... 229
        19.2.1.Volume of Distribution ......................... 229
        19.2.2.Area Under the Curve ........................... 231
        19.2.3.Clearance ...................................... 231
        19.2.4.Half-life ...................................... 233
        19.2.5.Bioavailability ................................ 234
   19.3.Effects of Plasma Protein Binding on PK
        Parameters ............................................ 234
   19.4.Tissue Uptake ......................................... 234
   19.5.Using PK Data in Drug Discovery ....................... 235
   Problems ................................................... 240
   References ................................................. 241

20.Lead-like Compounds ........................................ 242

   20.1.Lead-likeness ......................................... 242
   20.2.Template Conservation ................................. 244
   20.3.Triage ................................................ 245
   20.4.Fragment-Based Screening .............................. 245
   20.5.Lead-like Compounds Conclusions ....................... 247
   Problems ................................................... 247
   References ................................................. 248

21.Strategies for Integrating Drug-like Properties into
   Drug Discovery ............................................. 249

   21.1.Assess Drug-like Properties Early ..................... 249
   21.2.Rapidly Assess Drug-like Properties for All New
        Compounds ............................................. 250
   21.3.Develop Structure-Property Relationships .............. 250
   21.4.Iterative Parallel Optimization ....................... 251
   21.5.Obtain Property Data that Relates Directly to
        Structure ............................................. 251
   21.6.Apply Property Data to Improve Biological
        Experiments ........................................... 252
   21.7.Utilize Customized Assays to Answer Specific
        Project Questions ..................................... 252
   21.8.Diagnose Inadequate Performance in Complex
        Systems Using Individual Properties ................... 252
   Problems ................................................... 253
   References ................................................. 253


Part 4. Methods ............................................... 255


22.Methods for Profiling Drug-like Properties:
   General Concepts ........................................... 257

   22.1.Property Data Should be Rapidly Available ............. 257
   22.2.Use Relevant Assay Conditions ......................... 257
   22.3.Evaluate the Cost-to-Benefit Ratio for Assays ......... 257
   22.4.Choose an Ensemble of Key Properties to
        Evaluate .............................................. 258
   22.5.Use Well-Developed Assays ............................. 259
   Problems ................................................... 259
   References ................................................. 259

23.Lipophilicity Methods ...................................... 260

   23.1.In Silico Lipophilicity Methods ....................... 260
   23.2.Experimental Lipophilicity Methods .................... 264
        23.2.1.Scaled-Down Shake Flask Method for
               Lipophilicity .................................. 265
        23.2.2.Reversed-Phase HPLC Method for
               Lipophilicity .................................. 266
        23.2.3.Capillary Electrophoresis Method for
               Lipophilicity .................................. 267
   23.3.In-Depth Lipophilicity Methods ........................ 267
        23.3.1.Shake Flask Method for Lipophilicity ........... 267
        23.3.2.pH-Metric Method for Lipophilicity ............. 268
   Problems ................................................... 268
   References ................................................. 269

24. rKa Methods ............................................... 271

   24.1.In Silico rKa Methods ................................. 271
   24.2.Experimental rKa Methods .............................. 273
        24.2.1.Spectral Gradient Analysis Method for rKa ...... 273
        24.2.2.Capillary Electrophoresis Method for rKa ....... 273
   24.3.In-Depth rKa Method: pH-Metric ........................ 274
   Problems ................................................... 275
   References ................................................. 275

25.Solubility Methods ......................................... 276

   25.1.Literature Solubility Calculation Methods ............. 276
   25.2.Commercial Software for Solubility .................... 277
   25.3.Kinetic Solubility Methods ............................ 278
        25.3.1.Direct UV Kinetic Solubility Method ............ 278
        25.3.2.Nephelometric Kinetic Solubility Method ........ 280
        25.3.3.Turbidimetric In Vitro Solubility Method ....... 281
        25.3.4.Customized Kinetic Solubility Method ........... 282
   25.4 Thermodynamic Solubility Methods ...................... 283
        25.4.1.Equilibrium Shake Flask Thermodynamic
               Solubility Method .............................. 283
        25.4.2.Potentiometric In Vitro Thermodynamic
               Solubility Method .............................. 283
        25.4.3.Thermodynamic Solubility in Various
               Solvents ....................................... 284
   Problems ................................................... 285
   References ................................................. 285

26.Permeability Methods ....................................... 287

   26.1.In Silico Permeability Methods ........................ 287
   26.2.In Vitro Permeability Methods ......................... 288
        26.2.1.IAM HPLC ....................................... 288
        26.2.2.Cell Layer Method for Permeability ............. 288
        26.2.3.Artificial Membrane Permeability Assay ......... 292
        26.2.4.Comparison of Caco-2 and PAMPA Methods ......... 293
   26.3.In Depth Permeability Methods ......................... 294
   Problems ................................................... 295
   References ................................................. 296

27 Transporter Methods ........................................ 299

   27.1.In Silico Transporter Methods ......................... 299
   27.2.In Vitro Transporter Methods .......................... 300
        27.2.1.Cell Layer Permeability Methods for
               Transporters ................................... 300
        27.2.2.Uptake Method for Transporters ................. 304
        27.2.3.Oocyte Uptake Method for Transporters .......... 304
        27.2.4.Inverted Vesicle Assay for Transporters ........ 305
        27.2.5.ATPase Assay for ATP Binding Cassette
               Transporters ................................... 305
        27.2.6.Calcein AM Assay for Pgp Inhibitor ............. 306
   27.3.In Vivo Methods for Transporters ...................... 307
        27.3.1.Genetic Knockout Animal Experiments for
               Transporters ................................... 307
        27.3.2.Chemical Knockout Experiments for
               Transporters ................................... 307
   Problems ................................................... 308
   References ................................................. 308

28.Blood-Brain Barrier Methods ................................ 311

   28.1.In Silico Methods for BBB ............................. 312
        28.1.1.Classification Models .......................... 312
        28.1.2.Quantitative Structure-Activity
               Relationship Methods ........................... 312
        28.1.3.Commercial Software ............................ 313
   28.2.In Vitro Methods for BBB .............................. 314
        28.2.1.Physicochemical Methods for BBB ................ 314
        28.2.2.Cell-based In Vitro Methods [BBB
               Permeability] .................................. 317
   28.3.In Vivo Methods for BBB ............................... 319
        28.3.1.B/P Ratio or Log BB [Brain Distribution] ....... 319
        28.3.2.Brain Uptake Index [BBB Permeability] .......... 320
        28.3.3.In Situ Perfusion [BBB Permeability,
               Log PS, μL/min/g] .............................. 321
        28.3.4.Mouse Brain Uptake Assay [BBB
               Permeability and Brain Distribution] ........... 322
        28.3.5.Microdialysis Method for BBB ................... 323
        28.3.6.Cerebrospinal Fluid Method for BBB ............. 324
   28.4.Assessment Strategy for Brain Penetration ............. 324
   Problems ................................................... 325
   References ................................................. 325

29.Metabolic Stability Methods ................................ 329

   29.1.In Silico Metabolic Stability Methods ................. 331
   29.2.In Vitro Metabolic Stability Methods .................. 331
        29.2.1.General Aspects of Metabolic Stability
               Methods ........................................ 331
        29.2.2.In Vitro Microsomal Assay for Metabolic
               Stability ...................................... 335
        29.2.3.In Vitro S9 Assay for Metabolic Stability ...... 338
        29.2.4.In Vitro Hepatocytes Assay for Metabolic
               Stability ...................................... 340
        29.2.5.In Vitro Phase II Assay for Metabolic
               Stability ...................................... 340
        29.2.6.Metabolic Phenotyping .......................... 341
        29.2.7.In Vitro Metabolite Structure
               Identification ................................. 342
   Problems ................................................... 345
   References ................................................. 346

30.Plasma Stability Methods ................................... 348

   Problems ................................................... 351
   References ................................................. 351

31.Solution Stability Methods ................................. 353

   31.1.General Method for Solution Stability Assays .......... 353
   31.2.Method for Solution Stability in Biological
        Assay Media ........................................... 355
   31.3.Methods for pH Solution Stability ..................... 356
   31.4.Methods for Solution Stability in Simulated
        Gastrointestinal Fluids ............................... 356
   31.5.Identification of Degradation Products from
        Solution Stability Assays ............................. 357
   31.6.In-Depth Solution Stability Methods for Late
        Stages of Drug Discovery .............................. 357
   Problems ................................................... 358
   References ................................................. 358

32.CYP Inhibition Methods ..................................... 360

   32.1.In Silico CYP Inhibition Methods ...................... 360
   32.2.In Vitro CYP Inhibition Methods ....................... 361
        32.2.1.Fluorescent Assay for CYP Inhibition ........... 364
        32.2.2.Single Substrate HLM Assay for CYP
               Inhibition ..................................... 365
        32.2.3.Cocktail Substrate HLM Assay for CYP
               Inhibition ..................................... 365
        32.2.4.Double Cocktail Assay for CYP Inhibition ....... 367
   32.3.CYP Inhibition Assessment Strategy .................... 367
   Problems ................................................... 368
   References ................................................. 368

33.Plasma Protein Binding Methods ............................. 372

   33.1.In Silico PPB Methods ................................. 372
        33.1.1.Literature In Silico PPB Methods ............... 372
        33.1.2.Commercial In Silico PPB Methods ............... 372
   33.2.In Vitro PPB Methods .................................. 373
        33.2.1.Equilibrium Dialysis Method .................... 373
        33.2.2.Ultrafiltration Method ......................... 374
        33.2.3.Ultracentrifugation Method ..................... 375
        33.2.4.Immobilized Protein High-Performance
               Liquid Chromatography Column Method ............ 375
        33.2.5.Microdialysis Method ........................... 375
        33.2.6.Other PPB Methods .............................. 376
   33.3.Red Blood Cell Binding ................................ 376
   Problems ................................................... 376
   References ................................................. 377

34.hERG Methods ............................................... 378

   34.1.In Silico hERG Methods ................................ 379
   34.2.In Vitro hERG Methods ................................. 379
        34.2.1.Membrane Potential-Sensitive Dye Method
               for hERG ....................................... 379
        34.2.2.Ligand Binding Method for hERG ................. 381
        34.2.3.Rubidium Efflux Method for hERG ................ 381
        34.2.4.Patch-Clamp Method for hERG .................... 381
        34.2.5.High-Throughput Patch-Clamp Method for
               hERG ........................................... 383
   34.3.In Vivo hERG Methods .................................. 384
   Problems ................................................... 384
   References ................................................. 385

35.Toxicity Methods ........................................... 386

   35.1.In Silico Toxicity Methods ............................ 387
        35.1.1.Knowledge-Based Expert System In Silico
               Toxicity Methods ............................... 387
        35.1.2.Statistically Based In Silico Toxicity
               Methods ........................................ 388
   35.2.In Vitro Toxicity Assays .............................. 388
        35.2.1.Drug-Drug Interaction .......................... 388
        35.2.2.hERG Block Assays .............................. 389
        35.2.3.Mutagenicity/Genotoxicity ...................... 389
        35.2.4.Cytotoxicity ................................... 391
        35.2.5.Teratogenicity: Zebrafish Model ................ 392
        35.2.6.Selectivity Screens ............................ 392
        35.2.7.Reactivity Screens ............................. 393
   35.3.In Vivo Toxicity ...................................... 393
        35.3.1.Discovery In Vivo Toxicity ..................... 393
        35.3.2.Preclinical and Clinical In Vivo Toxicity ...... 393
        35.3.3.Biomarkers of In Vivo Toxic Responses .......... 395
    Problems .................................................. 396
    References ................................................ 396

36.Integrity and Purity Methods ............................... 399

   36.1.Criteria for Integrity and Purity Assays .............. 399
   36.2.Samples for Integrity and Purity Profiling ............ 400
   36.3.Requirements of Integrity and Purity Profiling
        Methods ............................................... 401
   36.4.Integrity and Purity Method Advice .................... 401
        36.4.1.Sample Preparation ............................. 402
        36.4.2.Component Separation ........................... 402
        36.4.3.Quantitation ................................... 403
        36.4.4.Identity Characterization ...................... 404
   36.5.Follow-up on Negative Identity Results ................ 405
   36.6.Example Method ........................................ 405
   36.7.Method Case Studies ................................... 406
   Problems ................................................... 407
   References ................................................. 407

37.Pharmacokinetic Methods .................................... 409

   37.1.PK Dosing ............................................. 409
        37.1.1.Single-Compound Dosing ......................... 409
        37.1.2.Cassette Dosing ................................ 409
   37.2.PK Sampling and Sample Preparation .................... 410
   37.3.Instrumental Analysis ................................. 411
   37.4.Example Pharmacokinetic Data .......................... 412
   37.5.Tissue Uptake ......................................... 413
   Problems ................................................... 414
   References ................................................. 414


Part 5. Specific Topics ....................................... 417


38.Diagnosing and Improving Pharmacokinetic Performance ....... 419

   38.1.Diagnosing Underlying Property Limitations
        from PK Performance ................................... 420
        38.1.1.High Clearance After IV Injection .............. 420
        38.1.2.Low Oral Bioavailability ....................... 421
   38.2.Case Studies on Interpreting Unusual PK
        Performance ........................................... 421
        38.2.1.PK of CCR5 Antagonist UK-427,857 ............... 421
        38.2.2.PK of Triazole Antifungal Voriconazole ......... 422
   Problems ................................................... 424
   References ................................................. 424

39.Prodrugs ................................................... 426

   39.1.Using Prodrugs to Improve Solubility .................. 428
   39.2.Prodrugs to Increase Passive Permeability ............. 430
        39.2.1.Ester Prodrugs for Carboxylic Acids ............ 431
        39.2.2.Ester Prodrugs for Alcohols and Phenols ........ 432
        39.2.3.Prodrugs Derived from Nitrogen-Containing
               Functional Group ............................... 433
   39.3.Transporter-Mediated Prodrugs to Enhance
        Intestinal Absorption ................................. 434
   39.4.Prodrugs to Reduce Metabolism ......................... 435
   39.5.Prodrugs to Target Specific Tissues ................... 436
   39.6.Soft Drugs ............................................ 437
   Problems ................................................... 437
   References ................................................. 438

40.Effects of Properties on Biological Assays ................. 439

   40.1.Effects of Insolubility in DMSO ....................... 441
   40.2.Dealing with Insolubility in DMSO ..................... 443
   40.3.Effects of Insolubility in Aqueous Buffers ............ 443
   40.4.Dealing with Insolubility in Aqueous Buffers .......... 445
        40.4.1.Modify the Dilution Protocol to Keep
               Compounds in Solution .......................... 445
        40.4.2.Assess Compound Solubility and
               Concentrations ................................. 446
        40.4.3.Optimize Assays for Low Solubility
               Compounds ...................................... 447
        40.4.4.Effects of Permeability in Cell-Based
               Assays ......................................... 448
        40.4.5.Dealing with Permeability in Cell-Based
               Assays ......................................... 448
        40.4.6.Effects of Chemical Instability in
               Bioassays ...................................... 448
        40.4.7.Dealing with Chemical Instability in
               Bioassays ...................................... 449
   Problems ................................................... 449
   References ................................................. 450

41.Formulation ................................................ 453

   41.1.Routes of Administration .............................. 454
   41.2.Potency Drives Delivery Opportunities ................. 455
   41.3.Formulation Strategies ................................ 456
   41.4.Practical Guide for Formulation in Drug
        Discovery ............................................. 462
        41.4.1.Formulation for PK Studies ..................... 463
        41.4.2.Formulation for Toxicity Studies ............... 464
        41.4.3.Formulation for Pharmacological Activity
               Studies ........................................ 464
   Problems ................................................... 465
   References ................................................. 465

Appendix I   Answers to Chapter Problems ...................... 468

Appendix II  General References ............................... 492

Appendix III Glossary ......................................... 493

Index ......................................................... 514


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Посещение N 2153 c 10.02.2009