Bioinformatics in Drug Discovery and Development
Traditionally,
pharmaceutical companies have employed a cautious mostly chemistry and pharmacology-based
approach to drug discovery, and are finding it “increasingly difficult to find
new compounds that will lead to new drugs” (Lim, 1997; Duggan et al., 2000). In the highly competitive “winner takes all” pharmaceutical industry,
the first company to patent a new chemical entity (NCE) for a particular
therapy takes all the spoils, leaving other competitors to mostly wait for
patent expirations to partake in the largesse (Duggan
et al., 2000).
Pharmaceutical companies therefore invest heavily in any processes that can
accelerate any step of the drug development cycle (Lim, 1997; Van Arnum, 1998;
Papanikolaw, 1999; Overby, 2001; Whittaker, 2003). The increasing pressure to
generate more drugs in less time has resulted in remarkable interest in bioinformatics
(Papanikolaw, 1999).
Although bioinformatics
attained prominence because of its leading role in the storage, management and
analysis of genomic data, its focus seems to be shifting due to the need of the
life sciences to exploit these data (Whittaker, 2003). According to Overby (2001), technologies
grouped under the umbrella of bioinformatics involve the use of computers to store,
organize, generate, retrieve, analyze and share genomic, biological and
chemical data for drug discovery. Several other writers have made the connection
between bioinformatics and drug discovery. Whittaker (2003) posited that bioinformatics is used in “drug target
identification and validation and in the development of biomarkers and
toxicogenomic and pharmacogenomic tools to maximize the therapeutic benefit of
drugs”. Ratti & Trist, (2001) suggest that “today’s [drug discovery and development] process … has been enriched
by advances in technological developments in screening, synthetic chemistry,
and by the increased number of possible targets due to the application of
genomics and bioinformatics.” The traditional chemistry and pharmacology-based approach to
drug discovery has recently given way to a more modernized information-based
approach – bioinformatics (Lim, 1997). The drug discovery and development landscape
has changed – for good, with the practice of bioinformatics becoming prevalent
in the drug industry such that the drug industry is one of the major players
guiding the development of the bioinformatics field (Van Arnum, 1998; Duggan et al.,
2000; Attwood & Miller, 2003). Duggan et al,
(2000) observed that “many (if not all) of the large pharmaceutical
companies have established internal bioinformatics groups whose purpose is to
beat the competition to solutions of a problem that may give their company that
crucial edge in producing the next major drug.” bioinformatics has certainly
come to stay and is now ubiquitous with drug discovery. According to Pollock
and Safer (2001) “few if any (drug discovery) projects are computer free”. The
impacts that bioinformatics has had and continues to have in the early stages
of drug development are encouraging and would only lead to further bioinformatics
investments (Ratti & Trist, 2001). Wentland (2004) provides a graphical
illustration of the role of bioinformatics in drug discovery:
One of the main thrusts of current bioinformatics
methods is the finding of biologically active candidates (Whittaker, 2003). Drugs are
usually only developed when the specific drug target for those drugs’ actions
have been identified and studied (Lim, 1997). Until recently, drug
development was restricted to a small fraction of possible targets since the
majority of human genes were unknown. The number of potential targets for drug
development is increasing dramatically, due mainly to the genome project (Lim,
1997). Mining
the human genome sequence using bioinformatics has helped define and classify
the genomic compositions of genes coding the target proteins, in addition to
revealing new targets that offer potential for new drugs (Van Arnum, 1998;
Southan, 2001; Foord, 2002). This is an
area where the human genome information is expected to yield big payoffs
(Southan, 2001; Foord, 2002). Drug developers are presented with an
unaccustomed luxury of choice as more genes are identified and the drug
discovery cycle becomes more data-intensive (Lim, 1997). Of the estimated 35,000 genes in the human
genome, Zambrowicz & Sands (2003) contend that the 100 top-selling drugs
have targeted only 43 of their encoded proteins. By enabling the identification
and analysis of more and more drug targets, bioinformatics is expected to
greatly increase the breath of potential drugs in the pipelines of
pharmaceutical companies (Lim, 1997; Overby, 2001; Whittaker, 2003; Zambrowicz
& Sands, 2003).
After drug targets – or better still, “potential”
drug targets – have been discovered, there is an invaluable need to establish a
firm association between a putative target gene or target protein with the
disease of interest (Whittaker, 2003). The establishment of such a key
relationship provides justification for the drug development. This process,
known as target validation, is an area where bioinformatics is playing a
significant role. Target validation not
only helps build the case that the drug modulation of such a target will result
in beneficial effects on the disease, it also helps mitigate the potential for
failure in the testing and approval phases (Ratti & Trist, 2001; Gilbert et al., 2003; Whittaker, 2003).
The current high cost of drug discovery and
development is a major cause for concern among pharmaceutical companies
(Papanikolaw, 1999). Along with increasing productivity, pharmaceutical
companies always aim to reduce the high failure rate in the drug discovery
process thereby increasing the number of drugs coming to market (Papanikolaw,
1999). The cost of clinical trials limits the number of drugs a
pharmaceutical company can develop, and hence selecting the compounds with the
best chances for approval is critical (Klein &
Tabarrok, 2003; PhRMA, 2003; Wierenga & Eaton, 2004). The costs of drug discovery and development –
generally include total costs from
discovery to approval (Klein & Tabarrok, 2003; PhRMA, 2003; Wierenga
& Eaton, 2004) though some studies have included the costs of failed drugs
and the costs for commercialization (Gilbert et al., 2003). There is also a cost associated with the elongated
process, beginning from discovery all the way to final approval (Lim, 1997;
Klein & Tabarrok, 2003; PhRMA, 2003). Advances in bioinformatics have
allowed for marked efficiencies, beginning with target identification and
validation, to assay development, and high-throughput screening (HTS) – all
with the goal of identifying new chemical entities (Belkowski, 2003). With more
efficient target discovery and validation, bioinformatics can help ensure that
more drug candidates are successful during the approval process as well as
shortening the discovery and development cycle, making it more cost-effective
(Lim, 1997).
There are some other non-discovery/development costs
– collateral costs – that plague the pharmaceutical industry. These costs
include commercialization costs (Gilbert et
al., 2003; Mullin, 2003), litigation and drug-recall costs (Klein
& Tabarrok, 2003; Tait & Mittra, 2004), and general costs to society
(Lazarou et al., 1998; Kohn et al., 1999).
Commercialization costs, estimated by Gilbert et al., (2003) to be about $250 million
per approved drugs, are high mainly because most “new” drugs approved are
essentially functional replicas of drugs that already exist (Koppal, 2004; Tait & Mittra, 2004).
Because these mostly copycat drugs are being commercialized to abate ailments
for which there are already drugs, there is a need for what Meyers & Baker
(2001) describe as a high and “intense promotional noise” in their
(pharmaceutical companies) efforts to attract the attention of both patients
and physicians who already have access to similar medication. Bioinformatics,
by enabling the more efficient discovery and identification of drug components
and targets, will bridge the innovation gap, thereby allowing pharmaceutical
companies the opportunity to efficiently discover and develop novel drugs and
chemical entities (Whittaker, 2003). Commercialization costs are then expected
to fall significantly, as drugs are commercialized not in competition with
already existing equivalents, but in announcement and advertisement of new
drugs that offer new therapeutic benefits for hitherto unmet medical needs
(Meyers & Baker, 2001)
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