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从绝望中发掘希望 药物再定位:探索失败药物的新用途 李寅(英国皇家化学会会员)2013.1.18
从绝望中发掘希望 药物再定位:探索失败药物的新用途 李寅(英国皇家化学会会员)2013.1.18
1868
1871
David Chip
1956
1949
2007
50
300 cities
100 countries
Combining deep
employee expertise to
deliver critical information
in the financial, legal, tax
and accounting,
healthcare and science
and media markets.
4
I-III
R&DNME
2000-2010
R&D expenditure
Development times
NME output
Sales
275
250
240.4
225
Indexed to 2000
200
175
162.8
150
125
121.9
100
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010*
75
50
25
0
Year
*The development time data point for 2010 includes data from 2009 and 2010 only
Source: CMR International & IMS Health
65.6
22.10%
3.00%
18.90%
13.30%
4.40%
38.20%
II
III
: CMR international
12
Erectile dysfunction;
Pulmonary artery hypertension
13
14
New Opportunities
Innovative Medicines Unit
Bayer Common
Mechanisms Research
Group
Biovista
Marco Polo Pharmaceuticals
Numedicus
15
2000
150-200
A:
B:
Viagra
Revatio
Gemzar
Proscar
Evista
Rograine
1950-1960
1992Celgene
1998THALOMID
2006
3-5
19
Drug
Innovator
Mechanism
Original
Repurposed
Indication
Indication
Gemcitabine
Eli Lilly
Anticancer
Raloxifene
Eli Lilly
Estrogen
Osteoporosis
Breast cancer
agonist/antagonist
Buproprion
GSK
Norepinephrinedopamine Depression
Smoking cessation
reuptake inhibitor
Dapoxetine
Eli Lilly
Selective serotonin
Analgesia
Premature ejaculation
Depression
Premenstrual
Eli Lilly
SSRI
dysphoria
Hydroxychloroqu Sanofi
Lysosomal alkalinization;
ine
TLR inhibitor
Doxepin
Bimatoprost
Boehringer
Serotoninnorepinephrine
Mannheim (Roche)
Allergan
Prostaglandin analog
Antiparasitic
Antiarthritic
Antidepressant
Antipruritic
Glaucoma
Eyelash growth
20
22
OR
OR
A
?
OR
Rask-Andersen, et al 2011
Dudley, et al 2011
Zhichao Liu, et al 2012
23
24
Network-based methods
Knowledge-based methods
KNOWLEDGE-BASED
26
3:
2:
Linear pathways
4:
Normal pathway maps
5:
Disease pathway maps
Network expansion
1:
Disease
biomarkers
27
1:
28
2:
29
3:
BA
A
Myshkin et al, submitted
30
4:
A
31
5:
A
32
33
WNT signaling in
Hepatocellular
Carcinoma
34
Description
Tools
Information used
Via disease
biomarkers
1) Disease biomarkers of
MetaBase
2) Drug information of Integrity
Via network
expansion
1) Protein interactions of
MetaBase
2) Disease biomarkers of
MetaBase,
3) Drug information of Integrity
Via normal
pathway maps
Via linear
pathways
1) Linear pathways of
MetaBase
2) Drug information of Integrity
35
NETWORK-BASED
METHODS
36
Interconnectivity
Hidden nodes
Network
analysis
Random Walk
Overconnectivity
Neighborhood scoring
(Krauthammer et al., PNAS 2004)
Network Propagation
(Vanunu et al., PLoS Comput Biol, 2009)
:
->
P21: 206 interactions
in 16,000 proteins db
Under-connection
Expectation
Over-connection
:
->
hidden nodes
41
METHODS BASED ON
DISEASE SIMILARITY
42
Mental disorders
Neurodegenerative
Neoplasms
Autoimmune diseases
Inflammatory diseases
Mental disorders
Neurodegenerative
Neoplasms
Autoimmune diseases
Inflammatory diseases
47
II III
(N = 15,000)
N = 100
1000 15000
IP
15,000 )
DRUG
DRUG ID PHASE
TARGET
UNIPROT
3_1 Integrity
3_2 Integrity
Targets
3_2 MetaBase
Biomarkers
Validity
3_3 Neighbor
biomarkers
3_3 Neighbor
Integrity
3_3 Neighbor
Integrity
Targets
3_4 Skin
MetaBase
Biomarker
Validity
3_5
Expression
Pathway
3_6
biomarkers
Expression
genes
3_7 QSAR
genes
Total Score
TOTAL
(+)-alpha-DHTBZ
739953 Phase II Synaptic Vesicular Amine
Q05940
Transporter (VAT2)
0
0
0
0
0
0
0
0
0
0
0
PROJECT
(+)-alpha-Dihydrotetrabenazine
739953 Phase II Synaptic Vesicular Amine
Q05940
Transporter (VAT2)
0
0
0
0
0
0
0
0
0
0
0
RANK
DRUG ID DRUG
SCORING
(+)-alpha-DTBZ
739953 Phase II Synaptic Vesicular Amine
Q05940
Transporter (VAT2)
0
0
0
0
0
0
0
0
0
0
0
1
392619
Apremilast
18
(-)- Cytisine
274951 Launched Nicotinic beta2 receptor P17787
0
0
0
0
0
0
1
0
0
0
1
2
424112
AN-2728
18
(-)- Cytisine
274951 Launched Nicotinic alpha4 receptorP43681
0
0
0
0
0
0
0
0
0
0
0
3
90998
Tranilast
17
(-)-(S)-Bupivacaine hydrochloride
220671 Phase III Kv1.5
P22460
0
0
0
0
1
0
1
0
0
0
2
4
91601
Danazol
17
(-)-(S)-Pindolol
270881 Discontinued
5-HT1A receptor
P08908
0
0
0
3
0
0
1
0
1
0
5
5
213242
Enbrel
17
(-)-(S)-Pindolol
270881 Discontinued
beta-Adrenoceptor (nonspecified
P25962 subtype)
0
0
0
0
0
0
0
0
1
0
1
6
230874
Onercept
17
(-)-4'-O-Methylnyasol 449465 Not Determined
Phospholipase C gammaP19174
1 (isoform a) 0
0
0
0
0
0
1
1
1
1
4
7
415533
AN-0128
17
(-)-BCH-10652
260444 Phase III Gag-Pol
P04585
0
0
0
0
0
0
0
0
0
0
0
8
198460
Remicade
16
(-)-BCH-189
184356 Launched Gag-Pol
P04585
0
1
0
0
0
0
0
0
0
0
1
9
204973
Ariflo
16
(-)-Catechin gallate 322601 Not Determined
Fatty acid synthase
P49327
1
0
0
3
1
0
1
1
0
0
7
10
255014
Humira
16
(-)-Catechin gallate 322601 Not Determined
Fatty acid synthase (bacterial)
P49327
1
0
0
3
1
0
1
1
0
0
7
11
264195
Cimzia
16
(-)-Catechin gallate 322601 Not Determined
Beta-site APP-cleaving enzyme
P56817 1
0
0
0
0
1
0
1
0
0
0
2
12
278534
Delmitide
16
(-)-Catechin gallate 322601 Not Determined
Beta-site APP-cleaving enzyme
P56817 1 isoform
0 455 0
0
0
1
0
1
0
0
0
2
13
287321
KF-66490
16
(-)-Cetirizine dihydrochloride
269103 Phase III Interleukin-8 precursor P10145
0
0
0
3
1
0
1
1
2
0
8
14
334585
Simponi
16
(-)-Cetirizine dihydrochloride
269103 Phase III 5-HT2A receptor
P28223
3
0
0
0
0
0
1
0
1
0
5
15
438575
AP-214
16
(-)-Cetirizine dihydrochloride
269103 Phase III Histamine H1 receptor P35367
0
0
0
0
0
0
1
1
2
0
4
(-)-Cetirizine dihydrochloride
269103 Phase III Nicotinic alpha7 receptorP36544
0
0
0
1
1
1
0
0
0
0
3
(-)-CG
322601 Not Determined
Fatty acid synthase
P49327
1
0
0
3
1
0
1
1
0
0
7
(-)-CG
322601 Not Determined
Fatty acid synthase (bacterial)
P49327
1
0
0
3
1
0
1
1
0
0
7
(-)-CG
322601 Not Determined
Beta-site APP-cleaving enzyme
P56817 1
0
0
0
0
1
0
1
0
0
0
2
(-)-CG
322601 Not Determined
Beta-site APP-cleaving enzyme
P56817 1 isoform
0 455 0
0
0
1
0
1
0
0
0
2
(-)-Cromakalim
91271 Phase III Potassium Channels (nonspecified
B7U540 subtype)
0
0
0
0
0
0
0
0
0
0
0
90998: 3,4-DAA, NU-3450, Rizaben, SB-252218,
Tumor necrosis factor alpha (TNF-alpha)
(-)-DAPD
257988 Phase II Gag-Pol
P04585
0
0
0
0
0
0
0
0Tranilast
0 - Launched
0
0
(-)-DDMS
295115 Phase II Sodium-dependent Noradrenaline
P23975 Transporter
3
(NET)
0
0
0
0
0
1
0
0
0
4
OVERVIEW
(-)-DDMS
295115 Phase II Serotonin transporter (SERT)
P31645
0
0
0
0
0
0
1
0
0
0
1
Kissei has developed and launched tranilast in Japan and South Korea for the treatment of allergic rhinitis, asthma and atopi c
(-)-Desoxyepothilone B251562 Discontinued
Tubulin
P04350
0
0
0
0
0
0
0
0dermatitis.1Kissei, in collaboration
1
2 GlaxoSmithKline (GSK; formerly SmithKline Beecham), was additionally developing tranilast
with
prevention
(-)-DMS
322560 Phase II Sodium-dependent Noradrenaline
P23975 Transporter
3
(NET)
0
0
0
0
0
1
0(as Rizaben)
0 for the potential
0
4 of restenosis following percutaneous transluminal coronary angioplasty (PTCA). Tranilast
had been filed in Japan for restenosis by 1997 but Kissei was reported to have made the decision to withdraw its Japanese filing for
(-)-DMS
322560 Phase II Serotonin transporter (SERT)
P31645
0
0
0
0
0
0
1
0tranilast for0restenosis0by November12001 following GSK's decision to discontinue development of the drug for restenosis in July
(-)-dOTC
260444 Phase III Gag-Pol
P04585
0
0
0
0
0
0
0
02001. In December
0
0 it was reported
0 that Kissei decided to withdraw its Japanese filing for tranilast for restenosis following
2001,
(-)-DRF-2725
275437 Discontinued
PPARalpha
Q07869
1
0
0
1
1
1
1
1GSK's decision.
1
0
7
is 0also investigating
(-)-DRF-2725
275437 Discontinued
Peroxisome proliferator-activated
P37231 receptor
1 gamma
0 (isoform
0 2) 1
1
1
1
0Nuon Therapeutics
2
7 tranilast for the potential treatment of rheumatoid arthritis, multiple sclerosis and pain.
(-)-EGCG
183411 Phase II VEGFR-2 (FLK-1/KDR) P35968
0
0
0
3
1
0
1
1
2
0
8
(-)-EGCG
183411 Phase II Fatty acid synthase
P49327
1
0
0
3
1
0
1
1
0
0
7
(-)-EGCG
183411 Phase II Fatty acid synthase (bacterial)
P49327
1
0
0
3
1
0
1
1PATENT0 STATUS
0
7
SUPPORTING DATA
(-)-EGCG
183411 Phase II PDGFR (nonspecified subtype)
P09619
0
0
0
3
1
0
1
1
1
0
7
Drug shown to be safe and tolerable in restinosis, but no
(-)-EGCG
183411 Phase II Transcription Factor AP-1
P01100
(nonspecified0 subtype)
0
0
1
1
1
1
1
2
0
7
evidence of efficacy.
(-)-EGCG
183411 Phase II NF-kappaB (NFkB)
P19838
0
0
0
1
1
1
1
1
1
0
6
DRUG PROFILES
50
50
GSK
GSK
38
CFTR
(97
14)
CFTR
15% ()
Source: GeneGo
52
GSK
Cystic Fibrosis
CFTR
70000
37
CFTR
CFTR cAMP
CFTR
Does GSK or anyone else have assets
which can be repositioned as CFTR
correctors?
53
56
CFTR
(15%),
15
57
matrix
58
1000
11,000
2,300
-
3-5
-
59
,
,
60
Iressa
Herceptin
1994
2003
NSCLC
All NSCLC patients
IND
88 100,000
1992
1998
HER2-positive breast cancer
HER2-overexpressing patients
(25-30% of breast cancer market)
34 100,000
NSCLC
EGFR
mutation-positive NSCLC
EGFR mutationpositive
None incorporated initially
2006Genzyme EGFR
mutation
8.5
2016
2015
2014
2013
2011
2012
2010
2009
2008
2007
2016
2015
2014
2013
2011
2012
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2006
200
2005
400
2004
600
2003
800
7,000
6,000
5,000
4,000
3,000
2,000
1,000
0
2002
1000
2000
1996DAKO
Hercep
Herceptin HercepTest
70
2001
HER2positive
2000
61
:
- 250 cell
lines
- Measured
IC50
- XY
?
-
MetaCore
IDH1
BTC
Gene ID
IC 50
BTC
EGF
SPP1
SPP1
GLUD1
GRB14
BMPR1B
BMPR1B
IGF1R
IGF1R
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Lung
Cell Line
204475_at
205479_s_at
206538_at
222100_at
242141_at
204858_s_at
216551_x_at
211121_s_at
207113_s_at
201746_at
210371_s_at
200970_s_at
222631_at
202804_at
239035_at
214093_s_at
216268_s_at
206870_at
241412_at
240294_at
209541_at
203685_at
215025_at
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
Liver
IC50 or
pathwayselected list
SNP
Patient samples
Metoo
Me better
New-in-class
spinout
CRO CRAMS
64
65
MetaBase
Thomson Reuters Derwent
World Drug Index
MDL Drug Data Report, MDDR
(together with Accelrys)
MetaCore
MetaDrug
66
http://ip-science.thomsonreuters.com.cn/freeresources/lifesciencesreport/
http://weibo.com/u/3204664833
http://ip-science.thomsonreuters.com.cn/productraining/
67
Yin.li@thomsonreuters.com
0105760126118911813699
http://science.thomsonreuters.com.cn
68
69