S C R E E N I N G O F D R U G M E TA B O L I S M T H R O U G H I N T E S T I N A L M I C R O B I OTA TNO I-SCREEN INTESTINAL MICROBIOTA SCREENING PLATFORM FOR DETERMINING METABOLISM OF DRUGS TNO’s intestinal screening model (TNO i-screen) helps to quickly identify pharmacological compounds that are metabolized by intestinal microbiota. For pharmaceutical companies, searching for novel pharmaceuticals is a complex and time-consuming process. When a novel drug has been selected, extensive in vitro and clinical studies are required to demonstrate its metabolism, safety and efficacy prior to releasing it to the market. Increasing evidence has shown that gut microbiota are involved in the metabolic transformation of many drugs, influencing drug pharmacokinetics and thus, efficacy and safety profiles. THE TECHNOLOGY EXPLAINED TNO developed the i-screen platform for in vitro evaluation of drug metabolism through intestinal microbiota. Human gut microbiota are cultured anaerobically in a multi-well system to mimic the human intestinal in vivo metabolism. This allows for determining the potential of intestinal microbiota to metabolize drug candidates. The starting population of microbiota in the TNO i-screen can be a standardized ex-vivo intestinal microbiota pool collected from either healthy volunteers, or for example obese, or lean adults or even children. This would confer the inherent differences found in each individual’s specific gut microflora. BENEFITS TNO i-screen enables rapid identification of drugs that are susceptible to meta bolism by intestinal microbiota. Additionally, it can be used to identify unknown metabolites transformed by intestinal microbiota. Normally, human metabolite profiling and identification data are generated during Phase II and/ or III of clinical trials. Human metabolites can thus be identified in preclinical stages, thereby de-risking and accelerating the drug development process. Each i-screen can be simultaneously exposed to a large number of different conditions, allowing for cost effective screening of interesting candidate drugs. Experiments in TNO’s i-screen are also not subject to lengthy regulatory processes and allow testing of drug candidates early on in the evaluation. S C R E E N I N G O F D R U G M E TA B O L I S M T H R O U G H I N T E S T I N A L M I C R O B I OTA EXAMPLES OF THE I-SCREEN AT WORK μV 16 - 8 1 37 S E P T E M B E R 2 0 16 μV 220000 120000 36,37 sulfasalazine 200000 110000 100000 180000 5,57 Active metabolite (sulfapyridine) (>90% of total) 90000 160000 Example 1: Intestinal microbiota driven 80000 140000 70000 metabolism of sulfasalazine 120000 60000 sulfasalazine 100000 TNO has successfully applied the i-screen (6% of total) 50000 80000 36,30 40000 to demonstrate that sulfasalazine in the 60000 30000 40000 i-screen system is metabolized as has 20000 20000 10000 been shown in vivo. Sulfasalazine is 0 0 0,00 20,00 40,00 60,00 mins 0,00 20,00 40,00 designed specifically to be metabolized H+ H+ H H H N N N N N Sulfasalazine is metabolized in TNO’s by human intestinal microbiota to the N N N i-screen to sulfapyridine S S 5-aminosalicylic acid that has therapeutic O S S N N H+ H+ H H H N N effect [2]. However, clinical studies OH N O N N N N N S S nizatidine reduced metabolite (m/z 316) demonstrated that sulfasalazine is mainly O S S N N metabolized to sulfapyridine by the OH O intestinal bacteria, which give rise to nizatidine reduced metabolite (m/z 316) RT: 0.00 - 7.00 side-effects. In this example, microbiota 0.64 2.56 1500000 from healthy adults were exposed to 100 nizatidine 1000000 1.77 0.79 0.89 O µM sulfasalazine. Samples were taken RT: 0.00 - 7.00 2.41 4.07 500000 0.64 2.56 0.55 2.68 1500000 1.61 1.25 after 0 and 24 hrs. and were analyzed by 3.27 3.66 4.51 2.08 0.50 5.04 5.32 5.51 5.71 6.10 6.39 6.63 0 5.54 0.64 nizatidine 1000000 1500000 HPLC. 1.77 0.79 0.89 O 0.76 uAU NL: 1.53E6 nm=269.5270.5 PDA 20160518a05 uAU 0 1000000 0.55 0.50 500000 0.64 uAU 500000 60,00 mins 2.41 1.25 1.61 2.08 1.11 4.07 2.68 3.27 3.66 NL: 1.53E6 nm=269.5270.5 PDA 20160518a05 4.51 4.01 5.04 5.32 5.51 5.71 6.10 6.39 6.63 5.54 4.47 4.81 5.92 6.11 3.20 3.34 3.77 5.45 NL: NL: 1.52E6 nm=269.5270.5 PDA 20160518a06 uAU uAU uAU uAU uAU Example 2: Intestinal microbiota driven 1500000 0.56 6.64 1.59 2.50 2.73 2.04 0.46 0.76 0 5.57 metabolism of nizatidine, in collaboration1000000 Reduced Metabolite 1500000 4.01 1.11 (m/z 316) 500000 with Pfizer Inc. 0.56 1000000 O 4.47 4.81 1.59 3.20 3.34 3.77 5.45 5.92 6.11 6.64 2.73 2.50 2.04 0.46 0.90 0 3.65 In a second example, TNO has success5.57 3.95 500000 1.08 1.50 1.95 2.15 6.64 4.03 4.44 4.78 5.11 5.50 0.53 0.56 2.69 3.18 3.38 5.91 6.24 Reduced Metabolite 0 fully applied the i-screen in the investiga-1500000 5.61 (m/z 316) 1000000 O 0.90 tion of nizatidine, a pharmaceutical 0.87 3.65 1000000 3.95 500000 1.08 4.78 5.11 5.50 1.50 1.95 2.15 6.64 0.53 0.56 2.69 3.18 3.38 4.03 4.44 5.91 6.24 3.64 compound that is known to be metabo0 500000 1.10 5.61 3.88 1.45 1.72 1.88 2.37 2.64 3.08 3.27 0.53 0.58 4.21 4.41 4.65 5.09 5.41 6.65 5.75 6.06 lized by human intestinal microbiota [3]. 0 0.87 1000000 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5 7.0 Time (min) After the incubation period, the analysis 500000 3.64 1.10 3.88 1.45 1.72 is 3.08 in 3.27TNO’s i-screen 0.53 0.58 2.37 2.64 4.21 4.41 4.65to 5.09 Pfizer Inc. nizatidine a reduced of the samples was performed by Pfizer 5.41 6.65 1.88metabolized 5.75 metabolite 6.06 0 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5 7.0 Inc. using high resolution mass spectro Time (min) metry. The microbiota from healthy adults CONTRACTING were exposed to 50 µM nizatidine and This service is performed as contract samples taken after 0, 6, 24 and 48 hrs, research at TNO. We are always looking clearly demonstrated the metabolic for collaborative partners in the next capacity of gut microbiota. TNO.NL pharmaceutical or biotech project. ADDITIONAL APPLICATIONS Screening of pro-drugs that are REFERENCES transformed to active drugs by 1.Sara JT et al. 1983. Science. TNO HE ALTHY LIVING intestinal microbial metabolism 220(4594):325-7. Diversity by Next Generation TNO initiates technological and societal 2.Peppercorn MA. 1984. Ann Intern Sequencing using the MiSeq platform innovation for healthy living and a dynamic Med. 101(3): 377-86. (16S/ITS2 amplicon sequencing) society. 3.Kandler MP et al. 1986. Drug Metab (Metagenomic) microbial expression Dispos. 14(2): 175-82. profiling using the NextSeq platform TNO Metabolic shifts by SCFA analysis Utrechtseweg 48 (acetate, proprionate, butyrate), BCFA 3700 AJ Zeist (iso-butyrate, iso-valerate), or numerP +31 (0) 88 866 1649 ous other metabolites for clinical and The Netherlands infant nutrition Steven Erpelinck (BSc. MBA) [email protected] 1.52E6 nm=269.5270.5 PDA 20160518a06 NL: 1.82E6 nm=269.5270.5 PDA 20160518a07 NL: 1.82E6 nm=269.5270.5 PDA 20160518a07 NL: 1.45E6 nm=269.5270.5 PDA 20160518a08 NL: 1.45E6 nm=269.5270.5 PDA 20160518a08 North America Tineke Meijers (PhD) [email protected] Japan Kaz Ariga (PhD) [email protected]
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