Drug Discovery/Development & Delivery Insect Models for Drug Discovery Currently, it takes from $800 m to $1 bn and 10-16 years to bring a new drug to market. It is estimated that only four in 5,000 - 10,000 compounds that begin preclinical testing will progress to human testing, and only one of those will be approved for human use. About 40-60% of the compounds fail due to absorption, distribution, metabolic, elimination and toxicological (ADMET) properties in clinical development where the cost per drug candidate is the most expensive1. Thus, it is essential for the pharmaceutical companies to reduce the costs and the time to market for new drugs. To succeed in doing this more and more complex in vitro models are developed and applied as filters to select the most suitable compounds for the in vivo models. However, the gap between in vitro and in vivo models is still large and this may introduce problems when linking in vitro findings to in vivo readouts. Hence, there is demand for intermediate models that give a better prediction of in vivo ADMET parameters than in vitro models, and at the same time are faster and cheaper than traditional vertebrate in vivo models. There are strong indications that insect models may fill the gap between in vitro and in vivo. Certain invertebrates have served as useful models for understanding many different biological processes. In particular, the fruit fly, Drosophila melanogaster (Dm) is a well-recognised model research organism, which has already made significant contributions to the understanding of, e.g., genetics, neurobiology, and molecular biology2. Generally, insects and vertebrates have many physiological features in common. They are all multi-cell organisms, but the anatomy of insects is relatively simple and the physiology is wellstudied. Moreover, there are remarkable molecular and functional similarities with mammals, and this suggests that insects may be relevant as models in drug discovery research. Transgenic models of Dm have been developed to imitate neurodegenerative human diseases. Some of these models have demonstrated their 22 INTERNATIONAL PHARMACEUTICAL INDUSTRY efficiency for testing relevant drugs, and concordance of drug efficacy in flies and mammals is seen for diseases like Huntington’s, Parkinson’s and Alzheimer’s3,4. In addition, Dm has been used to provide model systems for research on drug abuse5. In fact, such studies led to identification of genes required for cocaine sensitisation in mammals. Hence, insects have proved their potential as experimental models in drug discovery. The homologies between insects and vertebrates also allow studies of ADMET properties of chemicals. Thus, insects are potential new model organisms for studying blood brain barrier (BBB) permeability, pharmacokinetics (PK), intestinal absorption and transporter mediated efflux/influx of chemicals. Insect Physiology In contrast to vertebrates, insects do not have a blood vessel-based circulatory system. Instead the body fluid (i.e. the hemolymph) circulates (by aid of a dorsal beating tubular heart) throughout the insect body. In the hemolymph nutrients are transported to the various organs while waste products are transported to the excretory organ, i.e. Malpighian tubule. An optimal internal environment is obtained by regulation of hemolymph osmotic pressure. This regulation is executed by the Malpighian tubule, long thin blindly ended tubes arising from the posterior end of the midgut, exhibiting a most efficient capacity to exchange material with the hemolymph and maintain a proper internal environment (Figure 1). The principal cells of the Malpighian tubule are enriched with closely packed microvillus, and the cells contain numerous mitochondria indicating metabolically very active cells. The principles for water and molecular entry to the Malpighian lumen are the same as that for primary urine formation in vertebrates. In vertebrates the liver is very important for a first pass metabolism of orally-administered drugs. Metabolisms in insects occur in a number of organs, mainly the intestinal mucosa, the fat body (a specialised tissue consisting of cells with enormously increased outer membrane surface area and high capacity for uptake and metabolism similar to that of vertebrate hepatocytes) and the Malpighian tubule. In Dm it has been shown that there is a remarkable enrichment of detoxification genes (e.g. cytochrome P450 (CYP450) enzymes and glutathione-S-transferases) in the Malpighian tubule6. Furthermore, microarray studies have shown that nearly every subclass of the huge ABC transporter gene family, as well as the OAT, OCT, OATP, sugar and amino acid transporter families, are highly expressed in the Malpighian tubule7. Pharmacokinetics To make a successful drug, displaying a therapeutic effect, the drug must pass all pharmacokinetic hurdles in order to reach the target organ and exert its pharmacological action. Thus, it is important to investigate to what extent compounds permeate cellular membranes, how they are distributed, the rate and extent of metabolism, etc. The metabolism is usually addressed in vivo by measuring the compound concentration in the blood over time. It is known that insects are able to metabolise xenobiotic compounds, e.g. pesticides, in a similar manner to mammals. This is the basis for adding compounds like piperonyl butoxide to Figure 1. The Malpighian organ in insects consists of long blindly ending tubular structures that arise at the junction between the midgut and the hindgut, and functions as an excretory organ maintaining the homeostasis in the hemolymph. The functional similarities between human and insect primary urine formation and its neuroendocrine control combined with the metabolic capacity of the Mapighian organ makes insects excellent models for basic and applied pharmacology research in drug metabolism and clearance. Volume 3 Issue 2 Drug Discovery/Development & Delivery insecticide mixtures, as these potentiate the effect of the toxic pesticides through inhibition of CYP450s in the insects. In a recent study we injected Quinidine into six grasshoppers and hemolymph samples were extracted from each insect at five different time-points. From this study it was seen that Quinidine is metabolised by insects over time as shown in Figure 2. Intestinal Absorption The vertebrate intestine is known for its absorptive function because of the presence of large numbers of microvilli and the expression of several physiological relevant uptake carriers for nutrients. In addition there is a high expression of both phase I and phase II metabolising enzymes contributing to the so-called first pass metabolism. Furthermore, the high abundance of the efflux transporters like P-glycoprotein (Pgp), breast cancer resistance protein (BCRP), and multidrug resistance protein 2 (MRP2) severely limit the absorption of numerous drugs. Much attention has been given to the dynamic interaction of metabolism, secretion and the role of transporters on drug absorption. Because of the significant role of the intestine in the first pass metabolism and permeation of drugs a number of models have been established from cellular in vitro models (e.g. CaCo-2) via intestinal tissue preparation (Ussing chamber) to in vivo techniques. However, factors affecting drug absorption include drug permeability, metabolism, transporters and interaction between these factors, and this is difficult to model in vitro8. On the other hand from traditional vertebrate in vivo ADMET models it is difficult to distinguish the effect related to the actual intestinal absorption from the metabolising effects in the liver. In insects the alimentary midgut cells are tall, columnar and morphologically very similar to vertebrate enterocytes and exhibit huge numbers of microvilli towards the luminal side. Also similar to the vertebrate intestine there are proliferative zones with the same stem cell principles of reproduction and differentiation as in vertebrates. The presence of the CYP450 system in the insect midgut cells has been shown, but there is sparse information on the presence of transporters, though an 24 INTERNATIONAL PHARMACEUTICAL INDUSTRY unexpected similarity between intestinal sugar absorption in vertebrates and insects has been reported9. BBB Permeability The vertebrate BBB represents the physiologic barrier between the brain tissue and blood vessels, which restricts the exchange of solutes and regulates absorption of exogenic agents (e.g. drugs) from the blood into the brain. Penetration of the BBB is one of the major hurdles in the development of successful CNS drugs. The insect BBB has largely been ignored as a model system for the mammalian BBB, because it was for a long time assumed that epithelial barrier junctions in insects and vertebrates were analogous rather than homologous structures. However, identification of homologous proteins, i.e. claudines, at the epithelial junctions of both septate junctions in flies and tight junctions in mammals10 has led to a re-evaluation of this view11. The insect brain is bathed in hemolymph. This is in contrast to the vertebrate brain which contains a huge number of blood vessels. Consequently, the insect brain surface and thereby the exposure to the hemolymph is thus expected to be much lower than the mammalian brain surface. However, as in vertebrates, insects have complex compartmentalised nervous systems for specialised functions like vision, olfaction, learning, and memory (Figure 3)3. Transmembrane permeability in the vertebrate BBB is limited by the presence of efflux transporters that actively block the passage of drugs or endogenous compounds from the blood to the brain. The most important efflux transporters expressed in the membrane of endothelial cells are Pgp, BCRP, and MRP2. In a recent study using the grasshopper (Locusta migratoria) it was found that a number of CNS active test compounds crossed the locus brain barrier, whereas peripherally acting nonCNS compounds were excluded from the brain. Furthermore, it was found in an ex vivo locust model that treatment with a human Pgp inhibitor facilitated the uptake of a typical Pgp substrate12. Transporters During the last decades, numbers of in vitro and animal studies have shown that multidrug-transporting proteins (MDTP) are important for drug absorption and excretion. Moreover, these proteins affect drug disposition and pharmacological activity at the cellular target site. Most MDTP research has so far been focusing on the efflux transporters e.g. Pgp and other multidrug resistance proteins (MRPs). During recent years the importance of other cellular membrane transporters has been investigated. Of main interest have been the studies of the organic anion and cation transporters (OATs and OCTs) but also the organic anion transporting polypeptides (OATPs). The major interest in these studies has Figure 2. The utility of insects in pharmacokinetic studies is illustrated by the time course concentration of Quinidine in the hemolymph of the locust after a single injection of the compound into the hemolymph. Volume 3 Issue 2 Drug Discovery/Development & Delivery been focusing on transporters in the BBB, intestine, liver and kidney tissues and cells since this is important in drug absorption, metabolism and excretion and consequently the disposition, therapeutic efficacy and adverse effects. Transporter proteins may also cause safety issues related to drug-drug interactions. Thus, the identification of membrane transporters influencing the disposition and safety of drugs is a new challenge in drug discovery. Of the numerous drug transporters identified so far, their importance in drug absorption (e.g. intestinal Pgp and BCRP), in drug distribution (e.g. Pgp at the BBB and OATPs in hepatocyte uptake) and in drug excretion (OATs and OCTs for renal elimination) have been considered. It has been shown that insects have OATPs and Pgp in the intestinal wall, while the Pgp function has been shown in both Dm and locusts12. This indicates that insects may be useful as in vivo systems in the early drug ADMET characterisation. Thus, taken together, there are many reasons to believe that the insect hemolymph-fat body-Malpighianmetabolising-excretion system could be a relevant model for highly efficient documentation of some key ADMET parameters in the early drug discovery phase. Future Insect models could potentially be used as a filter between in vitro and in vivo models, filling the gap between the ‘quick’ in vitro models and the ‘slow, expensive but more reliable’ in vivo models. In vitro models are used for high- or medium-throughput screening, but it may be difficult to judge which compounds have the highest probability of successfully passing mouse studies. In contrast to in vitro models, the insect models are based on more complex biological organisms that comprise many parameters not present in in vitro models. Moreover, many homologies on molecular as well as functional levels are reported, and the data generated from using insects have so far been very promising. This, in combination with the fact that insect models have been shown to be both cost- and timeefficient, imply that insect models may be useful as intermediate screening models in the drug discovery phase. 26 INTERNATIONAL PHARMACEUTICAL INDUSTRY Figure 3. Main structure of the locust brain consisting of three fused ganglionic masses, the protocerebrum, the deutocerebrum and the tritocerebrum. The protocerebrum is a major integrative centre receiving information from many sensory sources like the compound eye and the ocelli. This part is also believed to be involved in olfactory learning. The deutocerebrum receives input from mechanoand chemosensory receptors on the antenna and the tritocerebrum integrates the signals that are sent to various muscles in the insect body. Another interesting feature is the fact that insect models only require tiny amounts of compound material; existing DMSO stock solutions are suitable, i.e. re-synthesis is not needed. It is obvious that insects are not substituting in vitro or in vivo models, but used in the right way insect models could potentially enhance the drug discovery phase and reduce the number of traditional animal studies. So far, the research performed on insects indicates that insects could be a new model species in ADMET profiling of chemical compounds n References 1 Charles River Laboratories, Annual Repot (2009) 2 Gullan, P.J. & Cranston, P.S. The insects. An outline of entomology. Blackwell Science Ltd. (2000) 3 Marsh, J.L., & Thompson, L.M. Can flies help humans treat neurodegenerative diseases? Bioessays 26, 485–496 (2004) 4 Marsh, J.L. & Thompson, L.M. Drosophila in the Study of Neurodegenerative Disease. Neuron 52, 169-178 (2006) 5 Wolf, F.W., & Heberlein, U. Invertebrate Models of Drug Abuse. J. Neurosci, 54, 161-78 (2003) 6 Dow, J.A.T. Insights into the Malpighian tubule from functional genomics. J. Exp. Biol. 212, 435-445 (2009) 7 Wang, J., Kean, L., Yang, J., Allan, A.K., Davies, S.A., Herzyk, P., & Dow, J.A.T. Function-informed transcriptome analysis of Drosophila renal tubule. Genome Biology, 5, R69.1-R69.21 (2004) 8P ang, K.S. Modeling of Intestinal Drug Absorption: Roles of Transporters and Metabolic enzymes (For the Gillette Review Series). Drug Metab. Disp. 31, 1507-1519 (2003) 9C accia, S., Casartelli, M., Grimaldi, A., Losa, E., de Eguileor, M., Pennacchio, F. & Giordana, B. Unexpected similarity of intestinal sugar absorption by SGLT1 and apical GLUT2 in an insect (Aphidius ervi, Hymenoptera) and mammals. Am. J. Physiol. Regul. Integr. Comp. Physiol. 292, R2284-R2291 (2007) 10 W u, V.M., Schulte, J., Hirschi, A., Tepass, U. & Beitel, G.J. Sinuous is a Drosophila claudin required for septate junction organization and epithelial tube size control. The J. Cell Biol. 164, (2), 313– 323 (2004) 11 D aneman, R. & Barres, B.A. The BloodBrain Barrier—Lessons from Moody Flies. Cell 123, 9-12 (2005) 12 N ielsen, P.Aa., Andersson, O., Hansen, S.H., Simonsen, K.B. & Andersson, G. Models for predicting blood-brain barrier permeation. Drug Discov. Today (in press) Peter Aadal Nielsen is CEO at EntomoPharm. He received his PhD in Computational Chemistry from University of Copenhagen. He has worked as senior scientist at AstraZeneca R&D and 7TM Pharma. During his work he has been focusing on developing computational models for prediction of ADMET properties. Email: [email protected] G u n n a r Andersson is CSO at EntomoPharm. He received his PhD in Animal Physiology from University of Lund. He has worked as Head of Department of Experimental Animal Pharmacology at various pharmaceutical companies. He has been Adj. Professor at University of Lund with a main focus on cell proliferation and differentiation. Email: [email protected] Volume 3 Issue 2
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