Journal Title
Title of Journal: JAMA
|
|
Publisher
American Medical Association
|
|
|
|
Authors: Thomas F Bumol August M Watanabe
Publish Date: 2001/02/07
Volume: 285, Issue: 5, Pages: 551-555
Abstract
The completion of the first draft of the human genome has provided an unprecedented opportunity to understand the genetic and molecular basis of disease Parallel developments of new biological technologies such as transcript profiling allow scientists to examine almost any biological system in high molecular resolution Contemporary drug discovery research is now focusing on the identification and validation of pharmaceutical targets in the molecular pathways/systems embedded in this information Novel therapeutic interventions are being developed and evaluated as a result of this research which will be the basis of innovative pharmaceuticals of the futureDespite many advances in medicine disease burdens remain significant in both developed and emerging countries1 Effective drugs for treatment and prevention are needed for many disease areas including cardiovascular disease cancer neurological disorders infectious diseases endocrinology and inflammatory and chronic degenerative diseases Therefore there is excitement about the potential biological revolution that will emerge with understanding the human genome2The various genome initiatives have provided drafts of the chromosomal sequences of humans and other species The enabling technologies for this accomplishment such as transcript profiling now provide new tools to examine complex biological systems at the level of essentially all expressed messenger RNA mRNA and corresponding proteinsThis explosion of biologic information about the proteins and pathways relevant to cellular physiology and disease has stimulated biotechnology and pharmaceutical researchers to assign top priority to identification and validation of key targets known or novel to develop therapies for the many remaining diseases Hypothesisbased biological research is now supplemented with multidisciplinary approaches to systems and circuitbased biology that integrate bioinformatics genomic databases and cellular and molecular biology with the traditional drug discovery disciplines of physiological biochemistry pharmacology and medicinal chemistry As a consequence interventional strategies now include recombinant proteins monoclonal antibodies peptides and small organic molecules as drug candidates The goal is to expedite the testing of novel therapeutic hypotheses in humans and to develop strategies to identify optimal therapy for individual patientsSuccessful drug treatments of today and in the past involve fewer than 500 targets or growth factors as of 19963 whereas the human genome contains 35 000 to 120 000 genes45 At least 5000 of these genes should be important targets or produce therapeutic proteins suggesting that only 10 of potential therapeutic strategies have been identified and exploited to date6 This avalanche of genetic information largely coming from genomic sequences and expressed sequence tag–based sequencing of complementary DNA cDNA libraries initially represents a complete catalogue of component parts of the cell and tissues but does not yet provide insight into how all of the protein products of these genes interact or function within the cellThe challenge for pharmaceutical research is to unravel the pathophysiology of human diseases and thus make it possible to identify targets accessible to drug intervention The new systems or circuit view of biology that has evolved from gene research must be considered in successful drug discovery78 This perspective requires integration of various new technologies into the traditional toolbox of pharmaceutical research This article focuses on this new genomically influenced multidisciplinary approach to contemporary drug discovery by examining genomic information for hypothesis and target generation and the technologies being developed to validate targets for new therapiesBiochemistry pharmacology and medicinal chemistry will continue to play an essential role in identification of pharmacological targets in the posthuman genome era Expertise in preclinical models and human biology is necessary to incorporate genomic information into a molecular systems approach to physiology The traditional drug discovery process will now be supplemented with additional sources of genomic information at the level of chromosomal DNA disease gene associations mRNA transcript profiling of tissues human genetic variance data and animal and developmental models relevant to disease Figure 1For example if the disease target involves the human endothelium genomic information on the target organ system can be mined with bioinformatics for the discovery process910 DNA sequencing of a cDNA library of human endothelial cells or the use of transcriptional arrays can provide a view of gene transcription in normal human endothelium1112 Likewise proteomics or the systematic study of expressed proteins can provide insight into the functional proteins in specific cells1314
Keywords:
References
citation title=Pharmacogenetics and the practice of medicine citation author=Roses AD citation journal title=Nature citation year=2000 citation volume=405 citation pages=857859
.
|
Other Papers In This Journal:
- Suicide After Restoration of Sight
- Hepatitis B Vaccine Responsiveness in Connecticut Public Safety Personnel
- Psychopharmacological Screening Criteria Development Project
- Infratemporal Fossa Foreign Body
- Possible Role of Cytomegalovirus in Atherogenesis
- Tubal Ligation, Hysterectomy, and Risk of Ovarian Cancer
- Cholera in Zimbabwe
- Access to Care in Regionalized Health Care Systems
- Addendum: Volunteer Opportunities Overseas
- References and Reviews
- Preexposure Prophylaxis for HIV Infection
- Glucocorticoid Treatment Does Not Improve Neurological Recovery Following Cardiac Arrest
- The Syndrome of Chronic, Occult Rupture of the Spleen
- Septic Abortion
- Open Fracture of the Olecranon
- Chronic Osteomelitis: II. Treatment With Closed Irrigation and Suction
- Prognostic Significance of the Initial Electrocardiogram in Patients With Acute Myocardial Infarction
- Application Considered for Immunotoxin in Treatment of Graft-vs-Host Disease
- The Surprise Party
- Progress in Clinical Medicine
- Endemic Pleural Calcification and Mesothelioma-Reply
- Mental Retardation and Schizophrenia
- HEALTH FOR SALE
- Shakespeare and Psychiatry
- Biomarker-Based Predictive Models for Prognosis in Amyotrophic Lateral Sclerosis
- Immunotherapy, Hay Fever, and Asthma
- Activities of the Federation of State Medical Boards of the United States, Inc.
- The New Vital Sign-Reply
- Repetitive Transcranial Magnetic Stimulation and Tinnitus—Still a Noisy Issue
- Clinical Prediction Rule for Identifying Children With Cerebrospinal Fluid Pleocytosis at Very Low Risk of Bacterial Meningitis
- After Hours
- Lymphocytic Choriomeningitis Outbreak Associated With Nude Mice in a Research Institute
- HTLV-III Antibodies After Immune Globulin
- A Hazard of Protein-Sparing Modified Fast
- Prevention of Heart Failure
- Fractures: Simple, Compound, and Complex
- Factors Associated With Decisions to Undergo Surgery Among Patients With Newly Diagnosed Early-Stage Lung Cancer
- Hematology for Internists
- Quality Assurance
- Intranasal Lidocaine for Treatment of Migraine: A Randomized, Double-blind, Controlled Trial
- Incorrect References
- Outcomes of an Inner-City Vision Outreach Program: Give Kids Sight Day
- Medical school uncorks alcoholism education
- Clinical Problems, Injuries and Complications of Gynecologic Surgery
- Corrective Nasal Surgery in the Younger Patient
- Japanese Develop Early Test for Lung Cancer Metastases
- Do Obese Persons Mirror Thin Counterparts in Calorie Intake, Recall of Food Consumed?
- AIDS in South Africa
- Prenatal Screening for Hepatitis B-Reply
- Prenatal Screening for Hepatitis B-Reply
- Reports Warn of Primary Care Shortages
- Hyperosmolar Coma
- Bioequivalence of Levothyroxine Preparations: Issues of Science, Publication, and Advertising-Reply
- Dressing Regimens and Intravenous Catheter—Related Infections-Reply
- Vitamin D and Risk of Postoperative Hypocalcemia After Total Thyroidectomy
- JAMA 100 Years Ago
- Withholding or Withdrawing Treatment
- Controversy in Obstetrics and Gynecology II
- WHIPPLE'S DISEASE
- Anesthesiology: Cardiothoracic Anesthesia
- Drug Prophylaxis for Arterial Thromboembolism—1981
- Difficult Choices for Two-Year Medical Schools
- Nitrofurantoin in Urinary Tract Infections
- Rehabilitation Medicine: Principles and Practice
|