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What are the four phases of drug discovery and development?
Drug discovery
Preclinical development
Clinical development
Regulatory approval
What is the aim of preclinical studies?
Investigate the behavior of novel therapeutic agents in cell culture or animal models
Under which directive is animal research in the EU regulated?
Directive 2010/63/EU on the protection of animals used for scientific purposes
What is the final aim of Directive 2010/63/EU?
Replace all animal research with non-animal methods, such as:
3D cultures
Computer simulations
What are some ways researchers discover new drugs?
New insights into disease processes
Testing molecular compounds for beneficial effects
Identifying unanticipated effects of existing treatments
Using new technologies to:
Target medical products to specific sites
Manipulate genetic material
What information do researchers gather after identifying a promising drug compound?
Absorption, distribution, metabolism, and excretion
Potential benefits and mechanisms of action
Best method of administration (oral, injection, etc.)
Side effects or toxicity
Differences in effects across different populations
Interactions with other drugs and treatments
Effectiveness compared to similar drugs
What are the Good Laboratory Practice (GLP) regulations for preclinical laboratory studies?
Defined in 21 CFR Part 58.1: Good Laboratory Practice for Nonclinical Laboratory Studies
Where can exhaustive GLP guidelines for the EU be found?
Websites of the OECD and the European Commission
What EU directives are applicable for GLP regulations?
Directive 2004/9/EC
Directive 2004/10/EC
What is the definition of Good Laboratory Practice (GLP)?
A code of standards for testing medicines in laboratories during development
What are the key requirements set by GLP regulations?
Study conduct
Personnel
Facilities and equipment
Written protocols
Operating procedures
Study reports
Quality assurance oversight
How large are preclinical studies typically?
Not very large but must provide detailed dosing and toxicity data
What happens after preclinical testing?
Researchers review findings and decide if the drug should be tested in humans
How long does it take for a drug to be approved from discovery?
About 12-15 years
What was the median cost of getting a new drug to market in 2020?
$985 million
What is the success rate of drugs in clinical trials?
30% pass Phase II-III
70% pass Phase III-V
Why do most drugs fail at Phase II and Phase III clinical stages?
Poor efficacy
Safety issues
What are the main reasons for high attenuation rates in drug discovery?
Inappropriate preclinical testing methods
In vitro models that do not sufficiently predict drug efficacy and safety
How can the success rate of drug development be improved?
Use of new technologies in preclinical testing and in vitro models to obtain more accurate data
Why are cell-based assays important in drug discovery?
Crucial for testing drug effects on cells
What is the most commonly used type of cell culture in drug discovery?
2D monolayers of cells grown on planar, rigid plastic surfaces optimized for cell attachment and growth
What advantages have 2D cultures provided over the decades?
Wealth of information on biological and disease processes
Why are 2D cultures still widely used despite their limitations?
Simple and low-cost maintenance
High viability of cultured cells during the culture period
Extensive comparative literature available
What are the main limitations of 2D cultures?
Do not replicate the complex tissue microenvironment
Fail to maintain in vivo mechanisms of cell differentiation, proliferation, and function
What advancements have enabled the development of 3D culture models?
Advances in cell biology
Microfabrication techniques
Tissue engineering
What are some types of 3D culture models?
Spheroids
Organoids
Organs-on-chips
3D bioprinting
What should an ideal 3D culture model simulate?
Tissue-specific microenvironment
Cell-to-cell and cell-to-extracellular matrix (ECM) interactions
Tissue-specific stiffness
Oxygen, nutrient, and metabolic waste gradients
How are 3D cultures categorized?
Non-scaffold-based systems
Scaffold-based systems
What is the advantage of scaffold-based 3D models?
Better mimicry of cell-to-ECM interactions
What is the advantage of non-scaffold-based spheres of a certain size?
More amenable to cellular and physiological gradients
What are scaffolds made of?
Biological origin materials
Synthetic materials engineered to mimic ECM properties (stiffness, charge, adhesive moieties)
What factors should be considered when selecting a 3D cell culture scaffold?
Physical properties:
Porosity
Stiffness
Stability in culture
Biological properties:
Cell compatibility
Adhesiveness
What kind of tissues do hard polymers support in 3D cell culture?
Skin
Tendons
Bone
What are patterned surface microplates used for?
Specific applications such as cell networking
What are examples of natural scaffolds?
Fibrin
Collagen
Hyaluronic acid
What are examples of synthetic scaffolds?
Polymers
Titanium
Bioactive glasses
Peptides
How do scaffold-free systems work in 3D culture?
Rely on self-aggregation of cells in specialized culture plates
What types of culture plates promote spheroid formation?
Hanging drop microplates
Low-adhesion plates with ultra-low attachment coating
Micropatterned plates for microfluidic cell culture
What are spheroids?
Simple, multicellular 3D models formed due to the natural tendency of adherent cells to aggregate
What types of spheroids can be generated?
Tumor spheroids
Embryoid bodies
Hepatospheres
Neurospheres
What gradients can develop within spheroids?
Oxygen
Nutrients
Metabolites
Soluble signals
What are the challenges in working with spheroids?
Maintaining uniform spheroid size
Forming spheroids from a small seed number of cells
Controlling specific ratios of different cell types
Lack of reliable, standardized, high-throughput compatible assays for drug screening
How do low-adhesion plates assist in spheroid cultures?
Promote self-aggregation of cells into spheroids
Have ultra-low attachment surface coatings to minimize cell adherence
Possess well-defined geometry to position a single spheroid per well
What is the key advantage of using low-adhesion plates in spheroid culture?
Ability to form, propagate, and assay spheroids within the same plate
Enables high-throughput screening (HTS)
What are organoids?
Dish-based, 3D developing tissues that show realistic microanatomy
Also called organ buds
How are organoids classified?
Tissue organoids
Stem cell organoids
What defines an organoid?
A collection of organ-specific cell types
Develops from stem cells or organ progenitors
Self-organizes through cell sorting and spatially restricted lineage commitment
Mimics in vivo development
What happens in spontaneous neural differentiation in ES (embryonic stem) culture without inhibitors?
Heterogeneous regions form containing:
Neural progenitors (SOX2, red)
Neurons (TUJ1, green)
What do microfluidic systems replicate?
Specific fluid flow
Constant temperature
Fresh medium supply
Flow pressure
Chemical gradients similar to in vivo systems
What are the two main types of microfluidic systems?
Single, perfused microfluidic chamber (one kind of cultured cells)
Two or more channels connected by porous membranes (lined by different cell types, e.g., blood-brain barrier model)
What are microfluidic devices designed for?
Cell cultures under perfusion
Continuous supply of oxygen and nutrients
Removal of metabolic waste
How can microfluidic devices mimic shear forces in vivo?
By exposing cells (e.g., endothelial cells) to blood flow-like conditions
What are the two types of barriers in microfluidic devices?
Physical barrier (physically incorporated into the device)
Non-physical barrier (supporting matrix mimicking ECM)
What applications do microfluidic devices allow?
Continuous application of drugs or soluble molecules (e.g., growth factors)
Fluid exchange between compartments with different cell types
What is the structure of the gut-on-a-chip?
Two microfluidic channels separated by a porous flexible membrane
Membrane coated with extracellular matrix
Lined with human intestinal epithelial cells (Caco-2 cells)
What are the three modeled conditions of the gut microenvironment?
Static culture in transwell plates
Fluid flow on-chip at low shear
Fluid flow on-chip with cyclic strain (mimics peristaltic motion)
How was the lung-on-a-chip designed?
Human alveolar epithelial cells and pulmonary microvascular endothelial cells co-cultured on opposite sides of a stretchable porous membrane
A vacuum applied to mimic lung tissue stretching during breathing
What integrated organ-level functions were reconstituted in the lung-on-a-chip?
Inflammatory responses to intra-alveolar E. coli infections
Endothelial recruitment of circulating neutrophils
Neutrophil transmigration through the alveolar-capillary interface
Bacterial phagocytosis
How was the lung-on-a-chip used to model human diseases?
Pulmonary edema was recreated by administering interleukin-2 (IL-2) into the microvascular channel
IL-2 caused fluid leakage into the alveolar compartment, mimicking IL-2-induced pulmonary edema in cancer patients
What is 3D bioprinting?
A process used to precisely dispense biomaterials to construct complex 3D functional tissues or artificial organs
What are the advantages of 3D bioprinting?
Accurate control of cell distribution
High-resolution cell deposition
Scalability and cost-effectiveness
What are the characteristics of extrusion printing?
Produces uninterrupted cylindrical lines
Allows for a wider range of materials
Causes reduced cell viability due to higher mechanical stresses on encapsulated cells
What is a key advantage of extrusion printing?
Parallel multi-bioink printing and tissue-vessel printing
What is the most common bioprinting technology?
Extrusion-based bioprinting is used in most commercial bioprinters
How does laser-assisted bioprinting work?
Uses a laser as an energy source to deposit biomaterials onto a substrate
Non-contact printing method → Ensures high cell viability
What are the advantages of laser-assisted bioprinting?
High cell viability
Suitable for highly viscous materials
What are the challenges of laser-assisted bioprinting?
High equipment cost
Unexplored parameters affecting droplet size and quality
Unknown side effects of laser exposure on cells
Complex control system limits widespread adoption
What are hydrogels?
Highly hydrated hydrophilic polymer networks with pores and void spaces between polymers
Absorb and retain large quantities of water
Mimic ECM, making them commonly used in scaffolds
What are the types of hydrogels?
Natural Hydrogels (Collagen, Gelatin, Alginate, Fibrin, Hyaluronic Acid, Agarose, Chitosan, Laminin)
Adhesive properties
High cell viability
Controlled proliferation & differentiation
Synthetic Hydrogels (Polyacrylic Acid, Polyethylene Glycol, Polyvinyl Alcohol, Polyglycolic Acid)
Well-defined chemical, physical, and mechanical properties
Customizable stiffness and porosity
What is the role of the ECM in biocompatibility?
Must be degradable or integrable with natural ECM
Should not generate harmful by-products
Should not have negative interactions with cells
What are dECMs, and why are they important?
Decellularized ECMs (dECMs) can be solubilized into bioinks for bioprinting
More complex than simple bioinks → Closely resemble native tissue
What molecules make up the ECM?
✅ Matrix Proteins: Collagens, Elastin
✅ Glycoproteins: Fibronectin
✅ Glycosaminoglycans: Heparan Sulfate, Hyaluronan
✅ Proteoglycans: Perlecan, Syndecan
✅ Sequestered Growth Factors: TGF-β, VEGF, PDGF, HGF
✅ Secreted Proteins: Proteolytic Enzymes, Protease Inhibitors
How does ECM composition influence drug response?
Enhances drug efficacy
Alters drug mechanisms of action
Promotes drug resistance
Why is vasculature important in bioprinting?
Cells require proximity to a perfused microvasculature for nutrients & waste transport
Without vasculature, cells in 3D engineered tissues die quickly
What happens to 3D engineered tissues without vasculature?
Necrotic regions develop within a few hundred microns of each cell
What is an example of vessel bioprinting?
Carbohydrate glass lattice (green) fabricated via extrusion bioprinting
Encapsulated in ECM (grey) containing live cells (yellow)
Sacrificial lattice dissolves, revealing a perfusable vasculature (red)
What are the challenges of printing complex hollow structures?
Use of sacrificial materials increases printing complexity
Removal methods must be cytocompatible
Why is printing pre-vascularized tissues difficult?
Lack of reliable methods for pre-vascularization
Self-assembly of vascular features is too slow
What are the issues with bioink preparation?
Takes days to weeks due to cell culturing & biomaterial synthesis
What are the mechanical limitations of dECM bioinks?
More biomimetic, but lacks mechanical strength
Needs support from stronger but less bioactive inks (e.g., PCL)
What are the different types of cells used in 3D bioprinting?
Primary Cells
Multiple cell types embedded in different hydrogels
Requires many bioinks per print
Stem Cells
Bioink formulations with growth factors & small molecules
Guides site-specific differentiation
Clinical Applications
Patient-specific cells to avoid immune rejection
What does ADME-Tox stand for?
Absorption, Distribution, Metabolism, Excretion, and Toxicity
What cell models are used to study drug absorption?
Caco-2 cells (human colon carcinoma) → mimic intestinal epithelium
What cell models are used to study drug metabolism & excretion?
Hepatocytes (from donated livers)
Immortalized hepatocyte cell lines (HepG2, HepaRG)
What cell models are used to study nephrotoxicity?
Human renal proximal tubule cells (primary & immortalized)
What is "Body-on-a-Chip" technology used for?
Preclinical drug testing (alternative to animal models)
Pharmacokinetics & pharmacodynamics modeling
Determining drug bioavailability & efficacy
How does Body-on-a-Chip simulate drug circulation?
Gastric acid stomach chamber → simulates oral drug absorption
Blood stimulant & dialysis membrane → models circulation & excretion
What are the scaling challenges in Body-on-a-Chip models?
Imbalances in organ volumes
Blood flow rates may not accurately reflect in vivo conditions
What are the key limitations of organ-on-a-chip models?
✅ Low culture volumes & cell numbers → Detection sensitivity issues
✅ ECM degradation over time → Low long-term cell survival
✅ Inconsistent cell seeding
✅ Microbial contamination risk
✅ Imbalance between complexity & practicality → Difficulties in obtaining high-resolution images
What challenges arise in obtaining accurate readouts?
Readouts may fall above or below clinical endpoints
Different measurement techniques may lead to inconsistent data
What are the key fabrication challenges?
Need for new materials → PDMS has inappropriate physicochemical properties for ECM mimicry
Why is developing sustainable cell sources important?
Reliable disease-specific cells are needed for accurate disease modeling
What technical improvements are needed for higher robustness (>1 month)?
✅ Better ECM stability
✅ Improved fluidic control
✅ Efficient bubble removal
What is a "universal blood substrate" challenge in Body-on-a-Chip models?
Standard cell culture media must be optimized for multiple cell types in a single system
What are primary cells?
Cells taken directly from living tissue (e.g., biopsy material)
Established for growth in vitro
Exhibit normal physiology and closely represent the tissue of origin
Why are primary cells important in research?
Provide more relevant results than cell lines due to their authentic physiology
What is the lifespan of primary cells?
Have a limited lifespan; stop dividing (senesce) after a certain number of divisions, even under optimal conditions
What is a cell line?
Formed after the first harvesting and subculture of a primary cell population
Can undergo a certain number of subcultures
What is a continuous (immortalized) cell line?
Population of cells with indefinite growth potential due to genetic transformation
Can be cultured through a very high number of subcultures
Immortalization may be spontaneous, viral, or chemically induced
What is a cell strain?
A subpopulation of a cell line selected through cloning or other methods
May undergo additional genetic changes
Can become more or less tumorigenic than the parent line
May be designated as a separate strain following transfection procedures