2004
DOI: 10.1038/nrd1500
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Biochemical mechanisms of drug action: what does it take for success?

Abstract: Drug discovery is extremely difficult. There are many unanticipated scientific, medical and business challenges to every drug discovery programme. It is important to increase our understanding of the fundamental properties of effective drugs so that we can anticipate potential problems in developing new agents. This article addresses potential drug discovery and development risks associated with the biochemical mechanism of drug action, and proposes simple rules to minimize these risks.

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Cited by 375 publications
(345 citation statements)
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“…In contrast to a conventional inhibitor that forms only a rapidly dissociating enzyme:inhibitor (EI) complex, a two-step time-dependent inhibitor rapidly forms an encounter (EI) complex, followed by a slow isomerization to a terminal complex (EI*, Scheme 1) (9-11). Because a slow tight-binding inhibitor frequently resides on its target enzyme with a longer half-life than a conventional inhibitor, even when substrate accumulates, slow-binding inhibitors are highly desirable (12).…”
mentioning
confidence: 99%
“…In contrast to a conventional inhibitor that forms only a rapidly dissociating enzyme:inhibitor (EI) complex, a two-step time-dependent inhibitor rapidly forms an encounter (EI) complex, followed by a slow isomerization to a terminal complex (EI*, Scheme 1) (9-11). Because a slow tight-binding inhibitor frequently resides on its target enzyme with a longer half-life than a conventional inhibitor, even when substrate accumulates, slow-binding inhibitors are highly desirable (12).…”
mentioning
confidence: 99%
“…NBI-74330 appears to be selective for CXCR3 because it did not affect chemotactic responses by the human H9 T lymphoma cell line in response to CXCL12 and CCL19, and it did not interfere with calcium mobilization induced by lysophosphatidic acid or radioligand specific binding to several nonchemokine GPCRs. (Swinney, 2004). That is, if the dissociation rate of NBI-74330 was significantly longer than that of CXCL11 in assays that are not measured at equilibrium (i.e., [ 35 S]GTP␥S exchange and calcium mobilization assays), then antagonist-occupied receptors would be functionally removed from the receptor population long enough to allow for the appearance of insurmountable antagonist activity.…”
Section: Cxcr3 Ligand and Antagonist Pharmacology 1269mentioning
confidence: 99%
“…In addition to a few noteworthy exceptions [4,5], it is only in the last decade that it has become fashionable to include binding kinetics as an additional criterion for clinical efficacy. This insight was largely sparked by the seminal articles by Swinney [6] and Copeland et al [7]. The numerous review articles that have been published subsequently have focused mainly on long residence times.…”
Section: Introductionmentioning
confidence: 99%