2023
DOI: 10.1111/bph.16104
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The importance of binding kinetics and drug–target residence time in pharmacology

Abstract: A dominant assumption in pharmacology throughout the 20th century has been that in vivo target occupancy—and attendant pharmacodynamics—depends on the systemic concentration of drug relative to the equilibrium dissociation constant for the drug–target complex. In turn, the duration of pharmacodynamics is temporally linked to the systemic pharmacokinetics of the drug. Yet, there are many examples of drugs for which pharmacodynamic effect endures long after the systemic concentration of a drug has waned to (equi… Show more

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Cited by 17 publications
(17 citation statements)
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“…The two-step induced fit model 42 may explain the pseudoirreversible inhibition. In this model, stable binding of a drug with its target occurs via a two-step mechanism: in the first step, binding to the target forms an encounter complex; then, in the second step, a conformational change of the complex occurs and strengthens the drug binding to the target.…”
Section: Discussionmentioning
confidence: 99%
“…The two-step induced fit model 42 may explain the pseudoirreversible inhibition. In this model, stable binding of a drug with its target occurs via a two-step mechanism: in the first step, binding to the target forms an encounter complex; then, in the second step, a conformational change of the complex occurs and strengthens the drug binding to the target.…”
Section: Discussionmentioning
confidence: 99%
“…Indeed, leveraging these advantages has led to a resurgence of covalent inhibitors . One such advantage is the prolonged residence time of the inhibitor in the target protein . A second is the ability to inhibit “undruggable” targets .…”
Section: Design Of Noncovalent and Covalent Inhibitorsmentioning
confidence: 99%
“…Although slow off-kinetics improve residence time, faster rates may be more suited in certain circumstances . Extensive reviews on slow-binding kinetics and residence time have previously been written concerning drug-design. , Since the intention for developing reversible covalent inhibitors is to reduce off-target effects by taking advantage of reversible kinetics, the residence times of the inhibitor with its on- and off-target enzymes should be optimized. , These experiments were performed both in the development of the BTK inhibitor rilzabrutinib and JAK3 RCIs The binding kinetics of the inhibitor match that of reversible covalent inhibitors.…”
Section: General Considerations For Developing Reversible Covalent In...mentioning
confidence: 99%
“…In particular, the time a drug spends in contact with its biological target (so-called residence time) is now considered a key parameter for optimization because there is some evidence that it can predict drug efficacy in vivo and thus demonstrate the pharmacological significance of the biotarget. [27][28][29] 4. Some biotargets are species-specific.…”
Section: Cvd and Multitargetingmentioning
confidence: 99%