Immuneering Corporation, Cambridge, MA, USA.
Global Research and Development, Teva Pharmaceutical Industries, Netanya, Israel.
Br J Pharmacol. 2018 Jan;175(2):168-180. doi: 10.1111/bph.13798. Epub 2017 May 18.
Drug repurposing holds the potential to bring medications with known safety profiles to new patient populations. Numerous examples exist for the identification of new indications for existing molecules, most stemming from serendipitous findings or focused recent efforts specifically limited to the mode of action of a specific drug. In recent years, the need for new approaches to drug research and development, combined with the advent of big data repositories and associated analytical methods, has generated interest in developing systematic approaches to drug repurposing. A variety of innovative computational methods to enable systematic repurposing screens, experimental as well as through in silico approaches, have emerged. An efficient drug repurposing pipeline requires the combination of access to molecular data, appropriate analytical expertise to enable robust insights, expertise and experimental set-up for validation and clinical development know-how. In this review, we describe some of the main approaches to systematic repurposing and discuss the various players in this field and the need for strategic collaborations to increase the likelihood of success in bringing existing molecules to new indications, as well as the current advantages, considerations and challenges in repurposing as a drug development strategy pursued by pharmaceutical companies.
This article is part of a themed section on Inventing New Therapies Without Reinventing the Wheel: The Power of Drug Repurposing. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v175.2/issuetoc.
药物重新定位有可能将具有已知安全性的药物应用于新的患者群体。已经有许多例子可以确定现有分子的新适应症,这些例子大多源自偶然发现或专门针对特定药物作用模式的近期努力。近年来,人们需要新的药物研究和开发方法,再加上大数据存储库和相关分析方法的出现,促使人们对药物重新定位的系统方法产生了兴趣。已经出现了各种创新的计算方法,以实现系统的药物重新定位筛选,包括实验和基于计算机的方法。一个高效的药物重新定位管道需要结合对分子数据的访问、强大的分析专业知识,以便能够获得可靠的见解,以及验证和临床开发专业知识的专业知识和实验设置。在这篇综述中,我们描述了一些系统重新定位的主要方法,并讨论了该领域的各种参与者,以及需要进行战略合作,以增加将现有分子应用于新适应症的成功机会,以及制药公司作为一种药物开发策略进行药物重新定位的当前优势、考虑因素和挑战。
本文是主题部分“无需重新发明轮子即可发明新疗法:药物重新定位的力量”的一部分。要查看本部分中的其他文章,请访问 http://onlinelibrary.wiley.com/doi/10.1111/bph.v175.2/issuetoc/。