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安全药理学模型验证 20 年及其对药物发现的更广泛影响。

Twenty years of safety pharmacology model validation and the wider implications of this to drug discovery.

机构信息

Cytokinetics, South San Francisco, CA 94080, United States of America.

North-West University, Potchefstroom, South Africa.

出版信息

J Pharmacol Toxicol Methods. 2020 Sep;105:106912. doi: 10.1016/j.vascn.2020.106912. Epub 2020 Aug 14.

Abstract

This editorial summarizes the content of the current themed issue of J Pharm Tox Methods derived from the 2019 Annual Safety Pharmacology Society (SPS) meeting held in Barcelona, Spain, and reflects on 20 years of innovation in the elaboration of methods for evaluating adversity, particularly during the nonclinical research phase. Given the success of safety pharmacology (SP) in the last 20 years, we propose that the rubric for SP method invention and validation be examined in more detail to explore whether it may have wider relevance to the drug discovery process. Articles arising from the Barcelona meeting are summarized here. They reflect current areas of controversy and innovation in SP. Not for the first time in recent years, the suitability of the No Observable Adverse Effect Level (NOAEL) as a variable in SP was considered in an article derived from a survey of SPS members. It was found from the survey and concluded from the analysis that the NOAEL is not necessary for assessing the safety of a New Chemical Entity (NCE). The meeting included scientific content from more than 190 abstracts (reproduced in the current volume of J Pharm Tox Methods). The impact of the INSPIRE program on the educational endeavor of SP, cardiovascular SP with regard to hERG and advances in CiPA and stem cells assays, the use of the echocardiogram in SP, the applicability of deep learning methods in SP and toxicology studies, the role of biomarkers in renal SP studies, and advances in CNS SP are highlighted in this issue of the Journal. This continued innovation reflects a rubric in SP that identifies problems, seeks solutions and, importantly, validates the solutions. If there is a lesson to be learned from the 20 years of annual SP methods themed issues it is that drug discovery efforts may benefit from a more rigorous validation process for discovery methods, using positive and negative controls for validation, as is done in SP method validation.

摘要

本社论总结了源自于 2019 年在西班牙巴塞罗那举行的年度安全药理学学会(SPS)会议的当前主题问题的内容,并反思了 20 年来在评价不良反应方法的创新,特别是在非临床研究阶段。鉴于安全药理学(SP)在过去 20 年中的成功,我们建议更详细地研究 SP 方法发明和验证的准则,以探讨其是否可能对药物发现过程具有更广泛的相关性。本文总结了源自巴塞罗那会议的文章,这些文章反映了 SP 目前存在争议和创新的领域。近年来,SPS 成员调查得出的一篇文章首次考虑了作为 SP 变量的无可见不良效应水平(NOAEL)的适用性。调查发现并从分析得出结论,NOAEL 对于评估新化学实体(NCE)的安全性不是必需的。会议涵盖了来自 190 多个摘要的科学内容(转载于本期 J Pharm Tox Methods 中)。INSPIRE 计划对 SP 教育工作的影响、心血管系统 SP 中的 hERG 和 CiPA 及干细胞测定法的进展、SP 中的超声心动图、SP 和毒理学研究中深度学习方法的适用性、生物标志物在肾脏 SP 研究中的作用以及中枢神经系统 SP 的进展,在本期杂志中都得到了强调。这种持续的创新反映了 SP 的一个准则,即识别问题、寻找解决方案,并且重要的是验证解决方案。如果从 20 年来的 SP 年度方法主题问题中吸取了一个教训,那就是药物发现工作可能会受益于更严格的发现方法验证过程,正如 SP 方法验证那样,使用阳性和阴性对照进行验证。

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