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    Drivkrafter fr!lkemedelsutvecklingDrivkrafter fr!lkemedelsutveckling Ekonomiska realiteter

    Medicinska behov

    Vetenskapliga framsteg

    New!knowledge!based!on

    The!old!drug!discovery!paradigm

    Physiological!experiments

    (e.g.!New!hormone!or!transmitter

    detected)

    Unmet!medical!need

    Target!identification

    Lead!identification

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    New!gene!found

    The!new!drug!discovery!paradigmGeneproduct!expressed!inrelevant!tissue!in!man!or!animal

    Geneproduct!expressed!incells!has!a!detectable!effectcompatible!with!a!role!in!disease

    Target!identification

    Expression!changed!indisease!or!mutation!in!genelinked!with!disease

    Geneproduct!structurallysimilar!to!proteins!thathave!previously!beenreasonable!drug!targets

    Unmet!medical!needLead!identification

    Drug targets

    Enzymes

    Transporters

    Ion!channels

    Receptors!(about!50%)

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    What!makes!receptors!special? Validation!strategies!available

    High"throughput!screening!methods!

    developed

    Excellent!previous!experience! good!chemical!

    libraries

    e! o og ca !ro es!o !recep ors!ma e! em!especially!suitable!as!drug!targets

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    The!biological roles of!receptors!make!themespecially suitable as!drug targets

    Receptors!fulfill!regulatory!not!effector!roles

    Receptors!have!evolved!to!possess!defined!

    binding!pockets!which!affect!structure

    Natural!ligands!provide!clues

    Antagonists!perhaps!especially!useful!(and!

    e n e y!eas er! o! eve op

    The!signaling!machinery!starts!with!a!

    receptor

    Extracellular!signal

    Receptor!molecule

    Intracellular!signalproteins

    Enzym

    Transcription

    faktor

    Cytoskeletal!

    protein

    Metabolism Gene!expression Shape/movement

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    Different!types!of!Receptors Nuclear!receptors

    Kinase"coupled!receptors

    Ligand!gated!ion!channels

    G!protein!coupled!receptors

    Nuclear!receptors

    !

    Structure

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    Signal!transductionvia!kinase!coupledreceptors

    Kinase!activity!of!the!receptor!induces!new!protein!interfaces!

    for!intracellular!signaling

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    Two!major!forms!of!signaling!switches

    Protein!kinases!are!membrane!associated!or!soluble

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    Ion!channels!are!needed!for!polar!molecules!to!

    traverse!cell!membranes

    AChR!subtypes.!The!

    arrangements!of!subunits!

    thought!to!exist!for!some!

    prominent!AChR!subtypes!are!

    indicated.!Acetylcholine"

    binding!sites!are!depicted!at!

    the!interface!between!the!+!

    ACETYLCHOLINE!RECEPTOR! THE!

    TYPICAL!LIGAND!OPERATED!!ION!CHNNEL

    side!of!#!subunits!and!the!$!

    side!of!%,!&,!',!(2!or!(4!

    subunits.!Subunits!(1,!(3!and!

    #5!are!depicted!as!occupying!

    positions!that!do!not!participate!in!forming!

    acetylcholine"binding!sites,!yet!

    these!subunits!are!expected!to!

    participate!in!and!influence!the!

    concer e !con orma on!

    changes!involved!in!activation!

    and!desensitization!as!well!as!

    to!contribute!to!the!properties!

    of!the!cation!channel.!Modified!

    from!Lindstrom!(2000b).

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    G!protein!coupled!receptors

    Many!subfamilies!of!!GPCR

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    Overall structure of Ops*GaCT complex.

    P Scheereret al. Nature455, 497-502 (2008) doi:10.1038/nature07330

    Conceptual model for signal transmission from the active

    receptor to the G protein by the Ga C terminus.

    P Scheereret al. Nature455, 497-502 (2008) doi:10.1038/nature07330

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    Binding!pocket!accessible!in!!2receptor,!but!not!in!rhodopsin!

    Structure!of!adenosine!A2A receptorJaakola!et!al.!Science!Oct!2008.

    !2A2A rhodopsin

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    Comparison between rhodopsin,!!2 and!A2A

    receptorsJaakola et!al.!Science!Oct 2008.

    !2A2A rhodopsin

    Roles!for!dimerization

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