27.2 Protein–Protein Interactions
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Table 27.2 Stages of drug discovery and development
Stage
Desired outcome
Technologies involved
1. Target selection
A gene
(Functional) genomics;
genotyping
2. Protein expression
A three-dimensional protein
structure
Protein chemistry
3. Screening
A drug which binds
Binding studies
4. ADME
A usable drug
Interaction studies
5. Trials
An efficacious drug
Clinical trials
27.1 Routes to Discovery
Once a target has been identified, the next stage is to find a small molecule that binds
to it. It is assumed that the structure is known. 2 If not, advanced computational tools
should be able to predict the structure corresponding to a gene sequence. 3
The first approach to finding a small molecule that can bind to the relevant part of
the protein target is based on the venerable “lock and key” concept. Virtual reality
(VR) has enormously enhanced the efficiency of molecule finding: a researcher can
play around with candidate molecules and the target to get a feel for what might
bind. There is of course an enormous and continually growing corpus of knowledge
about what molecules bind to which motifs to guide the researcher.
The primitive “lock and key” concept is unlikely to be successful as a general
strategy, however, because it neglects the exceedingly important phenomenon of
induced fit, which describes how the shape of an enzyme changes when it binds to
its substrate. This enormously increases the dimensionality of the parameter space
and typically the problem then far exceeds the ability of a human being to optimize a
drug–protein interaction by visually playing around, even with the assistance of VR.
Artificial intelligence is one way of automatically steering design in the presence of
drug-induced protein conformational changes. 4
27.2 Protein–Protein Interactions
Proteins in cells do not exist in isolation. They bind to other proteins to form multi-
protein structures that inter alia are the elements of pathways that control functions
2 in 2023 there are about 180,000 structures in the Protein Data Bank (see https://www.rcsb.org/
stats/growth/growth-protein), but only about 5% of these are of human proteins.
3 Fernández (2020).
4 Fernández (2021).