Molecular
research may provide basis for development of new drugs for schizophrenia
Research related to a molecular mechanism called functional selectivity
is providing new insight into the classic view of drug action as a
"lock-and-key" process and may advance development of new
drugs for schizophrenia, according to companion articles in the June
issue of the Journal of Pharmacology and Experimental Therapeutics.
Under this decades-old idea, the best drugs are "keys" that
only fit a single biological target, or "lock."
"Our data now show that
we must think not only of the 'lock' and the 'key,' but also about
different 'doors' in which the locks are installed. The 'doors'
are different organs, or even different parts of the same organs,"
said Dr. Richard Mailman, principal investigator. "Scientists
have assumed that one drug would fit and turn all of these identical
locks in the same way. Our team's work shows that even though all
of the locks may be the same, some keys may only open the locks
on certain doors."
Two new papers just published
by the team show that several drugs they designed have this property
in intact brain, as well as in isolated nerve cells. The drugs used
in the studies mimic dopamine, a transmitter that plays a vital
role in several neurological and psychiatric diseases including
schizophrenia and attention deficit disorder.
In both studies, the team designed
several novel drugs, including dihydrexidine and propyldihydrexidine,
that mimic dopamine by binding to dopamine receptors. Under accepted
theory, such a drug would function either as an agonist or an antagonist,
Mailman said. However, the investigators found that the drugs acted
as both an agonist and an antagonist. Results involving the rat
brain and pituitary found that the drugs acted as an agonist. However,
the same drug acted as an antagonist for other functions controlled
by the same dopamine receptors.
To confirm the findings, the
scientists then tested the drugs in the laboratory in a variety
of systems in which the receptor targets could be carefully controlled,
Mailman said. The team grew several types of cells and added dopamine
receptors. The results mirrored those of the intact brain studies:
the drugs acted as both agonists and antagonists in different cell
functions regulated by the same receptor.
Members of the team believe
the basis for different effects relates to other signaling proteins,
called G proteins, that are required for the receptors to function.
The different G proteins may be the actual "doors" in
which the "lock," or receptor, is installed, awaiting
the "key," or drug.
"What makes this research
noteworthy is that for the first time we were able to show that
these mechanisms work not only in cells in the laboratory, but also
in the mammalian brain," he said. "Such ideas have important
implications for how scientists discover the next generation of
drugs because they permit the design or selection of drugs with
much more refined mechanisms of action."
Scientists may be able to take
known targets and develop new drugs with much-improved clinical
effects, Mailman said. "We believe that this mechanism is one
key to the actions of a novel anti-schizophrenic drug originally
developed in Japan and now awaiting final approval by the FDA,"
he said.
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