Strategies to reduce late-stage drug attrition due to mitochondrial toxicity
Authors: Dykens, James A; Marroquin, Lisa D; Will, Yvonne
Source: Expert Review of Molecular Diagnostics, Volume 7, Number 2, March 2007 , pp. 161-175(15)
Publisher: Expert Reviews
Abstract:
Mitochondrial dysfunction is increasingly implicated in the etiology of drug-induced toxicities and negative side-effect profiles. Early identification of mitochondrial liabilities for new chemical entities is therefore crucial for avoiding late-stage attrition during drug development. Limitations of traditional methods for assessing mitochondrial dysfunction have discouraged routine evaluation of mitochondrial liabilities. To circumvent this bottleneck, a high-throughput screen has been developed that measures oxygen consumption; one of the most informative parameters for the assessment of mitochondrial status. This technique has revealed that some, but not all, members of many major drug classes have mitochondrial liabilities. This dichotomy encourages optimism that efficacy can be disassociated from mitochondrial toxicity, resulting in safer drugs in the future.Keywords: adverse event; fibrate; hepatotoxicity; mitochondrial; peroxisome proliferator-activated receptor; PPAR; respiration; rhabdomyolysis; statin; thiozoladinedione; toxicity
Document Type: Research article
DOI: http://dx.doi.org/10.1586/14737159.7.2.161
Publication date: 2007-03-01
- Expert Review of Molecular Diagnostics provides expert reviews on molecular diagnostic technologies and applied pharmacogenomics in clinical medicine. Coverage includes molecular diagnostics, biomarkers, diagnostic technologies, microarrays and biochips, proteomics, pharmacogenomics, pharmacogenetics and personalized medicine.
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- By this author: Dykens, James A ; Marroquin, Lisa D ; Will, Yvonne

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