Mathematical Modeling of Complement Pathway Dynamics for Target Validation and Selection of Drug Modalities for Complement Therapies

Motivation: The complement pathway plays a critical role in innate immune defense against infections. Dysregulation between activation and regulation of the complement pathway is widely known to contribute to several diseases. Nevertheless, very few drugs that target complement proteins have made it...

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Main Authors: Loveleena Bansal, Eva-Maria Nichols, Daniel P. Howsmon, Jessica Neisen, Christina M. Bessant, Fraser Cunningham, Sebastien Petit-Frere, Steve Ludbrook, Valeriu Damian
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2022.855743/full
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author Loveleena Bansal
Eva-Maria Nichols
Daniel P. Howsmon
Jessica Neisen
Christina M. Bessant
Fraser Cunningham
Sebastien Petit-Frere
Steve Ludbrook
Valeriu Damian
author_facet Loveleena Bansal
Eva-Maria Nichols
Daniel P. Howsmon
Jessica Neisen
Christina M. Bessant
Fraser Cunningham
Sebastien Petit-Frere
Steve Ludbrook
Valeriu Damian
author_sort Loveleena Bansal
collection DOAJ
description Motivation: The complement pathway plays a critical role in innate immune defense against infections. Dysregulation between activation and regulation of the complement pathway is widely known to contribute to several diseases. Nevertheless, very few drugs that target complement proteins have made it to the final regulatory approval because of factors such as high concentrations and dosing requirements for complement proteins and serious side effects from complement inhibition.Methods: A quantitative systems pharmacology (QSP) model of the complement pathway has been developed to evaluate potential drug targets to inhibit complement activation in autoimmune diseases. The model describes complement activation via the alternative and terminal pathways as well as the dynamics of several regulatory proteins. The QSP model has been used to evaluate the effect of inhibiting complement targets on reducing pathway activation caused by deficiency in factor H and CD59. The model also informed the feasibility of developing small-molecule or large-molecule antibody drugs by predicting the drug dosing and affinity requirements for potential complement targets.Results: Inhibition of several complement proteins was predicted to lead to a significant reduction in complement activation and cell lysis. The complement proteins that are present in very high concentrations or have high turnover rates (C3, factor B, factor D, and C6) were predicted to be challenging to engage with feasible doses of large-molecule antibody compounds (≤20 mg/kg). Alternatively, complement fragments that have a short half-life (C3b, C3bB, and C3bBb) were predicted to be challenging or infeasible to engage with small-molecule compounds because of high drug affinity requirements (>1 nM) for the inhibition of downstream processes. The drug affinity requirements for disease severity reduction were predicted to differ more than one to two orders of magnitude than affinities needed for the conventional 90% target engagement (TE) for several proteins. Thus, the QSP model analyses indicate the importance for accounting for TE requirements for achieving reduction in disease severity endpoints during the lead optimization stage.
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spelling doaj.art-af21613b5ce7409b84db7d116ea2d0362022-12-22T02:05:55ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-04-011310.3389/fphar.2022.855743855743Mathematical Modeling of Complement Pathway Dynamics for Target Validation and Selection of Drug Modalities for Complement TherapiesLoveleena Bansal0Eva-Maria Nichols1Daniel P. Howsmon2Jessica Neisen3Christina M. Bessant4Fraser Cunningham5Sebastien Petit-Frere6Steve Ludbrook7Valeriu Damian8Systems Modeling and Translational Biology, Computational Sciences, GSK, Upper Providence, Collegeville, PA, United StatesImmunology Research Unit, GSK, Stevenage, United KingdomDepartment of Chemical and Biological Engineering, Rensselaer Polytechnic Institute, Troy, NY, United StatesImmunology Research Unit, GSK, Stevenage, United KingdomImmunology Research Unit, GSK, Stevenage, United KingdomImmunology Research Unit, GSK, Stevenage, United KingdomImmunology Research Unit, GSK, Stevenage, United KingdomImmunology Research Unit, GSK, Stevenage, United KingdomSystems Modeling and Translational Biology, Computational Sciences, GSK, Upper Providence, Collegeville, PA, United StatesMotivation: The complement pathway plays a critical role in innate immune defense against infections. Dysregulation between activation and regulation of the complement pathway is widely known to contribute to several diseases. Nevertheless, very few drugs that target complement proteins have made it to the final regulatory approval because of factors such as high concentrations and dosing requirements for complement proteins and serious side effects from complement inhibition.Methods: A quantitative systems pharmacology (QSP) model of the complement pathway has been developed to evaluate potential drug targets to inhibit complement activation in autoimmune diseases. The model describes complement activation via the alternative and terminal pathways as well as the dynamics of several regulatory proteins. The QSP model has been used to evaluate the effect of inhibiting complement targets on reducing pathway activation caused by deficiency in factor H and CD59. The model also informed the feasibility of developing small-molecule or large-molecule antibody drugs by predicting the drug dosing and affinity requirements for potential complement targets.Results: Inhibition of several complement proteins was predicted to lead to a significant reduction in complement activation and cell lysis. The complement proteins that are present in very high concentrations or have high turnover rates (C3, factor B, factor D, and C6) were predicted to be challenging to engage with feasible doses of large-molecule antibody compounds (≤20 mg/kg). Alternatively, complement fragments that have a short half-life (C3b, C3bB, and C3bBb) were predicted to be challenging or infeasible to engage with small-molecule compounds because of high drug affinity requirements (>1 nM) for the inhibition of downstream processes. The drug affinity requirements for disease severity reduction were predicted to differ more than one to two orders of magnitude than affinities needed for the conventional 90% target engagement (TE) for several proteins. Thus, the QSP model analyses indicate the importance for accounting for TE requirements for achieving reduction in disease severity endpoints during the lead optimization stage.https://www.frontiersin.org/articles/10.3389/fphar.2022.855743/fullcomplement pathwaymathematical modelingQuantitative Systems Pharmacologydrug modality selectiontarget validationdose prediction
spellingShingle Loveleena Bansal
Eva-Maria Nichols
Daniel P. Howsmon
Jessica Neisen
Christina M. Bessant
Fraser Cunningham
Sebastien Petit-Frere
Steve Ludbrook
Valeriu Damian
Mathematical Modeling of Complement Pathway Dynamics for Target Validation and Selection of Drug Modalities for Complement Therapies
Frontiers in Pharmacology
complement pathway
mathematical modeling
Quantitative Systems Pharmacology
drug modality selection
target validation
dose prediction
title Mathematical Modeling of Complement Pathway Dynamics for Target Validation and Selection of Drug Modalities for Complement Therapies
title_full Mathematical Modeling of Complement Pathway Dynamics for Target Validation and Selection of Drug Modalities for Complement Therapies
title_fullStr Mathematical Modeling of Complement Pathway Dynamics for Target Validation and Selection of Drug Modalities for Complement Therapies
title_full_unstemmed Mathematical Modeling of Complement Pathway Dynamics for Target Validation and Selection of Drug Modalities for Complement Therapies
title_short Mathematical Modeling of Complement Pathway Dynamics for Target Validation and Selection of Drug Modalities for Complement Therapies
title_sort mathematical modeling of complement pathway dynamics for target validation and selection of drug modalities for complement therapies
topic complement pathway
mathematical modeling
Quantitative Systems Pharmacology
drug modality selection
target validation
dose prediction
url https://www.frontiersin.org/articles/10.3389/fphar.2022.855743/full
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