Erika Snow Mentoring Professor - Dr. John Mata Tuberculosis http://www.healthjockey.com/2009/03/ 20/ultraviolet-light-may-curbtuberculosis-transmission/ •Caused by an airborne bacterium Multi-drug resistant TB •1/3 ofNeed/urgency the world’s population to developinfected alternative drug regimens for treatment •Annual rate 9 million people per year •1.7 million people die each year • Treatment Biodegradable and prevention microspheres • RSV in infants – small dose Chemical structure over long period time modifications • RSV Drug in complexes adults - ineffective http://www.wellnessctr.org/body.cfm?i d=99&chunkiid=120795 Solution: increase and retain local concentration •Low systemic bioavailability •Low toxicity •High efficacy •Long residency time •Easily delivered to the affected areas http://www.homelanddefense4u.com/images/Human%20 Lungs%20%2057577495.gif •Bioactive agent delivered directly to the affected area •Drug susceptible to hydrolysis •Agent released in a sustained fashion into local circulation •Avoid toxic concentrations within systemic circulation •Cancerform therapies, HIV antiretroviral therapies, viral •Active can interfere with a pathogen’s life cycle lung infections •Inhibit RNA/DNA polymerase •Mimic natural DNA and RNA precursors of specific •DNA chain termination pathogens •Induce damage through replacement of natural nucleic genomic sequences •Investigate efficacy of new inhalation therapy treatment •Demonstrate efficacy of polymer pr0-drug •To determine dosages, toxicity, and absorption patterns to be used in further testing models •Construct and validate inhalation apparatus •Develop new treatment platform •Polymer pro-drug will have slow, sustained release from apical side •Remain in lung cells for longer period of time •Inhalation apparatus will produce particles of appropriate size at a theoretically efficient flow rate •Synthesis scheme for polymer of 2-methyladenosine pro-drug 2-fluoroadenosine 2-methyladenosine Properties •Have specific affinity to one or more enzymes present in M. tuberculosis NH2 OO NH2 O N N O- P N O O N O H H O OH H NH2 H H O N N O N P N O H O OH H N H H O H H 8 N NH2 H 8 N O P OH 2-fluoroadenosine O O N O 2-methyladenosine H H OH OH H N F O N O- P N CH3 NH2 H N OH O N H F H H O O N O NH2 O- P N CH3 H H N O O N O P N CH3 2-methyladenosine polymer F O H H OH H H H N N H 2-fluoroadenosine polymer Properties SeveralPharmaceutically active drug units incorporated intoanalogs single synthetic Susceptible active to nucleoside hydrolysis Longer No carrier residency molecule time polymer molecule 5-fluorouridine monomer and polymer (10 subunits) http://www.bio-world.com/productinfo/4_847_50_352/125261/Fluorouridine.html Characterized through chromatography Similar pharmacokinetic properties and NMR spectroscopy Experimental Procedure: •Calu-3 lung carcinoma cells were grown in Transwell ™ plates •Testing solutions of monomer and polymer were prepared and allowed to efflux through the cell layer •Samples collected at thirty minute intervals and stored for HPLC analysis Measure the affect of varying concentrations Experimental Procedure: •Calu-3 cells grown in 96 Transwell ™ plates •Treated with monomer or polymer solution with serial dilution •Brdu assay with absorption analysis HPLC Analysis: • In progress Brdu Assay: • No results •Apparatus design •Flow rate determination •Particle size analysis •Directed-flow, nose only chambers •Deliver efficient concentrations inhaled prodrug to the lungs Water vapor trial 1: •10 mL water in pump •Nine minutes •Vary number of open cones Water vapor trial 2: •Four minutes •Cotton ball in each cone Water vapor trial 1: •Calculate total water lost 0.4 0.994 •Estimate the flow per coneR =per minute Flow rate in (ml/min) 2 0.3 0.2 0.1 0.0 0 1 2 3 4 5 6 cones available 7 8 9 Water vapor trial 2: •Calculate water collected Average = 0.04322 g/4 min St. Dev. = 0.00607 g/4 min •Estimate the mean vapor mass Cone Number High speed photomicroscopic analysis Synthesis of 2-fluoroadenosine polymer H2N (Bz)2N N(Bz)2 NHBz NHBz N N(Bz) N 2N(Bz) N 2 N N N OBz N N F N - O OBzOH N H (1) TBAF, THF, DMF NN O HO H N N (Pr)2N N PCNET-O O H O HO O H N N H H H O N N H DMTO H N N H2N N H N N H N O H N N O H H N N OH O H F N P (2) TBAN, O N CH2CL2 F NO2 TFFA, O -O P OBzO OBz F CNET-O H H H H H H H H H BzO DMTOBzO H BzO BzO N O (1)(1) NH3, MeOHpyridine BzCl, H NO2 (Pr)2N H OP OBz N (Bz)2N O H N N O H F N H H H HOH H HOH H BzO BzO BzO BzO Create protected, nitrated intermediate Phosphoramidite building block Fluorinate monomer compound Deprotection reaction which yields final product: Standard protocol (Glen Research) method for 2-fluoroadenosine polymer oligonucleotide synthesis to create 10-subunit polymer Expected Results •5-fluorouridine pro-drug slowly efflux across epithelial cell monolayer •Effective permeability (Pe) •Polymer lower Pe •Increased active drug concentrations •Smaller, less frequent doses Possible Explanations •Antibodies did not bind •Concentrations •Solutions •Further dilution •Alternative assays Flow Rate •Inverse relationship •Non-significant variability •Approximately equal distribution of vaporized particles •Calculate expected dosages Particle Size •5 micron average particle size •Increased efficacy •Decreased cost of treatment •Decreased toxicity Theoretical Scheme Solutions •Protect active monomer = building block •Standard oligonucleotide synthesis protocol Oligonucleotide synthesis 1st step •Deprotect polymer Building blocks not fluorinated Possible Problems •Fluorinated monomer compounds unstable •Harsh conditions and chemicals • Complete in vitro experiments and analysis • Toxicity, dosages, absorption patterns • Synthesize pro-drugs • Evaluate efficacy/activity of pro-drugs • Multiple strains • Macrophage test system • In vitro efficacy testing Howard Hughes Medical Institute URISC Dr. John Mata Wanda Crannell Dr. Kevin Ahern Dr. Luiz Bermudez Dr. Katharine Field