Tag Archives: medicine.

The Pull of Light – optics innovation from Technion.

Distinguished Prof. Mordechai (Moti) Segev,
Technion Faculty of Physics.

Developing a real, working tractor beam has regularly been an exercise in frustration: it often relies on brute force attempts to induce a magnetic link or an air pressure gap, either of which falls a bit short of science fiction-level elegance.

The Technion-Israel Institute of Technology’s Mordechai Segev has a theory that would use the subtler (though not entirely movie-like) concept of negative radiation pressure in light to move objects. By using materials that have a negative refraction index, where the light photons and their overall wave shape move in opposite directions, Segev wants to create a sweet spot where negative radiation pressure exists and an object caught in the middle can be pushed around. His early approach would use extremely thin crystals stacked in layers to manipulate the refraction.

As it’s theorized, the technology won’t be pulling in the Millennium Falcon anytime soon — the millimeters-wide layer intervals dictate the size of what can be pulled. Nonetheless, even the surgery-level tractor beams that Segev hopes will ultimately stem from upcoming tests would bring us much closer to the future that we’ve always wanted.

Negative radiation pressure in light could make some tractor beams real, we're already sucked in
Source: Optics Express

Read more about Distinguished Prof. Motti Segev at the Technion Book of Faces.

Physics research brings new strategies for brain tumor treatment.

File:PET-image.jpg

Modeling the demise of migrating brain tumor cells

Evolution of brain tumor cells under treatment reveal that it is the peripheral tumor cells that need to be targeted

An Israeli physicist has developed a theoretical model to simulate the evolution of highly proliferating brain tumour core cells subjected to treatment by alternating radio frequency electric field. The research, by Alexander Iomin from the Technion – Israel Institute of Technology Technion in Haifa, is about to be published in EPJ E¹. In another model, the author examines the possibility of enhancing the level of treatment by targeting the outer area of the tumour.
Iomin introduced a theoretical evaluation of the effect of a standard treatment known as tumour-treating-field (TTF) on the speed of development of a type of brain tumour called glioma. To do so, he adapted a well-established model — the so-called fractal comb model, which looks like the regularly spaced teeth of a comb — based on a mathematical approach called fractional calculus. This model is based on the hypothesis that TTF treatment had limited efficiency in the outer region and would only be effective on the inner part of the tumour, which is characterised by a higher proliferation rate of cancer cells.
By contrast, the peripheral part of the tumour is characterised by high migration and low proliferation rates of cancer cells. In his second model, the author considered glioma cancer as a composite of cancer cells and normal tissue cells. Each cell type exhibits a distinctive polarisation by an electric field, following a pattern similar to fractal geometry. He established a model reflecting the difference between the two types of cells and applied fractal calculus to their geometry. Iomin suggested that because of the fractal nature of cancer cells the TTF treatment might be enhanced at certain frequencies. As a result, the cancer cells’ plasma membrane permeability would irreversibly increase, which could lead to their demise. This approach may constitute an effective non-invasive method for treating brain cancer.
Article extracted from: EurekaAlert.

Physics research brings new strategies for brain tumor treatment.

File:PET-image.jpg

Modeling the demise of migrating brain tumor cells

Evolution of brain tumor cells under treatment reveal that it is the peripheral tumor cells that need to be targeted

An Israeli physicist has developed a theoretical model to simulate the evolution of highly proliferating brain tumour core cells subjected to treatment by alternating radio frequency electric field. The research, by Alexander Iomin from the Technion – Israel Institute of Technology Technion in Haifa, is about to be published in EPJ E¹. In another model, the author examines the possibility of enhancing the level of treatment by targeting the outer area of the tumour.
Iomin introduced a theoretical evaluation of the effect of a standard treatment known as tumour-treating-field (TTF) on the speed of development of a type of brain tumour called glioma. To do so, he adapted a well-established model — the so-called fractal comb model, which looks like the regularly spaced teeth of a comb — based on a mathematical approach called fractional calculus. This model is based on the hypothesis that TTF treatment had limited efficiency in the outer region and would only be effective on the inner part of the tumour, which is characterised by a higher proliferation rate of cancer cells.
By contrast, the peripheral part of the tumour is characterised by high migration and low proliferation rates of cancer cells. In his second model, the author considered glioma cancer as a composite of cancer cells and normal tissue cells. Each cell type exhibits a distinctive polarisation by an electric field, following a pattern similar to fractal geometry. He established a model reflecting the difference between the two types of cells and applied fractal calculus to their geometry. Iomin suggested that because of the fractal nature of cancer cells the TTF treatment might be enhanced at certain frequencies. As a result, the cancer cells’ plasma membrane permeability would irreversibly increase, which could lead to their demise. This approach may constitute an effective non-invasive method for treating brain cancer.
Article extracted from: EurekaAlert.

Parkinson’s in the genes? Technion isolates the 5 genes for early diagnosis.

3 June 2012

Technion Researchers Identify a Cluster of Five Genes in the Blood that Predict Parkinson’s Disease

Technion researchers from the Rappaport Faculty of Medicine have identified five genes that predict Parkinson’s disease, reports the scientific journal Molecular Neurodegeneration. The research was conducted by Dr. Silvia Mandel, Vice Director of the Eve Topf Center of Excellence for Neurodegenerative Diseases Research and Teaching, together with her colleagues Prof. Moussa Youdim (Technion), Prof. Judith Aharon (Rambam Medical Center), and Prof. Martin Rabey (Assaf HaRofeh Medical Center), as well as her colleagues from the Universities of Würzburg and Pisa.
“Currently, there is no blood test that can diagnose PD, making the detection of individuals at risk or at earliest stages of PD practically impossible. Instead it is identified by a clinical neurological examination based on findings suggestive of Parkinson’s disease. Finding biomarkers for Parkinson’s disease will help to capture those high-risk subjects before symptoms develop, a stage where prevention treatment efforts might be expected to have their greatest impact to slow disease progression”, says Dr. Silvia Mandel. “The first aim of our study was to assess whether a gene signature could be detected in blood from early Parkinson’s disease patients that could support the diagnosis of the disease”.
The examination was conducted on blood samples from 62 early stage Parkinson’s disease patients and 64 healthy age-matched controls. The selection of the genes and determination of their expression in the blood was based on previous research conducted by Drs. Silvia Mandel and Moussa Youdim on the brains of Parkinson’s disease patients, in which a group of genes was identified with defective expression compared to the brains of healthy people (control group). Five genes were found that are optimal predictors of Parkinson’s disease.
The predictive ability of the model was validated in an independent cohort of 30 patients at advanced stages of Parkinson’s disease, with 100% accuracy, which suggests a potential for the genetic signature to assess disease severity. Lastly, the model fully discriminated between Parkinson’s disease and Alzheimer’s disease.
“The findings strengthen the assumption that a five-gene panel in the blood allows to diagnose early stage Parkinson’s disease, with a possible diagnostic value for detection of the disease before the appearance of the characteristic motor symptoms”, say the Technion researchers. “The biomarker could assist in diagnosing individuals at presymptomatic stages of the disease (patients with depression, sleep disturbances or hyposmia (reduced ability to smell) or patients carrying genetic risk factors) who are good candidates for neuroprotective treatment. Such a biomarker will be of value in clinical trials for the identification of that subgroup of Parkinson’s disease patients that may respond favorably to therapies targeting the mechanisms reflected by the gene panel. All five genes play a role in the ubiquitin-proteasome system, whose involvement in the pathology of Parkinson’s disease has previously been demonstrated.
The Technion researchers believe that, in the future, the blood test may be combined with brain imaging and/or biomarkers in the spinal fluid or other peripheral tissues, as a gold standard not only for early diagnosis, but also for the differential diagnosis of Parkinson’s and motor disorders mimicking the disease.

Parkinson’s in the genes? Technion isolates the 5 genes for early diagnosis.

3 June 2012

Technion Researchers Identify a Cluster of Five Genes in the Blood that Predict Parkinson’s Disease

Technion researchers from the Rappaport Faculty of Medicine have identified five genes that predict Parkinson’s disease, reports the scientific journal Molecular Neurodegeneration. The research was conducted by Dr. Silvia Mandel, Vice Director of the Eve Topf Center of Excellence for Neurodegenerative Diseases Research and Teaching, together with her colleagues Prof. Moussa Youdim (Technion), Prof. Judith Aharon (Rambam Medical Center), and Prof. Martin Rabey (Assaf HaRofeh Medical Center), as well as her colleagues from the Universities of Würzburg and Pisa.
“Currently, there is no blood test that can diagnose PD, making the detection of individuals at risk or at earliest stages of PD practically impossible. Instead it is identified by a clinical neurological examination based on findings suggestive of Parkinson’s disease. Finding biomarkers for Parkinson’s disease will help to capture those high-risk subjects before symptoms develop, a stage where prevention treatment efforts might be expected to have their greatest impact to slow disease progression”, says Dr. Silvia Mandel. “The first aim of our study was to assess whether a gene signature could be detected in blood from early Parkinson’s disease patients that could support the diagnosis of the disease”.
The examination was conducted on blood samples from 62 early stage Parkinson’s disease patients and 64 healthy age-matched controls. The selection of the genes and determination of their expression in the blood was based on previous research conducted by Drs. Silvia Mandel and Moussa Youdim on the brains of Parkinson’s disease patients, in which a group of genes was identified with defective expression compared to the brains of healthy people (control group). Five genes were found that are optimal predictors of Parkinson’s disease.
The predictive ability of the model was validated in an independent cohort of 30 patients at advanced stages of Parkinson’s disease, with 100% accuracy, which suggests a potential for the genetic signature to assess disease severity. Lastly, the model fully discriminated between Parkinson’s disease and Alzheimer’s disease.
“The findings strengthen the assumption that a five-gene panel in the blood allows to diagnose early stage Parkinson’s disease, with a possible diagnostic value for detection of the disease before the appearance of the characteristic motor symptoms”, say the Technion researchers. “The biomarker could assist in diagnosing individuals at presymptomatic stages of the disease (patients with depression, sleep disturbances or hyposmia (reduced ability to smell) or patients carrying genetic risk factors) who are good candidates for neuroprotective treatment. Such a biomarker will be of value in clinical trials for the identification of that subgroup of Parkinson’s disease patients that may respond favorably to therapies targeting the mechanisms reflected by the gene panel. All five genes play a role in the ubiquitin-proteasome system, whose involvement in the pathology of Parkinson’s disease has previously been demonstrated.
The Technion researchers believe that, in the future, the blood test may be combined with brain imaging and/or biomarkers in the spinal fluid or other peripheral tissues, as a gold standard not only for early diagnosis, but also for the differential diagnosis of Parkinson’s and motor disorders mimicking the disease.

Phase 2 Study heralds hope for Alzheimers patients


PRESS RELEASE
May 17, 2012, 11:36 a.m. EDT

Avraham Pharmaceuticals Announces Commencement of a Phase 2 Study of Ladostigil for the Treatment of MCI

Enrollment has been completed in a Phase 2 study of ladostigil for the treatment of Alzheimer’s Disease and results expected in Q4 2012



Avraham Pharmaceuticals Ltd. has announced the commencement of a Phase 2 clinical trial to evaluate the safety and efficacy of ladostigil in patients diagnosed with mild cognitive impairment (MCI). This 36-month, multi-centre, randomized, double-blind, placebo-controlled trial will include at least 200 patients in 16 centers in Europe and Israel.
In parallel, Avraham Pharmaceuticals has also completed the enrollment of 200 patients in a Phase 2 trial of ladostigil, a novel molecule for the treatment of mild to moderate Alzheimer’s disease. The Phase 2 study is a double-blind, closed-label, placebo-controlled trial taking place at 20 sites in five countries across Europe. In January 2012, the Company performed an interim analysis of this Phase 2 trial, which indicated that the drug is safe and well tolerated, as well as shows a positive trend toward efficacy. Final results of the 26-week trial are expected in the fourth quarter of 2012.
Ladostigil was developed out of the pioneering research into neurodegeneration of Technion Prof. Moussa Youdim.
“We are pleased that another Phase 2 clinical trial in patients with MCI has begun in parallel, and look forward to the final results of the Phase 2 study for the treatment of Alzheimer’s disease expected at the end of this year,” said Yaacov Michlin, Chairman of Avraham Pharmaceuticals
“I am delighted to lead Avraham in these exciting times for the company, as we advance ladostigil in 2 Phase 2 clinical trials simultaneously. We believe that this unique drug candidate has the potential to transform the treatment of various neurodegenerative diseases,” said Dr. Yona Geffen, Avraham Pharmaceuticals Chief Executive Officer.
About Ladostigil
Ladostigil is a novel cholinesterase and brain-selective monoamine oxidase inhibitor, and neuroprotective agent for the treatment of Alzheimer’s disease, mild cognitive impairment and other neurodegenerative diseases. The drug, which was exclusively licensed to Avraham Pharmaceuticals by Yissum Research Development Company Ltd., and by the Technion Research and Development Foundation Ltd. (TRDF), has proven to be safe and well tolerated in Phase 1 and Phase 2 clinical trials. Like other cholinesterase inhibitors currently on the market, ladostigil targets symptomatic relief in Alzheimer’s disease patients. But unlike these drugs, ladostigil, which also causes brain selective inhibition of monoamine oxidase (MAO) provides the potential to improve the behavioral and psychological symptoms of dementia such as depression and anxiety. Moreover, ladostigil has the potential to slow progression of clinical symptoms of Alzheimer’s disease for sustained periods of time and to modify the pathology associated with the disease. In addition, the neuroprotective activity of ladostigil provides a drug candidate that may have the potential to slow progression to Alzheimer’s disease in patients diagnosed with MCI. This potential has been amply demonstrated in animal models, especially in studies of ageing rats.
Ladostigil was designed by Professor Marta Weinstock-Rosin of the Hebrew University of Jerusalem, inventor of Exelon(R) and Professor Moussa B.H. Youdim of the Technion Israel Institute of Technology, inventor of Azilect(R). The drug substance was first synthesized by Professor Michael Chorev of the Hebrew University, who is now based at Harvard University. All three distinguished scientists act as scientific advisors to Avraham Pharmaceuticals.
About Alzheimer’s Disease
Alzheimer’s disease is the most common cause of dementia worldwide, affecting about one in 20 people 65 years of age or older, accounting for 60-80% of dementia cases. In 2010, 5.4 million people were affected by Alzheimer’s disease in the U.S., where it is the 6th leading cause of death. In Europe, more than 6 million are living with the disease. Approximately half of Alzheimer’s patients also suffer from depression, and up to 40% also exhibit Parkinson-like symptoms.
About Mild Cognitive Impairment
Mild cognitive impairment (MCI) is a syndrome defined as an intermediate stage between the expected cognitive decline of normal aging and the more pronounced decline of dementia. It involves problems with memory, language, thinking and judgment that are greater than typical age-related changes. Although MCI can present with a variety of symptoms, when memory loss is the predominant symptom it is termed “amnestic MCI” and is frequently seen as a prodromal stage of Alzheimer’s disease. Prevalence in population-based epidemiological studies ranges from 3% to 19% in adults older than 65 years. There is no proven treatment or therapy for MCI.
About Avraham Pharmaceutical
Founded in 2010, Avraham Pharmaceuticals has raised more than $12 million to advance the development of its unique, multi-functional drug substance, ladostigil, currently undergoing two Phase 2 clinical trials for the treatment of Alzheimer’s disease and mild cognitive impairment. 



Outsmarting HIV with X-Ray Crystallography

Dr, Alian Akram, Lorry I. Lokey Center for Life Science & Engineering, Technion.

Outsmarting HIV


It sound like modern warfare, and indeed, even when aiming to outsmart a killer virus on a scale of about 100 nanometers, the latest technology makes all the difference. One of the deep passions behind Dr. Alian Akram’s pioneering crystallographic work in the Technion is a desire to advance treatments for HIV, the causative agent of AIDS.



Scientists in Akram’s lab investigate the general principles of how aggressive virus lock into the genetic resources of a patient – and how to prevent them from doing this. “It is a MUST to learn about the critical interactions and the mechanisms of resistance,” says Akram. The team is taking a sharp look at pathogen-host interaction and how the HIV virus literally hijacks the machinery of the host cell in order to replicate itself, and how it escapes the immune system. “We are hoping to determine the structures of key interacting molecules and develop new intervening strategies and drugs that prevent their interaction. We also want to understand the mechanism of emergent resistance in the proteins of this virus.”



Current drugs for HIV bind viral proteins – and yet it continues to mutate and regenerate. Akram’s team is working on a protein discovered in 2004 – intrinsic immunity APOBEC3G. This protein attacks the genome of HIV and causes hypermutation that leads to an abortive replication cycle for HIV. However, HIV expresses a protein that destroys APOBEC, so the Akram’s group wants to understand this process better so that it can be blocked.
Crystal structure of Pseudouridine synthase in complex with RNA solved by  Akram Alian. The structure reveals base-pair rearrangement as the key mechanism to rRNA substrate selectivity  (http://rnajournal.cshlp.org/content/16/6.cover-expansion)”

Outsmarting HIV with X-Ray Crystallography

Dr, Alian Akram, Lorry I. Lokey Center for Life Science & Engineering, Technion.

Outsmarting HIV


It sound like modern warfare, and indeed, even when aiming to outsmart a killer virus on a scale of about 100 nanometers, the latest technology makes all the difference. One of the deep passions behind Dr. Alian Akram’s pioneering crystallographic work in the Technion is a desire to advance treatments for HIV, the causative agent of AIDS.



Scientists in Akram’s lab investigate the general principles of how aggressive virus lock into the genetic resources of a patient – and how to prevent them from doing this. “It is a MUST to learn about the critical interactions and the mechanisms of resistance,” says Akram. The team is taking a sharp look at pathogen-host interaction and how the HIV virus literally hijacks the machinery of the host cell in order to replicate itself, and how it escapes the immune system. “We are hoping to determine the structures of key interacting molecules and develop new intervening strategies and drugs that prevent their interaction. We also want to understand the mechanism of emergent resistance in the proteins of this virus.”



Current drugs for HIV bind viral proteins – and yet it continues to mutate and regenerate. Akram’s team is working on a protein discovered in 2004 – intrinsic immunity APOBEC3G. This protein attacks the genome of HIV and causes hypermutation that leads to an abortive replication cycle for HIV. However, HIV expresses a protein that destroys APOBEC, so the Akram’s group wants to understand this process better so that it can be blocked.
Crystal structure of Pseudouridine synthase in complex with RNA solved by  Akram Alian. The structure reveals base-pair rearrangement as the key mechanism to rRNA substrate selectivity  (http://rnajournal.cshlp.org/content/16/6.cover-expansion)”

Nobel Prize Winning Ubiquitin in Action

Proteologics’ pioneers targeted drug development CEO Joshua Levin discusses the molecules being developed with Teva and GlaxoSmithKline.[Extracted from Globes, Israel]

The award of the 2011 Nobel Prize in Chemistry to Prof. Dan Schechtman, following the 2009 win by Prof. Ada Yonath, put the world of chemistry and Israel’s contributions to science that laypeople can barely understand in the limelight. Schechtman and Yonath have not yet turned their discoveries, of quasi-crystals and the mechanism of the ribosome, respectively, into commercial products, but their two Israeli predecessors, Prof. Aaron Ciechanover and Prof. Avram Hershko, the 2004 Nobel Laureates in Chemistry, have succeeded in doing so (or at least trying). They contributed their know-how and reputations to Proteologics Ltd. (TASE: PRTL).

Ubiquitin – the new buzzword

To understand what Proteologics is doing, it is necessary to go back to high school chemistry and the stubborn teacher who tried to explain what a protein is. The company is developing targeted therapeutics for the ubiquitin system, which regulates almost all aspects of eukaryotic cellular function, including cell cycle regulation, DNA repair, signal transduction, immune response, protein quality control and metabolism. The system comprises about 1,000 protiens.
Hershko and Ciechanover discovered the ubiquitin system in 1978, and jointly won the Nobel Prize in Chemistry in 2004 for the discovery. They are both members of Proteologics’ science advisory board.
Targeted medications are not regular drugs; as their name implies, they have just one specific target, and are consequently more effective, (improving a patient’s quality of life by reducing the side effects of treatment) and are more efficient for health funds by cutting costs. These drugs discover the proteins that play an important role in a disease, neutralizing which leads to improvement, even a cure, for the disease in question.
A ubiquitin is a small regulatory protein that can be attached to proteins and label them for destruction for the proper function of the cell. Ubiquitin tags can also direct proteins to other locations in the cell, where they control other protein and cell mechanisms. Disruption of the ubiquitin system is therefore liable to cause a wide range of diseases, including cancers, diseases of the nervous system such as Alzheimer’s or Parkinson’s, muscular dystrophy, and viral diseases.
Drug development is complicated, and the difficulties are compounded in the case of the ubiquitin system. It is a hierarchal cascade system with three levels: The E1 enzyme is a single protein, which can bind with the subordinate level, E2 enzymes (of which there are about 40), which in turn influence the more than 600 E3 enzymes.
This hierarchal cascade and the multiple E2-E3 connections complicates the drug development task. E3 enzymes directly transfer the signal to the protein, and this is where Proteologics finds the proteins that are the basis for its therapeutics. Any intervention higher up in the hierarchy is liable to cause harm rather than help.
Business model: spread the risk
Proteologics’ business model may prove in future to be much more effective than the models of other R&D companies. The drug development and approval process has three main stages. First is identification of the target and development of a suitable molecule, which is followed by preclinical and human clinical trials.
Proteologics only operates at the first and second stages, while the final stage, which requires more time and financial investment, is handled by the company’s big pharma partners – Teva Pharmaceutical Industries Ltd. (Nasdaq: TEVA; TASE: TEVA) and GlaxoSmithKline plc (NYSE; LSE: GSK).
In this way, Proteologics reduces its financial risk, as the clinical trial and most expensive stage is carried out by big pharma companies which bear the financial risk. Proteologics even receives advances for R&D costs, which are partly covered by its partners. The company also has an option for receiving milestone payments, and will receive generous royalties from sales, assuming that the drug is approved for marketing.
Until that day comes, if it ever does, Proteologics can use the milestone payments to pursue additional projects on the basis of the platform it developed for working with E3 enzymes with different tags. This enables the company to survive, in theory, for a long time as it expands its knowledge and its platform to create a large enough product base that will increase its chances of turning at least one of its drug candidates into a commercial product.
Proteologics CEO Joshua Levin says that it has been able to lower its risk profile by choosing two partners that complements each other, in both character and terms of the agreements signed with them. GlaxoSmithKline, a UK giant with a market cap of $117 billion, is developing with Proteologics six programs for the treatment of various cancers (each program is based on a different E3 enzyme). Teva is jointly developing three programs. Proteologics is also developing two programs independently, and will either continue to do so or find a partner.
“GlaxoSmithKline and Teva complement each other,” says Levin. “Teva is not an innovative company, which is why it chose to invest a little in us now, and give us a larger share of revenue from drug sales. GlaxoSmithKline, in contrast, chose to invest much more in us at the first and second stages, and took a greater share for itself when the drug reaches market.”
In the case of GlaxoSmithKline, which is the more important partner for Levin, each program could generate up to $176 million in royalties, or up to $1 billion altogether, but Levin is realistic about these numbers. “This isn’t a real number. There’s no chance that all six drugs will be commercialized,” he says.

2012 is the critical year

Under Proteologics’ timetable, 2012 will be a critical year. Teva, which has undergone quite a few changes, mainly as a result of its acquisition of Cephalon, is scheduled to receive its first molecule from Proteologics within months, and will have to decide whether it wants to pursue development. If it chooses not to do so, Proteologics can continue development (a Phase I clinical trial) independently, or find another partner, without the need to start the development process from scratch.
Levin is not worried that either Teva or GlaxoSmithKline will return molecules to the company, but he is nonetheless doing everything to make sure that does not happen. In the case of GlaxoSmithKline, each program has a three-year timeframe, which means that in early 2013, Proteologics will have to hand over the first molecule to it and wait for a response.
Read full article at Globes

Nobel Prize Winning Ubiquitin in Action

Proteologics’ pioneers targeted drug development CEO Joshua Levin discusses the molecules being developed with Teva and GlaxoSmithKline.[Extracted from Globes, Israel]

The award of the 2011 Nobel Prize in Chemistry to Prof. Dan Schechtman, following the 2009 win by Prof. Ada Yonath, put the world of chemistry and Israel’s contributions to science that laypeople can barely understand in the limelight. Schechtman and Yonath have not yet turned their discoveries, of quasi-crystals and the mechanism of the ribosome, respectively, into commercial products, but their two Israeli predecessors, Prof. Aaron Ciechanover and Prof. Avram Hershko, the 2004 Nobel Laureates in Chemistry, have succeeded in doing so (or at least trying). They contributed their know-how and reputations to Proteologics Ltd. (TASE: PRTL).

Ubiquitin – the new buzzword

To understand what Proteologics is doing, it is necessary to go back to high school chemistry and the stubborn teacher who tried to explain what a protein is. The company is developing targeted therapeutics for the ubiquitin system, which regulates almost all aspects of eukaryotic cellular function, including cell cycle regulation, DNA repair, signal transduction, immune response, protein quality control and metabolism. The system comprises about 1,000 protiens.
Hershko and Ciechanover discovered the ubiquitin system in 1978, and jointly won the Nobel Prize in Chemistry in 2004 for the discovery. They are both members of Proteologics’ science advisory board.
Targeted medications are not regular drugs; as their name implies, they have just one specific target, and are consequently more effective, (improving a patient’s quality of life by reducing the side effects of treatment) and are more efficient for health funds by cutting costs. These drugs discover the proteins that play an important role in a disease, neutralizing which leads to improvement, even a cure, for the disease in question.
A ubiquitin is a small regulatory protein that can be attached to proteins and label them for destruction for the proper function of the cell. Ubiquitin tags can also direct proteins to other locations in the cell, where they control other protein and cell mechanisms. Disruption of the ubiquitin system is therefore liable to cause a wide range of diseases, including cancers, diseases of the nervous system such as Alzheimer’s or Parkinson’s, muscular dystrophy, and viral diseases.
Drug development is complicated, and the difficulties are compounded in the case of the ubiquitin system. It is a hierarchal cascade system with three levels: The E1 enzyme is a single protein, which can bind with the subordinate level, E2 enzymes (of which there are about 40), which in turn influence the more than 600 E3 enzymes.
This hierarchal cascade and the multiple E2-E3 connections complicates the drug development task. E3 enzymes directly transfer the signal to the protein, and this is where Proteologics finds the proteins that are the basis for its therapeutics. Any intervention higher up in the hierarchy is liable to cause harm rather than help.
Business model: spread the risk
Proteologics’ business model may prove in future to be much more effective than the models of other R&D companies. The drug development and approval process has three main stages. First is identification of the target and development of a suitable molecule, which is followed by preclinical and human clinical trials.
Proteologics only operates at the first and second stages, while the final stage, which requires more time and financial investment, is handled by the company’s big pharma partners – Teva Pharmaceutical Industries Ltd. (Nasdaq: TEVA; TASE: TEVA) and GlaxoSmithKline plc (NYSE; LSE: GSK).
In this way, Proteologics reduces its financial risk, as the clinical trial and most expensive stage is carried out by big pharma companies which bear the financial risk. Proteologics even receives advances for R&D costs, which are partly covered by its partners. The company also has an option for receiving milestone payments, and will receive generous royalties from sales, assuming that the drug is approved for marketing.
Until that day comes, if it ever does, Proteologics can use the milestone payments to pursue additional projects on the basis of the platform it developed for working with E3 enzymes with different tags. This enables the company to survive, in theory, for a long time as it expands its knowledge and its platform to create a large enough product base that will increase its chances of turning at least one of its drug candidates into a commercial product.
Proteologics CEO Joshua Levin says that it has been able to lower its risk profile by choosing two partners that complements each other, in both character and terms of the agreements signed with them. GlaxoSmithKline, a UK giant with a market cap of $117 billion, is developing with Proteologics six programs for the treatment of various cancers (each program is based on a different E3 enzyme). Teva is jointly developing three programs. Proteologics is also developing two programs independently, and will either continue to do so or find a partner.
“GlaxoSmithKline and Teva complement each other,” says Levin. “Teva is not an innovative company, which is why it chose to invest a little in us now, and give us a larger share of revenue from drug sales. GlaxoSmithKline, in contrast, chose to invest much more in us at the first and second stages, and took a greater share for itself when the drug reaches market.”
In the case of GlaxoSmithKline, which is the more important partner for Levin, each program could generate up to $176 million in royalties, or up to $1 billion altogether, but Levin is realistic about these numbers. “This isn’t a real number. There’s no chance that all six drugs will be commercialized,” he says.

2012 is the critical year

Under Proteologics’ timetable, 2012 will be a critical year. Teva, which has undergone quite a few changes, mainly as a result of its acquisition of Cephalon, is scheduled to receive its first molecule from Proteologics within months, and will have to decide whether it wants to pursue development. If it chooses not to do so, Proteologics can continue development (a Phase I clinical trial) independently, or find another partner, without the need to start the development process from scratch.
Levin is not worried that either Teva or GlaxoSmithKline will return molecules to the company, but he is nonetheless doing everything to make sure that does not happen. In the case of GlaxoSmithKline, each program has a three-year timeframe, which means that in early 2013, Proteologics will have to hand over the first molecule to it and wait for a response.
Read full article at Globes