WEBVTT

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Welcome back, everybody, for another deep dive.

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You know how this works. We take a stack of your

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sources and we pull out the most interesting,

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the most fascinating knowledge nuggets. Yeah,

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it's like a cheat sheet to understanding complex

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topics. That's it. That's a great way to put

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it. And today's topic, we are time traveling

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through the history of drug discovery. OK, buckle

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up. We're going from ancient remedies all the

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way to modern breakthroughs. the whole journey

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right so to start i guess at the beginning humans

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have been using natural remedies for millennia

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right absolutely but did those ancient cures

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actually work or was it all just a bunch of superstitions

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that's a great question a lot of people think

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that they didn't really work But the truth is

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a lot of those ancient remedies were actually

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really effective. It wasn't just some placebo

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effect our ancestors. They observed the natural

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world and they figured out through trial and

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error which plants could help alleviate pain,

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reduce fever, or even treat infections. I mean

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it's incredible to think about those early humans

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just experimenting with all these different plants

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and trying to figure out which ones could heal

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them. It's like a high stakes guessing game.

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Oh yeah. Definitely. High stakes for sure. But,

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you know, they got pretty good at it over time.

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So it wasn't all just random? No, not at all.

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I mean, think about it. Many of the drugs that

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we use today are actually derived from natural

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products that people have been using for centuries.

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Oh, wow. So it's like... Traditional knowledge

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meets cutting edge science. Exactly. That's fascinating.

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Yeah. Can you give us an example, like a modern

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drug that has its roots in these ancient remedies?

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Oh, sure. Aspirin is a great example. One of

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the most widely used medications in the world.

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And it's actually derived from willow bark, which

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was used by the ancient Egyptians and Greeks

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to relieve pain and fever. Wow. So aspirin is

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just willow bark. Well, not exactly. It contains

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a compound called Salicin, which is what gives

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it its pain -relieving properties. Oh, so the

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next time I pop an aspirin off, I have to think

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about those ancient healers. But how did we go

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from just using these plants directly to actually,

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like, creating drugs in a lab? Yeah, that's a

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big jump, and that's where the concept of what

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we call lead drug scaffold structures comes in.

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Lead drug scaffold structures. Yeah, so scientists,

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they started using natural remedies as a starting

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point, a kind of blueprint, if you will, to create

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more effective medications. Okay, I'm intrigued.

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I need you to break that down a little bit more.

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What exactly is a lead drug scaffold structure?

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OK, so think of it like this. Imagine a scaffold

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that's used in construction. You know, it provides

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a basic framework that you can build upon. OK,

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yeah. In drug discovery, natural products, they

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provide that initial framework or scaffold. OK.

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It's like a pre -built foundation that scientists

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can then modify and improve upon. So they're

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not just copying the plant exactly. Right. They're

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taking that basic structure and tweaking it to

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make it better. Interesting. They can modify

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the molecule to enhance its potency, reduce side

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effects, or even target specific areas in the

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body. It's like tailoring, but on a molecular

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level. Well, that's a good way to put it. Like

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taking a rough diamond and cutting it into this

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brilliant gem. Exactly. Yeah. And probably one

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of the most famous examples of this is the discovery

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of penicillin. Oh, penicillin, the wonder drug

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that changed everything. Tell me more. Yeah,

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so penicillin, it was a total game changer, but

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its discovery was a bit of an accident. Really?

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Yeah. So Alexander Fleming, the Scottish scientist,

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he noticed that a mold was growing in his petri

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dish and it was inhibiting the growth of bacteria.

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What? Yeah. So that mold was producing penicillin.

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And this discovery revolutionized medicine because

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now we had a treatment for bacterial infection.

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So a little bit of mold led to one of the biggest

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medical breakthroughs of all time. That's wild.

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Yeah. It is. Science can be messy like that.

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Sometimes the biggest breakthroughs come from

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the most unexpected places. Yeah, it's true.

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So penicillin, is that an example of a lead drug

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scaffold structure? Well, penicillin itself is

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the drug, but it was the discovery of that mold

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and its bacteria fighting properties that led

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scientists to further study and develop it into

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the drug we know today. Oh, so they took that

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mold and turned it into something even more powerful.

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Exactly. And it led to the development of so

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many other life -saving antibiotics. It's incredible

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to think about how far we've come. From ancient

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healers chewing on willow bark to scientists

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cultivating penicillin in petri dishes. It's

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a huge leap. But drug discovery didn't stay stuck

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in the mold -in -a -peacher -dish phase forever,

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did it? No, of course not. There were more advances

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to come. When did things start to get a little

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more scientific? Well, the shift towards a more

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systematic, science -based approach. It was gradual,

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but there were some key milestones that really

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propelled the field forward. And advances in

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chemistry and biology, those played a huge role.

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What kind of advances? Can you give me some examples?

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Yeah, so for starters, scientists started to

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understand how drugs actually worked on a molecular

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level. You know, they began to unravel those

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complex interactions between drugs and the body's

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machinery. And this allowed them to move beyond

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just trial and error and start designing drugs

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with specific targets in mind. Oh, so it's not

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just like throwing everything at the wall and

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seeing what sticks anymore? Not anymore. This

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was a big step forward in terms of precision

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and efficacy. We could start tailoring drugs

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to interact with specific molecules or pathways

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in the body. It sounds like they went from shooting

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arrows in the dark to using guided missiles.

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Exactly. That's a great way to put it. And this

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understanding led to the development of what

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we call targeted therapies. Targeted therapies?

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Yeah, drugs that are designed to interact with

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very specific molecules or pathways in the body.

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This allows for more effective treatments with

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fewer side effects. This is all sounding very

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promising. But I know from some of our previous

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deep dives that scientific progress is not always

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a smooth upward trajectory. Sometimes there are

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twists and turns and sometimes those turns lead

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to some pretty dark places. Yeah, that's true.

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The history of drug discovery, it hasn't always

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been sunshine and breakthroughs. Right. There

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have been some tragic chapters that really highlight

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the importance of, you know, rigorous testing

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and regulation. Okay, so let's talk about that.

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What kind of tragedies are we talking about,

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and how did those tragedies end up shaping the

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way that we develop and regulate drugs today?

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Well, in the early days of drug development,

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there weren't the same kind of stringent regulations

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that we have today. Companies could pretty much

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market new drugs. without much oversight or testing.

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So it was like the Wild West of medicine? Yeah,

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you could say that. Yeah. And unfortunately,

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sometimes the consequences were devastating.

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Like what? Well, one really tragic example is

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the case of phalidomide. Oh, yeah, I've heard

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of that. Wasn't that the drug that caused birth

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defects? Yeah, that's right. It was marketed

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as a sedative and an anti -nausea medication

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and it was prescribed to pregnant women to help

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with morning sickness. Oh, it's heartbreaking

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to think that a drug that was meant to help expecting

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mothers could end up having such horrific effects.

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It was a terrible tragedy. Thousands of babies

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were born with severe deformities because of

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exposure to thalidomide. It was a real wake -up

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call for the medical community and for the public.

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Yeah. It really highlighted just how badly we

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needed stricter drug regulations. It's hard to

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imagine something like that happening today.

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How did that thalidomide tragedy change how we

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approach drug development and regulation now?

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Well, it served as a catalyst for some major

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reforms in drug safety regulations around the

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world. In the United States, it led to a strengthening

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of the FDA's authority. The Food and Drug Administration.

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Yeah, exactly. The FDA was given much greater

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power to oversee drug testing and approval. So

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now, new medications, they have to undergo rigorous

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clinical trials to demonstrate both their safety

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and their efficacy before they can be marketed

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to the public. So it went from like buyer beware

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to safety first. Yeah, you could say that the

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thaldimide tragedy made it very clear that a

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system based solely on trust and a lack of oversight

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was not going to work. Right. It just wasn't

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adequate to protect public health. We needed

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a new era of scientific rigor and accountability

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in drug development. That makes sense. It's sobering

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to think that it took such a horrific event to

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bring about these much needed changes. True.

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But ultimately, it led to a system that prioritizes

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patient safety above all else. Absolutely. The

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philatomide disaster was a painful lesson, but

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it fundamentally changed the way we approach

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drug development and regulation. And now we have

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a system that's far more robust and focused on

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protecting the well -being of patients. So we've

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talked about, you know, that historical evolution

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of drug discovery from those early trial and

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error approaches to the more science -based methods

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and then implementing those really strict regulations.

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But there's one piece of the puzzle that I'm

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still a little curious about. You mentioned something

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called in vitro in vivo correlation earlier.

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Can you explain what that means and why it's

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so important in modern drug development? Sure,

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in vitro in vivo correlation or IV IVC as it's

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often called refers to the relationship between

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how a drug behaves in a controlled laboratory

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setting in vitro and how it behaves within a

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living organism in vivo. Okay, so it's like trying

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to bridge that gap between the lab and the real

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world. But why is that so important? Why not

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just test drugs directly in living organisms

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from the beginning? Well, testing in living organisms

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is essential. But in vitro studies, they provide

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a really crucial foundation for drug development.

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They allow scientists to screen a large number

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of potential drug candidates very quickly and

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efficiently. And it helps to identify those promising

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leads before moving on to the more complex and

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expensive in vivo studies. So it's kind of like

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a preliminary screening process to weed out the

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duds and just focus on the most promising candidates.

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Exactly. In vitro studies, let researchers assess

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a drug's basic properties, like its solu - ability

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stability, and how it interacts with specific

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target molecules. And this information helps

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to guide the selection of drug candidates that

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are most likely to be effective and safe in living

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organisms. OK, so it's a strategic approach,

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but it's not always a perfect prediction, right?

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Just because a drug behaves a certain way in

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a test tube doesn't mean it's going to behave

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the same way in a more complex living system.

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You're right. That's where the correlation part

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of IVIVC comes in. The goal is to establish a

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strong relationship between that in vitro data

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and the in vivo results. Ideally, what we observe

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in the lab should accurately predict how the

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drug will behave in a living organism. It makes

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sense, but I imagine it's pretty challenging

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to create that kind of seamless connection. The

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human body is incredibly complex. It definitely

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is. There are so many factors that can influence

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a drug's behavior within the botter. Things like

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pH levels, enzyme activity, interactions with

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other medications, and even just individual variations

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in metabolism can all play a role. So it's not

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just about replicating the exact chemical conditions

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of the body in a test tube. Right. It's about

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understanding all of those complex interactions

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and how they might affect the drug's performance.

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Wow. So IVIVC is about more than just the science.

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It's about understanding the whole picture. Absolutely.

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And that's why it's such an active area of research.

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Scientists are constantly developing more sophisticated

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in vitro models that can better mimic the complex

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environment of the human body. Wow. And they're

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using advanced mathematical modeling techniques

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to try to predict in vivo behavior based on that

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in vitro data. It's almost like they're trying

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to build a virtual human in the lab to test these

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drugs on. In a way, yes. They're striving to

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create in vitro systems that are as predictive

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as possible of what will happen in a living organism.

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And this helps to reduce the reliance on animal

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testing, and it can accelerate the drug development

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process, ultimately bringing safe and effective

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medications to patients faster. Wow. It's incredible

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to see how far we've come in our ability to understand

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and predict those complex interactions between

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drugs and the human body. But even with all of

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these advances, I'm guessing there's still some

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challenges and limitations when it comes to IVIV.

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Of course. The human body is so incredibly complex

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and we're still unraveling many of its mysteries.

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There are always going to be factors that are

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difficult to predict or to replicate perfectly

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in a laboratory setting. But IVIVC, it remains

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a really powerful tool in drug development. It

00:11:57.870 --> 00:12:00.129
helps to streamline the process, reduce costs,

00:12:00.269 --> 00:12:03.190
and ultimately improve patient outcomes. Absolutely.

00:12:03.330 --> 00:12:05.029
Yeah. So we've covered a lot of ground today,

00:12:05.090 --> 00:12:07.590
from ancient remedies to modern drug development

00:12:07.590 --> 00:12:10.690
and the crucial role of in vitro in vivo correlation.

00:12:10.809 --> 00:12:13.309
Yeah. But I'm curious. How do all these pieces

00:12:13.309 --> 00:12:15.929
fit together? How do scientists actually use

00:12:15.929 --> 00:12:18.590
all of this knowledge to develop and test new

00:12:18.590 --> 00:12:21.889
drugs? That's where the biopharmaceutics classification

00:12:21.889 --> 00:12:24.590
system, or BCS, comes in. It's a framework that

00:12:24.590 --> 00:12:26.850
helps scientists categorize drugs based on their

00:12:26.850 --> 00:12:29.750
solubility and permeability. Basically, how easily

00:12:29.750 --> 00:12:32.090
they dissolve and get absorbed into the bloodstream.

00:12:32.269 --> 00:12:34.269
OK, so it's like a sorting system for medications.

00:12:34.289 --> 00:12:36.409
Yeah. But why is that so important? Why does

00:12:36.409 --> 00:12:38.570
it matter how soluble or permeable a drug is?

00:12:38.830 --> 00:12:41.210
It matters a lot because these properties can

00:12:41.210 --> 00:12:43.970
really affect a drug's bioavailability. That

00:12:43.970 --> 00:12:46.330
is how much of the drug actually reaches the

00:12:46.330 --> 00:12:49.169
bloodstream and becomes active. A drug with poor

00:12:49.169 --> 00:12:51.789
solubility might not dissolve properly in the

00:12:51.789 --> 00:12:54.889
digestive system, meaning a smaller amount of

00:12:54.889 --> 00:12:57.210
the drug will actually be absorbed and able to

00:12:57.210 --> 00:12:59.169
do its job. So it's like having a fancy sports

00:12:59.169 --> 00:13:01.129
car but only being able to drive it at five miles

00:13:01.129 --> 00:13:03.409
per hour. Exactly. It's not reaching its full

00:13:03.409 --> 00:13:06.769
potential. And the BCS helps scientists to anticipate

00:13:06.769 --> 00:13:09.350
these potential roadblocks. early on in the drug

00:13:09.350 --> 00:13:12.210
development process. By understanding a drug's

00:13:12.210 --> 00:13:14.370
solubility and permeability, they can design

00:13:14.370 --> 00:13:16.809
formulations and delivery methods that optimize

00:13:16.809 --> 00:13:19.570
its absorption and effectiveness. Makes sense.

00:13:20.049 --> 00:13:22.769
So how does this BCS system actually work? How

00:13:22.769 --> 00:13:25.370
are drugs categorized? Well, the BCS categorizes

00:13:25.370 --> 00:13:28.649
drugs into four main classes. Class one, high

00:13:28.649 --> 00:13:31.100
solubility, high permeability. These are the

00:13:31.100 --> 00:13:33.299
superstars. They dissolve easily and get absorbed

00:13:33.299 --> 00:13:36.019
quickly, making them relatively straightforward

00:13:36.019 --> 00:13:39.960
to formulate. Then we have class two, low solubility,

00:13:40.120 --> 00:13:43.120
high permeability. These drugs are good at crossing

00:13:43.120 --> 00:13:45.240
membranes once they're dissolved, but dissolving

00:13:45.240 --> 00:13:47.620
them in the first place is the challenge. Particle

00:13:47.620 --> 00:13:50.200
size and formulation become really crucial for

00:13:50.200 --> 00:13:51.960
these drugs. So it's all about getting them to

00:13:51.960 --> 00:13:54.179
dissolve first. Exactly. Then there's class three,

00:13:54.200 --> 00:13:56.820
high solubility, low permeability. These drugs

00:13:56.820 --> 00:13:59.059
dissolve readily, but they struggle to cross

00:13:59.059 --> 00:14:01.129
those membrane barriers. and get into the bloodstream.

00:14:01.870 --> 00:14:04.389
So scientists often focus on enhancing permeability

00:14:04.389 --> 00:14:07.210
for these drugs. Interesting. And the last class.

00:14:07.409 --> 00:14:10.850
Class four, low solubility, low permeability.

00:14:11.289 --> 00:14:14.090
These are the underdogs, difficult to dissolve

00:14:14.090 --> 00:14:16.850
and struggle to get absorbed. They present the

00:14:16.850 --> 00:14:18.950
biggest challenge for drug developers. Sounds

00:14:18.950 --> 00:14:21.549
like a real balancing act. Scientists need to

00:14:21.549 --> 00:14:23.730
consider both solubility and permeability when

00:14:23.730 --> 00:14:26.309
designing and testing new medications. They do,

00:14:26.570 --> 00:14:29.250
and the BCS helps guide those decisions, ensuring

00:14:29.250 --> 00:14:31.690
that drugs are formulated and administered in

00:14:31.690 --> 00:14:34.129
a way that maximizes their chances of success.

00:14:34.450 --> 00:14:36.049
Okay, so let's bring this back to our listeners.

00:14:36.690 --> 00:14:39.240
Why should they care about the BCS? How does

00:14:39.240 --> 00:14:41.480
this system actually impact them as patients?

00:14:41.639 --> 00:14:43.960
Well, for starters, the BCS can play a role in

00:14:43.960 --> 00:14:46.820
generic drug approvals. Generic drug manufacturers

00:14:46.820 --> 00:14:49.039
need to demonstrate that their version of a drug

00:14:49.039 --> 00:14:52.100
is bioequivalent to the brand name version, meaning

00:14:52.100 --> 00:14:54.379
it gets absorbed into the bloodstream at a similar

00:14:54.379 --> 00:14:56.940
rate and extent. And for drugs in those less

00:14:56.940 --> 00:14:59.159
desirable categories like class two or class

00:14:59.159 --> 00:15:01.779
four, even slight variations in manufacturing

00:15:01.779 --> 00:15:04.500
can impact their bioavailability. So taking a

00:15:04.500 --> 00:15:07.039
generic version of a class two drug could potentially

00:15:07.039 --> 00:15:09.269
lead to different results. compared to the brand

00:15:09.269 --> 00:15:12.210
name version. It's a possibility, although regulatory

00:15:12.210 --> 00:15:14.830
agencies like the FDA have very strict standards

00:15:14.830 --> 00:15:17.289
in place to try and minimize those variations.

00:15:17.909 --> 00:15:19.789
But it's something to be aware of, especially

00:15:19.789 --> 00:15:22.070
if you're taking a medication where consistent

00:15:22.070 --> 00:15:25.789
absorption is really critical. That's good information

00:15:25.789 --> 00:15:28.269
to have. It sounds like the BCS is kind of a

00:15:28.269 --> 00:15:30.649
behind the scenes player in ensuring that medications

00:15:30.649 --> 00:15:32.750
are safe and effective. Exactly. It's one of

00:15:32.750 --> 00:15:34.889
those unsung heroes of the pharmaceutical world.

00:15:34.990 --> 00:15:37.250
It's a framework that helps guide drug development

00:15:37.250 --> 00:15:40.529
and testing, and ultimately it leads to better

00:15:40.529 --> 00:15:42.750
treatments for patients. Well, this has been

00:15:42.750 --> 00:15:45.049
an incredible journey. We've gone from ancient

00:15:45.049 --> 00:15:48.429
remedies and trial and error to modern drug development

00:15:48.429 --> 00:15:50.629
with all its sophisticated laboratory techniques

00:15:50.629 --> 00:15:53.470
and the intricate dance between solubility and

00:15:53.470 --> 00:15:55.679
permeability. I think we've given our listeners

00:15:55.679 --> 00:15:58.000
a lot to think about today. I agree. The history

00:15:58.000 --> 00:16:00.000
of drug discovery, it's a testament to human

00:16:00.000 --> 00:16:02.259
ingenuity and our unwavering pursuit of better

00:16:02.259 --> 00:16:05.139
health. And as we continue to unravel the complexities

00:16:05.139 --> 00:16:08.059
of the human body, we can expect even more groundbreaking

00:16:08.059 --> 00:16:09.960
discoveries and innovative treatments in the

00:16:09.960 --> 00:16:12.980
years to come. Well said. And a big thank you

00:16:12.980 --> 00:16:15.220
to our listeners for joining us on this deep

00:16:15.220 --> 00:16:17.460
dive into the fascinating world of drug discovery.

00:16:18.080 --> 00:16:20.720
Until next time, keep exploring, keep asking

00:16:20.720 --> 00:16:27.019
questions, and keep those brains buzzing. Yeah,

00:16:30.159 --> 00:16:33.250
it was, you know, a horrible tragedy. Thousands

00:16:33.250 --> 00:16:35.809
of babies were born with really severe deformities,

00:16:35.870 --> 00:16:38.269
all because of exposure to thalidomide. And it

00:16:38.269 --> 00:16:39.950
was a huge wake -up call for everyone in the

00:16:39.950 --> 00:16:42.450
medical community and for the public. It showed

00:16:42.450 --> 00:16:44.929
just how badly we needed stricter regulations

00:16:44.929 --> 00:16:46.909
for drug development. It is hard to imagine something

00:16:46.909 --> 00:16:49.809
like that happening today. So how did that thalidomide

00:16:49.809 --> 00:16:52.470
tragedy change how we approach drug development

00:16:52.470 --> 00:16:54.940
and regulation? Well, it was a catalyst for some

00:16:54.940 --> 00:16:57.100
major reforms in drug safety regulations all

00:16:57.100 --> 00:16:59.279
over the world. OK. And in the US, it led to

00:16:59.279 --> 00:17:01.379
the strengthening of the FDA's authority. The

00:17:01.379 --> 00:17:03.659
Food and Drug Administration. Yes. The FDA was

00:17:03.659 --> 00:17:06.039
given a lot more power to oversee the testing

00:17:06.039 --> 00:17:08.759
and approval of new drugs. So now new medications,

00:17:08.759 --> 00:17:10.559
they have to go through really rigorous clinical

00:17:10.559 --> 00:17:12.880
trials to demonstrate both their safety and how

00:17:12.880 --> 00:17:14.559
well they work before they can be made available

00:17:14.559 --> 00:17:17.579
to the public. So it was a big shift from buyer

00:17:17.579 --> 00:17:21.480
beware to safety first. Yeah, you could say that.

00:17:22.539 --> 00:17:24.779
The thalidomide tragedy made it really clear

00:17:24.779 --> 00:17:26.779
that we couldn't rely on a system that was based

00:17:26.779 --> 00:17:29.359
only on trust without any real oversight. It

00:17:29.359 --> 00:17:31.220
just wasn't enough to protect public health.

00:17:31.599 --> 00:17:34.740
We needed a new era of scientific rigor and accountability

00:17:34.740 --> 00:17:37.019
when it came to developing new drugs. That makes

00:17:37.019 --> 00:17:39.160
sense. It's kind of sobering to think that it

00:17:39.160 --> 00:17:41.480
took such a horrific event to bring about these

00:17:41.480 --> 00:17:43.950
changes. But ultimately, it led to a system that

00:17:43.950 --> 00:17:46.609
really puts patient safety above all else. That's

00:17:46.609 --> 00:17:48.710
right. The thalidomide disaster was definitely

00:17:48.710 --> 00:17:51.410
a painful lesson, but it fundamentally changed

00:17:51.410 --> 00:17:53.569
how we approach drug development and regulation.

00:17:53.569 --> 00:17:56.549
Yeah. And now we have a system that is much more

00:17:56.549 --> 00:17:58.930
robust and focused on protecting the well -being

00:17:58.930 --> 00:18:01.450
of patients. So we've talked about that whole

00:18:01.450 --> 00:18:04.269
evolution of drug discovery from the early trial

00:18:04.269 --> 00:18:07.470
and error approaches to the more science -based

00:18:07.470 --> 00:18:10.160
methods and then implementing these strict regulations.

00:18:10.660 --> 00:18:12.259
But there's one piece of the puzzle that I'm

00:18:12.259 --> 00:18:14.759
still kind of curious about. You mentioned earlier

00:18:14.759 --> 00:18:17.599
something called in vitro, in vivo correlation.

00:18:18.259 --> 00:18:20.740
Could you explain what that is and why it's important

00:18:20.740 --> 00:18:24.519
in modern drug development? Sure. So in vitro,

00:18:24.640 --> 00:18:27.980
in vivo correlation or IVIVC, as it's often called,

00:18:28.519 --> 00:18:31.640
refers to the relationship between how a drug

00:18:31.640 --> 00:18:34.039
behaves in a very controlled laboratory setting,

00:18:34.059 --> 00:18:36.279
which we call in vitro, and how it behaves in

00:18:36.279 --> 00:18:38.670
a living organism, which we call in vivo. OK,

00:18:38.690 --> 00:18:40.509
so it's like trying to bridge that gap between

00:18:40.509 --> 00:18:43.210
the lab and the real world. Why is that so important?

00:18:43.309 --> 00:18:45.609
Why not just test drugs directly in living organisms

00:18:45.609 --> 00:18:47.750
right from the start? Well, testing in living

00:18:47.750 --> 00:18:50.250
organisms is essential, of course. But in vitro

00:18:50.250 --> 00:18:52.190
studies, they provide a really important foundation

00:18:52.190 --> 00:18:54.730
for drug development. They allow scientists to

00:18:54.730 --> 00:18:57.049
screen a large number of potential drug candidates

00:18:57.049 --> 00:18:59.769
quickly and efficiently. OK. And that helps to

00:18:59.769 --> 00:19:01.410
identify those promising leads before having

00:19:01.410 --> 00:19:03.369
to move on to the more complex and expensive

00:19:03.369 --> 00:19:05.819
in vivo studies. So it's like a preliminary screening

00:19:05.819 --> 00:19:08.460
process to weed out the duds and focus on the

00:19:08.460 --> 00:19:11.519
most promising candidates. Exactly. In vitro

00:19:11.519 --> 00:19:14.859
studies, let researchers assess a drug's basic

00:19:14.859 --> 00:19:17.160
properties, like its solubility, its stability,

00:19:17.160 --> 00:19:20.099
and how it interacts with specific target molecules.

00:19:20.539 --> 00:19:22.720
And that information really helps to guide the

00:19:22.720 --> 00:19:24.660
selection of drug candidates that are most likely

00:19:24.660 --> 00:19:27.720
to be both effective and safe in living organisms.

00:19:28.480 --> 00:19:31.059
So it's a very strategic approach. Yeah. But

00:19:31.059 --> 00:19:33.140
I'm guessing it's not a perfect prediction, is

00:19:33.140 --> 00:19:35.890
it? Just because a drug behaves a certain way

00:19:35.890 --> 00:19:37.789
in a test tube doesn't necessarily mean it's

00:19:37.789 --> 00:19:39.529
going to behave the same way in a complex living

00:19:39.529 --> 00:19:41.650
system. That's true. And that's where the correlation

00:19:41.650 --> 00:19:44.750
part of IVIBC comes in. The goal is to try to

00:19:44.750 --> 00:19:46.890
establish a strong relationship between the data

00:19:46.890 --> 00:19:49.309
that we get from those in vitro experiments and

00:19:49.309 --> 00:19:51.789
the results we see in vivo. Ideally, what we

00:19:51.789 --> 00:19:53.430
see in the lab should accurately predict how

00:19:53.430 --> 00:19:55.269
the drug is going to behave in a living organism.

00:19:55.670 --> 00:19:58.170
That makes sense. but I imagine it can be pretty

00:19:58.170 --> 00:20:00.470
challenging to create that kind of seamless connection.

00:20:01.289 --> 00:20:03.210
You know, the human body is incredibly complex.

00:20:03.490 --> 00:20:06.329
Oh, it is. There are so many factors that can

00:20:06.329 --> 00:20:08.990
influence how a drug behaves inside the body.

00:20:09.490 --> 00:20:12.670
Things like pH levels, enzyme activity interactions

00:20:12.670 --> 00:20:15.029
with other medications, even just variations

00:20:15.029 --> 00:20:17.210
in a person's metabolism can all play a role.

00:20:17.549 --> 00:20:19.509
So it's not as simple as just recreating the

00:20:19.509 --> 00:20:21.609
exact same chemical conditions of the body in

00:20:21.609 --> 00:20:24.269
a test tube? No, not at all. It's about understanding

00:20:24.269 --> 00:20:26.849
those really complex interactions and how they

00:20:26.849 --> 00:20:30.250
might affect how well the drug performs. So IVIVC,

00:20:30.390 --> 00:20:32.609
it's about more than just the science. It's about

00:20:32.609 --> 00:20:34.829
seeing the bigger picture. Yeah, exactly. And

00:20:34.829 --> 00:20:36.890
that's why it's a really active area of research.

00:20:37.650 --> 00:20:40.289
Scientists are constantly developing more sophisticated

00:20:40.289 --> 00:20:42.730
in vitro models that can better mimic the very

00:20:42.730 --> 00:20:45.640
complex environment of the human body. Wow. And

00:20:45.640 --> 00:20:47.759
they're using advanced mathematical modeling

00:20:47.759 --> 00:20:50.980
techniques to try to predict that in vivo behavior

00:20:50.980 --> 00:20:53.140
based on the in vitro data that they collect.

00:20:53.359 --> 00:20:54.839
So it's almost like they're trying to build a

00:20:54.839 --> 00:20:57.809
virtual human in the lab. to test these new drugs

00:20:57.809 --> 00:21:01.509
on? In a way, yes. The goal is to create in vitro

00:21:01.509 --> 00:21:03.690
systems that are as predictive as possible so

00:21:03.690 --> 00:21:05.670
we can get a good sense of what will happen in

00:21:05.670 --> 00:21:08.910
a living organism. And this has some really important

00:21:08.910 --> 00:21:11.390
implications. It helps reduce the need for animal

00:21:11.390 --> 00:21:13.569
testing and it can speed up the drug development

00:21:13.569 --> 00:21:16.269
process. So ultimately, it helps us bring safe

00:21:16.269 --> 00:21:18.549
and effective medications to patients more quickly.

00:21:18.910 --> 00:21:21.710
It's amazing to see just how far we've come in

00:21:21.710 --> 00:21:25.019
our ability to understand and predict these complex

00:21:25.019 --> 00:21:27.160
interactions between drugs and the human body.

00:21:27.759 --> 00:21:29.720
But even with all of these advances, are there

00:21:29.720 --> 00:21:31.680
still challenges and limitations when it comes

00:21:31.680 --> 00:21:35.539
to IVIVC? Oh, of course. The human body is just

00:21:35.539 --> 00:21:37.720
so incredibly complex and we're still working

00:21:37.720 --> 00:21:40.119
to unlock many of its secrets. So there are always

00:21:40.119 --> 00:21:42.279
going to be factors that are hard to predict

00:21:42.279 --> 00:21:45.140
or to perfectly replicate in the lab. However,

00:21:45.660 --> 00:21:47.980
IVIVC remains a really powerful tool in drug

00:21:47.980 --> 00:21:49.680
development. It helps to streamline the process,

00:21:49.720 --> 00:21:51.480
reduce costs, and ultimately improve patient

00:21:51.480 --> 00:21:54.619
outcomes. Hashtag TTS, the deep dive episode

00:21:54.619 --> 00:21:58.180
2025 0305 part three of three. Okay. So we've

00:21:58.180 --> 00:21:59.799
covered a lot of ground from ancient remedies

00:21:59.799 --> 00:22:02.599
to modern drug development and that crucial role

00:22:02.599 --> 00:22:05.799
of in vitro. in vivo correlation. But I'm curious,

00:22:06.079 --> 00:22:08.059
how do all of these pieces actually fit together?

00:22:08.160 --> 00:22:10.640
How do scientists use all of this knowledge to

00:22:10.640 --> 00:22:12.799
develop and test new drugs? Well, that's where

00:22:12.799 --> 00:22:14.920
the biopharmaceutics classification system, or

00:22:14.920 --> 00:22:18.019
BCS, comes in. BCS. Yeah, it's a framework that

00:22:18.019 --> 00:22:20.119
helps scientists to categorize drugs based on

00:22:20.119 --> 00:22:22.619
their solubility and permeability, basically

00:22:22.619 --> 00:22:24.559
how easily they dissolve and get absorbed into

00:22:24.559 --> 00:22:26.599
the bloodstream. OK, so it's like a sorting system

00:22:26.599 --> 00:22:28.740
for medications. But why is that so important?

00:22:28.910 --> 00:22:31.329
Why does it matter how soluble or permeable a

00:22:31.329 --> 00:22:33.809
drug is? It matters a lot because those properties

00:22:33.809 --> 00:22:36.690
can significantly affect a drug's bioavailability.

00:22:37.650 --> 00:22:39.690
That is how much of the drug actually reaches

00:22:39.690 --> 00:22:43.009
the bloodstream and becomes active. So a drug

00:22:43.009 --> 00:22:45.630
with poor solubility might not dissolve very

00:22:45.630 --> 00:22:48.309
well in the digestive system, which means that

00:22:48.309 --> 00:22:50.390
a smaller amount of the drug will actually be

00:22:50.390 --> 00:22:52.910
absorbed and be able to do its job. So it's like

00:22:52.910 --> 00:22:56.170
having a fancy sports car, but you can only drive

00:22:56.170 --> 00:22:58.630
it at five miles per hour. Exactly. It's not

00:22:58.630 --> 00:23:01.890
reaching its full potential. And the BCS helps

00:23:01.890 --> 00:23:04.369
scientists to kind of anticipate these potential

00:23:04.369 --> 00:23:06.630
roadblocks early on in the drug development process.

00:23:06.990 --> 00:23:10.170
By understanding a drug's solubility and permeability,

00:23:10.529 --> 00:23:12.349
they can design for formulations and delivery

00:23:12.349 --> 00:23:15.029
methods that optimize its absorption and effectiveness.

00:23:15.450 --> 00:23:18.910
That makes sense. So how does this BCS system

00:23:18.910 --> 00:23:21.509
actually work? How are drugs categorized? So

00:23:21.509 --> 00:23:24.009
the BCS categorizes drugs into four main classes.

00:23:24.470 --> 00:23:27.390
We have class one, high solubility, high permeability.

00:23:27.869 --> 00:23:30.329
These are the superstars. They dissolve easily.

00:23:30.369 --> 00:23:32.509
They get absorbed quickly, making them pretty

00:23:32.509 --> 00:23:34.509
straightforward to formulate. OK. Then you've

00:23:34.509 --> 00:23:37.930
got class two, low solubility, high permeability.

00:23:38.490 --> 00:23:41.130
These drugs are really good at crossing membranes

00:23:41.130 --> 00:23:43.910
once they're dissolved. But getting them to dissolve

00:23:43.910 --> 00:23:46.950
in the first place can be a challenge. So particle

00:23:46.950 --> 00:23:49.190
size and formulation, those become really crucial

00:23:49.190 --> 00:23:51.430
for these drugs. So it's all about getting them

00:23:51.430 --> 00:23:54.170
to dissolve first. Exactly. Then there's class

00:23:54.170 --> 00:23:57.569
three, high solubility, low permeability. These

00:23:57.569 --> 00:23:59.470
drugs dissolve really well, but they struggle

00:23:59.470 --> 00:24:01.349
to cross those membrane barriers and get into

00:24:01.349 --> 00:24:03.730
the bloodstream. So for these drugs, scientists

00:24:03.730 --> 00:24:06.369
often focus on trying to enhance their permeability.

00:24:06.789 --> 00:24:09.180
Interesting. What about the last class? Class

00:24:09.180 --> 00:24:11.559
four, low solubility, low permeability. These

00:24:11.559 --> 00:24:13.480
are the underdogs. Difficult to dissolve and

00:24:13.480 --> 00:24:15.599
they struggle to get absorbed. Presenting kind

00:24:15.599 --> 00:24:17.240
of the biggest challenge for drug developers.

00:24:17.559 --> 00:24:20.000
So it sounds like a real balancing act. Scientists

00:24:20.000 --> 00:24:22.720
need to consider both the solubility and permeability

00:24:22.720 --> 00:24:26.109
when designing and testing new medications. Absolutely,

00:24:26.390 --> 00:24:28.990
and the BCS is there to help guide those decisions,

00:24:29.150 --> 00:24:31.529
making sure that drugs are formulated and administered

00:24:31.529 --> 00:24:34.269
in a way that maximizes their chances of success.

00:24:34.650 --> 00:24:36.269
Okay, so let's bring this back to our listeners.

00:24:36.730 --> 00:24:39.410
Why should they care about this BCS? How does

00:24:39.410 --> 00:24:42.569
it impact them as patients? Well, for one thing,

00:24:42.690 --> 00:24:45.349
the BCS plays a role in the approval process

00:24:45.349 --> 00:24:48.450
for generic drugs. Generic drug manufacturers,

00:24:48.470 --> 00:24:50.990
they need to demonstrate that their version of

00:24:50.990 --> 00:24:53.849
a drug is bioequivalent to the brand name version.

00:24:54.200 --> 00:24:56.059
You know, meaning that it gets absorbed into

00:24:56.059 --> 00:24:58.160
the bloodstream at a similar rate and extent.

00:24:58.299 --> 00:25:01.440
And for drugs that fall into those less desirable

00:25:01.440 --> 00:25:04.619
categories, like the class 2 or class 4, even

00:25:04.619 --> 00:25:06.799
small variations in the manufacturing process

00:25:06.799 --> 00:25:09.079
can actually have an impact on their bioavailability.

00:25:09.240 --> 00:25:11.319
So taking a generic version of, let's say, a

00:25:11.319 --> 00:25:14.220
class 2 drug could potentially lead to different

00:25:14.220 --> 00:25:16.180
results compared to taking the brand name version.

00:25:16.359 --> 00:25:18.299
It's possible, although, you know, regulatory

00:25:18.299 --> 00:25:20.099
agencies like the FDA, they have very strict

00:25:20.099 --> 00:25:22.460
standards in place to try to minimize those kinds

00:25:22.460 --> 00:25:25.299
of variations, but it's something to be aware

00:25:25.299 --> 00:25:26.940
of, especially if you're taking a medication

00:25:26.940 --> 00:25:29.380
where that consistent absorption is really important.

00:25:29.779 --> 00:25:32.740
That is good information to have. It sounds like

00:25:32.740 --> 00:25:35.559
the BCS is kind of this behind the scenes player

00:25:35.559 --> 00:25:37.960
in making sure that our medications are safe

00:25:37.960 --> 00:25:40.769
and effective. Exactly. It's one of those unsung

00:25:40.769 --> 00:25:43.250
heroes of the pharmaceutical world. It's a framework

00:25:43.250 --> 00:25:45.849
that helps guide drug development and testing,

00:25:46.329 --> 00:25:48.150
and ultimately it leads to better treatments

00:25:48.150 --> 00:25:50.869
for patients. Well, this has been such an incredible

00:25:50.869 --> 00:25:53.470
journey. We started with ancient remedies and

00:25:53.470 --> 00:25:55.349
trial and error, and now we're talking about

00:25:55.349 --> 00:25:57.549
modern drug development with all of its sophisticated

00:25:57.549 --> 00:26:00.730
lab techniques and this intricate dance between

00:26:00.730 --> 00:26:03.650
solubility and permeability. I think I've given

00:26:03.650 --> 00:26:06.210
our listeners a lot to think about today. I agree.

00:26:06.269 --> 00:26:08.309
The history of drug discovery is a testament

00:26:08.309 --> 00:26:10.750
to human ingenuity and our never -ending pursuit

00:26:10.750 --> 00:26:13.170
of better health. And as we continue to learn

00:26:13.170 --> 00:26:15.250
more about the complexities of the human body,

00:26:15.630 --> 00:26:18.089
I think we can expect even more groundbreaking

00:26:18.089 --> 00:26:20.250
discoveries and innovative treatments in the

00:26:20.250 --> 00:26:22.930
years to come. That's a great point. And a big

00:26:22.930 --> 00:26:24.569
thank you to our listeners for joining us on

00:26:24.569 --> 00:26:26.789
this deep dive into the fascinating world of

00:26:26.789 --> 00:26:29.529
drug discovery. Until next time, keep exploring,

00:26:29.690 --> 00:26:31.609
keep asking questions, and keep those brains

00:26:31.609 --> 00:26:31.950
buzzing.
