Proposed In Silico/In Vitro Approach for Botanical Mixtures - Presenter name: Dr. Catherine Mahony Affiliation: Procter & Gamble Contact ...

 
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Proposed In Silico/In Vitro Approach for Botanical Mixtures - Presenter name: Dr. Catherine Mahony Affiliation: Procter & Gamble Contact ...
Proposed In Silico/In Vitro Approach for Botanical
Mixtures

Presenter name: Dr. Catherine Mahony
Affiliation: Procter & Gamble
Contact information: mahony.c@pg.com
Proposed In Silico/In Vitro Approach for Botanical Mixtures - Presenter name: Dr. Catherine Mahony Affiliation: Procter & Gamble Contact ...
Conflict of Interest Statement

Presenter is employed by Procter & Gamble. Procter & Gamble
provided financial support to the research presented.
Proposed In Silico/In Vitro Approach for Botanical Mixtures - Presenter name: Dr. Catherine Mahony Affiliation: Procter & Gamble Contact ...
Outline of Presentation

• Goals and overall strategic approach

• Constituent characterisation and in silico approach

• High content and high throughput in vitro approaches

• Conclusions and outlook
Proposed In Silico/In Vitro Approach for Botanical Mixtures - Presenter name: Dr. Catherine Mahony Affiliation: Procter & Gamble Contact ...
Goals of Botanical Safety Research
⇒ Tools and Strategies for Botanical Safety Assessment = Better predictions of
     toxicity and risk

Support the increasing business interest in botanicals

Focused on challenges that botanicals represent
Identity/adulteration and complex chemistry
Data gaps/limitations
Herb-Drug Interactions (HDIs)
Proposed In Silico/In Vitro Approach for Botanical Mixtures - Presenter name: Dr. Catherine Mahony Affiliation: Procter & Gamble Contact ...
Botanical Safety Strategic Approach
Raw Material Identity and Quality are cornerstones

Tier 1: Based on low level of exposure & Threshold of Toxicological Concern (TTC)
       approach (for botanical mixture)

Tier 2: Based on significant human use history (consider delayed effects and
       concomitant meds)

Tier 3: Based on the in-depth characterization of
       botanical constituents & evaluation of toxicity
Focus on Tier 3

   Safety
Assessment of
  Botanical
 Preparation
                                Pre-Work
                                                        Safety Dossier to
                                                       Support Human Use
                                                           in Market                  Botanical Cleared
                                                                                                                                                     Pre-Work
                                                                                                                                                     Botanical
                                                                                                                                                    Preparation
                                                                                                                                                                       Where data is insufficient from Tier 1 and Tier 2
                                                                                                                                                       Safety
                                                                                                                                                     Assessment
                                                                                                                                                  (Published Data)
                                                                                                                                                                       assessment, i.e., higher exposures and
                              Unresolved
                           Endpoint Gaps or
                               Different
                           Preparation/Dose*
                                                            Sample Acquisition &
                                                              Characterization
                                                                                                                                                      Sample
                                                                                                                                                    Acquisition
                                                                                                                                                         &
                                                                                                                                                  Characterization
                                                                                                                                                                       toxicological data are lacking; differing
                                                                                                                                                  (Analytical Data)

                       Advanced Analytical
                         Instrumentation
                       UHPLC w/UV, CAD,
                       and HRMS detection
                                                           Obtain Comprehensive
                                                         compositional, structural and
                                                            quantification data*
                                                                                                                                                                       extractions etc.
                                      (B)                             (A)          NO
          (F)        YES                              YES
                                   Commonly                       Constituent
     Dose at dietary
                                  consumed in                      Structure
       exposure
                                     diet?                         known?
        levels?

                                 NO
                                                                                                                                   sse            Hazard Analysis:
                                       (C)                     Complete Safety                                                       ocr               Identify
                                   Established               Endpoint Assessment                                                       P          Constituent of the
                                                                                                                                       tn
                                  tox profile and                Known Data                                                             e             Botanical
                                  suitable MoS/                (Gentox, DART                                                            m
                                                                                                                                        ss         Driving Safety
                                      MoE?                      Systemic, etc)                                                           es
                                                                                                           Generate data via              s          Assessment
                                                                                                                                          A        (In Silico Data)
                                                                                                           High Throughput                coi
                                   NO                                                                       Expert Systems                  li
                                                                                                                                             S
                                                                                                             (i.e. DEREK)                    nI

        (YES)                           (D)                       Complete:
     Constituent(s)                    SAR                   Analogue Identification
                                    possible &               & SAR Assessment for                           Verify Identity
       Clearedǂ
                                  suitable MoS/                 Constituents of                              and Exposure
                                      MoE?                         Concern                                  Levels for Any
                                                                                                              Unfavorable
                                                                                                                Alerts
                                   NO

                                                               Use Expert Tools:                          Assess Constituents
                                      (E)
                                                              Cramer Classification                       with Structural Alerts
                                 Exposure level
                                                                 DEREK Alerts                             or Unfavorable Data
                                 below relevant
                                                              DART Decision Tree
                                     TTC?
                                                                 Expert Opinion

                                   NO
                                                                                                                                                     Resolution,
                                      (STOP)                                                                                                         Redesign or
                  Reduce dose to supportable level (based on %                                                                                         Testing
                constituent(s) driving safety assessment) or obtain
                               additional safety data
Pre-Work
   Botanical
  Preparation
     Safety
   Assessment
(Published Data)

    Sample
  Acquisition
       &
Characterization
(Analytical Data)

Hazard Analysis:
     Identify
Constituent of the
    Botanical
 Driving Safety
   Assessment
                     4 Key Steps
 (In Silico Data)

   Resolution,
   Redesign or
     Testing
Focus on Tier 3

   Safety                                      Safety Dossier to
                                                                                                                         Pre-Work
Assessment of                                 Support Human Use
                             Pre-Work                                     Botanical Cleared                              Botanical
  Botanical                                       in Market
                                                                                                                        Preparation
 Preparation                                                                                                               Safety
                                                                                              Complete Pre-Work          Assessment
                                                                                                                      (Published Data)
                                                                         1. Build hazard assessment dossier from reliable sources
                                                                               (Evidence based support not absence of evidence)
                             Unresolved
                          Endpoint Gaps or
                                                                         2. Evaluate botanical for endpoints (Toxicology Review)
                              Different             Sample Acquisition & 3. Determine: Adequate or Gap for each end point
                                                                                                                           Sample
                          Preparation/Dose*           Characterization
                                                                                                                        Acquisition
                                                                                                                             &
                                                                                                                      Characterization
                                                                                                                      (Analytical Data)

                       Advanced Analytical       Obtain Comprehensive
                         Instrumentation       compositional, structural and
                       UHPLC w/UV, CAD,           quantification data*
                       and HRMS detection

                                    (B)                     (A)          NO
          (F)          YES                    YES
                                 Commonly               Constituent
     Dose at dietary
                                consumed in              Structure
       exposure
                                   diet?                 known?
        levels?
Focus on Tier 3

   Safety                                      Safety Dossier to
                                                                                                                                  Pre-Work
Assessment of                                 Support Human Use
                             Pre-Work                                      Botanical Cleared                                      Botanical
  Botanical                                       in Market
                                                                                                                                 Preparation
 Preparation                                                                                                                        Safety
                                                                                                                                  Assessment
                                                                                                                               (Published Data)

                             Unresolved
                          Endpoint Gaps or
                              Different             Sample Acquisition &
                                                                                                                                  Sample
                          Preparation/Dose*           Characterization
                                                                                                                                Acquisition
                                                                                                                                     &

                                                                                               Unresolved Gaps
                                                                                                                              Characterization
                                                                                                                              (Analytical Data)

                       Advanced Analytical
                         Instrumentation
                                                 Obtain Comprehensive
                                               compositional, structural and           Examples:
                       UHPLC w/UV, CAD,           quantification data*
                                                                                       •       Different Solvent Systems
                       and HRMS detection
                                                                                       •       Natural Variation
                                                                                       •       Target Audience
                                                                                       •       Change dose/exposure > dietary/traditional
                                                                                       •       Efficacy vs. Safety
                                    (B)                     (A)            NO
          (F)          YES                    YES
                                 Commonly               Constituent
     Dose at dietary
                                consumed in              Structure
       exposure
                                   diet?                 known?
        levels?
Focus on Tier 3
                                                                                             Constituent Characterization and
   Safety                                      Safety Dossier to
                                                                                                      Identification
                                                                                                          (CCID)
                                                                                                                      Pre-Work
Assessment of                                 Support Human Use
                             Pre-Work                                      Botanical Cleared                          Botanical
  Botanical                                       in Market
                                                                                                                     Preparation
 Preparation                                                                        •   Need sample intended for human exposureSafety
                                                                                    •   Reference samples helpful to confirm     ID of
                                                                                                                             Assessment
                                                                                                                          (Published Data)
                                                                                        botanical and any constituents
                                                                                    •   Need both qualitative data and quantitative data
                             Unresolved                                             •   Results of genetox data and level of indented dose
                                                                                        will drive lower limit of detection required—”no
                          Endpoint Gaps or
                              Different             Sample Acquisition &
                                                                                                                              Sample
                                                                                        need to chase ZERO”.
                          Preparation/Dose*           Characterization
                                                                                                                             Acquisition
                                                                                                                               &
                                                                                                                        Characterization
                                                                                                                        (Analytical Data)

                       Advanced Analytical       Obtain Comprehensive
                         Instrumentation       compositional, structural and
                       UHPLC w/UV, CAD,           quantification data*
                       and HRMS detection

                                    (B)                     (A)            NO
          (F)          YES                    YES
                                 Commonly               Constituent
     Dose at dietary
                                consumed in              Structure
       exposure
                                   diet?                 known?
        levels?
Instrumentation
Focus on Tier 3

   Safety                                      Safety Dossier to
                                                                                                             Pre-Work
Assessment of                                 Support Human Use
                             Pre-Work                                      Botanical Cleared                 Botanical
  Botanical                                       in Market
                                                                                                            Preparation
 Preparation                                                                                                   Safety
                                                                                                             Assessment
                                                                                                          (Published Data)

                             Unresolved
                          Endpoint Gaps or
                              Different             Sample Acquisition &
                                                                                                              Sample
                          Preparation/Dose*           Characterization
                                                                                                            Acquisition
                                                                                                                 &
                                                                                                          Characterization
                                                                                                          (Analytical Data)

                       Advanced Analytical       Obtain Comprehensive
                         Instrumentation       compositional, structural and
                       UHPLC w/UV, CAD,           quantification data*
                       and HRMS detection

                                    (B)                     (A)            NO
          (F)          YES                    YES
                                 Commonly               Constituent
     Dose at dietary
                                consumed in              Structure
       exposure
                                   diet?                 known?
        levels?
Focus on Tier 3
                                      (B)                             (A)         NO
            (F)          YES                          YES
                                   Commonly                       Constituent
       Dose at dietary
                                  consumed in                      Structure
         exposure
                                     diet?                         known?
          levels?

   For each structure defined
                          NO      by Analytical you must know:
1. If constituent is > TTC, structure and dose                                                                  ss
                                                                                                                 e         Hazard Analysis:
                                                                                                                 c
2. If constituent is < TTC follow
                                (C)
                                     TTC Rules Endpoint
                            Established
                                                  Complete Safety
                                                        Assessment
                                                                                                                 o
                                                                                                                 r
                                                                                                                 P
                                                                                                                                Identify
                                                                                                                           Constituent of the
                                                                                                                 tn
                                  tox profile and                 Known Data                                      e            Botanical
                                  suitable MoS/                 (Gentox, DART                                     m
                                                                                                                  ss        Driving Safety
                                      MoE?                       Systemic, etc)                                    e
                                                                                                                   ss
                                                                                        Generate data via                     Assessment
                                                                                                                    A       (In Silico Data)
                                                                                        High Throughput             o
                                   NO                                                                               ic
                                                                                         Expert Systems              ilS
                                                                                          (i.e. DEREK)                 n
                                                                                                                       I

          (YES)                         (D)                       Complete:
       Constituent(s)                  SAR                   Analogue Identification
                                   possible &                & SAR Assessment for        Verify Identity
         Clearedǂ
                                  suitable MoS/                 Constituents of           and Exposure
                                      MoE?                         Concern               Levels for Any
                                                                                           Unfavorable
                                                                                             Alerts
                                   NO

                                                               Use Expert Tools:       Assess Constituents
                                      (E)
                                                              Cramer Classification    with Structural Alerts
                                 Exposure level
                                                                 DEREK Alerts          or Unfavorable Data
                                 below relevant
                                                              DART Decision Tree
                                     TTC?
                                                                 Expert Opinion

                                   NO
                                                                                                                              Resolution,
                                      (STOP)                                                                                  Redesign or
                  Reduce dose to supportable level (based on %                                                                  Testing
                constituent(s) driving safety assessment) or obtain
                               additional safety data
Focus on Tier 3
                  and HRMS detection

                              (B)                         (A)           NO
     (F)          YES                       YES
                           Commonly                   Constituent
Dose at dietary
                          consumed in                  Structure
  exposure
                             diet?                     known?
   levels?

                         NO
                                                                                                                       ss
                                                                                                                        e
                                                                                                                        c          Hazard Analysis:
                               (C)                  Complete Safety                                                     o               Identify
                                                                                                                        r
                           Established            Endpoint Assessment                                                   P          Constituent of the
                                                                                                                        tn
                          tox profile and             Known Data                                                         e             Botanical
                          suitable MoS/             (Gentox, DART                                                        sm
                                                                                                                          se        Driving Safety
                              MoE?                   Systemic, etc)
                                                                                         Generate data via                 ss         Assessment
                                                                                                                            A       (In Silico Data)
                                                                                         High Throughput                    o
                          NO                                                     For eachExpert
                                                                                            structure
                                                                                                  Systemsdefined byicliS Analytical you must know:
                                                                             1.  If constituent    is > TTC, then need
                                                                                           (i.e. DEREK)                     n
                                                                                                                            I structure and dose
   (YES)                        (D)                    Complete:             2. If constituent is < TTC, follow TTC Rules
Constituent(s)                 SAR                Analogue Identification
                            possible &            & SAR Assessment for                     Verify Identity
  Clearedǂ
                          suitable MoS/              Constituents of                        and Exposure
                              MoE?                      Concern                            Levels for Any
                                                                                             Unfavorable
                                                                                               Alerts
                          NO

                                                   Use Expert Tools:                    Assess Constituents
                              (E)
                                                  Cramer Classification                 with Structural Alerts
                         Exposure level
                                                     DEREK Alerts                       or Unfavorable Data
                         below relevant
                                                  DART Decision Tree
                             TTC?
                                                     Expert Opinion

                           NO
                                                                                                                                   Resolution,
Focus on Tier 3
                  and HRMS detection

                              (B)                        (A)            NO
     (F)          YES                       YES
                           Commonly                  Constituent
Dose at dietary
                          consumed in                 Structure
  exposure
                             diet?                    known?
   levels?

                         NO
                                                                                                                 ss
                                                                                                                  e
                                                                                                                  c         Hazard Analysis:
                               (C)                  Complete Safety                                               o              Identify
                                                                                                                  r
                           Established            Endpoint Assessment                                             P         Constituent of the
                                                                                                                  tn
                          tox profile and             Known Data                                                   e            Botanical
                          suitable MoS/             (Gentox, DART                                                  sm
                                                                                                                    se       Driving Safety
                              MoE?                   Systemic, etc)
                                                                                      Generate data via              ss        Assessment
                                                                                                                      A      (In Silico Data)
                                                                                      High Throughput                 o
                                                                                                                      ic
                                                      Determine if exposures is already
                          NO                                                           Expert Systems                  li
                                                                                                                        S
                                                                                        (i.e. DEREK)                    n
                                                                                                                        I

   (YES)
Constituent(s)
                                (D)
                               SAR
                                                       Complete:
                                                                    established in diet:
                                                  Analogue Identification
                            possible &            & SAR Assessment for                 Verify Identity
  Clearedǂ
                          suitable MoS/              Constituents of                   and Exposure
                              MoE?           •    What Concern
                                                        qualifies as dietary  intake? Levels for Any
                                             •    “Dietary exposures are     supported by  aAlerts
                                                                                             genetically
                                                                                        Unfavorable
                                                                                                              diverse
                          NO
                                                  and sufficiently large population”
                                                   Use Expert Tools:                 Assess Constituents
                              (E)
                                                  Cramer Classification              with Structural Alerts
                         Exposure level
                                                     DEREK Alerts                    or Unfavorable Data
                         below relevant
                                                  DART Decision Tree
                             TTC?
                                                     Expert Opinion

                           NO
                                                                                                                               Resolution,
If exposure cannot be supported by dietary intake,
                                    (B)                           (A)          NO
      (F)
With  adequate   toxicology
                YES
                             data for each
                        Commonly       YES                    Constituent

       Focus on Tier 3
Dose at dietary
                       consumed in                             Structure
endexposure
     point
    levels?
                          diet?                                known?
                                                                              then safe human use must be estimated based on
                                                                                              toxicology data.
                             NO
                                                                           Two Challenges:
                                                                           1. Adequate data w/o over reliance on history
                                                                                                                   sse       of use
                                                                                                                                 Hazard Analysis:
                                                            Complete Safety2. Generating more data to fill gaps w/oc
                                                                                                                     r defaulting to Identify
                                                                                                                                     traditional tox studies
                                   (C)                                                                               o
                               Established               Endpoint Assessment                                         P          Constituent of the
                                                                                                                     tn
                              tox profile and                Known Data                                               e             Botanical
                              suitable MoS/                (Gentox, DART                                              m
                                                                                                                      ss         Driving Safety
                                  MoE?                      Systemic, etc)                                             se
                                                                                                                        s          Assessment
                                                                                             Generate data via          A
                                                                                             High Throughput            o        (In Silico Data)
                               NO                                                                                       ic
                                                                                              Expert Systems             ilS
                                                                                               (i.e. DEREK)                In

    (YES)                           (D)                       Complete:
 Constituent(s)                    SAR                   Analogue Identification
                                possible &               & SAR Assessment for                  Verify Identity
   Clearedǂ
                              suitable MoS/                 Constituents of                     and Exposure
                                  MoE?                         Concern                         Levels for Any
                                                                                                 Unfavorable
                                                                                                   Alerts
                               NO

                                                           Use Expert Tools:                Assess Constituents
                                  (E)
                                                          Cramer Classification             with Structural Alerts
                             Exposure level
                                                             DEREK Alerts                   or Unfavorable Data
                             below relevant
                                                          DART Decision Tree
                                 TTC?
                                                             Expert Opinion

                               NO
                                                                                                                                   Resolution,
                                  (STOP)                                                                                           Redesign or
              Reduce dose to supportable level (based on %                                                                           Testing
            constituent(s) driving safety assessment) or obtain
                           additional safety data
(B)
                                                                                            When data is not adequate to
                                                               (A)          NO
     (F)          YES                          YES
                            Commonly                       Constituent

       Focus on Tier 3
Dose at dietary
                           consumed in                      Structure

                                                                                          support safe human exposure than
  exposure
                              diet?                         known?
   levels?

                                                                                          additional assessment approaches
                          NO                                                                       may
                                                                                                    s
                                                                                                        be needed.
                                                                                          1. In silico Approaches
                                                                                                          se         Hazard Analysis:
                                (C)                     Complete Safety                                    c
                                                                                                           o
                                                                                                           r              Identify
                            Established               Endpoint Assessment                        E.g., DEREK
                                                                                                           P
                                                                                                           tn  and customized
                                                                                                                     Constituent alerts
                                                                                                                                 of the
                           tox profile and                Known Data
                           suitable MoS/                (Gentox, DART                            E.g., SARemss
                                                                                                                         Botanical
                                                                                                                       Driving Safety
                               MoE?                      Systemic, etc)                                   se
                                                                                                           s             Assessment
                                                                                  Generate data via        A
                                                                                  High Throughput          o           (In Silico Data)
                            NO                                                                             ic
                                                                                   Expert Systems           ilS
                                                                                    (i.e. DEREK)              In

   (YES)                         (D)                       Complete:
Constituent(s)                  SAR                   Analogue Identification
                             possible &               & SAR Assessment for         Verify Identity
  Clearedǂ
                           suitable MoS/                 Constituents of            and Exposure
                               MoE?                         Concern                Levels for Any
                                                                                     Unfavorable
                                                                                       Alerts
                            NO

                                                        Use Expert Tools:        Assess Constituents
                               (E)
                                                       Cramer Classification     with Structural Alerts
                          Exposure level
                                                          DEREK Alerts           or Unfavorable Data
                          below relevant
                                                       DART Decision Tree
                              TTC?
                                                          Expert Opinion

                            NO
                                                                                                                         Resolution,
                               (STOP)                                                                                    Redesign or
           Reduce dose to supportable level (based on %                                                                    Testing
         constituent(s) driving safety assessment) or obtain
                        additional safety data
(YES)                        (D)                       Complete:
Constituent(s)                 SAR                   Analogue Identification
                           possible &                & SAR Assessment for                  Verify Identity
  Clearedǂ

      Focus on Tier 3
                          suitable MoS/                 Constituents of                     and Exposure
                              MoE?                         Concern                         Levels for Any

                                                                                       Options and next steps:
                                                                                             Unfavorable
                                                                                               Alerts
                           NO

                                                       Use Expert Tools:                 Assess Constituents
                                                                               • Reduce dose until safety data can
                              (E)
                                                      Cramer Classification              with Structural Alerts
                         Exposure level
                                                         DEREK Alerts                    or Unfavorable Data
                                                                                 support exposure
                         below relevant
                                                      DART Decision Tree
                             TTC?
                                                         Expert Opinion

                           NO
                                                                               • Data generated to this point is useful to
                                                                                 design further studies if needed Redesign
                                                                                                                   Resolution,
                                                                                                                             or
                                                                               • Genetox data is often needed
                              (STOP)
          Reduce dose to supportable level (based on %                                                               Testing
        constituent(s) driving safety assessment) or obtain
                       additional safety data
Examples Where In Silico Decision Tree is Used

1.   Benchmarking constituent safety between the diet and botanical
     supplements

2.   Applying constituent analysis to justify bridging safety data between
     different methods of botanical preparation

3.   Establishing exposure thresholds for individual constituents with
     limited human use data using in silico toxicology assessment tools

4.   Informing design of follow up safety studies where needed
Summary of CCID-In Silico Approach
• Thoroughly vet the scientific literature─define the question(s)!
• Advanced multi-detector analytical characterization technique to
  establish botanical constituent composition (simultaneous ID and
  quantitation)
• Each identified constituents is processed through a decision-tree to
  resolve questions
  ─ Close safety gaps, inform supportable exposure levels, or need for safety
    studies
• ⇒ a focused approach for detecting possible bad actors in botanical
  extracts, the variables involved
Case Study─Artichoke Leaf

                                                                          O

                                                                                CH2
                                                                      O
                                                            H2C
                                                                                      CH2
                                                                                 O

                                                           HO                               OH
                                                                                  O
                                                                          CH2

                                                                     Cynaropicrin
                                                                (Sesquiterpene lactone)

     Food-Like         Tannins
     Insoluble         Unknown
In Vitro Testing Approaches: Informing DART
   Potential at a MOA Level

• High-throughput approaches
   • HTS batteries: Customised Cerep Panel
   • Global gene expression analysis: CMAP in 4 cell types

• Decision-making
   • By lack of response on developmentally relevant targets
   • By functional comparisons
How Many Developmentally Relevant MOAs?

• Cataloging via DART
  ontology project
• 19 major categories,
  multiple subcategories
• Focus on
   ─Mechanisms not
     involving reactivity
   ─Mechanisms that are
     unique to development
     or where development
     is most sensitive or
     response most severe
Cerep Assay Selections
                                                                       Receptor Binding Assays
• Steroid and retinoic acid receptors (8)
• Neurotransmitter receptors and transporters (32)
• Ca, K, Na ion channels (3)                Enzyme and Uptake Assays

• DART-relevant enzymes
   • Cox 1 and 2
   • ACE
   • Cholesterol synthesis
   • Tubulin
   • MAO-A
   • Phosphodiesterases
• Run botanical extracts with and without human
  liver S9 (with NADPH)
Botanicals Tested in Cerep

• Selected based on
   ─Presumed lack of DART because of dietary use
   ─Anecdotal information of DART
   ─Pharmacology that might preclude use in pregnancy

• Concentration based on a multiple of measured Cmax of an active
  marker compound, or conservative assumptions to estimate a Cmax
Cerep Big Picture

                    Top two. The more red, the
                    higher the inhibition

                    Bottom. Difference between parent
                    and metabolite where blue means
                    less activity from the metabolites,
                    and red means more activity with
                    the metabolite
Cerep Results

Case study interpretation─artichoke leaf–receptor activity
consistent with traditional use (relief of digestive disorders) BUT lack of response on
developmentally relevant targets
Cerep Results
IC50 Follow Up─PR Activity
                                                        IC50 (ug/mL)

               Levonorgestrel                Norgestimate
                  (Plan B)                                                                Chaste Tree T0
                                              Progesterone              Cat’s
                                                                        Claw            Ginger T90
     3-Keto Desogestrel
                                             17-Deacetylated Norgestimate T0       Ashwagandha T0
        Gestodene                                                                                                Ashwagandha T90
                                                   Dihydrotestosterone               Ginger T0
  Mifepristone                                                                                                   Chaste Tree T90
                                                                                Cat’s Claw T90
 (Abortifacient)

              0.00001       0.0001   0.001            0.01           0.1          1              10        100          1000

Can inform potency differences; early pregnancy abortifacient →
contraceptives → endogenous hormones → botanicals (food vs. non-food)
Connectivity Mapping (CMAP) Approach
               MCF7 cells, rich in nuclear hormone receptors
               HepG2 cells, hepatic characteristics, including limited
               xenobiotic metabolism
               A549 cells, respiratory epithelium
               CDI (iPS-derived) cardiomyocytes, numerous ion channels
               and neurotransmitter receptors
St. John Wort (SJW)

• Cerep activity and CMAP – where is the commonality?
Botanical         Test      Parent hits            Metabolite hits             St. John's Wort
                  article                                                        FDR
Comparing Active Concentrations
• CMAP effect concentration
   ─ 25-250 ug/ml, or 1.8-18 uM hyperforin, a marker compound for SJW
• Ki for key receptor for functional analog
   ─ 2uM Chlorpromazine
• Relative potency is 0.9 - 9
• Developmental NOAEL for functional analog
   ─ E.g., chlorpromazine: 20 mg/kg/day (rat)
      o Cmax at this dose is approx. 0.5-1uM
• Adjust for potency: 0.45 - 9 uM hyperforin
• Therapeutic dose of SJW gives a Cmax for hyperforin of 280 nM
   ─ Margin is ~1.6
   ─ Animal studies have shown equivocal results. The potential risk for humans is unknown.
     In the absence of sufficient clinical data, the use during pregnancy and lactation is not
     recommended.
Summary of In Vitro MoA Approach

• Biological activity of botanicals can be characterized through in vitro
  approaches

• Best approach will include both methods
   ─CMAP to identify functional analogs (but more complex analysis)
   ─Cerep to provide better focus (esp. to rule out false positives)

• Further work ongoing to utilize data for risk assessment purposes
   ─Comparing concentrations to assess relative potency
      o CMAP effect/no-effect concentration; Ki/IC50 for key receptors
   ─Extending both panels for greater coverage of systemic toxicity MoA
Conclusions and Outlook

• Constituent level characterization and in silico approach can resolve
  botanical safety gaps, refine supportable exposure levels, or inform
  need for safety studies

• High content and high throughput in vitro approaches can inform
  botanical mode of action or lack of response on toxicologically relevant
  targets

• Botanically-derived ingredients are extremely challenging from a
  Safety POV, but good science can save time and money!
References

• Vandermolen, K. et, al. Safety Assessment of Mushrooms in
  Dietary Supplements by Combining Analytical Data with In
  Silico Toxicology Evaluation. Food and Chemical Toxicology
  103 (2017) 133-147

• Little, J. et, al. In Silico Approach to Safety of Botanical Dietary
  Supplement Ingredients Utilizing Constituent-Level
  Characterization. Food and Chemical Toxicology 107 (2017)
  418-429
Acknowledgements

• CCID/In silico approach   • Botanical MoA/DART Project
    ─ Jason Little             ─ Karen VanderMolen
    ─ Tim Baker                ─ Eurofins
    ─ Brian Regg                   o Annie Otto-Bruc (AnnieOtto-
    ─ Jason Price                    Bruc@eurofins.com)
    ─ Kady Krivos                  o Kevin Kennedy
    ─ Vincent Sica                   (KevinKennedy@eurofins.co
                                     m)
    ─ Bob Strife               ─ Jorge Naciff
    ─ Karen VanderMolen        ─ George Daston
    ─ Bin Sun
    ─ Dan Marsman
Thank you for your attention!
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