In Silico Drug Discovery on Computational Grids for Finding Novel Drugs Against Neglected Diseases

Total Page:16

File Type:pdf, Size:1020Kb

In Silico Drug Discovery on Computational Grids for Finding Novel Drugs Against Neglected Diseases In silico drug discovery on computational Grids for finding novel drugs against neglected diseases Dissertation zur Erlangung des Doktorgrades (Dr. rer. nat.) der Mathematisch-Naturwissenschaftlichen Fakultat der Rheinischen Friedrich-Wilhelms-Universitat Bonn vorgelegt von Vinod Kumar Kasam Aus Warangal, Indien Bonn September 2009 Angefertigt mit Genehmigung der Mathematisch-Naturwissenschaftlichen Fakultät der Rheinischen Friedrich-Wilhelms-Universität Bonn. 1. Referent: Univ.-Prof. Dr. Martin Hofmann-Apitius 2. Referent: Univ.-Prof. Dr. Christa Mueller Tag der Promotion: 30.04.2010 Diese Dissertation ist auf dem Hochschulschriftenserver der ULB Bonn unter http://hss.ulb.uni-bonn.de verfügbar. Erscheinungsjahr: 2010 For my Family: My Wife and Son Abstract Abstract Malaria is a dreadful disease affecting 300 million people and killing 1-1.5 million people every year. Malaria is caused by a protozoan parasite, belonging to the genus Plasmodium. There are several species of Plasmodium infecting cattle, birds, and humans. The four species P.falciparum, P.vivax, P.malariae and P.ovale are in particular considered important, as these species infect humans. One of the main causes for the comeback of malaria is that the most widely used drug against malaria, chloroquine, has been rendered useless by drug resistance in much of the world. New antimalarial drugs are presently available but the potential emergence of resistance, the difficulty to synthesize these drugs at a large-scale and their cost make it of utmost importance to keep searching for new drugs. Despite continuous efforts of the international community to reduce the impact of malaria on developing countries, no significant progress has been made in the recent years and the discovery of new drugs is more than ever needed. Out of the many proteins involved in the metabolic activities of the Plasmodium parasite, some are promising targets to carry out rational drug discovery. In silico drug design, especially vHTS is a widely and well-accepted technology in lead identification and lead optimization. This approach, therefore builds upon the progress made in computational chemistry to achieve more accurate in silico docking and in information technology to design and operate large-scale Grid infrastructures. One potential limitation of structure-based methods, such as molecular docking and molecular dynamics is that; both are computational intensive tasks. Recent years have witnessed the emergence of Grids, which are highly distributed computing infrastructures particularly well fitted for embarrassingly parallel computations such as docking and molecular dynamics. The current thesis is a part of WISDOM project, which stands for Wide In silico Docking on Malaria. This thesis describes the rational drug discovery activity at large-scale, especially molecular docking and molecular dynamics on computational Grids in finding hits against four different targets (PfPlasmepsin, PfGST, PfDHFR, PvDHFR (wild type and mutant forms) implicated in malaria. The first attempt at using Grids for large-scale virtual screening (combination of molecular docking and molecular dynamics) focused on plasmepsins and ended up in the identification of previously unknown scaffolds, which were confirmed in vitro to be active plasmepsin inhibitors. The combination of docking and molecular dynamics simulations, followed by rescoring using sophisticated scoring functions resulted in the identification of 26 novel sub- Abstract micromolar inhibitors. The inhibitors are further clustered into five different scaffolds. While two scaffolds, diphenyl urea, and thiourea analogues are already known as plasmepsin inhibitors, albeit the compounds identified here are different from the existing ones, with the new class of potential inhibitors, the guanidino group of compounds, we have established a new class of chemical entities with inhibitory activity against Plasmodium falciparum plasmepsins. Following the success achieved on plasmepsin, a second drug finding effort was performed, focussed on one well known target, dihydrofolate reductase (DHFR), and on a new promising one, glutathione-S-transferase. Modeling results are very promising and based on these in silico results, in vitro tests are in progress. Thus, with the work presented here, we not only demonstrate the relevance of computational grids in drug discovery, but also identify several promising small molecules (success achieved on P. falciparum plasmepsins). With the use of the EGEE infrastructure for the virtual screening campaign against the malaria-causing parasite P. falciparum, we have demonstrated that resource sharing on an e-Science infrastructure such as EGEE provides a new model for doing collaborative research to fight diseases of the poor. Through WISDOM project, we propose a Grid-enabled virtual screening approach, to produce focus compound libraries for other biological targets relevant to fight the infectious diseases of the developing world. Acknowledgements Acknowledgements I am grateful to numerous local and global persons who have contributed towards my thesis. Firstly, I thank Prof. Dr. Martin Hofmann-Apitius for giving me an opportunity to do my PhD thesis at Fraunhofer-SCAI, Germany. His encouragement always motivated me to focus beyond my work. As my supervisor, he has constantly motivated me to remain focused on achieving my goal. I am thankful to Prof. Dr. Christa Mueller for her readiness to be co- supervisor on the thesis. I am very grateful to Dr. Vincent Breton, LPC, IN2P3-CNRS, Clermont-Ferrand France for his guidance, support and providing me a chance to work in his lab, without which this thesis would have not been possible. I want to thank Prof. Giulio Rasteli, University of Modena, Italy for his guidance and training on the molecular dynamics approach. I thank Prof. Doman Kim, University of South Korea, for kindly performing the in vitro tests. At the outset, I would like to express my special thanks and regards to Jean Salzemann, Marc Zimmermann, Astrid Maass, Antje Wolf and Mohammed Shahid for their help and scientific discussions. My special thanks to Ana Da Costa and Nicolas Jacq. I sincerely feel that working together with them was beneficial for my successful completion of the thesis. I thank all my colleagues at Fraunhofer-SCAI and LPC, IN2P3-CNRS for their immense support and co-operation during my thesis work. My very special thanks to all the people involved in WISDOM collaboration. List of Abbreviations List of Abbreviations Plm Plasmespin MD Molecular Dynamics MOE Molecular Operating Environment vHTS Virtual High Throughput Screening HTS High Throughput Screening DHFR Dihydrofolate Reductase RMSD Root Mean Square Deviation EGEE European Grid Enabling E-science GST Glutathione-S-Trasferase MM-PBSA Molecular Mechanics Poisson Boltzmann Surface Area MM-GBSA Molecular Mechanics Generalized Born Surface Area NCE New Chemical Entity ADME Absorption, Distribution, Metabolism, Elimination Contents Contents 1 Chapter1. Introduction .................................................................................................1 1.1 Malaria .....................................................................................................................3 1.1.1 Complex life cycle of malaria ............................................................................4 1.1.2 Current drugs ....................................................................................................7 1.1.3 Motivation ....................................................................................................... 11 1.2 Thesis outline ......................................................................................................... 15 2 Chapter 2. State of the art on rational drug design ................................................... 17 2.1 Drug discovery ....................................................................................................... 17 2.2 Virtual screening .................................................................................................... 22 2.3 Molecular docking .................................................................................................. 27 2.3.1 Search methods and docking algorithms .......................................................... 28 2.3.2 Scoring functions ............................................................................................ 31 2.4 Molecular dynamics ............................................................................................... 35 2.5 Combination of docking and molecular dynamics methods ..................................... 40 2.6 Summary ................................................................................................................ 41 3 Chapter 3. Deployment of molecular docking and molecular dynamics on EGEE Grid infrastructure ............................................................................................................. 43 3.1 Introduction ............................................................................................................ 43 3.1.1 Concept of e-Science ....................................................................................... 43 3.1.2 Computational Grid ......................................................................................... 44 3.1.3 Classification of Grids ..................................................................................... 47 3.1.4 Service oriented architecture and web services ...............................................
Recommended publications
  • Plasmodium Falciparum Clinical Isolates: in Vitro Genotypic and Phenotypic Characterization Nonlawat Boonyalai1* , Brian A
    Boonyalai et al. Malar J (2020) 19:269 https://doi.org/10.1186/s12936-020-03339-w Malaria Journal RESEARCH Open Access Piperaquine resistant Cambodian Plasmodium falciparum clinical isolates: in vitro genotypic and phenotypic characterization Nonlawat Boonyalai1* , Brian A. Vesely1, Chatchadaporn Thamnurak1, Chantida Praditpol1, Watcharintorn Fagnark1, Kirakarn Kirativanich1, Piyaporn Saingam1, Chaiyaporn Chaisatit1, Paphavee Lertsethtakarn1, Panita Gosi1, Worachet Kuntawunginn1, Pattaraporn Vanachayangkul1, Michele D. Spring1, Mark M. Fukuda1, Chanthap Lon1, Philip L. Smith2, Norman C. Waters1, David L. Saunders3 and Mariusz Wojnarski1 Abstract Background: High rates of dihydroartemisinin–piperaquine (DHA–PPQ) treatment failures have been documented for uncomplicated Plasmodium falciparum in Cambodia. The genetic markers plasmepsin 2 (pfpm2), exonuclease (pfexo) and chloroquine resistance transporter (pfcrt) genes are associated with PPQ resistance and are used for moni- toring the prevalence of drug resistance and guiding malaria drug treatment policy. Methods: To examine the relative contribution of each marker to PPQ resistance, in vitro culture and the PPQ survival assay were performed on seventeen P. falciparum isolates from northern Cambodia, and the presence of E415G-Exo and pfcrt mutations (T93S, H97Y, F145I, I218F, M343L, C350R, and G353V) as well as pfpm2 copy number polymor- phisms were determined. Parasites were then cloned by limiting dilution and the cloned parasites were tested for drug susceptibility. Isobolographic analysis of several drug combinations for standard clones and newly cloned P. falciparum Cambodian isolates was also determined. Results: The characterization of culture-adapted isolates revealed that the presence of novel pfcrt mutations (T93S, H97Y, F145I, and I218F) with E415G-Exo mutation can confer PPQ-resistance, in the absence of pfpm2 amplifcation.
    [Show full text]
  • Treatment Failure Due to the Potential Under-Dosing of Dihydroartemisinin-Piperaquine in a Patient with Plasmodium Falciparum Uncomplicated Malaria
    INFECT DIS TROP MED 2019; 5: E525 Treatment failure due to the potential under-dosing of dihydroartemisinin-piperaquine in a patient with Plasmodium falciparum uncomplicated malaria I. De Benedetto1, F. Gobbi2, S. Audagnotto1, C. Piubelli2, E. Razzaboni3, R. Bertucci1, G. Di Perri1, A. Calcagno1 1Department of Medical Sciences, Unit of Infectious Diseases, University of Torino, Amedeo di Savoia Hospital, Torino, Italy 2Department of Infectious–Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Verona, Italy 3Unit of Infectious Diseases, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy ABSTRACT: — Background: Dihydroartemisinin/piperaquine (DHA-PPQ) 40/320 mg is approved for the treatment of Plasmodium falciparum uncomplicated malaria. Different recommendations are provided by WHO guidelines and drug data sheet about dosing in overweight patients. We report here a treatment failure likely caused by sub-optimal dosing of dihydroartemisinin-piperaquine in a case of uncomplicated P. fal- ciparum malaria in a returning traveler from Burkina Faso. INTRODUCTION kg). They, therefore, provided an updated dosing body weight dosing schedule in their 2015 guidelines for Dihydroartemisinin/piperaquine (DHA-PPQ) 40/320 malaria treatment that provides for a dose of 200/1600 mg tablet formulation is approved for the treatment mg (5 tablets) in individuals > 80 kg1. of Plasmodium falciparum uncomplicated malaria in adults and children > 6 months and > 5 kg of body weight. Following WHO guidelines, the daily
    [Show full text]
  • The Use of Long Acting Sulfonamides. Alone Or with Pyrimethamine, in Malaria (With Special Reference to Sulformetoxine)
    THE USE OF LONG ACTING SULFONAMIDES. ALONE OR WITH PYRIMETHAMINE, IN MALARIA (WITH SPECIAL REFERENCE TO SULFORMETOXINE) J. Herrero ** The antimalarial activity of the sul- It is somewhat astonishing that no fonamides was described very soon major work was carried out during after the discovery of these drugs. the years from 1955 to 1963, i.e. du­ As early as 1940, a number of pa- ring the períod in which, thanks to pers, such as those by Diaz de León the discovery of the so-called long- (31-33), Hill and Goodwin (56), Van acting sulfonamides , a better know- der Wielen (129), Coggeshall (18- ledge of the pharmacokinetics of the­ 20, 23), Niven (83), Chopra et al. se drugs was obtained. It is now evi- (10-13), Menk and Mohr (81), Fa- dent that many of the early contra- rinaud et al. (37-38), Sorley and dictory reports regarding the antima­ Currie (118), Sinton et al. (117), larial effect of sulfonamides, made etc., had reported on a somewhat va- during the initial years of the sul- riable success obtained with sulfona- fonamide era, were due to the scanty mides in experimental and human Information on the pharmacokinetics malaria. For a further 10 years, i.e. of these substances in man and in until 1950, there still existed some in- laboratory animais, a gap which led terest in this chemical group, as re- or misled, among other things, to- flected in some im portant clinicai wards empirical and therefore not trials, for instance those by Fairley et quite reliable dosage. al.
    [Show full text]
  • Malarial Dihydrofolate Reductase As a Paradigm for Drug Development Against a Resistance-Compromised Target
    Malarial dihydrofolate reductase as a paradigm for drug development against a resistance-compromised target Yongyuth Yuthavonga,1, Bongkoch Tarnchompooa, Tirayut Vilaivanb, Penchit Chitnumsuba, Sumalee Kamchonwongpaisana, Susan A. Charmanc, Danielle N. McLennanc, Karen L. Whitec, Livia Vivasd, Emily Bongardd, Chawanee Thongphanchanga, Supannee Taweechaia, Jarunee Vanichtanankula, Roonglawan Rattanajaka, Uthai Arwona, Pascal Fantauzzie, Jirundon Yuvaniyamaf, William N. Charmanc, and David Matthewse aBIOTEC, National Science and Technology Development Agency, Thailand Science Park, Pathumthani 12120, Thailand; bDepartment of Chemistry, Faculty of Science, Chulalongkorn University, Bangkok 10330, Thailand; cMonash Institute of Pharmaceutical Sciences, Monash University, Parkville 3052, Australia; dLondon School of Hygiene and Tropical Medicine, University of London, London WC1E 7HT, England; eMedicines for Malaria Venture, 1215 Geneva, Switzerland; and fDepartment of Biochemistry and Center for Excellence in Protein Structure and Function, Faculty of Science, Mahidol University, Bangkok 10400, Thailand Edited by Wim Hol, University of Washington, Seattle, WA, and accepted by the Editorial Board September 8, 2012 (received for review March 16, 2012) Malarial dihydrofolate reductase (DHFR) is the target of antifolate target is P. falciparum dihydrofolate reductase (DHFR), which is antimalarial drugs such as pyrimethamine and cycloguanil, the inhibited by the antimalarials PYR and cycloguanil (CG) (Fig. 1). clinical efficacy of which have been
    [Show full text]
  • Evidence of Pyrimethamine and Cycloguanil Analogues As Dual Inhibitors of Trypanosoma Brucei Pteridine Reductase and Dihydrofolate Reductase
    pharmaceuticals Article Evidence of Pyrimethamine and Cycloguanil Analogues as Dual Inhibitors of Trypanosoma brucei Pteridine Reductase and Dihydrofolate Reductase Giusy Tassone 1,† , Giacomo Landi 1,†, Pasquale Linciano 2,† , Valeria Francesconi 3 , Michele Tonelli 3 , Lorenzo Tagliazucchi 2 , Maria Paola Costi 2 , Stefano Mangani 1 and Cecilia Pozzi 1,* 1 Department of Biotechnology, Chemistry and Pharmacy, Department of Excellence 2018–2022, University of Siena, via Aldo Moro 2, 53100 Siena, Italy; [email protected] (G.T.); [email protected] (G.L.); [email protected] (S.M.) 2 Department of Life Science, University of Modena and Reggio Emilia, via Campi 103, 41125 Modena, Italy; [email protected] (P.L.); [email protected] (L.T.); [email protected] (M.P.C.) 3 Department of Pharmacy, University of Genoa, Viale Benedetto XV n.3, 16132 Genoa, Italy; [email protected] (V.F.); [email protected] (M.T.) * Correspondence: [email protected]; Tel.: +39-0577-232132 † These authors contributed equally to this work. Abstract: Trypanosoma and Leishmania parasites are the etiological agents of various threatening Citation: Tassone, G.; Landi, G.; neglected tropical diseases (NTDs), including human African trypanosomiasis (HAT), Chagas disease, Linciano, P.; Francesconi, V.; Tonelli, and various types of leishmaniasis. Recently, meaningful progresses in the treatment of HAT, due to M.; Tagliazucchi, L.; Costi, M.P.; Trypanosoma brucei (Tb), have been achieved by the introduction of fexinidazole and the combination Mangani, S.; Pozzi, C. Evidence of therapy eflornithine–nifurtimox. Nevertheless, due to drug resistance issues and the exitance of Pyrimethamine and Cycloguanil animal reservoirs, the development of new NTD treatments is still required.
    [Show full text]
  • Pyrimethamine and Proguanil Are the Two Most Widely Used DHFR Inhibitor Antimalarial Drugs. Cycloguanil Is the Active Metabolite of the Proguanil (1,2)
    Jpn. J. Med. Sci. Biol., 49, 1-14, 1996. IN VITRO SELECTION OF PLASMODIUM FALCIPARUM LINES RESISTANT TO DIHYDROFOLATE-REDUCTASE INHIBITORS AND CROSS RESISTANCE STUDIES Virendra K. BHASIN* and Lathika NAIR Department of Zoology, University of Delhi, Delhi 110007, India (Received July 27, 1995. Accepted November 6, 1995) SUMMARY: A cloned Plasmodium falciparum line was subjected to in vitro drug pressure, by employing a relapse protocol, to select progressively resistant falciparum lines to pyrimethamine and cycloguanil, the two dihydrofolate- reductase (DHFR) inhibitor antimalarial drugs. The falciparum lines resistant to pyrimethamine were selected much faster than those resistant to cycloguanil. In 348 days of selection/cultivation, there was 2,400-fold increase in IC50 value to pyrimethamine, whereas only about 75-fold decrease in sensitivity to cycloguanil was registered in 351 days. Pyrimethamine-resistant parasites acquired a degree of cross resistance to cycloguanil and methotrexate, another DHFR inhibitor, but did not show any cross resistance to some other groups of antimalarial drugs. The highly pyrimethamine-resistant line was not predisposed for faster selection to cycloguanil resistance. Resistance acquired to pyrimethamine was stable. The series of resistant lines obtained form a good material to study the •eevolution•f of resistance more meaningfully at molecular level. INTRODUCTION Pyrimethamine and proguanil are the two most widely used DHFR inhibitor antimalarial drugs. Cycloguanil is the active metabolite of the proguanil (1,2). There is abundant evidence to indicate that the pyrimethamine resistance is now widely distributed throughout malaria-endemic areas of the world (3-5). The incidence of the proguanil resistance appears to be in doubt and *To whom correspondence should be addressed .
    [Show full text]
  • Current Antimalarial Therapies and Advances in the Development of Semi-Synthetic Artemisinin Derivatives
    Anais da Academia Brasileira de Ciências (2018) 90(1 Suppl. 2): 1251-1271 (Annals of the Brazilian Academy of Sciences) Printed version ISSN 0001-3765 / Online version ISSN 1678-2690 http://dx.doi.org/10.1590/0001-3765201820170830 www.scielo.br/aabc | www.fb.com/aabcjournal Current Antimalarial Therapies and Advances in the Development of Semi-Synthetic Artemisinin Derivatives LUIZ C.S. PINHEIRO1, LÍVIA M. FEITOSA1,2, FLÁVIA F. DA SILVEIRA1,2 and NUBIA BOECHAT1 1Fundação Oswaldo Cruz, Instituto de Tecnologia em Fármacos Farmanguinhos, Fiocruz, Departamento de Síntese de Fármacos, Rua Sizenando Nabuco, 100, Manguinhos, 21041-250 Rio de Janeiro, RJ, Brazil 2Universidade Federal do Rio de Janeiro, Programa de Pós-Graduação em Química, Avenida Athos da Silveira Ramos, 149, Cidade Universitária, 21941-909 Rio de Janeiro, RJ, Brazil Manuscript received on October 17, 2017; accepted for publication on December 18, 2017 ABSTRACT According to the World Health Organization, malaria remains one of the biggest public health problems in the world. The development of resistance is a current concern, mainly because the number of safe drugs for this disease is limited. Artemisinin-based combination therapy is recommended by the World Health Organization to prevent or delay the onset of resistance. Thus, the need to obtain new drugs makes artemisinin the most widely used scaffold to obtain synthetic compounds. This review describes the drugs based on artemisinin and its derivatives, including hybrid derivatives and dimers, trimers and tetramers that contain an endoperoxide bridge. This class of compounds is of extreme importance for the discovery of new drugs to treat malaria. Key words: malaria, Plasmodium falciparum, artemisinin, hybrid.
    [Show full text]
  • Pyronaridine-Artesunate for Treating Uncomplicated Plasmodium Falciparum Malaria (Review)
    CORE Metadata, citation and similar papers at core.ac.uk Provided by LSTM Online Archive Cochrane Database of Systematic Reviews Pyronaridine-artesunate for treating uncomplicated Plasmodium falciparum malaria (Review) Pryce J, Hine P Pryce J, Hine P. Pyronaridine-artesunate for treating uncomplicated Plasmodium falciparum malaria. Cochrane Database of Systematic Reviews 2019, Issue 1. Art. No.: CD006404. DOI: 10.1002/14651858.CD006404.pub3. www.cochranelibrary.com Pyronaridine-artesunate for treating uncomplicated Plasmodium falciparum malaria (Review) Copyright © 2019 The Authors. Cochrane Database of Systematic Reviews published by John Wiley & Sons, Ltd. on behalf of The Cochrane Collaboration. TABLE OF CONTENTS HEADER....................................... 1 ABSTRACT ...................................... 1 PLAINLANGUAGESUMMARY . 2 SUMMARY OF FINDINGS FOR THE MAIN COMPARISON . ..... 4 BACKGROUND .................................... 7 OBJECTIVES ..................................... 8 METHODS ...................................... 8 RESULTS....................................... 11 Figure1. ..................................... 12 Figure2. ..................................... 15 Figure3. ..................................... 18 Figure4. ..................................... 20 Figure5. ..................................... 22 ADDITIONALSUMMARYOFFINDINGS . 23 DISCUSSION ..................................... 32 AUTHORS’CONCLUSIONS . 34 ACKNOWLEDGEMENTS . 34 REFERENCES ..................................... 35 CHARACTERISTICSOFSTUDIES
    [Show full text]
  • Investigating the Potential of Primary Sulfonamides As Antimalarial
    Investigating the Potential of Primary Sulfonamides as Antimalarial Drug Leads Gillian Marie Fisher Bachelor of Science (Hons) School of Natural Sciences Griffith Sciences Griffith University Submitted in fulfilment of the requirements of the degree of Doctor of Philosophy January, 2015 Abstract Malaria remains one of the world’s most important infectious diseases causing over 600,000 deaths annually, mainly in African children under the age of five [1]. In the absence of a licenced vaccine, malaria prevention and treatment relies on drugs and vector control [1]. Unfortunately malaria parasite resistance has emerged to currently used antimalarial drugs, including the current gold standard artemisinin combination therapies (ACTs) [1-3]. Added to this, the majority of agents in the current antimalarial drug discovery and development portfolio are based on known antimalarial pharmacophores [4], which may compromise their widespread use due to potential issues of cross resistance. With only one new antimalarial chemical class (chemotype) presently under development, the spiroindolones [5], there is an urgent need to ensure that the antimalarial drug discovery pipeline is primed with new chemotypes, ideally with novel modes of action in order to combat resistance. In this thesis project this problem was addressed by investigating the antimalarial potential of primary sulfonamides (PS), a chemotype not currently used for malaria, but with a proven track record for treatment of other diseases, including glaucoma, renal disorders and epilepsy
    [Show full text]
  • Final1-Aritmo-Final-Report-V2-0Final.Pdf
    ARITMO Final Report PROJECT FINAL REPORT Grant Agreement number: 241679 Project acronym: ARITMO Project title: Arrhythmogenic potential of drugs Funding Scheme: Small or Medium-Scale Focused Research Project Period covered: from 1st January 2010 to 30th June 2013 Name of the scientific representative of the project's co-ordinator, Title and Organisation: Prof. Miriam CJM Sturkenboom, Erasmus Universitair Medisch Centrum Rotterdam Tel: +31 10 704 4126 Fax: +31 10 704 4722 E-mail: [email protected] Project website1 address: www.aritmo-project.org 1 The home page of the website should contain the generic European flag and the FP7 logo which are available in electronic format at the Europa website (logo of the European flag: http://europa.eu/abc/symbols/emblem/index_en.htm ; logo of the 7th FP: http://ec.europa.eu/research/fp7/index_en.cfm?pg=logos). The area of activity of the project should also be mentioned. © Copyright 2013 ARITMO Consortium 1 ARITMO Final Report Table of contents Table of contents ................................................................................................................................................................. 2 1. Final publishable summary report ................................................................................................................................ 3 1.1 Executive summary ................................................................................................................................................. 3 1.2 Description of project context and
    [Show full text]
  • Common Study Protocol for Observational Database Studies WP5 – Analytic Database Studies
    Arrhythmogenic potential of drugs FP7-HEALTH-241679 http://www.aritmo-project.org/ Common Study Protocol for Observational Database Studies WP5 – Analytic Database Studies V 1.3 Draft Lead beneficiary: EMC Date: 03/01/2010 Nature: Report Dissemination level: D5.2 Report on Common Study Protocol for Observational Database Studies WP5: Conduct of Additional Observational Security: Studies. Author(s): Gianluca Trifiro’ (EMC), Giampiero Version: v1.1– 2/85 Mazzaglia (F-SIMG) Draft TABLE OF CONTENTS DOCUMENT INFOOMATION AND HISTORY ...........................................................................4 DEFINITIONS .................................................... ERRORE. IL SEGNALIBRO NON È DEFINITO. ABBREVIATIONS ......................................................................................................................6 1. BACKGROUND .................................................................................................................7 2. STUDY OBJECTIVES................................ ERRORE. IL SEGNALIBRO NON È DEFINITO. 3. METHODS ..........................................................................................................................8 3.1.STUDY DESIGN ....................................................................................................................8 3.2.DATA SOURCES ..................................................................................................................9 3.2.1. IPCI Database .....................................................................................................9
    [Show full text]
  • Index Vol. 16-23
    233 Index Vol. 16-23 The references of the Subject Index are given in the language of the respective contribution. Die Stichworte des Sachregisters sind in der jeweiligen Sprache der einzelnen Beitrage aufgeftihrt. Les termes repris dans la Table des matieres sont donnes selon la langue dans laquelle l'ouvrage est ecrit. A 17 Abortion, therapeutic 457,460 23 Acetylsalicylic acid (Aspirin®) 114 20 Academic research 169 16 O-Acetylserin-Sulfhydrylase A 390 18 Acanthocheilonema perstans 142 17 Acetylstrophanthidin 35 18 Acanthocheilonema streptocerca 142 22 Achromycin® (tetracycline) 53 22 Acaprin® (quinuronium sulfate) 42 19 Acidosis 529 20 Acebutolol 33, 36, 229 18 Acid phosphotase 66 18 Acedapson (Hansolar®, 4',4"'-sulfonylbis­ 16 Aconitase-Isomerase 436 acetanilide) 108, 156 17 Aconitine 35,46 17 Acedist® (bromfenofos, Ph 1882) 113, 134, 17 Acranil 119, 152 278 17 Acrichine® (quinacrine) 119 18 Aceperone 437 17 Acridine 295 16 Acetacetat-Decarboxylase 414 16 Acriftavin 100 17 2-Acetamido-5-nitrothiazole 261 17 Acrolein 358 17 Acetanilide 23, 497 18 Acronine 440 20 Acetanilide 400 21 Acrosin 366 23 Acetanilide 212 21 Acrylamide 186 20 Acetazolamide (Diamox®) 209,417 17 Actamer® (bithionol) 114,297 21 - 114 22 Actamer® (bithionol) 46 22 Acetohexamide (Dymelor®) 81 16 Actinomycin I 298 17 Acetohydroxamic acid 348 16 Actinomycin IV 298 17 Acetone 13, 17 16 Actinomycin V 298 16 Acetophenone 260 17 Actinomycin C, (actinomycin D) 376 17 2-Acetoxy-4' -chloro-3,5-diiodobenzanilide 16 Actinomycin D (actinomycin C" (clioxanide) 114,135,164,277,281
    [Show full text]