Abstract
Drug development regularly has to deal with complex circumstances on two levels: the local level of pharmacological intervention on specific target proteins, and the systems level of the effects of pharmacological intervention on the organism. Different development strategies in the recent history of early drug development can be understood as competing attempts at coming to grips with these multi-level complexities. Both rational drug design and high-throughput screening concentrate on the local level, while traditional empirical search strategies as well as recent systems biology approaches focus on the systems level. The analysis of these strategies reveals serious obstacles to integrating the study of interventive and systems complexity in a systematic, methodical way. Due to some fairly general properties of biological networks and the available options for pharmaceutical intervention, drug development is captured in an obstinate methodological dilemma. It is argued that at least in typical cases, drug development therefore remains dependent on coincidence, serendipity or plain luck to bridge the gap between (empirical and/or rational) development methodology and actual therapeutic success.
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Notes
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Not included are, for instance, tegaserod (Buchheit et al., 1995), as well as many “me-too” drugs, i.e. more or less close followers to existing drugs, which are regularly designed on the basis of detailed molecular knowledge.
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An exception among the cited systems biologists is Van Regenmortel (2004). Among other things, he claims that biological functional properties are essential to systems behavior, and these properties could only be explained on the basis of evolutionary history and environmental factors. Yet, Van Regenmortel’s cases come from the development of vaccines. As biological pharmaceuticals, they might raise different problems with respect to reductionism as the development of synthetic chemical drugs, which is the focus of attention of the other authors.
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Adam, M. (2011). Multi-Level Complexities in Technological Development: Competing Strategies for Drug Discovery. In: Carrier, M., Nordmann, A. (eds) Science in the Context of Application. Boston Studies in the Philosophy of Science, vol 274. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-9051-5_5
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