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Walcher, S.

Publications and source records attributed to Walcher, S..

3 recordsLinked to original sources

Ehrlich occupancy time: Beyond koff to a complete residence time framework

Drug-target occupancy time--the cumulative duration a target remains bound--critically influences therapeutic efficacy. While Copelands widely-used residence time (1/koff) emphasizes dissociation kinetics, it neglects association rates, rebinding events, and drug elimination that affect in vivo outcomes. Returning to Paul Ehrlichs 1913 principle that drugs act only when bound ("Corpora non agunt nisi fixata"), we develop a mathematically rigorous framework defining Ehrlich occupancy time, EOT, as the integral of fractional target occupancy over time. Our approach explicitly incorporates association (kon) and dissociation (koff) kinetics, accounts for rebinding, and extends to systems with drug removal. For drug-receptor closed systems at equilibrium, we prove that relative EOT equals the equilibrium occupancy fraction; under ligand-excess conditions this reduces to b0/(Kd +b0), where Kd is the dissociation constant and b0 the drug concentration. For induced-fit mechanisms, conformational changes reduce the effective dissociation constant to [Formula] (where k3 and k4 are forward and reverse isomerization rates), prolonging occupancy through kinetic trapping. Critically, for drug-receptor systems with firstorder drug elimination at rate k3, we derive rigorous bounds: b0/[(b0 + Kd)k3] [≤] EOT{infty} [≤] b0/(Kd {middle dot} k3), where EOT{infty}:= limT[->]{infty} EOT(T) is the total cumulative occupancy time as T[->] {infty}, revealing that both binding affinity and elimination rate jointly determine occupancy. This explains why high-affinity drugs can fail clinically if eliminated rapidly, and identifies pharmacokinetic optimization opportunities. We prove Copelands definition is a special case of Ehrlich occupancy time when rebinding is absent. Our framework provides quantitative tools for optimizing drug design beyond binding affinity and enables improved prediction of in vivo efficacy where pharmacokinetics dominate.

pharmacology and toxicology↗

The unreasonable effectiveness of the total quasi-steady state approximation, and its limitations

In this note, we discuss the range of parameters for which the total quasi-steady-state approximation of the Michaelis-Menten reaction mechanism holds validity. We challenge the prevalent notion that total quasi-steady-state approximation is "roughly valid" across all parameters, showing that its validity cannot be assumed, even roughly, across the entire parameter space -- when the initial substrate concentration is high. On the positive side, we show that the linearized one-dimensional equation for total substrate is a valid approximation when the initial reduced substrate concentration s0/KM is small. Moreover, we obtain a precise picture of the long-term time course of both substrate and complex.

systems biology↗

Same same but different: a web-based deep learning application for the histopathologic distinction of cortical malformations

We trained a convolutional neural network (CNN) to classify H.E. stained microscopic images of focal cortical dysplasia type IIb (FCD IIb) and cortical tuber of tuberous sclerosis complex (TSC). Both entities are distinct subtypes of human malformations of cortical development that share histopathological features consisting of neuronal dyslamination with dysmorphic neurons and balloon cells. The microscopic review of routine stainings of such surgical specimens remains challenging. A digital processing pipeline was developed for a series of 56 FCD IIb and TSC cases to obtain 4000 regions of interest and 200.000 sub-samples with different zoom and rotation angles to train a CNN. Our best performing network achieved 91% accuracy and 0.88 AUCROC (area under the receiver operating characteristic curve) on a hold-out test-set. Guided gradient-weighted class activation maps visualized morphological features used by the CNN to distinguish both entities. We then developed a web application, which combined the visualization of whole slide images (WSI) with the possibility for classification between FCD IIb and TSC on demand by our pretrained and build-in CNN classifier. This approach might help to introduce deep learning applications for the histopathologic diagnosis of rare and difficult-to-classify brain lesions.

pathology↗