Abstract:
A method of using tissue cartridges containing one or more tissues samples in configuration allowing screening of drug candidates against normal or known disease states. The inventive method generates binding information for multiple drug-human tissue sections. This binding information helps identify drug candidates having specific binding characteristics allowing for selection of potential drug candidates having specific binding characteristics allowing for selection of potential drug candidates that have the desired binding qualities. The ability to understand binding characteristics allows drug discovery methods that reduce potential side effects.

Description:
RELATED APPLICATIONS 
       [0001]    This application claims the priority filing benefit of U.S. provisional patent application 60/307,062, filed on Jul. 19, 2001, which is incorporated in its entirety by reference. 
     
    
     FIELD OF INVENTION 
       [0002]    This invention is drawn to a procedure to screen a library of drug candidates on human or animal tissue specimens. The inventive procedure identifies affinity of compounds on tissue sections quickly and accurately. In one embodiment tissue sections are placed within tissue cartridges and a library of compounds are applied to the tissue sections. Compounds binding to tissue are eluted. Eluted compounds are analyzed to determine their affinity to target tissues. 
       BACKGROUND OF INVENTION 
       [0003]    There is currently a need in drug discovery and development and in general biological research for methods and apparatus for accurately performing tissue based assays. Although cell-based assays are advantageously employed for assessing the biological activity of chemical compounds and mechanism-of-action of new biological targets, there are no or limited current methods for employing multiplex-assays that are tissue based. In addition, there is a need to quickly and inexpensively screen large numbers of chemical compounds for their ability to bind to target tissues. This need has arisen in the pharmaceutical industry where it is common to test chemical compounds for activity against a variety of biochemical targets, for example, receptors, enzymes and nucleic acids. These chemical compounds are collected in large libraries, sometimes exceeding one million distinct compounds 
         [0004]    Life science research has undergone a transition in recent years to large-scale experimentation, where drug discovery programs can require hundreds or thousands of measurements involving the consumption of significant time and resources. Many of these resources are consumed in efforts to focus the specificity and sensitivity of lead compounds. In addition, many programs are aborted after decades of costly yet fruitless efforts to limit side effects or toxicity of candidate drugs. Accordingly, tools that abbreviate the research and discovery phase of drug development are desirable. 
         [0005]    In their search for new drugs, pharmaceutical researchers test many chemical compounds to determine whether they interact with drug targets. These researchers typically have large collections of chemical compounds to test against potential drug targets. Recently pharmaceutical researchers have been vastly expanding the size of compound collections they use to screen against new drug targets. As a result, researchers require new laboratory technologies capable of screening increasingly large compound collections against an increasing number of drug targets in a cost-effective, automated and rapid manner. 
         [0006]    To screen a compound collection against a new drug target, a researcher must develop a test, or assay, for measuring whether particular chemical compounds in the library interact with the drug target in a certain manner. The type of assay selected depends on the drug target under investigation and the type of information being sought. Researchers design some assays to measure whether and how tightly a compound binds to a drug target, such as the binding of a drug to a protein. Other assays are designed to measure whether and to what degree a compound reduces the biological activity of a drug target, such as the activity of an enzyme. In other cases, researchers test compound collections against living cells and measure a particular cellular response, such as a change in expression level of one or more genes or the binding specificity of the drug candidate to a disease state. Unfortunately, the ability of pharmaceutical researchers to assess these compounds in an affinity based tissue binding assay is limited. 
         [0007]    Current assay development methods are time consuming, taking from weeks to months, and are labor intensive, largely due to the need to measure a particular molecule within a complex mixture. In addition, current technologies for performing assays provide only a fraction of the information needed for selecting potential drug candidates. These current assays are primarily based upon cellular components rather than intact human tissue samples. Existing detection methods also typically require preparation of reagents in a highly purified form that requires additional expense, time and labor. These expensive reagents are routinely discarded as part of current assay protocols. 
         [0008]    Secondary screening of drug candidates involves performing a variety of measurements on hits identified in a primary screen. While the number of compounds under investigation is smaller than in primary screening, the number and diversity of measurements performed on each compound is much larger. The purpose of these measurements is to verify and further characterize the biological activity of each hit. For example, researchers may test each hit against the drug target at different concentrations to determine its potency. Also, each hit may be tested against multiple enzymes to identify activity against any of these enzymes. Current function-based technologies typically measure only a single data point at a time, such as the effect of one compound on the activity of a particular enzyme, thus generating limited data according to known functional criteria. 
         [0009]    Among current binding-based technologies “Phage-Display Procedure” is one method that allows screening of multiple phage particles on target samples such as pure proteins on solid surfaces or live cells in microwell plate formats. This procedure usually includes clearing and pre absorption, nonspecific particles, binding to specific targets, eluting and identifying specifically bound particles. Unfortunately, phage display procedures are limited to what they can express and display on surfaces (mostly small peptides). Also, screening steps are done by utilization of whole-phage particles which are larger structures as compared to small peptide sequences displayed on their surfaces. 
         [0010]    Existing immunodiagnostic testing typically involves sophisticated instrumentation and multi-step protocols including sample dilution, variable incubation times and wash steps. Substantially all immunodiagnostic tests today are performed in centralized laboratories on complex instruments operated by skilled technicians. Unfortunately, despite the complexity of these instruments, the recovery and analysis of the flow through within these complex instruments is not possible. 
         [0011]    Thus, there is a need for improved (e.g., faster and less expensive) methods for characterizing activities and targets of drags based on binding characteristics or drug candidates upon tissue samples. The present invention provides methods for rapidly characterizing the specificity of the binding of candidate drugs to various tissue disease states. 
       SUMMARY OF INVENTION 
       [0012]    The present invention utilizes human tissue samples in a cartridge based system to screen drug candidates based upon binding of drug candidates on tissue samples. These human tissue samples, which are available from tissue block repositories, range from normal tissue samples to tissue representing all phases of disease development. 
         [0013]    The method according to the invention utilizes a tissue cartridge containing one or ore tissue samples in a configuration allowing screening of drug candidates against normal or known disease states. The inventive method generates binding information for multiple drug-human tissue sections. This binding information helps identify drug candidates having specific binding characteristics allowing for selection of potential drug candidates having desired binding qualities. The ability to understand binding characteristics facilitates drug discovery methods that reduce potential side effects. 
         [0014]    The inventive method involves clearing, binding and elution cycles to screen drug candidates. According to the invention, a number of drug candidates designed to be disease-state specific are mixed with a pre-dilution buffer and applied to a series of pre-determined human tissue sections for pre-clearing purposes. The pre-dilution buffer is comprised of various components to mimic conditions a compound would encounter within a route of administration. These pre-clearing sections represent undesired targets such as normal tissue samples. The pre-clearing procedure excludes candidates that bind to normal tissue samples. 
         [0015]    According to the invention, during pre-clearing, drug candidates are applied to normal tissue samples contained within a tissue cartridge. Drug candidates that do not bind to normal tissue samples are referred to as “flow-through” molecules. Those molecules that bind to normal tissues are eliminated as potential drug candidates. The flow-through molecules are collected and identified (when needed) and applied to tissue cartridges containing tissue samples having a targeted disease state and are also applied once again to normal tissue samples. Flow-through molecules unbound to targeted tissue samples are eliminated as drug candidates and those that bind to normal tissue samples are also eliminated. Molecules binding to specific targeted tissues are eluted from the tissue sample by pre-determined elution buffers. The elution is analyzed and molecules having binding capability are detected and identified. 
         [0016]    The eluted drug candidates&#39; binding affinity and specificity may be further improved by a maturation process involving additional cycles of clearing, binding and elution. Eluted molecules may be farther applied in parallel to both normal and disease state tissues from various organs of the human body. Tissue cartridges according to the invention, are configured in a manner allowing application of reagents and molecules to tissue sample with recapture of the applied matter. The inventive tissue cartridges allow for a closed system offering the following advantages: lack of dilution (due to pumping &amp; replacement action), elimination of evaporation, recycling of reagent, incubation at a specified temperature, recovery of added reagent and recovery of bound material. 
         [0017]    The tissue cartridge according to the invention is fabricated from various plastics or other materials known within the art and contains an inlet and outlet port. The cartridge allows for the insertion of at least one plate or membrane containing tissue samples and has a sealing means allowing a closed system. The cartridge has an interior configuration to prevent pooling, yet allows re-capture of reagent or applied material. Heating elements may be contained within the cartridge allowing for incubation at desired temperatures. 
         [0018]    It is an object of the present invention to provide means by which the binding affinity of compounds to tissue samples can be determined. 
         [0019]    A further object of the present invention is to provide an automatic method for pre-screening the ability of a molecule to bind to predetermined tissue. 
         [0020]    Another object of the invention is to identify novel and specific targets in certain tissues and diseases. 
         [0021]    It is yet another object of the present invention to identify molecules exhibiting multiple tissue targeting suggesting potential side effects and toxicological effects or additional pharmacological benefits. 
         [0022]    It is another object of the invention to identify molecules having the highest specific tissue targeting. The objective is to achieve specific binding in target tissues while eliminating or controlling nonspecific or low-affinity binding target sites 
     
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS  
         [0023]    The foregoing and other features and advantages of the present invention will be more fully understood from the following detailed description of illustrative embodiments, taken in conjunction with the accompanying drawings in which: 
           [0024]      FIG. 1  is a diagrammatic representation of the tissue cartridge according to the invention; 
           [0025]      FIG. 2  is a schematic of the inventive indirect method; and 
           [0026]      FIG. 3  is a schematic of the inventive direct method. 
       
    
    
     DETAILED DESCRIPTION OF THE INVENTION  
       [0027]    The present invention relates to a method of screening drug candidates within drug libraries based upon binding of the drug candidates on tissue samples. The inventive method utilizes tissue cartridges to assess the binding of drug candidates to target tissue. The tissue cartridges according to the invention allow for tissue based affinity chromatography (‘TBAC”). 
         [0028]    As shown in  FIG. 1 , the inventive tissue cartridge  100  has a sealable chamber  101  having an inlet port  102  and an outlet port  104 . Connected to the inlet port  102  is an inlet channel  108 . Connected to the outlet port  104  is an outlet channel  110 . The inlet channel  108  contains an inlet valve  116  and the outlet channel  110  contains an outlet valve  118 . The inlet channel  108  and the outlet channel  110  are connected to each other by a connecting channel  106 . The connecting channel  106  contains a first connecting channel valve  112  and a second connecting channel valve  114 . Within the inlet channel  108  a fluidic pump  126  is positioned. After fluid introduction via the inlet channel  108  and the closing of the inlet valve  116  and the outlet valve  118  and the opening of the first connecting channel valve  112  and the second connecting channel valve  114  the tissue cartridge  100  is a closed system. The closed system allows for the recycling of fluid through the tissue cartridge via the fluidic pump  126 . The closing of the first channel valve  112  and the opening of the outlet valve  118  allow for the recovery of fluid circulated through the tissue cartridge  100 . 
         [0029]    It is contemplated within the scope of this invention that the inventive tissue cartridge  100  can be in fluid communication with each other forming a series of tissue cartridges. This series of tissue cartridges is formed by connecting the outlet channel  110  of one tissue cartridge to the inlet channel  108  of another tissue cartridge. It is contemplated within the scope of this invention that multiple cartridges can be connected together to form a fluidic tissue cartridge system. 
         [0030]    The sealable chamber  101  has an inner chamber  103  having a volume of approximately 25 to 1000 μl. The inner chamber  103  houses a first plate  122  and a second plate  124 . It is contemplated within the scope of the invention that the inner chamber  103  may contain additional plates. The first plate  122  and second plate  124  are housed within the inner chamber  103  so that all plate surfaces are exposed within the inner chamber  103 . The first plate  122  and the second plate  124  are standard microscope slides. It is contemplated within the scope of the invention that the plates can be any solid surface or membrane known within the art. Each plate  122 ,  124  holds one or more tissue samples  125 . 
         [0031]    The inner chamber  101  may further contain a heating element (not shown). The heating element within one illustrative embodiment is in the form of resistive ink printed on the interior of the sealable chamber  101 . In a alternative illustrative embodiment the heating element is in the form of a resistive element contained within the inner chamber  101 . The sealable tissue cartridge  101  houses a thermocouple (not shown) that monitors the temperature of the inner chamber  102  controlling heating element. It is contemplated within the scope of the invention that the temperature of the tissue cartridge  100  can be controlled by the application of heat or cold to the exterior of the sealable tissue chamber  101 . 
         [0032]    The tissue cartridge  100  according to the invention can be manufactured by methods known to those skilled in the art. Sample plates, sealable tissue chambers and channel composition will be a function of structural requirements, manufacturing processes, and reagent compatibility/chemical resistance properties. The choice of materials will depend on a number of factors such as ease in manufacturing and inertness to fluids that will flow through and on sample plates, sealable tissue chambers and channels, as is known to those skilled in the art. Specifically, sample plates, sealable tissue chambers and channels are provided that are made from inorganic crystalline or amorphous materials, e.g. silicon, silica, quartz, inert metals, or from organic materials such as plastics, for example, poly(methyl methacrylate) (PMMA), acetonitrile-butadiene-styrene (ABS), polycarbonate, polyethylene, polystyrene, polyolefins, polypropylene, polyphenylene sulphide (PPS), PEEK, and metallocene. Sample plates, sealable tissue chambers, and channels according to the invention can be fabricated from thermoplastics such as polyethylene, polypropylene, methylmethacrylates, polycarbonates, and certain Teflons, among others, due to their ease of molding, stamping and milling. Alternatively, sample plates, sealable tissue chambers and channels can be made of silica, glass, quartz or inert metal. 
         [0033]    A drug library of interest contained within a dilution buffer is applied to target tissue contained within the inventive tissue cartridge  100 , incubated, washed and eluted. It is contemplated within the scope of the invention that drug libraries may be composed of peptides (chemical synthesis, phage-display, flagella display), small molecules, proteins, carbohydrates, lipids, steroid, and any other form of inorganic or organic molecule or their polymers. 
         [0034]    The library of compounds are diluted in dilution buffers before tissue application. These dilution buffers allow a compound to be interacted with a tissue sample in conditions that mimic in-vivo conditions. Therefore, these dilution buffers will, be composed of two main components a solution and protein that are buffered to a specific pH. The solution may be composed of phosphate buffered saline (PBS), saline, balanced salt solution (BSS) or selected mixture of serum components (SMSC) (e.g. amino acids, vitamins, ions, metabolites, lipids, carbohydrates, etc). SMSC may be composed of certain components to reflect pathological conditions such as high glucose for diabetes. The protein may include blood, serum or plasma at approximately 0.1-50% (v/v). The specific pH of dilution buffers may reflect arterial blood (7.38-7.44) or venous blood (7.76-7.41) or venous serum/plasma (7.35-7.45). Under certain conditions where maximum protein effect is needed, dilution buffers may be composed of 100% blood, serum or plasma. Other dilution buffers known in the art may also be used. 
         [0035]    The inventive method comprises both direct and indirect methods of screening. The indirect method involves clearing, binding and elution cycles to screen large number of drug candidates. As shown in  FIG. 2 , the indirect method involves an application of a library of drug candidates  201  mixed in a dilution buffer to a series of pre-determined tissue sections  202  for pre-clearing purposes. These pre-determined tissue sections  202  typically contain tissue samples which are normal for the target disease state. It is contemplated within the scope of the invention these pre-determined tissue samples  202  may be obtained from human, mouse, rat or any other animal offering an appropriate clinical model. 
         [0036]    The pre-determined tissue samples  202  may be frozen and/or fixed and may be embedded in paraffins or any other embedding medium as known to those skilled in the art. It is contemplated within the scope of this invention that tissue samples can be live tissue that are cultured upon a surface. 
         [0037]    The application of the library of compounds  201  to these pre-determined tissue samples  202  allows for the elimination of those compounds binding to normal tissue. Those molecules not bound to normal tissue within the tissue cartridge are referred to as “flow-through” molecules  204 . These flow-through molecules  204  are applied to a series of disease state tissue cartridges  206 . The disease state tissue cartridges  206  contain tissue samples representative of the disease state of interest. It is contemplated within the scope of this invention that these disease state tissues include but are not limited to neoplasms, mesenchymal tumors, fibroma, fibrosarcoma, mesothelioma, leukemia, epithelial tumors, basal cell carcinoma, squamous cell carcinoma, adenocarcinoma, melanoma, seminoma, Alzheimer&#39;s, myasthemia gravis, diabetes mellitus, chronic inflammations, septic shock, Down Syndrome, Gaucher Disease, infectious diseases, Prion, HPV, HIV, Tuberculosis and Poliovirus. 
         [0038]    Unbound molecules  208  are washed from the disease state tissue cartridges  206  using wash buffers. The unbound molecules  208  are eliminated as candidates. The wash buffers may be the same as the dilution buffers listed above or dilution buffers without the protein component. Other biological wash buffers known in the art may be used such as Tris Buffered Saline (TBS), pH 7.4, TBS with Tween 20 (0.1%), or PBS with Tween 20 (0.1%). It is contemplated within the scope of the invention that other biological buffers may be used such as MES, BIS-TRIS, ADA, ACES, PIPES, MOPSO, BES, MOPS, TES, HEPES, DIPSO, MOBS, TAPSO, TRIZMA, POPSO, TEA, TRICINE, BICINE and TAPS. (Sigma-Aldrich, St. Louis, Mo., Catalogue pages 1873, 2001). 
         [0039]    Flow-through molecules  204  binding to disease state tissues are determined to be specifically bound drug candidates  210 . Specifically bound drug candidates  210  are eluted by pre-determined elution buffers. These elution buffers include but are not limited to high pH buffers such as Ttriethylamine buffer (100 mM, pH 11.5-12.5), Glycine buffer (100 mM, pH 11), and low pH buffers such as Glycine buffer (100 mM, pH 1.8-2.7), HCl (0.1N). High salt buffers may also be used as elution buffers such as LiCl (5M, Phosphate buffer, pH 7.2), MgCl 2  (3.5M, Phosphate buffer, pH 7.2), NaCl ([1-5M). Additionally, low pH and high salt buffers may be used such as Glycine buffer (100 mM, 0.5M NaCl, pH 2.7), high salt and pH buffers such as NaCl (3M, Borate buffer, pH 9.0), detergents such as SDS (Sodium dodecyl sulfate, 0.1-1%), DOC (Sodium deoxycholate, 0.1-1%). Chelating agents are also contemplated within the scope of this invention for elution such as EDTA (50 mM Tris-acetate buffer, 150 mM NaCl, EDTA, 20 mM, pH 7.5). Dissociating agents are also contemplated such as Urea (2-6M) and Guanidine-HCL (2-8M). Chaotropic agents may also be used such as Thiocyanate (3M). Reducing agents such as DTT (5-50 mM) and organic solvents such as Dioxane (10%), Ethylene glycol, (50%, pH 11.5 or pH 8.0) can also be used to eluted bound compounds. Other compounds known in the art may be used to detach bound compounds from disease state tissue. 
         [0040]    These eluted specifically bound drug candidates  212  are collected and separated using chromatography methods  214  known in the art. The separated compounds are biotinylated  216  (Pierce Biotechnology, Rockford Ill.) and identified using detection methods  218  as described in “Scorilas A and Diamandis EP (2000) Polyvinylamine-streptavidin complexes labeled with a europium chelator: A universal detection reagent for solid-phase time resolved fluorometric applications. Clinical Biochemistry 33(5): 345-350”. Which is incorporated in its entirety by reference. Those specifically bound drug candidates  210 , which are bound a nd then eluted, are indicative of their affinities to specific target tissues contained within the disease state tissue cartridges  206 . 
         [0041]    The eluted drug candidates&#39; binding affinity and specificity may be further understood by additional cycles of clearing, binding and elution steps. It is contemplated within the scope of this invention that once identified the eluted compounds can be reapplied to cartridges containing normal tissue samples or no tissue samples for control purposes. It is further contemplated within the scope of this invention that eluted compounds can be applied to normal tissue from various organs to further define the specificity of the binding characteristics of the identified compounds. 
         [0042]    In an alternative illustrative embodiment a direct approach to the affinity of a compound to selected tissue samples may be assessed. The direct approach method, as shown in  FIG. 3 , screens drug libraries directly to designated tissues under designated high affinity, high stringent conditions. The direct method, unlike the indirect method, does not pre-clear a library of compounds  300  through normal tissue samples. The library of compounds  300  containing approximately 10,000 compounds is diluted with a dilution buffer and passed through tissue cartridges containing both disease state tissue  302  and non-disease state tissue  304 . 
         [0043]    The dilution buffers allow compounds within the library of compounds  300  to interact with tissue samples in conditions that mimic in-vivo conditions. Additionally, the dilution buffers allow the concentration of the library of compounds  300  to be adjusted to mimic blood concentration levels. These dilution buffers are composed of two main components a solution, and protein that are buffered to a specific pH. The solution may be composed of phosphate buffered saline (PBS), saline, balanced salt solution (BSS) or selected mixture of serum components (SMSC) (e.g. amino acids, vitamins, ions) metabolites, lipids, carbohydrates, etc). SMSC may be composed of certain components to reflect pathological conditions such as high glucose for diabetes. The protein may include blood, serum or plasma at approximately 0.1-50% (v/v). The dilution buffer&#39;s pH may reflect arterial blood (7.38-7.44) or venous blood (7.76-7.41) or venous serum/plasma (7.35-7.45). Under certain conditions where maximum protein effect is needed, dilution buffers may be composed of 100% blood, serum or plasma. Other dilution buffers known in the art may also be used. 
         [0044]    The diluted library of compounds  300  are applied to a series of disease state tissue cartridges  302  and a series of non-disease state tissue cartridges  304 . The disease state tissue cartridges  302  contain tissue samples having a disease state of interest. The non-disease state tissue cartridges  304  contain tissue samples containing normal tissue for the same body part as the disease state tissue. The applied compounds are incubated at approximately 37° C. for approximately 12 hours. Unbound molecules  308  are washed from the disease-state tissue cartridges  302  and non-disease state tissue cartridges  304  using wash buffers. The unbound molecules  308  from the disease state cartridges  302  are eliminated as candidates. Bound molecules  312  are eluted from disease state tissue cartridges  302  and non-disease state tissue cartridges  304 . Specific disease state compounds are identified using comparative analysis and differences in binding profiles between disease state tissue cartridges  302  and non-disease state tissue cartridges  304 . 
         [0045]    The wash buffers may be the same as the dilution buffers listed above or the dilution buffers without the protein component. Other biological wash buffers known in the art may be used such as Tris Buffered Saline (TBS), pH 7.4, TBS with Tween 20 (0.1%), or PBS with Tween 20 (0.1%). Molecules binding to disease state tissues are determined to be specifically bound drug candidates  312 . Specifically bound drug candidates  312  are eluted by pre-determined elution buffers. 
         [0046]    These elution buffers include but are not limited to high pH buffers such as Ttriethylamine buffer (100 mM, pH 11.5-12.5), Glycine buffer (100 mM, pH 11), and low pH buffers such as Glycine buffer (100 mM, pH 1.8-2.7), HCl (0.1N). Also high salt buffers may be used as elution buffers such as LiCl (5M, Phosphate buffer, pH 7.2), MgCl 2  (3.5M, Phosphate buffer, pH 7.2), NaCl ([1-5M). Additionally, low pH and high salt buffers may be used such as Glycine buffer (100 mM, 0.5M NaCl, pH 2.7), high salt and pH buffers such as NaCl (3M, Borate buffer, pH 9.0), detergents such as SDS (Sodium dodecyl sulfate 0.1-1%), DOC (Sodium deoxycholate, 0.1-1%). Chelating agents are also contemplated within the scope of this invention for elution such as EDTA (50 mM Tris-acetate buffer, 150 mM NaCl, EDA, 20 mM, pH 7.5). Dissociating agents are also contemplated such as Urea (2-6M) and Guanidine-HCL (2-8M). Chaotropic agents may also be used such as Thiocyanate (3M). Reducing agents such as DTT (5-50 mM) and organic solvents such as Dioxane (10%), Ethylene glycol, (50%, pH 11.5 or pH 8.0) can also be used to eluted bound compounds. Other compounds known in the art may be used to detach bound compounds from disease state tissue. 
         [0047]    The eluted compounds  312  from the disease state tissue cartridges  302  and the bound compounds  310  from the non disease state tissue cartridges  304  are collected and applied to a 2D HPLC system  314  and fractionated according to Wagner, K., et al., (2000) Protein mapping by two-dimensional high performance liquid chromatography. J. Chromatography 893(2):293-305. This method is incorporated herein in its entirety. The fractions are collected and biotinylated (Pierce Biotechnology, Rockford Ill.) and presence or absence of compounds is detected with an ultra sensitive detection system  318  (USD) (Scorilas A et al.). 
         [0048]    If too many peaks are detected indicating a high level of binding to tissue within the non-disease state tissue cartridges  304  the parameters of the assay can be changed. For example, the library of compounds can be reduced. Incubation temperature can be changed and the length of incubation time can be reduced to approximately 10-20 minutes. The parameters are repeatedly adjusted until there is no binding on tissue within the non-disease state tissue cartridges  304 . 
         [0049]    Likewise, if there is no binding of compounds detected on disease state tissue sections the library of compounds concentration can be increased or incubation temperature and/or time can be adjusted. The assay can be redone with changed parameters establishing a clear binding/elution profile for about 1-10% of applied compounds amount, resulting in about 1,000 identified compounds  320 . 
         [0050]    The identified compounds  320  are prepared similar to the above concentration. The compounds are applied to the non-disease state cartridges  304  and disease state tissue cartridges  302  prepared in the initial assay step. The mixture is incubated. Bound compounds are eluted and fractions are applied to a 2D HPLC system  314  and fractionated according to (Wagner, K., et al., (2000)). The fractions are collected and biotinylated (Pierce Biotechnology, Rockford Ill.) and identified using an ultra sensitive detection system  318  (Scorilas, A. et al.). Those compounds having affinity to non-disease state tissue sections are eliminated as candidates and those compounds having affinity to disease state tissue are retained and identified. 
         [0051]    Compounds having complete affinity for disease state tissue sections are identified as final drug candidates. Each final drug candidate is applied at a given concentration within a vial containing 50% blood within a PBS buffer to a further set of tissue cartridges. This further set of tissue cartridges will be comprised of ten cartridges containing normal tissue and ten cartridges containing cancerous tissue. Additional tissue cartridges containing tissue sections from various body parts are also prepared. Two tissue cartridges of each body part are prepared. These body parts comprise normal liver sections, normal kidney sections, normal skeletal muscle sections, normal smooth muscle sections, normal lung sections, normal pancreas sections, normal cerebellum sections, normal cerebrum sections, normal lymph node sections and normal stomach sections. Additional normal sections may be included depending on the route of administration and excretion from the body. 
         [0052]    The applied drug candidates are incubated at approximately 37° C. for approximately 12 hours. Bound compounds are eluted and detected as set forth above. Those compounds exhibiting binding upon any normal tissue sections are eliminated as drug candidates. Additionally, those compounds showing no binding upon disease state tissue are also eliminated. Those compounds exhibiting binding upon only disease state tissue sections are selected and farther applied to additional tissue cartridges for validation. 
       EXAMPLE 1 
     In-Direct Application Method 
       [0053]    In this first illustrative embodiment a library of drug candidates for breast cancer comprised of 10,000 peptides is assessed. The goal of the assessment using the indirect method is the identification of those compounds within the library that are specific for breast cancer. The expectations in this example are that normal breast tissue should not show any binding. The protocol for this example is a targeted half-life of twelve hours and a targeted blood concentration of approximately 0.1 μg/ml. The administration of the compound is via intra-muscular administration. 
         [0054]    A peptide mixture is prepared by combining approximately 0.5 μg/ml of each peptide within a vial in a solution containing 50% blood in a PBS buffer. Ten vials each containing approximately one thousand peptides are prepared. Each vial sample is applied to 2D HPLC (Wagner, K., et al) and approximately 400 fractions are collected. The collected fractions are analyzed using MALDI-TOF mass spectroscopy and each peptide is identified. After identification, peptides are biotinylated (Pierce Biotechnology, Rockford, Ill.) and detection peak profiles are established using an ultra-sensitive detection system (USD) (Scorilas, A., et al). Each peptide&#39;s 2D HPLC profile and individual detection limits are established. 
         [0055]    After the preparation and identification of peak profiles, all peptides within the library are applied to pre-clearance tissue cartridges containing those tissues that show nonspecific binding. Since the goal is to find those compounds having no binding upon normal breast sections and the targeted route of administration is via intramuscular administration, the pre-clearance tissue cartridges are comprised of ten cartridges having normal breast tissue and ten cartridges having normal skeletal muscle tissue. Also included within this pre-clearance step is ten cartridges having normal lymph node tissue due to their implication in metastatic breast cancer. 
         [0056]    In the instant example the total tissue accessible is estimated to be about 10 mg for 30 cartridges (5 micron cut from a paraffin section generates approximately 0.4-0.8 mg±per tissue section). In each tissue cartridge there is one plate with 2 tissue sections providing approximately 24-48 mg±total tissue weight for 30 tissue cartridges. It is assume that there is an approximate accessibility of 40% of total tissue, which provides a range of 9.6 to 19.2 mg weight. It is assumed that the lower range of estimated weight: 10 mg is the total accessible weight. 
         [0057]    The prepared peptides are applied to 30 tissue cartridges having normal tissue sections and the flow-through molecules are collected. The collected flow-through contains those molecules unbound to normal tissue sections contained within the 30 tissue cartridges. These flow-through molecules having no affinity to normal tissue sections are applied to designated positive and negative breast cancer sections. In the instant example ten tissue cartridges are prepared containing five tissue cartridges with normal breast tissues and five tissue cartridges with breast cancer tissue sections. 
         [0058]    Flow-through molecules are applied to these ten tissue cartridges having both positive and negative tissue samples. The applied flow through molecules and tissue samples are incubated at about 37° C. for approximately 12 hours. After incubation, unbound peptides are washed with PBS until a normal baseline is observed. The wash step is monitored with an on-line detection system such as UV absorption. Other on-line detection systems known in the art may be used. Bound peptides are eluted with a glycine buffer (pH 2.2). 
         [0059]    The eluted peptides from each tissue cartridge are applied and fractionated using 2D [LE/RP] HPLC procedure (Wagner, K., et al.). The fractions are biotinalyated (Pierce Biotechnology, Rockford Ill.) and detected using an ultra sensitive detection method (Scorilas, A., et al.). The fractions are then analyzed based upon the detection. If there are too many peaks and lots of binding on normal breast sections then the stringency of the assay is changed. These changes may include dilution of the flow through and a shorter incubation time. The goal of these changes is to observe no binding upon normal breast sections. It is possible that high binding on normal breast sections may come from the blood reservoir part of the flow-through sample. To prevent this from occurring a pre-clearance step against blood may be included. 
         [0060]    If no binding and therefore no peptides are detected on breast cancer sections then the concentration of peptides are increased and incubation is changed. The pre-clearance step would then be repeated with changed concentrations and incubation. 
         [0061]    Once eluted drug candidates are identified, a peptide mixture is prepared and applied to a second series of tissue cartridges. This mixture is applied to a second series of tissue cartridges having ten tissue cartridges with normal breast tissue and ten cartridges with breast cancer tissue. The mixture is incubated at 37° C. for approximately 12 hours. Bound peptides are eluted and fractions are collected and identified and analyzed. Those compounds showing binding in all breast cancer tissue cartridges are selected for further confirmation as drug candidates. 
         [0062]    Each drug candidate is applied to a further set of confirmation tissue cartridges with breast and other tissue sections. This set of confirmation tissue cartridges will once again contain ten cartridges containing normal breast tissue and ten cartridges containing cancerous breast tissue. The confirmation tissue cartridges will also be comprised of normal tissue sections from various body parts. Two tissue cartridges of each body part is prepared. These body parts comprise normal liver sections, normal kidney sections, normal skeletal muscle sections, normal smooth muscle sections, normal lung sections; normal pancreas sections, normal cerebellum sections, normal cerebrum sections, normal lymph node sections and normal stomach sections. Additional normal sections may be included depending on the route of administration and excretion from the body. 
         [0063]    The drug candidates are applied to this series of confirmation tissue cartridges and incubated at approximately 37° C. for approximately 12 hours. Bound peptides are eluted and detected as set forth above. Those compounds exhibiting binding upon any normal tissue sections are eliminated as drug candidates. Additionally, those compounds showing no binding upon breast cancer tissue are also eliminated. Compounds exhibiting binding to only breast cancer sections are selected and further applied to additional tissue cartridges for validation. 
       EXAMPLE 2 
     One Step Direct Application Method 
       [0064]    In an alternative illustrative embodiment a library of drug candidates for breast cancer comprised of 10,000 peptides are assessed. The goal of the assessment using a direct method is the identification of those compounds within the library that are specific for breast cancer. 
         [0065]    A peptide mixture containing 10,000 peptides is prepared by combining approximately 0.1 μg/ml of each peptide within a vial containing 50% blood within a PBS buffer. The peptide mixture is applied to 2D HPLC (Wagner, K., et al.) and approximately 400 fractions are collected. The collected fractions are analyzed using MALDI-TOF mass spectroscopy and each peptide is identified. After identification, peptides are biotinylated (Pierce Biotechnology, Rockford Ill.) and detection peak profiles are established using an ultra sensitive detection method (Scorilas, A, et al.) Each peptide&#39;s 2D HPLC profile and individual detection limits are established. 
         [0066]    Twenty tissue cartridge are prepared. Ten cartridges contain breast cancer tissue sections and ten cartridges contain normal breast sections. The peptide mixture is applied to each tissue cartridge for approximately one hour at 37° C. The un-bound peptides are then washed with PBS buffer until normal baseline is observed. The wash step is monitored with an on-line detection system such as UV absorption. Other detection systems known in the art may be used. 
         [0067]    Bound peptides are then eluted with glycine buffer (pH 2.2). Other buffers known within the art may be used to elute the bound peptides. Eluted peptides from each tissue cartridge are collected and applied to a 2D HPLC system (Wagner, K., et al.) and fractionated. The fractions are collected and peptides are biotinylated (Pierce Biotechnology, Rockford Ill.). The presence or absence of peptide are detected with an ultra sensitive detection (Scorilas, A. et al.) 
         [0068]    If too many peaks are detected indicating a high level of binding on normal breast sections the parameters of the assay are changed. The peptide concentration is reduced from about 0.1 ug/ml to about 0.01 ug/ml. Incubation temperature is change to about 45° C. and the length of incubation is reduced to approximately 10-20 minutes. The parameters are adjusted until there is no binding on normal breast sections 
         [0069]    Likewise, if there is no binding of peptides detected on breast cancer sections the peptide concentration is increased or the incubation temperature or time is adjusted. The assay is redone with changed parameters establishing clear binding/elution profile for about 1-10% of applied peptide amount resulting in about 1,000 identified peptides. 
         [0070]    A peptide mixture containing the identified 1,000 peptides is prepared similar to above in a concentration of approximately 0.1 μg/ml of each peptide within a vial containing 50% blood within a PBS buffer. The peptide mixture is applied to the 20 Tissue-Cartridges prepared in the initial assay step. The mixture is incubated. Bound peptides are eluted and are applied to a 2D HPLC system (Wagner, K., et al.). The fractions are collected and peptides are biotinylated (Pierce Biotechnology, Rockford Ill.) and identified using an ultra sensitive detection system (Scorilas, A. et al.). Those peptides having affinity to normal breast tissue sections are eliminated as candidates and those peptides having affinity to cancerous breast tissue are identified. 
         [0071]    Peptides having complete affinity for breast cancer are identified as final drug candidates. Each final drug candidate is applied at a concentration of approximately 0.1 μg/ml of each peptide within a vial containing 50% blood within a PBS buffer to a further set of tissue cartridges with breast and other tissue sections. This further set of tissue cartridges will be comprised of ten cartridges containing normal breast tissue and ten cartridges containing cancerous breast tissue. Additional tissue cartridges containing tissue sections from various body parts are also prepared. Two tissue cartridges of each body part are prepared. These body parts comprise normal liver sections, normal kidney sections, normal skeletal muscle sections, normal smooth muscle sections, normal lung sections, normal pancreas sections, normal cerebellum sections, normal cerebrum sections, normal lymph node sections and normal stomach sections. Additional normal sections may be included depending on the route of administration and excretion from the body. 
         [0072]    The applied drug candidates are incubated at approximately 37° C. for approximately 12 hours. Bound peptides are eluted and detected as set forth above. Compounds exhibiting binding to any normal tissue sections are eliminated as drug candidates. Additionally, compounds showing no binding to breast cancer tissue are also eliminated. Compounds exhibiting binding to only breast cancer sections are selected and further applied to additional tissue cartridges for validation. 
         [0073]    While the invention has been described in connection with specific illustrative embodiments thereof, it will be understood that it is capable of further modifications and this application is intended to cover any variations, uses, or alterations of the invention. In general, the principles of the invention and including such departures from the present disclosure as come within known or customary practice within the art to which the invention pertains and as may be applied to the essential features hereinbefore set forth and as follows in the scope of the appended claims. 
         [0074]    Various other changes, omissions and additions in the form and detail of the present invention hay be made therein without departing from the spirit and scope of the invention. Therefore, the above description should not be construed as limiting, but merely as exemplification of the various embodiments.