Potent kinetic stabilizers that prevent transthyretin-mediated cardiomyocyte proteotoxicity.

Potent kinetic stabilizers that prevent transthyretin-mediated cardiomyocyte proteotoxicity.
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DOI:
10.1126/scitranslmed.3002473
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发表时间:
2011-08-24
影响因子:
17.1
通讯作者:
Graef IA
Graef IA
中科院分区:
医学1区
文献类型:
--
作者:
Alhamadsheh MM;Connelly S;Cho A;Reixach N;Powers ET;Pan DW;Wilson IA;Kelly JW;Graef IA

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The V122I mutation that alters the stability of transthyretin (TTR) affects 3–4% of African Americans and leads to amyloidogenesis and development of cardiomyopathy. In addition, 10–15% of individuals over the age of 65 develop senile systemic amyloidosis (SSA) and cardiac TTR deposits due to wild-type TTR amyloidogenesis. As no approved therapies for TTR amyloid cardiomyopathy are available, the development of drugs that prevent amyloid-mediated cardiotoxicity is desired. To this aim, we developed a fluorescence polarization-based HTS screen, which identified several new chemical scaffolds targeting TTR. These novel compounds were potent kinetic stabilizers of TTR and prevented tetramer dissociation, unfolding and aggregation of both wild type and the most common cardiomyopathy-associated TTR mutant, V122I-TTR. High-resolution co-crystal structures and characterization of the binding energetics revealed how these diverse structures bound to tetrameric TTR. Our study also showed that these compounds effectively inhibited the proteotoxicity of V122I-TTR towards human cardiomyocytes. Several of these ligands stabilized TTR in human serum more effectively than diflunisal, which is one of the best known inhibitors of TTR aggregation, and may be promising leads for the treatment and/or prevention of TTR-mediated cardiomyopathy.
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