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药理学伴侣疗法:一种治疗PMM2-CDG的潜在方法。

Pharmacological Chaperoning: A Potential Treatment for PMM2-CDG.

作者信息

Yuste-Checa Patricia, Brasil Sandra, Gámez Alejandra, Underhaug Jarl, Desviat Lourdes R, Ugarte Magdalena, Pérez-Cerdá Celia, Martinez Aurora, Pérez Belén

机构信息

Centro de Diagnóstico de Enfermedades Moleculares, Centro de Biología Molecular-SO UAM-CSIC, Universidad Autónoma de Madrid, Campus de Cantoblanco, 28049 Madrid/Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Instituto de Investigación Sanitaria IdiPAZ, Madrid, Spain.

Department of Biomedicine and KG Jebsen Center for Neuropsychiatric Disorders, University of Bergen, Bergen, Norway.

出版信息

Hum Mutat. 2017 Feb;38(2):160-168. doi: 10.1002/humu.23138. Epub 2016 Nov 21.

Abstract

The congenital disorder of glycosylation (CDG) due to phosphomannomutase 2 deficiency (PMM2-CDG), the most common N-glycosylation disorder, is a multisystem disease for which no effective treatment is available. The recent functional characterization of disease-causing mutations described in patients with PMM2-CDG led to the idea of a therapeutic strategy involving pharmacological chaperones (PC) to rescue PMM2 loss-of-function mutations. The present work describes the high-throughput screening, by differential scanning fluorimetry, of 10,000 low-molecular-weight compounds from a commercial library, to search for possible PCs for the enzyme PMM2. This exercise identified eight compounds that increased the thermal stability of PMM2. Of these, four compounds functioned as potential PCs that significantly increased the stability of several destabilizing and oligomerization mutants and also increased PMM activity in a disease model of cells overexpressing PMM2 mutations. Structural analysis revealed one of these compounds to provide an excellent starting point for chemical optimization since it passed tests based on a number of pharmacochemical quality filters. The present results provide the first proof-of-concept of a possible treatment for PMM2-CDG and describe a promising chemical structure as a starting point for the development of new therapeutic agents for this severe orphan disease.

摘要

由于磷酸甘露糖变位酶2缺乏症(PMM2-CDG)导致的先天性糖基化障碍,是最常见的N-糖基化障碍,是一种尚无有效治疗方法的多系统疾病。近期对PMM2-CDG患者中致病突变的功能特征研究,催生了一种治疗策略的想法,即使用药理学伴侣(PC)来挽救PMM2功能丧失突变。本研究通过差示扫描荧光法对来自商业文库的10000种低分子量化合物进行高通量筛选,以寻找PMM2酶可能的PC。该实验鉴定出8种可提高PMM2热稳定性的化合物。其中,4种化合物作为潜在的PC发挥作用,显著提高了几种不稳定和寡聚化突变体的稳定性,并且在过表达PMM2突变的细胞疾病模型中提高了PMM活性。结构分析表明,其中一种化合物通过了多项药物化学质量筛选测试,为化学优化提供了绝佳的起点。本研究结果首次证明了PMM2-CDG可能的治疗方法,并描述了一种有前景的化学结构,作为开发针对这种严重罕见病的新型治疗药物的起点。

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