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体内朊蛋白(PrP)的周转及朊病毒疾病治疗药物的起效时间。

PrP turnover in vivo and the time to effect of prion disease therapeutics.

作者信息

Corridon Taylor L, O'Moore Jill, Lian Yuan, Laversenne Vanessa, Noble Briana, Kamath Nikita G, Serack Fiona E, Shaikh Abdul Basit, Erickson Brian, Braun Craig, Lenz Kenney, Howard Michael, Chan Nathan, Reidenbach Andrew G, Cabin Deborah E, Vallabh Sonia M, Grindeland Andrea, Oberbeck Nina, Zhao Hien T, Minikel Eric Vallabh

机构信息

Program in Brain Health, Broad Institute of MIT and Harvard, Cambridge, MA, 02142, USA.

Weissman Hood Institute, Great Falls, MT, 59405, USA.

出版信息

bioRxiv. 2024 Nov 14:2024.11.12.623215. doi: 10.1101/2024.11.12.623215.

DOI:10.1101/2024.11.12.623215
PMID:39605733
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11601496/
Abstract

PrP lowering is effective against prion disease in animal models and is being tested clinically. Therapies in the current pipeline lower PrP production, leaving pre-existing PrP to be cleared according to its own half-life. We hypothesized that PrP's half-life may be a rate-limiting factor for the time to effect of PrP-lowering drugs, and one reason why late treatment of prion-infected mice is not as effective as early treatment. Using isotopically labeled chow with targeted mass spectrometry, as well as antisense oligonucleotide treatment followed by timed PrP measurement, we estimate a half-life of 5-6 days for PrP in the brain. PrP turnover is not affected by over- or under-expression. Mouse PrP and human PrP have similar turnover rates measured in wild-type or humanized knock-in mice. CSF PrP appears to mirror brain PrP in real time in rats. PrP is more readily quantifiable in colon than in other peripheral organs, and appears to have a shorter half-life in colon than in brain. Our data may inform the design of both preclinical and clinical studies of PrP-lowering drugs.

摘要

在动物模型中,降低朊蛋白(PrP)对朊病毒病有效,目前正在进行临床试验。现有研发流程中的疗法可降低PrP的产生,让已有的PrP根据其自身半衰期被清除。我们推测,PrP的半衰期可能是影响降低PrP药物起效时间的一个限速因素,也是朊病毒感染小鼠晚期治疗不如早期治疗有效的原因之一。通过使用同位素标记饲料结合靶向质谱分析,以及反义寡核苷酸治疗后定时测量PrP,我们估计大脑中PrP的半衰期为5 - 6天。PrP的周转不受过度表达或表达不足的影响。在野生型或人源化敲入小鼠中测量,小鼠PrP和人PrP具有相似的周转率。在大鼠中,脑脊液PrP似乎实时反映大脑PrP。与其他外周器官相比,PrP在结肠中更容易定量,并且在结肠中的半衰期似乎比在大脑中更短。我们的数据可为降低PrP药物的临床前和临床研究设计提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e36d/11601496/14a9f2518db1/nihpp-2024.11.12.623215v1-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e36d/11601496/cbc3187e6c69/nihpp-2024.11.12.623215v1-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e36d/11601496/1d874e3ec3b4/nihpp-2024.11.12.623215v1-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e36d/11601496/14a9f2518db1/nihpp-2024.11.12.623215v1-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e36d/11601496/cbc3187e6c69/nihpp-2024.11.12.623215v1-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e36d/11601496/1d874e3ec3b4/nihpp-2024.11.12.623215v1-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e36d/11601496/14a9f2518db1/nihpp-2024.11.12.623215v1-f0003.jpg

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本文引用的文献

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Fluid Biomarkers in Individuals at Risk for Genetic Prion Disease up to Disease Conversion.遗传朊病毒病风险个体在疾病转化前的体液生物标志物。
Neurology. 2024 Jul 23;103(2):e209506. doi: 10.1212/WNL.0000000000209506. Epub 2024 Jun 19.
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A single-cell map of antisense oligonucleotide activity in the brain.反义寡核苷酸在大脑中的活性的单细胞图谱。
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Regional variability and genotypic and pharmacodynamic effects on PrP concentration in the CNS.中枢神经系统中朊病毒蛋白浓度的区域变异性和基因型及药效学影响。
JCI Insight. 2022 Mar 22;7(6):e156532. doi: 10.1172/jci.insight.156532.
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Prion protein lowering is a disease-modifying therapy across prion disease stages, strains and endpoints.降低朊病毒蛋白是一种跨朊病毒疾病阶段、株和终点的疾病修饰疗法。
Nucleic Acids Res. 2020 Nov 4;48(19):10615-10631. doi: 10.1093/nar/gkaa616.
8
Multimodal small-molecule screening for human prion protein binders.多模态小分子筛选人类朊病毒蛋白结合物。
J Biol Chem. 2020 Sep 25;295(39):13516-13531. doi: 10.1074/jbc.RA120.014905. Epub 2020 Jul 28.
9
Towards a treatment for genetic prion disease: trials and biomarkers.针对遗传性朊病毒病的治疗方法:临床试验与生物标志物。
Lancet Neurol. 2020 Apr;19(4):361-368. doi: 10.1016/S1474-4422(19)30403-X. Epub 2020 Mar 18.
10
Characterization of the Prion Protein Binding Properties of Antisense Oligonucleotides.鉴定反义寡核苷酸与朊病毒蛋白的结合特性。
Biomolecules. 2019 Dec 18;10(1):1. doi: 10.3390/biom10010001.