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Development of a small molecule that corrects misfolding and increases secretion of Z ?1 -antitrypsin.


ABSTRACT: Severe ?1 -antitrypsin deficiency results from the Z allele (Glu342Lys) that causes the accumulation of homopolymers of mutant ?1 -antitrypsin within the endoplasmic reticulum of hepatocytes in association with liver disease. We have used a DNA-encoded chemical library to undertake a high-throughput screen to identify small molecules that bind to, and stabilise Z ?1 -antitrypsin. The lead compound blocks Z ?1 -antitrypsin polymerisation in vitro, reduces intracellular polymerisation and increases the secretion of Z ?1 -antitrypsin threefold in an iPSC model of disease. Crystallographic and biophysical analyses demonstrate that GSK716 and related molecules bind to a cryptic binding pocket, negate the local effects of the Z mutation and stabilise the bound state against progression along the polymerisation pathway. Oral dosing of transgenic mice at 100 mg/kg three times a day for 20 days increased the secretion of Z ?1 -antitrypsin into the plasma by sevenfold. There was no observable clearance of hepatic inclusions with respect to controls over the same time period. This study provides proof of principle that "mutation ameliorating" small molecules can block the aberrant polymerisation that underlies Z ?1 -antitrypsin deficiency.

SUBMITTER: Lomas DA 

PROVIDER: S-EPMC7933930 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature

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Development of a small molecule that corrects misfolding and increases secretion of Z α<sub>1</sub> -antitrypsin.

Lomas David A DA   Irving James A JA   Arico-Muendel Christopher C   Belyanskaya Svetlana S   Brewster Andrew A   Brown Murray M   Chung Chun-Wa CW   Dave Hitesh H   Denis Alexis A   Dodic Nerina N   Dossang Anthony A   Eddershaw Peter P   Klimaszewska Diana D   Haq Imran I   Holmes Duncan S DS   Hutchinson Jonathan P JP   Jagger Alistair M AM   Jakhria Toral T   Jigorel Emilie E   Liddle John J   Lind Ken K   Marciniak Stefan J SJ   Messer Jeff J   Neu Margaret M   Olszewski Allison A   Ordonez Adriana A   Ronzoni Riccardo R   Rowedder James J   Rüdiger Martin M   Skinner Steve S   Smith Kathrine J KJ   Terry Rebecca R   Trottet Lionel L   Uings Iain I   Wilson Steve S   Zhu Zhengrong Z   Pearce Andrew C AC  

EMBO molecular medicine 20210129 3


Severe α<sub>1</sub> -antitrypsin deficiency results from the Z allele (Glu342Lys) that causes the accumulation of homopolymers of mutant α<sub>1</sub> -antitrypsin within the endoplasmic reticulum of hepatocytes in association with liver disease. We have used a DNA-encoded chemical library to undertake a high-throughput screen to identify small molecules that bind to, and stabilise Z α<sub>1</sub> -antitrypsin. The lead compound blocks Z α<sub>1</sub> -antitrypsin polymerisation in vitro, reduc  ...[more]

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