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       science on tHe cutting edge




                                                         ferocious heads, a potential                      them to develop rigid, tense muscles and tremors, and causes
                                                         Parkinson’s medicine created                      difficulties with sleep, mood, speech, eating and movement.
                                                         in the lab of chemist Matthew                        Commonly used treatments include drugs that replace the
      Inspired By Greek Mythology,                       Disney, Ph.D., is also a type                     dopamine. Other treatments, such as deep-brain stimulation,
      This Potential Drug Shows Promise                  of chimera bearing two heads.                     help with movement problems that develop as the disease
                                                         One seeks out a key piece of
                                                                                                           worsens. But while these types of treatments alleviate
      For Vanquishing Parkinson’s RNA                    Parkinson’s-causing RNA,                          symptoms, they are not a cure, come with side effects and do
                                                                                                           not change the trajectory of the disease. An estimated 500,000
                                                         while the other goads the cell to
      In Early Studies                                   chop it to pieces for recycling.                  people in the United States live with Parkinson’s.
                                                            The research is described                         “To change the course of this disease, we need to address
         A new discovery from                            in the Jan. 9 issue of the  Matthew D. Disney, Ph.D.,   its cause. For many Parkinson’s patients, that apparent cause is
      the lab of chemist Matthew                         Proceedings of the National  is professor and chair of the   the accumulation of a toxic protein called alpha-synuclein, in
      Disney, Ph.D., at The Herbert                      Academy  of  Sciences,  or  Department of Chemistry   and around their neurons,” said Disney, the endowed Institute
      Wertheim UF Scripps Institute                      PNAS.                   at UF Scripps Biomedical   Professor and chair of the chemistry department at The Herbert
      for Biomedical Innovation &                           Parkinson’s is a frustrating  Research. Photo by Scott   Wertheim UF Scripps Institute for Biomedical Innovation &
      Technology, takes its inspiration                  and all too common disease.  Wiseman              Technology in Jupiter, Fla.
      from Greek mythology. The compound is a chimera, and it battles   Sl o wl y,   p e o p l e   wi t h      Unfortunately, alpha-synuclein has proven an especially
      a toxic cause of Parkinson’s in two ways.          Parkinson’s lose brain cells and other neurons needed to make   challenging protein to medicate due to its unruly, disorganized
         Like the Greek mythological beast with a snake’s tail and two   the neurotransmitter dopamine. This progressive loss leads   form and lack of clear druggable structures, Disney added.
                                                                                                              “In situations like this, we have found that targeting the RNA
                                                                                                           needed to build the toxic protein may be an optimal strategy to
                                                                                                           slowing or even stopping disease progression,” he added.
                                                                                                              Disney’s lab focuses on interfering with or degrading RNA
                                                                                                           needed to assemble the proteins implicated in disease. This is
                                                                                                           a relatively new concept. Most drugs on the market work by
                                                                                                           binding to proteins to change their function. But not all disease-
                                                                                                           causing proteins can be successfully targeted with drugs. Some
                                                                                                           are too changeable, some lack druggable structures, some fold
                                                                                                           in a way that conceals their active sites.
                                                                                                              Disney’s approach is to prevent the problematic proteins
                                                                                                           from being made in the first place. To do that requires targeting
                                                                                                           their RNA. Here’s why: Proteins are assembled in cells through
                                                                                                           a process that involves the reading and translation of a gene,
                                                                                                           the transport of that information from the cell nucleus to its
                                                                                                           cytoplasm via messenger RNA, and the assembly of protein-
                                                                                                           building factories called ribosomes, also built of RNA, in the
                                                                                                           cytoplasm. The ribosomes stitch the proteins together one
                                                                                                           amino acid at a time. Disney’s potential Parkinson’s drug,
                                                                                                           which he calls Syn-RiboTAC, binds to a section of messenger
                                                                                                           RNA that tells a ribosome to start protein assembly. Without
                                                                                                           the “start” signal, the toxic protein isn’t built.
                                                                                                              Disney’s first authors on the PNAS study were graduate
                                                                                                           students in his lab. Yuquan Tong is a current student of the
                                                                                                           Skaggs Graduate School of Chemical and Biological Sciences
                                                                                                           on the Jupiter campus, and Peiyuan Zhang, Ph.D., is a recent
                                                                                                           graduate, now a postdoctoral researcher at the Massachusetts
                                                                                                           Institute of Technology.
                                                                                                              “In Parkinson’s mouse models, we see that reducing alpha-
                                                                                                           synuclein by even 25 percent is therapeutically beneficial,”
                                                                                                           Tong said. “In studies from induced neurons of Parkinson’s
                                                                                                           patients, we see the Syn-RiboTAC strategy reduces alpha-
                                                                                                           synuclein production by about 50 percent. We saw that adding
                                                                                                           the RiboTAC produces a significant gain in potency.”
                                                                                                              Disney added that the compound also showed good
                                                                                                           selectivity, important for avoiding unwanted side effects, and
                                                                                                           improved brain-barrier penetration relative to other compounds
                                                                                                           they studied.
                                                                                                              Other collaborators on the study included physician-
                                                                                                           scientist M. Maral Mouradian, M.D., of Rutgers University,
                                                                                                           whose patients donated tissue to create induced neurons.
                                                                                                              Much work lies ahead, as the team works to refine the
                                                                                                           two-headed drug and improve its drug-like properties,
                                                                                                           the scientists said. Preparing an experimental compound
                                                                                                           for clinical trials in humans can sometimes take years, as
                                                                                                           refinements are made and data are gathered.
                                                                                                              “The medical need for a truly disease-modifying treatment
                                                                                                           is significant, and we know that patients are awaiting better
                                                                                                           options,” Disney said. “We’re hopeful that we’re on the road
                                                                                                           to better days for people living with Parkinson’s.”
                                                                                                              The study, “Decreasing the intrinsically disordered protein
                                                                                                           α-synuclein by targeting its structured mRNA with a ribonuclease
                                                                                                           targeting chimera,”appears in the Jan. 9, 2024 issue of the Journal
                                                                                                           Proceedings of the National Academy of Sciences. In addition to
                                                                                                           Mouradian, Disney, Tong and Zhang, co-authors include Xueyi
                                                                                                           Yang, Xiaohui Liu, Jie Zhang, Magda Grudniewska, Ikrak Jung,
                                                                                                           Daniel Abegg, Jun Liu, Jessica L. Childs-Disney, Quentin M. R.
                                                                                                           Gibaut, Hafeez S. Haniff and Alexander Adibekian.
                                                                                                              The research was funded by grants from the National
                                                                                                           Institutes of Health as well as foundations and private
                                                                                                           donors. NIH grants include R21/R33NS096032 to M.M.M.
                                                                                                           and  M.D.D.,  plus  R01GM097455,  DP1NS096898  and
                                                                                                           R35NS116846 to M.D.D. Other support was provided by the
                                                                                                           Nelson Family Fund and Ed and Jane Greenberg. M.M.M.
                                                                                                           is the William Dow Lovett Professor of Neurology and is
                                                                                                           supported by the Michael J. Fox Foundation for Parkinson’s
                                                                                                           Research, American Parkinson Disease Association, and NIH
                                                                                                           Grants R01NS101134, RF1NS130702, UG3/UH3NS116921,
                                                                                                           R21NS123770 and R21AG075656.
                                                                                                              Disney is a founder of Expansion Therapeutics and other
                                                                                                           biotechnology companies.

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