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Genetic Findings Provide Insights Into Leading Cause of Back Pain

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Neck and back pain could be caused by changes in gene activity that trigger the breakdown of the spine’s natural shock absorbers, according to researchers in the U.K. Findings from a study in zebrafish, titled “Targeted modulation of phosphate and lipid metabolism reduces ligament mineralization in col9a1b deficient zebrafish,” and published in Communications Biology, suggest that changes in gene activity can lead to a build-up of minerals in the spine—similar to unwanted bone forming in the wrong place—causing it to harden.

Experts say the findings point to potential future drug targets to treat back pain and suggest zebrafish could be a valuable tool for testing them.

Back pain affects most people at some point in their lives. One of the main underlying causes is the gradual breakdown of spinal discs (which cushion the bones of the spine), known as intervertebral disc degeneration (IVDD).

Despite how common and costly IVDD is, there are currently no drugs that can stop or reverse the condition. Surgery remains the only long-term option.

Genetics are known to play a role in the development of IVDD. A gene connected to a protein called collagen IX, which helps hold the disc’s structural fibers together, has been repeatedly linked to early-onset disc problems.

zebrafish in lab
The findings from a recent zebrafish study published in Communications Biology point to potential future drug targets to treat back pain and suggest the fish could be a valuable tool for testing them. [Connect Images/Matt Lincoln/Getty Images]

Scientists from the Universities of Edinburgh and Bristol studied zebrafish that were bred to lack a working copy of the gene to better understand how genetic faults could lead to disc disease. As the fish aged, their spines developed problems strikingly similar to human disc disease. The bones of the spine fused together, and the tissue between vertebrae became abnormally hardened with mineral deposits.

The team found that this hardening was preceded by a breakdown in a supportive scaffold layer in the developing spine, well before any mineral began to build up.

Researchers looked at which genes were switched on or off in the fish. They uncovered disruptions to how the body handles fat and to a growth-control pathway called mTOR, alongside changes in phosphate handling and vitamin A signaling, all processes linked to mineral buildup.

Erika Kague, PhD, University of Edinburgh Institute of Genetics and Cancer
Erika Kague, PhD, University of Edinburgh Institute of Genetics and Cancer

The team was also able to demonstrate ways to reduce the damage. The bone-protecting drug bisphosphonate, which is already used for osteoporosis, blocked the mineral buildup. Simply restricting the fish’s food intake, or using drugs that dampen fat metabolism, also reduced spinal fusions.

The findings point to phosphate handling and fat metabolism as promising targets for future drugs, according to the research team.

“For decades, surgery has been the only real answer for disc disease. By understanding the biology that drives the spine to harden, our zebrafish studies point to several ways of slowing it down, including a drug already used safely in patients,” said Erika Kague, PhD, study lead from the University of Edinburgh’s Institute of Genetics and Cancer. “There’s more work to do, but for a condition that’s affected people for generations without a treatment in sight, this is super exciting.”

“For the 9.5 million people across the U.K. living with back pain, this research brings fresh hope that potential new therapeutic approaches are on the horizon,” added Caroline Aylott, PhD, head of research delivery at Arthritis UK. “We are proud to fund research that is unlocking the science behind the processes leading to spinal disc degeneration. Back pain is one of the U.K.’s most common conditions that has blighted millions over generations.

“Dr. Erika Kague and her team at the University of Edinburgh have uncovered important genetic evidence that could pave the way for new treatments, bringing us one step closer to a future where fewer people have to live with the daily pain and challenges that back pain can bring.”

The post Genetic Findings Provide Insights Into Leading Cause of Back Pain appeared first on GEN – Genetic Engineering and Biotechnology News.

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Opinion: Fauci doesn’t have the answers on Covid’s origins. China does

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The Senate committee hearings last week on the origins of the Covid-19 pandemic presented a master class in political distraction from what is important for the nation’s public health. And Thursday the committee held Anthony Fauci in contempt of Congress for invoking his Fifth Amendment defense to a committee chaired by someone who has already said Fauci “should go to prison.”

The Covid-19 pandemic originated in Wuhan, China. The Chinese government vigorously suppressed information about the epidemic in the first weeks and months. It dragged its feet on alerting the international community to the threat. It frustrated the World Health Organization’s attempts to discover basic facts about the transmissibility of the virus, denying the rest of the world crucial weeks to prepare. And once the virus had escaped China and spread to Europe and then North America, it covered up the initial facts about the epidemic, silenced whistleblowers, and prevented investigations into the origin of the virus by refusing international investigations, locking WHO representatives in their hotel rooms on the specious theory that the virus had been imported from abroad. It then denied international access to scientists in Wuhan, their laboratory records, and the records of local public health authorities. Countries that demanded an open investigation were threatened with economic retaliation.

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Novel Molecular Glue Discovery Platform Unlocks Undruggable Cancer Targets

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Targeted protein degradation is a therapeutic strategy that leverages the ubiquitin–proteasome system to eliminate disease-associated proteins—including those that have traditionally been considered undruggable.

Protein degraders remove unwanted proteins from inside a cell by disposing of them using the cell’s built-in recycling system. Specifically, a molecular glue degrader binds an E3 ligase and redirects it to tag a disease-related protein for disposal.

Now, investigators at Dana-Farber Cancer Institute have developed a platform for systematically discovering molecular glues that could become protein degradation drug candidates. The platform could help drug developers expand the range of disease-related proteins that can be therapeutically targeted for elimination via protein degradation. The platform also enabled their discovery of the first molecular glue degrader that is metabolically activated, suggesting that molecular glues could be more context dependent and potentially tunable than previously thought.

The study was published in Nature in the paper, “DCAF11-dependent molecular glue degrader activated by glutathionylation.”

“This novel platform is an exciting scalable approach to the discovery of molecular glues that could help drive the significant expansion of molecular glue applications for the treatment of cancer and other diseases,” says Eric Fischer, PhD, professor of Biological Chemistry and Molecular Pharmacology at Harvard Medical School.

In 2014, Benjamin Ebert, MD, PhD, president and CEO of Dana-Farber, found the mechanism of action behind the multiple myeloma drug lenalidomide to be a molecular glue degrader of a transcription factor. Because transcription factors tend to have few pockets for inhibitor drugs to bind to, they were thought to be “undruggable.” Degrading transcription factors opened a new way of thinking about the treatment of cancer.

Today, several protein degraders have entered clinical testing. However, these degraders only leverage a small handful of the 600 E3 ligases in the human genome.

“There is an incredible range of opportunity for discovering new molecular glue degraders,” says Ebert. “This systematic approach could help accelerate the discovery of novel degraders that could change the way we think about the treatment of cancer.”

The screen in the new research fixes a subset of E3 ligases to magnetic beads in a well and bathes them in cellular lysate and a library of drug compounds. A hit occurs when a drug binds to one of the E3 ligases and increases its affinity for a given protein. The team used mass spectrometry to determine which cellular proteins have affinity for the drug-bound E3 ligase and would be likely to be tagged for disposal inside a cell.

They tested the system by screening seven E3 ligases and found the DDX18 protein was drawn to the E3 ligase DCAF11 and that the compound M12 enabled the connection. Using cryo-EM, the team found that M12 had been altered by glutathionylation; it would only act as a molecular glue inside cells with elevated levels of metabolites related to oxidative stress in the cell—something common in cancer cells.

“This was a huge surprise, and it is the first observation of a molecular glue that has been activated metabolically by glutathionylation,” says Franziska Wachter, MD, pediatric oncologist and instructor in pediatrics at Dana-Farber Cancer Institute.

Further exploration of activated M12 revealed that it functions as a prodrug that is activated through glutathione S-transferase-mediated glutathionylation and reprograms the E3 ligase DCAF11 to degrade DDX18. More specifically, the authors write that it “the glutathione moiety binds to an evolutionary conserved glutathione-binding site on DCAF11, and the exposed M12 moiety facilitates neo-substrate recruitment.”

By binding additional proteins to the complex, the team was able to tune the system to degrade multiple other proteins, including cancer-related protein targets such as SMARCA2, WEE1 and CDK7. “This systematic approach to discovering novel molecular glue degraders opens up the possibility for expanding the number of proteins that can be targeted for degradation as a treatment for cancer,” says Ebert.

The post Novel Molecular Glue Discovery Platform Unlocks Undruggable Cancer Targets appeared first on GEN – Genetic Engineering and Biotechnology News.

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STAT+: Up and down the ladder: The latest comings and goings

Hired someone new and exciting? Promoted a rising star? Finally solved that hard-to-fill spot? Share the news with us, and we’ll share it with others. That’s right. Send us your changes, and we’ll find a home for them. Don’t be shy. Everyone wants to know who is coming and going.

And here is our regular feature in which we highlight a different person each week. This time around, we note that EpilepsyGTx hired Teresa Nunes as chief medical officer. Previously, she held the same role at Allucent.

But all work and no play can make for a dull chief medical officer.

Continue to STAT+ to read the full story…

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Hired someone new and exciting? Promoted a rising star? Finally solved that hard-to-fill spot? Share the news with us, and we’ll share it with others. That’s right. Send us your changes, and we’ll find a home for them. Don’t be shy. Everyone wants to know who is coming and going.

And here is our regular feature in which we highlight a different person each week. This time around, we note that EpilepsyGTx hired Teresa Nunes as chief medical officer. Previously, she held the same role at Allucent.

But all work and no play can make for a dull chief medical officer.

Continue to STAT+ to read the full story…

Read More

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