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Study supports Treg enhancement as dementia treatment

A research study led by Dr Alireza Faridar and Dr Stanley Appel at the Houston Methodist Neurological Institute has demonstrated the involvement of the peripheral immune system in the neuroinflammatory profile of frontotemporal dementia (FTD).
Dr Fred Grossman, Chief Medical Officer at sponsors Coya, said: “We believe these biomarker data coupled with the clinical and lab results of the clinical study in FTD provide additional evidence supporting the development of biologic combination therapies that enhance the function of regulatory T cells (Tregs) and target inflammation in FTD, ALS and other neurodegenerative diseases of high unmet need.”
Coya’s investigational product candidate pipeline aims to restore the anti-inflammatory and immunomodulatory functions of Tregs. Its therapeutic platforms include Treg-enhancing biologics, Treg-derived exosomes, and autologous Treg cell therapy.
Blood samples were obtained from 27 patients clinically diagnosed with FTD and 25 age-matched healthy individuals as a control group. Comprehensive analyses revealed significantly lower regulatory Treg immunomodulatory suppressive function in FTD patients compared to healthy controls. Transcriptomic profiling of monocytes showed different degrees of dysregulation of immune-related genes in samples from FTD patients.
Consistent with the reduced anti-inflammatory function observed in Tregs, proteomic analysis of plasma inflammatory mediators showed a significant increase in the pro-inflammatory cytokine TNFα (tumour necrosis factor-alpha) and the chemokines CXCL10, CCL3, CCL19, CSF1 and CXCL12 in FTD patients compared to healthy controls.
The immunomodulatory function of Tregs
The company believes the results of this study demonstrate that there is a dysregulation of inflammation-related gene expression in peripheral monocytes and an increase of plasma inflammatory chemokines and cytokines in FTD. In addition, the data provide evidence of compromised immunomodulatory function of Tregs.
The company argues that this study further supports the previously reported findings of an academic clinical study of low-dose interleukin 2 (LD IL-2) and CTLA-4 Ig in patients with FTD. The subcutaneous administration of LD IL-2 and CTLA-4 Ig significantly increased the number and function of Tregs as early as two weeks after initiation of treatment and remained elevated throughout the study. Study patients did not show clinical cognitive decline as measured by the validated tools MoCA (Montreal Cognitive Assessment) and CDR-FTLD (Clinical Dementia Rating-Frontotemporal Lobar Degeneration module) over the 22-week treatment period.
The post Study supports Treg enhancement as dementia treatment appeared first on Drug Discovery World (DDW).
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Opinion: Fauci doesn’t have the answers on Covid’s origins. China does
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
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.
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.
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