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Published on: December 20, 2017
Gaucher disease
1Glycobiology Institute, Department of Biochemistry, University of Oxford, South Parks Road, Oxford OX1 3QU, UK. terry.butters@bioch.ox.ac.uk
Abstract:
Although Gaucher disease is a rare disorder, recent developments in novel means for therapeutic intervention have invigorated both academic research and pharmaceutical industry discovery programmes. The common mutations found in the lysosomal enzyme deficient in Gaucher disease, beta-glucocerebrosidase, earmark these proteins for destruction by the endoplasmic reticulum-localised protein folding machinery, resulting in enzyme insufficiency, lysosomal glycolipid storage and subsequent pathology. However, many of these mutants can be rescued from global misfolding to preserve glycolipid substrate binding and eventual catalysis in the lysosome, by the addition of subinhibitory concentrations of pharmacologically active small molecules. This novel, chaperon-mediated approach has benefited from insights into the molecular understanding of beta-glucocerebrosidase structure, drug design and development in cellular models for disease.
Insights
Novel small molecules can correct misfolded beta-glucocerebrosidase in Gaucher disease, restoring enzyme function. This chaperon-mediated therapy offers a promising new avenue for treating this rare lysosomal storage disorder.
Area of Science:
- Biochemistry
- Genetics
- Pharmacology
Background:
- Gaucher disease results from mutations in beta-glucocerebrosidase, leading to enzyme deficiency and glycolipid accumulation.
- Misfolded mutant enzymes are targeted for degradation by the endoplasmic reticulum protein folding machinery.
Purpose of the Study:
- To investigate a novel chaperon-mediated therapeutic approach for Gaucher disease.
- To explore the potential of small molecules to rescue misfolded beta-glucocerebrosidase mutants.
Main Methods:
- Utilized cellular models of Gaucher disease.
- Applied subinhibitory concentrations of pharmacologically active small molecules.
- Investigated the molecular understanding of beta-glucocerebrosidase structure and drug design.
Main Results:
- Small molecules successfully rescued misfolded beta-glucocerebrosidase mutants from degradation.
- Restored enzyme function preserved glycolipid substrate binding and lysosomal catalysis.
- Demonstrated the efficacy of a chaperon-mediated approach in cellular models.
Conclusions:
- Pharmacological chaperones represent a viable therapeutic strategy for Gaucher disease.
- This approach offers a new direction for drug discovery and development in lysosomal storage disorders.
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