Alkylating antitumor drug mechlorethamine conceals a structured PrP domain and inhibits in vitro prion amplification

Xiaochen Zhou1, Hao Bi, Justin Wong

  • 1Department of Pathology, National Prion Disease Pathology Surveillance Center, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.

Insights

Mechlorethamine (MCT), an alkylating drug, conceals a key prion protein region, blocking its pathological conversion. This suggests MCT could be a potential therapeutic for incurable prion diseases.

Area of Science:

  • Neurodegenerative diseases
  • Prion protein misfolding
  • Drug discovery

Background:

  • Prion diseases are fatal neurodegenerative disorders caused by misfolded prion proteins (PrPSc).
  • The conversion of cellular PrP (PrPC) to PrPSc involves a conformational change in the PrP144-154 region.
  • Antibody 6H4 blocks PrP conversion by targeting PrP144-152, suggesting this region's accessibility is crucial.

Purpose of the Study:

  • To investigate if mechlorethamine (MCT), an alkylating agent, can conceal the 6H4 epitope and inhibit PrP conversion.
  • To evaluate MCT's potential as a therapeutic agent for prion diseases.

Main Methods:

  • Treatment of prion protein with mechlorethamine (MCT) and a reducing reagent.
  • Assessing the concealment of the 6H4 epitope.
  • Measuring PrPSc amplification using the protein misfolding cyclic amplification (PMCA) system.

Main Results:

  • Mechlorethamine treatment effectively concealed the 6H4 epitope on the prion protein.
  • MCT significantly reduced in vitro amplification of PrPSc in the PMCA system.
  • The findings indicate MCT interferes with the prion conversion process.

Conclusions:

  • Mechlorethamine's ability to block PrP conversion suggests its therapeutic potential for prion diseases.
  • Targeting the PrP144-154 region with agents like MCT offers a promising strategy for prion disease treatment.

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