Related Experiment Video
Updated: May 10, 2026

Real Time Monitoring of Intracellular Bile Acid Dynamics Using a Genetically Encoded FRET-based Bile Acid Sensor
Published on: January 4, 2016
Developing BACE-1 inhibitors for FXS
Cara J Westmark1, Elizabeth M Berry-Kravis, Chrysanthy Ikonomidou
1Department of Neurology, University of Wisconsin Madison, WI, USA.
Abstract:
Fragile X syndrome (FXS) is a debilitating genetic disorder with no cure and few therapeutic options. Excessive signaling through metabotropic glutamate receptor 5 in FXS leads to increased translation of numerous synaptic proteins and exaggerated long-term depression. Two of the overexpressed proteins are amyloid-beta protein precursor (APP) and its metabolite amyloid-beta, which have been well-studied in Alzheimer's disease (AD). Here we discus the possibility that pharmaceuticals under study for the modulation of these proteins in AD might be viable therapeutic strategies for FXS. Specifically, a recently identified acetyltransferase inhibitor that reduces the levels and activity of β-site APP cleaving enzyme (BACE-1) has strong potential to attenuate BACE-1 activity and maintain homeostatic levels APP catabolites in FXS.
Insights
Fragile X syndrome (FXS) may benefit from Alzheimer's disease (AD) drugs. Targeting amyloid precursor protein (APP) and BACE-1 may restore synaptic balance in FXS patients.
Area of Science:
- Neuroscience
- Genetics
- Pharmacology
Background:
- Fragile X syndrome (FXS) is a genetic disorder with limited treatment options.
- FXS involves overactive metabotropic glutamate receptor 5 signaling, leading to synaptic protein overexpression.
- Amyloid precursor protein (APP) and amyloid-beta are overexpressed in FXS, similar to Alzheimer's disease (AD).
Purpose of the Study:
- To explore the potential of AD therapeutics for FXS treatment.
- To investigate if modulating APP and its metabolites can be a viable strategy for FXS.
Main Methods:
- Reviewing existing research on FXS and AD.
- Identifying potential drug targets common to both diseases, specifically APP and BACE-1.
- Considering the use of acetyltransferase inhibitors to reduce BACE-1 activity.
Main Results:
- Excessive APP and amyloid-beta are implicated in FXS pathophysiology.
- Pharmaceuticals targeting APP and BACE-1 in AD research show promise for FXS.
Conclusions:
- Modulating APP catabolites via BACE-1 inhibition is a potential therapeutic avenue for FXS.
- Repurposing AD drugs could offer new hope for treating FXS.
Related Concept Videos
Pharmacogenomics: Identification of New Drug Targets
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme (ECE). Of...
Transducer Mechanism: Enzyme-Linked Receptors
Major types that are helpful drug targets include:
Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...

