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In Vitro Aggregation Assays Using Hyperphosphorylated Tau Protein
Published on: January 2, 2015
Fyn kinase inhibition as a novel therapy for Alzheimer's disease
Haakon B Nygaard1, Christopher H van Dyck2, Stephen M Strittmatter1
1Department of Neurology, Yale University School of Medicine, PO Box 208018, New Haven, CT 06520, USA ; Cellular Neuroscience, Neurodegeneration and Repair, Yale University School of Medicine, 295 Congress Avenue, BCMM 436, New Haven, CT 06536, USA.
Abstract:
Alzheimer's disease (AD) is a devastating neurodegenerative disorder, afflicting more than one-third of people over the age of 85. While many therapies for AD are in late-stage clinical testing, rational drug design based on distinct signaling pathways in this disorder is only now emerging. Here we review the putative signaling pathway of amyloid-beta (Aβ), by which the tyrosine kinase Fyn is activated via cell surface binding of Aβ oligomers to cellular prion protein. Several lines of evidence implicate Fyn in the pathogenesis of AD, and its interaction with both Aβ and Tau renders Fyn a unique therapeutic target that addresses both of the major pathologic hallmarks of AD. We are currently enrolling patients in a phase Ib study of saracatinib (AZD0530), a small molecule inhibitor with high potency for Src and Fyn, for the treatment of AD. The results of this trial and a planned phase IIa multisite study will provide important data regarding the potential for this therapeutic strategy in AD.
Insights
This study explores the Fyn signaling pathway in Alzheimer's disease (AD) pathogenesis. Targeting Fyn with saracatinib offers a novel therapeutic strategy for AD, addressing key pathological hallmarks.
Area of Science:
- Neuroscience
- Pharmacology
Background:
- Alzheimer's disease (AD) is a prevalent neurodegenerative disorder affecting the elderly.
- Current AD therapies are in late-stage trials, but rational drug design targeting specific pathways is emerging.
- Amyloid-beta (Aβ) oligomers binding to cellular prion protein activate the tyrosine kinase Fyn.
Purpose of the Study:
- To review the signaling pathway involving Fyn in Alzheimer's disease.
- To highlight Fyn as a therapeutic target due to its role in Aβ and Tau pathology.
- To report on a Phase Ib clinical trial of saracatinib for AD treatment.
Main Methods:
- Review of scientific literature on Fyn signaling in AD.
- Analysis of evidence implicating Fyn in AD pathogenesis.
- Enrollment of patients in a Phase Ib study of saracatinib (AZD0530).
Main Results:
- Evidence suggests Fyn activation by Aβ oligomers contributes to AD pathology.
- Fyn interacts with both Aβ and Tau, key pathological hallmarks of AD.
- A Phase Ib study of saracatinib, a Fyn inhibitor, is currently enrolling patients.
Conclusions:
- Fyn represents a unique therapeutic target for Alzheimer's disease.
- Saracatinib's potential as an AD treatment will be evaluated in ongoing and planned clinical trials.
- Targeting the Fyn pathway offers a novel strategy for addressing major AD pathologies.
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