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Updated: Feb 20, 2026

Investigating Target Gene Function in a CD40 Agonistic Antibody-induced Colitis Model using CRISPR/Cas9-based Technologies
Published on: June 2, 2021
Small-molecule inhibitors directly target CARD9 and mimic its protective variant in inflammatory bowel disease
Elizaveta S Leshchiner1,2, Jason S Rush3, Michael A Durney3
1Department of Chemistry and Chemical Biology, Harvard University, Cambridge, MA 02138.
Insights
Small molecules targeting CARD9 (caspase recruitment domain-containing protein 9) offer a new therapeutic strategy for inflammatory bowel disease (IBD). These compounds disrupt key protein interactions, showing promise for treating this complex heritable disease.
Area of Science:
- Genetics and Molecular Biology
- Immunology
- Drug Discovery
Background:
- Advances in human genetics have improved understanding of complex heritable diseases.
- Genome-wide association studies identified CARD9 variants associated with inflammatory bowel disease (IBD) risk.
- Predisposing CARD9 variants increase NF-κB cytokine production; protective variants lack TRIM62 recruitment.
Purpose of the Study:
- To develop a blueprint for IBD therapeutics based on CARD9 variant biochemical insights.
- To recapitulate the protective mechanism of CARD9 variants using small molecules.
- To identify compounds that disrupt the CARD9-TRIM62 interaction.
Main Methods:
- Biochemical analysis of CARD9 variant proteins.
- Development of multiplexed bead-based technology for compound screening.
- Screening for compounds disrupting CARD9-TRIM62 interaction and CARD9 ubiquitination.
Main Results:
- Identified compounds that directly and selectively bind CARD9.
- Discovered compounds that disrupt TRIM62 recruitment to CARD9.
- Demonstrated cellular activity and selectivity of compounds in CARD9-dependent pathways.
Conclusions:
- Small molecules targeting CARD9 represent a potential therapeutic avenue for IBD.
- Disruption of CARD9-TRIM62 interaction is a viable strategy for IBD treatment.
- Targeting CARD9 offers a path toward improved IBD therapeutics.
Abstract:
Advances in human genetics have dramatically expanded our understanding of complex heritable diseases. Genome-wide association studies have identified an allelic series of CARD9 variants associated with increased risk of or protection from inflammatory bowel disease (IBD). The predisposing variant of CARD9 is associated with increased NF-κB-mediated cytokine production. Conversely, the protective variant lacks a functional C-terminal domain and is unable to recruit the E3 ubiquitin ligase TRIM62. Here, we used biochemical insights into CARD9 variant proteins to create a blueprint for IBD therapeutics and recapitulated the mechanism of the CARD9 protective variant using small molecules. We developed a multiplexed bead-based technology to screen compounds for disruption of the CARD9-TRIM62 interaction. We identified compounds that directly and selectively bind CARD9, disrupt TRIM62 recruitment, inhibit TRIM62-mediated ubiquitinylation of CARD9, and demonstrate cellular activity and selectivity in CARD9-dependent pathways. Taken together, small molecules targeting CARD9 illustrate a path toward improved IBD therapeutics.
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