Discovery of a potent small molecule inhibiting Huntington's disease (HD) pathogenesis via targeting CAG repeats RNA

Eshan Khan1, Subodh Kumar Mishra1, Ribhav Mishra2

  • 1Discipline of Biosciences and Biomedical Engineering, Indian Institute of Technology Indore, Simrol, Indore, 453552, India.

Scientific Reports
|November 16, 2019
PubMed

Insights

Small molecules targeting toxic CAG RNA offer a new therapeutic strategy for neurodegenerative diseases like Huntington's disease (HD) and spinocerebellar ataxias (SCAs). These compounds show promise in cell models by reducing disease-causing RNA toxicity.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Chemical Biology

Background:

  • CAG repeat expansions in RNA are the common cause of fatal neurodegenerative diseases such as Huntington's disease (HD) and spinocerebellar ataxias (SCAs).
  • While oligonucleotide therapeutics face challenges in delivery and immune stimulation, small molecules present a promising alternative for targeting these repeat expansion disorders.
  • Identifying selective small molecules is crucial for developing effective therapies against polyglutamine (polyQ) mediated diseases.

Purpose of the Study:

  • To identify and characterize small molecules that selectively target toxic CAG RNA.
  • To investigate the potential of these small molecules as therapeutic agents for neurodegenerative diseases caused by CAG repeat expansions.

Main Methods:

  • Utilized a chemical similarity search to discover small molecules targeting toxic CAG RNA.
  • Employed biophysical techniques including Circular Dichroism (CD), Isothermal Titration Calorimetry (ITC), and Nuclear Magnetic Resonance (NMR) spectroscopy to assess compound specificity.
  • Evaluated the efficacy of lead compounds in HD cell models and patient-derived cells to assess polyQ toxicity alleviation.

Main Results:

  • Discovered lead compounds demonstrating specificity for targeting AA mismatches in RNA.
  • Biophysical studies confirmed the selective binding of lead compounds to CAG RNA structures.
  • Lead compounds effectively reduced polyQ-mediated toxicity in both cellular and patient-derived disease models.

Conclusions:

  • The identified small molecules act as effective chemical probes for RNA with AA mismatches.
  • These compounds exhibit neuroprotective potential, offering a promising therapeutic avenue for fatal neurodegenerative diseases like HD and SCAs.
  • Small molecule-based therapeutics targeting toxic CAG RNA represent a viable strategy for treating repeat expansion disorders.

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