Targeting Pathological Tau by Small Molecule Inhibition of the Poly(A):MSUT2 RNA-Protein Interaction

Jeremy D Baker1,2, Rikki L Uhrich2, Timothy J Strovas2

  • 1Division of Gerontology and Geriatric Medicine, Department of Medicine, University of Washington, Seattle, Washington 98104, United States.

Insights

Researchers identified potential drug candidates to reduce pathological tau accumulation, a key factor in Alzheimer's disease. By screening for inhibitors of the poly(A):MSUT2 RNA-protein interaction, they found FDA-approved drugs that may treat tauopathies.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Pharmacology

Background:

  • Neurofibrillary tangles of aggregated tau protein are central to Alzheimer's disease and related tauopathies.
  • Mammalian suppressor of tauopathy 2 (MSUT2), also known as ZC3H14, regulates pathological tau accumulation.
  • Loss of MSUT2 function protects neurons and preserves cognitive function in preclinical models.

Purpose of the Study:

  • To develop a high-throughput screening method to identify small molecules that inhibit the polyadenosine [poly(A)]:MSUT2 RNA-protein interaction.
  • To repurpose existing FDA-approved drugs for the treatment of tauopathies by targeting the poly(A):MSUT2 interaction.

Main Methods:

  • Utilized a fluorescent polarization assay for high-throughput screening of small molecules from the NIH Clinical Collection.
  • Employed a drug repurposing workflow including dose-response analysis, specificity testing, orthogonal assays, and cytotoxicity evaluation.
  • Focused on inhibiting the RNA-protein interaction mediated by MSUT2's CCCH zinc finger domains.

Main Results:

  • Identified diverse FDA-approved drugs, including duloxetine, saquinavir, and clofazimine, as potential inhibitors of the poly(A):MSUT2 interaction.
  • Validated compounds demonstrated potential for reducing pathological tau accumulation in preclinical models.
  • Established a screening pipeline for identifying novel therapeutic candidates for tauopathies.

Conclusions:

  • Inhibiting the poly(A):MSUT2 RNA-protein interaction is a viable strategy for ameliorating pathological tau accumulation.
  • Drug repurposing offers a promising avenue for developing new treatments for Alzheimer's disease and related dementia disorders.
  • Duloxetine, saquinavir, and clofazimine represent potential candidates for further investigation in translational studies for tauopathy treatment.