Identification of Orthosteric and Allosteric Pharmacological Chaperones for Mucopolysaccharidosis Type IIIB

Juan Camilo Losada1, Heidy Triana1, Egdda Vanegas2

  • 1Institute for the Study of Inborn Errors of Metabolism, Faculty of Science, Pontificia Universidad Javeriana, Cra. 7 No. 43-82 Building 54, Lab 305 A., Bogotá D.C., 110231, Colombia.

Insights

Researchers identified novel pharmacological chaperones for Mucopolysaccharidosis type IIIB (MPS IIIB), a rare genetic disorder. Atovaquone and piperaquine show potential to restore enzyme activity, offering new therapeutic avenues for this debilitating disease.

Area of Science:

  • Biochemistry
  • Genetics
  • Pharmacology

Background:

  • Mucopolysaccharidosis type IIIB (MPS IIIB) is a rare, inherited lysosomal storage disease.
  • It results from mutations in the N-acetyl-alpha-glucosaminidase (NAGLU) gene, leading to reduced enzyme activity and heparan sulfate accumulation.
  • Currently, no approved treatments exist for MPS IIIB.

Purpose of the Study:

  • To identify and characterize novel pharmacological chaperones (PCs) for the NAGLU enzyme using a drug repurposing approach.
  • To explore both orthosteric and allosteric binding sites for potential therapeutic molecules.
  • To evaluate the efficacy of identified PCs in restoring NAGLU enzymatic activity.

Main Methods:

  • Computational modeling of substrate interactions within the NAGLU active site.
  • Virtual screening of a human-tested molecule database against orthosteric and allosteric sites.
  • Selection of candidate PCs based on binding affinity, blood-brain barrier permeability, and gastrointestinal absorption.
  • In vitro evaluation of selected PCs in human MPS IIIB fibroblasts.

Main Results:

  • Atovaquone and piperaquine were identified as potential orthosteric and allosteric PCs, respectively.
  • These compounds demonstrated binding to the NAGLU enzyme.
  • The selected PCs showed potential in restoring enzymatic activity in MPS IIIB fibroblasts.

Conclusions:

  • This study presents novel pharmacological chaperones for MPS IIIB.
  • Atovaquone and piperaquine represent promising therapeutic candidates for MPS IIIB.
  • The findings highlight the potential of drug repurposing for developing treatments for protein deficiency diseases.

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