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Updated: May 23, 2025

Spectrophotometric Screening for Potential Inhibitors of Cytosolic Glutathione S-Transferases
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Bioactivation of the β-Amyloid Precursor Protein-Cleaving Enzyme 1 Inhibitor Atabecestat Leads to Protein Adduct
Megan Ford1, Paul J Thomson1, Adam Lister1
1Department Pharmacology and Therapeutics, University of Liverpool, Liverpool L693GE, U.K.
Abstract:
Exposure to atabecestat is associated with liver injury, which subsequently led to its withdrawal from development. Previous studies of patients with atabecestat induced liver injury identified T cells responsive to atabecestat and its metabolites, indicating that immune-mediated mechanisms are involved. As irreversible protein modification is suspected to drive immunogenicity, this study aimed to characterize potential atabecestat protein adducts using HSA, GSTA1, and GSTP as model proteins. We have shown that atabecestat only formed a cysteine adduct on GSTP in the presence of metabolic systems, highlighting the important role of bioactivation in adduct formation and selectivity for the binding interaction.
Insights
Atabecestat exposure causes liver injury, leading to its withdrawal. This study found atabecestat forms adducts with proteins like GSTP, but only after bioactivation, suggesting a role in immune-mediated liver injury.
Area of Science:
- Drug-induced liver injury
- Chemical immunology
- Proteomics
Background:
- Atabecestat (a drug) was withdrawn due to liver injury.
- Immune-mediated mechanisms are implicated in atabecestat-induced liver injury.
- Irreversible protein modification is a suspected driver of drug immunogenicity.
Purpose of the Study:
- To investigate the potential for atabecestat to form protein adducts.
- To characterize adduct formation using human serum albumin (HSA), glutathione S-transferase alpha 1 (GSTA1), and glutathione S-transferase pi (GSTP) as model proteins.
- To explore the role of bioactivation in atabecestat-protein adduct formation.
Main Methods:
- Incubation of atabecestat with model proteins (HSA, GSTA1, GSTP) in the presence of metabolic systems.
- Analysis of protein adduct formation using mass spectrometry-based techniques.
Main Results:
- Atabecestat formed a covalent adduct specifically with a cysteine residue on GSTP.
- Adduct formation was dependent on metabolic activation of atabecestat.
- No adducts were observed with HSA or GSTA1 under the tested conditions.
Conclusions:
- Bioactivation of atabecestat is crucial for its covalent binding to proteins.
- The formation of atabecestat-GSTP adducts highlights the role of specific protein targets and metabolic pathways in drug immunogenicity.
- These findings provide insights into the mechanisms underlying atabecestat-induced liver injury.
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