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.

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  • Atabecestat (a drug) was withdrawn due to liver injury.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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