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Updated: Jan 7, 2026

Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System
Published on: December 11, 2016
Drug Development.
Wenyan Lu1, Thomas R Caulfield1, Suren Jeevaratnam1
1Mayo Clinic, Jacksonville, FL, USA.
A novel dual-acting drug candidate, W2A-28, simultaneously targets histone deacetylase (HDAC) inhibition and Wnt/β-catenin signaling activation. This compound shows promise for Alzheimer's disease (AD) treatment by reducing amyloid-beta and tau pathologies.
Area of Science:
- Neuroscience
- Pharmacology
- Molecular Biology
Background:
- Alzheimer's disease (AD) involves impaired histone acetylation and Wnt/β-catenin signaling.
- Targeting multiple pathologies, like with dual modulators, may offer synergistic effects for AD.
- Class I histone deacetylase (HDAC) inhibitors and Wnt/β-catenin pathway activators are potential AD therapeutics.
Purpose of the Study:
- To develop novel dual modulators targeting class I HDAC inhibition and Wnt/β-catenin signaling activation.
- To evaluate the therapeutic potential of the lead compound W2A-28 in Alzheimer's disease (AD) models.
Main Methods:
- Utilized CI-994 as a scaffold to design dual-acting compounds.
- Assessed W2A-28's inhibitory activity against class I HDACs and its effect on Wnt reporter activity.
- Determined W2A-28's impact on LRP6 protein levels, solubility, stability, and permeability.
- Tested W2A-28 in patient-derived induced pluripotent stem cell (iPSC)-derived cerebral organoids.
Main Results:
- W2A-28 potently inhibited class I HDAC1, 2, and 3 with nanomolar IC50 values.
- W2A-28 activated Wnt/β-catenin signaling by increasing Wnt reporter activity and stabilizing LRP6.
- The compound exhibited favorable pharmacokinetic properties, including good solubility, stability, and permeability.
- W2A-28 significantly reduced amyloid-beta (Aβ40, Aβ42) levels and suppressed tau phosphorylation in AD organoids.
Conclusions:
- W2A-28 demonstrates dual inhibitory and activating properties relevant to AD pathology.
- The compound effectively reduced key Alzheimer's disease biomarkers in patient-derived organoids.
- W2A-28 represents a promising drug candidate for Alzheimer's disease treatment.
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