Docket #: S17-067
ALS/FTD and related neurodegenerative diseases treatment methods
Neurodegenerative diseases amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD) have been characterized by the expansion of the GGGGCC hexanucleotide repeat within the non-coding region of the human chromosome 9 open reading frame 72 (C9ORF72) gene. Previously, the impact of this genetic footprint on disease pathology is poorly understood, limiting the development of therapeutics against the diseases.
Researchers at Stanford's Lu laboratory have profiled the molecular impact of the peptides produced by the expansion of C9ORF72. The newly implicated pathways include molecular targets with known pharmacological agents that can be re-purposed and optimized, such as the antiporter nigericin or AKT activator SC79, where the inventors have demonstrated that pharmacological targeting can rescue ALS phenotypes in various animal models. Other pathways implicated by the inventors for their role in ALS and FTD, including AKT, Notch, and numerous mitochondrial proteins, can be manipulated by genetic modifiers or small molecules. This invention aims to reduce the cellular toxicity caused by the dipeptide repeat proteins produced from the expanded G4C2 repeats, potentially providing new treatment options for patients with C9ORF72-associated ALS/FTD and related neurodegenerative disorders, for which there are currently limited effective therapies.
Stage of Development: Research In Vivo
Applications
- Treatment of neurodegenerative disorders ALS and FTD
- Potential treatment extensions in Parkinson's disease, Huntington's disease, spinocerebellar ataxia type 8 (SCA8), myotonic dystrophy type 1 (DM1), and fragile X tremor ataxia syndrome (FXTAS)
Advantages
- First disease-modifying therapy in indications with limited treatment options
- Potential to re-purpose existing compounds that target molecular pathways implicated in ALS and FTD
- Offers small molecule alternatives and potential oral delivery as an alternative to the antisense oligonucleotides (ASOs) currently in ALS R&D pipelines
Publications
- Li, S., Wu, Z., Li, Y., Tantray, I., De Stefani, D., Mattarei, A., ... & Lu, B. (2020). Altered MICOS morphology and mitochondrial ion homeostasis contribute to poly (GR) toxicity associated with C9-ALS/FTD. Cell reports, 32(5). DOI: 10.1016/j.celrep.2020.107989
- Lu, B., Wu, Z., & Li, S. (2022). U.S. Patent Application No. 17/755,716.
Related Links
Patents
- Published Application: WO2021092166
- Published Application: 20220389067
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