Novel peptide therapeutics for Alzheimer’s disease (#377)
Alzheimer’s disease (AD) is an incurable neurodegenerative disease that is the leading cause of dementia worldwide [1]. A key characteristic of AD is the deposition of plaques formed by the amyloid-β (Aβ) peptide. However, despite extensive development efforts, anti-Aβ therapies have shown very modest clinical impact on cognitive decline [2]. Therefore, there remains an urgent and unmet need for novel therapeutics that target different pathological mechanisms in AD. The voltage-gated potassium channel KV1.3 is upregulated in pro-inflammatory microglia that mediate neuroinflammation in AD. KV1.3 blockade has been shown to be therapeutically beneficial in animal models of AD by shifting microglia away from a pro-inflammatory phenotype, reducing neuroinflammation, and improving cognitive function [3].
HsTX1[R14A] is a potent peptide blocker of KV1.3 (IC50 45 pM) that is highly selective (>2000-fold) for KV1.3 over closely-related KV1 channels [4]. We have shown that HsTX1[R14A] reduces microglial activation in vitro and in an animal model of neuroinflammation [5,6]. Compared to other peptide inhibitors of KV1.3, HsTX1[R14A] is more potent and selective for KV1.3, simpler and cheaper to make, and more stable chemically and proteolytically. It thus represents a highly promising molecule for AD therapeutic development.
Our recently published data show that unmodified HsTX1[R14A] at 1 mg/kg is able to improve cognitive function in a mouse model of sporadic AD (the most common form of AD) [7]. Given its size and polarity, HsTX1[R14A] likely accesses the brain as a consequence of blood-brain barrier (BBB) disruption in this model. I will describe our current efforts towards improving the brain uptake of HsTX1[R14A], which will decrease the dose of peptide required and enable treatment before the disease progresses to a stage where the BBB is compromised. This work will position HsTX1[R14A] as a novel brain-penetrant drug lead for further clinical development.
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- Ramesha, S., Rayaprolu, S., Bowen, C. A., Giver, C. R., Bitarafan, S., Nguyen, H. M., Gao, T., Chen, M. J., Nwabueze, N., Dammer, E. B., Engstrom, A. K., Xiao, H., Pennati, A., Seyfried, N. T., Katz, D. J., Galipeiau, J., Wullf, H., Waller, E. K., Wood, L. B., Levey, A. I., and Rangaraju, S. (2021) Proc Natl Acad Sci USA 118, e201354118
- Rashid, M. H., Huq, R., Tanner, M. R., Chhabra, S., Khoo, K. K., Estrada, R., Dhawan, V., Chauhan, S., Pennington, M. W., Beeton, C., Kuyacak, S., and Norton, R. S. (2014) Sci Rep 4, 4509-4518
- Nicolazzo, J. A., Pan, Y., Di Stefano, I., Choy, K. H. C., Babu Reddiar, S., Low, Y. L., Wai, D. C. C., Norton, R. S., and Jin, L. (2022) J Pharm Sci 111, 638-647
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- Pan, Y., Kagawa, Y., Sun, J., Lucas, D. S. D., Takechi, R., Mamo, J. C. L., Wai, D. C. C., Norton, R. S., Jin, L., and Nicolazzo, J. A. (2023) Neurotherapeutics (doi: 10.1007/s13311-023-01387-z)