Repositioning tolcapone as a potent inhibitor of transthyretin amyloidogenesis and associated cellular toxicity

Transthyretin (TTR) is a plasma homotetrameric protein implicated in fatal systemic amyloidoses. TTR tetramer dissociation precedes pathological TTR aggregation. Native state stabilizers are promising drugs to treat TTR amyloidoses. Here we repurpose tolcapone, an FDA-approved molecule for Parkinson...

Descripción completa

Detalles Bibliográficos
Autores: Sant'Anna, Ricardo, Gallego Alonso, Pablo, Robinson, Lei Z., Pereira-Henriques, Alda, Ferreira, Nelson, Garcia de Carvalho Pinheiro, Francisca|||0000-0003-3778-1528, Esperante, Sebastián|||0000-0002-5778-6871, Pallarès i Goitiz, Irantzu|||0000-0002-8205-2060, Huertas, Oscar, Almeida, Maria Rosário|||0000-0001-9289-3835, Reixach, Natàlia, Insa, Raul, Velázquez-Campoy, Adrián|||0000-0001-5702-4538, Reverter Cendrós, David|||0000-0002-5347-0992, Reig, Núria, Ventura, Salvador|||0000-0002-9652-6351
Tipo de recurso: artículo
Fecha de publicación:2016
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:225206
Acceso en línea:https://ddd.uab.cat/record/225206
https://dx.doi.org/urn:doi:10.1038/ncomms10787
Access Level:acceso abierto
Palabra clave:Administration, Oral
Amyloid neuropathies, Familial
Animals
Benzophenones
Catechol O-methyltransferase inhibitors
Cell line
Dimerization
Drug repositioning
Healthy volunteers
Humans
Mice, Transgenic
Middle aged
Nitrophenols
Prealbumin
Protein aggregation, Pathological
Descripción
Sumario:Transthyretin (TTR) is a plasma homotetrameric protein implicated in fatal systemic amyloidoses. TTR tetramer dissociation precedes pathological TTR aggregation. Native state stabilizers are promising drugs to treat TTR amyloidoses. Here we repurpose tolcapone, an FDA-approved molecule for Parkinson's disease, as a potent TTR aggregation inhibitor. Tolcapone binds specifically to TTR in human plasma, stabilizes the native tetramer in vivo in mice and humans and inhibits TTR cytotoxicity. Crystal structures of tolcapone bound to wild-type TTR and to the V122I cardiomyopathy-associated variant show that it docks better into the TTR T pocket than tafamidis, so far the only drug on the market to treat TTR amyloidoses. These data indicate that tolcapone, already in clinical trials for familial amyloid polyneuropathy, is a strong candidate for therapeutic intervention in these diseases, including those affecting the central nervous system, for which no small-molecule therapy exists.