1. Repurposing ciclopirox as a pharmacological chaperone in a model of congenital erythropoietic porphyria
- Author
-
Joaquín Castilla, Pedro Urquiza, Jean-Marc Blouin, Fredj Ben Bdira, Virginia Gutiérrez-de-Juan, Iratxe Macías, Oscar Millet, Ana Laín, Arantza Sanz-Parra, Juan Anguita, José M. Mato, Ganeko Bernardo-Seisdedos, Gabriel Ortega, Jorge Moreno, Juan M. Falcón-Pérez, Julen Oyarzabal, Itxaso San Juan, Juan Rodríguez-Cuesta, Emmanuel Richard, Emilio Díez, Sandra García, Paula Pluta, Rosario González-Muñiz, Pierre Dubus, Hubert de Verneuil, Hasier Eraña, and Esperanza Gonzalez
- Subjects
0301 basic medicine ,Porphyria, Erythropoietic ,Uroporphyrinogen III synthase ,Congenital erythropoietic porphyria ,Pharmacology ,Biophysical Phenomena ,Cell Line ,Mice ,03 medical and health sciences ,chemistry.chemical_compound ,medicine ,Animals ,Homeostasis ,Heme ,chemistry.chemical_classification ,biology ,Ciclopirox ,business.industry ,Skin photosensitivity ,Drug Repositioning ,General Medicine ,medicine.disease ,Uroporphyrinogen III Synthetase ,Pharmacological chaperone ,Disease Models, Animal ,Phenotype ,030104 developmental biology ,Enzyme ,Porphyria ,chemistry ,biology.protein ,business ,Allosteric Site ,medicine.drug - Abstract
Congenital erythropoietic porphyria is a rare autosomal recessive disease produced by deficient activity of uroporphyrinogen III synthase, the fourth enzyme in the heme biosynthetic pathway. The disease impacts many organs, can be life-threatening and currently lacks curative treatments. Inherited mutations most commonly reduce the enzyme's stability, altering its homeostasis and ultimately blunting intracellular heme production. This results in uroporphyrin by-product accumulation in the body, aggravating associated pathological symptoms such as skin photosensitivity and disfiguring phototoxic cutaneous lesions. Here we demonstrated that the synthetic marketed antifungal ciclopirox binds to the enzyme, stabilizing it. Ciclopirox targeted the enzyme at an allosteric site distant from the active center and did not affect the enzyme's catalytic role. The drug restored enzymatic activity in vitro and ex vivo, and was able to alleviate most clinical symptoms of congenital erythropoietic porphyria in a genetic mouse model of the disease at sub-toxic concentrations. Our findings establish a possible line of therapeutic intervention against congenital erythropoietic porphyria which is potentially applicable to the majority of deleterious missense mutations causing this devastating disease.
- Published
- 2018
- Full Text
- View/download PDF