1. Repurposing Benzbromarone for Familial Amyloid Polyneuropathy: A New Transthyretin Tetramer Stabilizer
- Author
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Isabel Cardoso, Gemma Arsequell, José P. Leite, Ellen Y. Cotrina, Jordi Quintana, Ângela Oliveira, Jordi Llop, Luís Gales, Ministerio de Economía y Competitividad (España), and Instituto de Investigação e Inovação em Saúde
- Subjects
Tafamidis ,Protein Conformation, alpha-Helical ,Diflunisal / chemistry ,Uricosuric ,Benzbromarone / metabolism ,Recombinant Proteins / genetics ,Tolcapone / metabolism ,Drug repurposing ,Gene Expression ,dibromophenol scaffold ,Crystallography, X-Ray ,Transthyretin ,Benzbromarone / chemistry ,lcsh:Chemistry ,chemistry.chemical_compound ,Native kinetic stabilization ,Benzbromarone ,Prealbumin ,lcsh:QH301-705.5 ,Spectroscopy ,Neuroprotective Agents / metabolism ,Benzoxazoles ,biology ,drug repurposing ,Protein Stability ,Recombinant Proteins / metabolism ,Amyloidosis ,Prealbumin / metabolism ,drug ,Fibrillogenesis ,General Medicine ,Recombinant Proteins ,Prealbumin / agonists ,Computer Science Applications ,Neuroprotective Agents / chemistry ,Dibromophenol scaffold ,Molecular Docking Simulation ,Neuroprotective Agents ,Biochemistry ,Benzoxazoles / metabolism ,Thermodynamics ,Drug ,Protein Binding ,endocrine system ,Amyloid ,Thyroxine / metabolism ,Thyroxine / chemistry ,Binding, Competitive ,Diflunisal / metabolism ,Catalysis ,Article ,transthyretin ,Transthyretin tetramer stabilizer ,Inorganic Chemistry ,Tetramer ,Benzoxazoles / chemistry ,benzbromarone ,Diflunisal / analogs & derivatives ,medicine ,native kinetic stabilization ,Humans ,Protein Interaction Domains and Motifs ,Physical and Theoretical Chemistry ,Molecular Biology ,Recombinant Proteins / chemistry ,Amyloid / antagonists & inhibitors ,Binding Sites ,Organic Chemistry ,Prealbumin / genetics ,Drug Repositioning ,nutritional and metabolic diseases ,Isothermal titration calorimetry ,Hydrogen Bonding ,medicine.disease ,Diflunisal ,Tolcapone / chemistry ,Kinetics ,Thyroxine ,chemistry ,lcsh:Biology (General) ,lcsh:QD1-999 ,biology.protein ,transthyretin tetramer stabilizer ,Protein Conformation, beta-Strand ,Prealbumin / chemistry ,Tolcapone ,Protein Multimerization - Abstract
Transthyretin (TTR) is a homotetrameric protein involved in human amyloidosis, including familial amyloid polyneuropathy (FAP). Discovering small-molecule stabilizers of the TTR tetramer is a therapeutic strategy for these diseases. Tafamidis, the only approved drug for FAP treatment, is not effective for all patients. Herein, we discovered that benzbromarone (BBM), a uricosuric drug, is an effective TTR stabilizer and inhibitor against TTR amyloid fibril formation. BBM rendered TTR more resistant to urea denaturation, similarly to iododiflunisal (IDIF), a very potent TTR stabilizer. BBM competes with thyroxine for binding in the TTR central channel, with an IC50 similar to IDIF and tafamidis. Results obtained by isothermal titration calorimetry (ITC) demonstrated that BBM binds TTR with an affinity similar to IDIF, tolcapone and tafamidis, confirming BBM as a potent binder of TTR. The crystal structure of the BBM-TTR complex shows two molecules binding deeply in the thyroxine binding channel, forming strong intermonomer hydrogen bonds and increasing the stability of the TTR tetramer. Finally, kinetic analysis of the ability of BBM to inhibit TTR fibrillogenesis at acidic pH and comparison with other stabilizers revealed that benzbromarone is a potent inhibitor of TTR amyloidogenesis, adding a new interesting scaffold for drug design of TTR stabilizers, Funding I.C. works under the Investigator FCT Program which is financed by national funds through FCT and co-financed by ESF through HPOP, type 4.2, Promotion of Scientific Employment. I.C. acknowledges a grant from Fundação Millennium bcp. G.A. acknowledges a grant from Fundació Marató de TV3, Spain (project ref. 20140330-31-32-33-34) and from Spanish MINECO (grant CTQ2016-76840-R). Acknowledgments E.Y.C. acknowledges a contract funded by the project of Fundació Marató de TV3, Spain (project ref. 20140330-31-32-33-34) and a contract from Ford España—Fundación Apadrina la Ciencia. J.P. Leite acknowledges the FCT PhD fellowship SFRH/BD/129921/2017 (Portugal). G.A. acknowledges Rafel Prohens from Unitat de Polimorfisme i Calorimetria, Centres Científics i Tecnològics (University of Barcelona) for his supervision and assistance in ITC studies and acknowledges Antoni Planas (IQS-URL) for full support on the TTR production. We would also like to thank the SOLEIL (Essonne, France) beam line staff for the assistance during data collection, as well as the staff of the ESRF (France) and ALBA (Barcelona, Spain) synchrotrons for assistance in the collection of preliminary data.
- Published
- 2020