Emerging small-molecule therapeutic approaches for amyotrophic lateral sclerosis and frontotemporal dementia

被引:36
作者
Brown, Dean G. [1 ]
Shorter, James [2 ]
Wobst, Heike J. [3 ]
机构
[1] AstraZeneca, BioPharmaceut R&D, Discovery Sci, Hit Discovery, Boston, MA USA
[2] Univ Penn, Dept Biochem & Biophys, Perelman Sch Med, Philadelphia, PA 19104 USA
[3] AstraZeneca, BioPharmaceut R&D, Neurosci, Boston, MA USA
关键词
Amyotrophic lateral sclerosis; Frontotemporal dementia; PARP; TDP-43; Stress granules; POLY(ADP-RIBOSE) POLYMERASE PARP; DNA-BINDING PROTEIN; HEXANUCLEOTIDE REPEAT; PHASE-SEPARATION; LOBAR DEGENERATION; TDP-43; AUTOPHAGY; C9ORF72; ALS; PHOSPHORYLATION;
D O I
10.1016/j.bmcl.2019.126942
中图分类号
R914 [药物化学];
学科分类号
100701 ;
摘要
Novel treatments are desperately needed for amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD). In this review article, a survey of emerging small-molecule approaches for ALS and FTD therapies is provided. These approaches include targeting aberrant liquid-liquid phase separation and stress granule assembly, modulation of RNA-protein interactions, inhibition of TDP-43 phosphorylation, inhibition of poly(ADPribose) polymerases (PARP), RNA-targeting approaches to reduce RAN translation of dipeptide repeat proteins from repeat expansions of C9ORF72, and novel autophagy activation pathways. This review details the emerging small-molecule tools and leads in these areas, along with a critical perspective on the key challenges facing these opportunities.
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页数:10
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