A Brain-Penetrant Stearoyl-CoA Desaturase Inhibitor Reverses α-Synuclein Toxicity

Abstract Increasing evidence has shown that Parkinson’s disease (PD) impairs midbrain dopaminergic, cortical and other neuronal subtypes in large part due to the build-up of lipid- and vesicle-rich α-synuclein (αSyn) cytotoxic inclusions. We previously identified stearoyl-CoA desaturase (SCD) as a potential therapeutic target for synucleinopathies. A brain-penetrant SCD inhibitor, YTX-7739, was developed and has entered Phase 1 clinical trials. Here, we report the efficacy of YTX-7739 in reversing pathological αSyn phenotypes in various in vitro and in vivo PD models. In cell-based assays, YTX-7739 decreased αSyn-mediated neuronal death, reversed the abnormal membrane interaction of amplified E46K (“3K”) αSyn, and prevented pathological phenotypes in A53T and αSyn triplication patient-derived neurospheres, including dysregulated fatty acid profiles and pS129 αSyn accumulation. In 3K PD-like mice, YTX-7739 crossed the blood–brain barrier, decreased unsaturated fatty acids, and prevented progressive motor deficits. Both YTX-7739 treatment and decreasing SCD activity through deletion of one copy of the SCD1 gene (SKO) restored the physiological αSyn tetramer-to-monomer ratio, dopaminergic integrity, and neuronal survival in 3K αSyn mice. YTX-7739 efficiently reduced pS129 + and PK-resistant αSyn in both human wild-type αSyn and 3K mutant mice similar to the level of 3K-SKO. Together, these data provide further validation of SCD as a PD therapeutic target and YTX-7739 as a clinical candidate for treating human α-synucleinopathies..

Medienart:

Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

Neurotherapeutics - 19(2022), 3 vom: Apr., Seite 1018-1036

Sprache:

Englisch

Beteiligte Personen:

Nuber, Silke [VerfasserIn]
Chung, Chee Yeun [VerfasserIn]
Tardiff, Daniel F. [VerfasserIn]
Bechade, Pascal A. [VerfasserIn]
McCaffery, Thomas D. [VerfasserIn]
Shimanaka, Kazuma [VerfasserIn]
Choi, Jeonghoon [VerfasserIn]
Chang, Belle [VerfasserIn]
Raja, Waseem [VerfasserIn]
Neves, Esther [VerfasserIn]
Burke, Christopher [VerfasserIn]
Jiang, Xin [VerfasserIn]
Xu, Ping [VerfasserIn]
Khurana, Vikram [VerfasserIn]
Dettmer, Ulf [VerfasserIn]
Fanning, Saranna [VerfasserIn]
Rhodes, Kenneth J. [VerfasserIn]
Selkoe, Dennis J. [VerfasserIn]
Scannevin, Robert H. [VerfasserIn]

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© The Author(s) 2022. corrected publication 2022

doi:

10.1007/s13311-022-01199-7

funding:

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PPN (Katalog-ID):

OLC207918539X