2022
DOI: 10.1038/s41467-022-32760-9
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Allosteric inhibition of HTRA1 activity by a conformational lock mechanism to treat age-related macular degeneration

Abstract: The trimeric serine protease HTRA1 is a genetic risk factor associated with geographic atrophy (GA), a currently untreatable form of age-related macular degeneration. Here, we describe the allosteric inhibition mechanism of HTRA1 by a clinical Fab fragment, currently being evaluated for GA treatment. Using cryo-EM, X-ray crystallography and biochemical assays we identify the exposed LoopA of HTRA1 as the sole Fab epitope, which is approximately 30 Å away from the active site. The cryo-EM structure of the HTRA1… Show more

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Cited by 7 publications
(17 citation statements)
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“…4D, inset); thus, we speculate that the binding of FOLR3 to this region might inhibit catalysis by preventing substrate access to the active site. The model of FOLR3 also makes direct contacts with “LoopA” of HTRA1: An antibody binding solely to this loop has been shown to allosterically inhibit HTRA1 ( 38 ), thus offering a secondary means by which binding of FOLR3 at this location may inhibit HTRA1.…”
Section: Resultsmentioning
confidence: 99%
“…4D, inset); thus, we speculate that the binding of FOLR3 to this region might inhibit catalysis by preventing substrate access to the active site. The model of FOLR3 also makes direct contacts with “LoopA” of HTRA1: An antibody binding solely to this loop has been shown to allosterically inhibit HTRA1 ( 38 ), thus offering a secondary means by which binding of FOLR3 at this location may inhibit HTRA1.…”
Section: Resultsmentioning
confidence: 99%
“…2-4 cm À 1 ) from those of the pristine 5 e and C 60 . [34] The most intense Raman lines corresponding to the breathing mode A g (1) and pentagonal pinch mode A g (2) of C 60 were also shifted from 496 and 1462 cm À 1 to 494 and 1468 cm À 1 , respectively. The other Raman-active modes of H g symmetry of C 60 also shifted as follows: 428 !…”
Section: Methodsmentioning
confidence: 95%
“…To elucidate the pure effect of C-alkyl substituents in conformational rigidification, we synthesized and characterized hydrogen-bonding-free OMRs 4 (Scheme 1 and Pages S4-S6). [4a, 8d, 23] The variable low-temperature (up to À 90 °C) 1 Can the α-branched C-alkyl substituents induce conformation locking in the hydrogen-bonding-free arm-extended m-cyclophanes as well? To answer this, we synthesized dissymmetric α-branched CÀ iPr 5 e and CÀ Cy 5 f coumarin- [4]arenes (CAs as racemates up to 93 % yield, Scheme 1 and Pages S6-S7) from the corresponding TMRs 2 e-f. We followed our optimized two-step method developed for 5 b-d. [9] Delightfully, the 1 H NMR signals of CAs 5 e and 5 f did not split up to À 90 °C (Figures 2B and S30) attesting to their conformational rigidity.…”
Section: Synthesis Of M-cyclophane Macrocycles and Solution-state Cha...mentioning
confidence: 99%
See 1 more Smart Citation
“…HTRA1 forms a homotrimer through its protease domains that positions the three active sites in close proximity such that antibodies are unable to simultaneously access them. Indeed, known inhibitory antibodies of HTRA1 bind to epitopes peripheral to the active site and use allosteric mechanisms 46 , 47 . In contrast, small compact peptides such as CKPs do not have these spatial restrictions, which increases the available surface area for functional binding, including the occupation of all three active sites within an HTRA1 trimer.…”
Section: Introductionmentioning
confidence: 99%