2005
DOI: 10.1021/ar020073i
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Native State Kinetic Stabilization as a Strategy To Ameliorate Protein Misfolding Diseases:  A Focus on the Transthyretin Amyloidoses

Abstract: Small molecule-mediated protein stabilization inside or outside of the cell is a promising strategy to treat protein misfolding/misassembly diseases. Herein we focus on the transthyretin (TTR) amyloidoses and demonstrate that preferential ligand binding to and stabilization of the native state over the dissociative transition state raises the kinetic barrier of dissociation (rate-limiting for amyloidogenesis), slowing and in many cases preventing TTR amyloid fibril formation. Since T119M-TTR subunit incorporat… Show more

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Cited by 265 publications
(279 citation statements)
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“…Additionally, as Wu and coworkers have demonstrated, the use of scattering-based techniques [73], including X-ray / neutron scattering and light scattering, combined with theory and simulation should be very useful in the study of aggregation-prone IDPs. Several groups in the amyloid field are already pursuing these types of multi-faceted approaches [5,84,[94][95][96][97][98][99][100][101][102][103][104][105][106][107]. However, we remain blind to interactions and conformational fluctuations that occur at low concentrations.…”
Section: Tests Of the Predictions Made By Raos And Allegramentioning
confidence: 99%
“…Additionally, as Wu and coworkers have demonstrated, the use of scattering-based techniques [73], including X-ray / neutron scattering and light scattering, combined with theory and simulation should be very useful in the study of aggregation-prone IDPs. Several groups in the amyloid field are already pursuing these types of multi-faceted approaches [5,84,[94][95][96][97][98][99][100][101][102][103][104][105][106][107]. However, we remain blind to interactions and conformational fluctuations that occur at low concentrations.…”
Section: Tests Of the Predictions Made By Raos And Allegramentioning
confidence: 99%
“…Mutated TTR causes familial amyloid polyneuropathy (FAP) and/or cardiomyopathy (FAC), depending on the identity of the mutation the patient has inherited. TTR deposits occur throughout the peripheral and autonomic nervous system, and accumulate in various organ systems, such as gastrointestinal tract, heart, and kidney 1. Over the years, numerous experimental techniques have been applied to the study of TTR and the misfolding that ultimately leads to the deposition of insoluble amyloid fibrils.…”
mentioning
confidence: 99%
“…In general, DTTR showed an approximately two‐fold higher fibril accumulation than HTTR. Dissociation of the tetrameric state is thought to be the rate‐limiting step for TTR amyloidogenesis 1. The tetramer stability of HTTR and DTTR was therefore examined as a function of pH (Figure 2 B,C).…”
mentioning
confidence: 99%
“…This research has been successful in identifying a wide variety of structurally diverse compounds that impart kinetic stabilization to tetrameric TTR (for a recent review, see ref. 31). However, many of the most promising compounds are known nonsteriodal antiinflammatory drugs (NSAIDs), such as flufenamic acid and diflunisal ( Fig.…”
mentioning
confidence: 99%