2021
DOI: 10.3390/pharmaceutics13040514
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Structural Analysis of the Simultaneous Activation and Inhibition of γ-Secretase Activity in the Development of Drugs for Alzheimer’s Disease

Abstract: Significance: The majority of the drugs which target membrane-embedded protease γ-secretase show an unusual biphasic activation–inhibition dose-response in cells, model animals, and humans. Semagacestat and avagacestat are two biphasic drugs that can facilitate cognitive decline in patients with Alzheimer’s disease. Initial mechanistic studies showed that the biphasic drugs, and pathogenic mutations, can produce the same type of changes in γ-secretase activity. Results: DAPT, semagacestat LY-411,575, and avaga… Show more

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Cited by 13 publications
(27 citation statements)
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“…Inhibitors of γsecretase, such as Semagacestat and Avagacestat, have not been approved for marketing because the former caused significant adverse reactions such as cognitive decline and decreased ability to perform daily activities, and the latter was ineffective [41]. To avoid the negative effects of overall enzyme inhibition, selective γ-secretase modulators (SGSM) could be developed [42].…”
Section: Beta and Gamma Secretase Inhibitionmentioning
confidence: 99%
“…Inhibitors of γsecretase, such as Semagacestat and Avagacestat, have not been approved for marketing because the former caused significant adverse reactions such as cognitive decline and decreased ability to perform daily activities, and the latter was ineffective [41]. To avoid the negative effects of overall enzyme inhibition, selective γ-secretase modulators (SGSM) could be developed [42].…”
Section: Beta and Gamma Secretase Inhibitionmentioning
confidence: 99%
“…The structures of S100A9 homodimer [55] in complex with DOPA and cyclen-based compounds (Figure 1) were described by using a combination of ligand docking and all-atom MD simulation [56]. Molecular docking was used for the initial search of the binding sites of those ligands on S100A9 homodimer [57].…”
Section: Ligand Dockingmentioning
confidence: 99%
“…The S100A9 structure used in this study was the average from a set of 10 NMR structures downloaded from the protein data bank, ref PDB: 5I8N [55]. The ligands were hydrogenated and charged at pH 7.2, using the Gasteiger protocol [56]. S100A9 was protonated at pH 7.2 using the AMBER98S force field [57].…”
Section: Ligand Docking Studiesmentioning
confidence: 99%
“…when substrate starts accumulating while the enzyme is still processing its substrate [9,10,17]. We show that the second substrate, different drugs, and different FAD mutations, all target the same sites on the presenilin subunit [8,31,32]. Thus, the binding of the second substrate, like different drugs and FAD mutations, can support the conformational changes that interfere with the processive catalysis and Aβ production [8,20,25,32].…”
Section: Introductionmentioning
confidence: 99%
“…We show that the second substrate, different drugs, and different FAD mutations, all target the same sites on the presenilin subunit [8,31,32]. Thus, the binding of the second substrate, like different drugs and FAD mutations, can support the conformational changes that interfere with the processive catalysis and Aβ production [8,20,25,32]. We show that the presented two-substrate mechanism is consistent with different studies of changes in γ-secretase activity in Alzheimer’s disease.…”
Section: Introductionmentioning
confidence: 99%