2021
DOI: 10.1016/j.cell.2020.11.049
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Structural basis of γ-secretase inhibition and modulation by small molecule drugs

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Cited by 133 publications
(201 citation statements)
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References 87 publications
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“…This region has been suggested to be important for substrate recognition and proteolytic processing (12). Similarly, g-secretase inhibitors (GSIs) and transition state analogs (TSAs) bind to this region (28). Pep-GaMD could show important atomistic dynamism of this region during the enzyme activation for z cleavage.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…This region has been suggested to be important for substrate recognition and proteolytic processing (12). Similarly, g-secretase inhibitors (GSIs) and transition state analogs (TSAs) bind to this region (28). Pep-GaMD could show important atomistic dynamism of this region during the enzyme activation for z cleavage.…”
Section: Discussionmentioning
confidence: 99%
“…Yet the mechanism of processive proteolysis of APP by γ-secretase is unknown. Recent reports of cryo-EM structures of γ-secretase bound to APP and Notch substrates as well as to γ-secretase inhibitors and modulators revealed details of the structural basis of substrate recognition as well as enzyme inhibition and modulation (11,12,30). Regardless, static conformations of the enzyme cannot explain the underlying mechanism of enzyme activation and substrate processing.…”
Section: Discussionmentioning
confidence: 99%
“…One such substrate is the notch protein, which regulates cell growth, differentiation, and communication [40]. 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%
“…28 Recent structure elucidation of the protease bound to two non-transition inhibitors and former clinical candidates semagacestat and avagacestat revealed interaction with this same β-strand-forming region of PSEN1. 30 As avagacestat has shown some selectivity for inhibiting γ-secretase cleavage of APP vis-à-vis Notch, a better understanding of the nature of this particular substrate-enzyme interaction may facilitate structure-based design of agents with improved selectivity for APP. Table 1.…”
Section: Structure-activity Relationshipsmentioning
confidence: 99%
“…Most recently, structures of active enzyme bound to several inhibitors and to a modulator were also solved. 30 Despite these advances, structural understanding of the multiple steps in substrate recognition and processive proteolysis in the lipid bilayer remains largely unclear. Our goal was to engineer a new class of inhibitors based on an entire substrate TMD, to trap the active enzyme in a conformation poised for TMD hydrolysis for study by cryo-EM.…”
Section: Introductionmentioning
confidence: 99%