Development of a Targeted Identification Platform of Small Molecule Inhibitors for Rare and Orphan Diseases Öffentlichkeit
Spancake, Caroline (Spring 2023)
Abstract
Rare and orphan diseases are often under-researched due to their limited financial incentive to pharmaceutical companies. Drug repurposing provides a unique, beneficial approach which reduces costs, leverages small patient populations, limited resources, and lowers other barriers in rare and orphan disease drug discovery and development. This project aimed to establish and optimize a screening platform and workflow for rare and orphan diseases by evaluating therapeutic agents for their ability to serve as treatments or reversals of phenotypes. Multisystem Proteinopathy 1 (MSP-1) was the model disease for this development, with a therapeutic approach to employ candidates aiming to reverse phenotypes driven by harmful levels of protein aggregation. Candidates were screened for efficacy, toxicity, impact on various diseases markers, and reversal of phenotypes that drive disease in vivo. Future directions include pursuit of advanced efficacy platforms and expanding the scope of the project to other diseases or full classes of diseases, with a streamlined goal of selection of repurposed agents to expedite the path to the clinic with a robust, informed preclinical package.
Table of Contents
Introduction 2
Background. 4
Disease History 4
Clinical Manifestations 6
Role of VCP/p97 in MSP1. 6
VCP Function in Protein Clearance 8
Relationship between Autophagy and the Ubiquitin Proteasome System 9
Therapeutic Approach 10
Methods 12
Initial Cell Culture 12
MTS Assay 16
Reactive Oxidative Species (ROS) Detection & Optimization 17
Autophagy Assay 17
Results 18
Toxicity Screening 18
ROS Detection 25
Autophagy Studies 20
Discussion & Future Direction 32
Toxicity Studies 32
ROS Detection 33
Autophagy Studies 32
Rare and Orphan Disease Drug Discovery 34
References 36
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