LAVAL, Quebec—As part of a larger program to develop
antivirals, scientists at REPLICor and Hamilton,
Mont.-based NIAID Rocky Mountain Laboratories
collaborated on the development and characterization
of a therapeutic that may help fight human and
animal prion disorders, including scrapie, bovine
spongiform encephalopathy (BSE or mad cow) and
Creutzfeld-Jakob disease (CJD). They recently
described their efforts in the journal
Antimicrobial Agents and Chemotherapy.
For REPLICor, the research is just part of its
larger effort to develop therapeutics against
infectious diseases, a program that centers on the
lead compound REP 9, which has shown activity
against both prion disorders and viral infections.
While not widely prevalent in the human population,
prion disorders have garnered increased attention in
recent years as the prevalence of BSE has increased
in global cattle populations. The U.S.D.A. pegged
the U.S. beef market at $78-billion in 2005, which
provides a significant incentive to develop new
therapeutics that will avoid the devastation
experienced by the United Kingdom in the late 1980s
and early 1990s.
According to Dr. Byron Caughey, senior investigator
at the Rocky Mountain Labs, there have been tangible
experimental advances for prion diseases, but none
of the treatments have shown clear efficacy. “In
experimental settings, a number of compounds and
immunotherapies can dramatically prolong the survival
times of TSE-infected rodents when administered
prophylactically,” he says “A few compounds also
have been shown to be helpful in the face of
established brain infections in the laboratory.”
Knowing that prion disorders are triggered when
natural proteins in the body change shape and
aggregate to form tangles, the REPLICor scientists
looked to prevent or disrupt this aggregation
process using modified oligonucleotides. In
particular, they chose phosphorothioated (PS-)
oligonucleotides, which they hoped would bind more
tightly to the prion proteins. They then enlisted
the help of NIAID to test the resulting compounds.
“Since we are developing broad-spectrum drugs, it is
essential that we collaborate with experts in each
disease,” says Dr. Jean-Marc Juteau, senior
scientist and co-founder of REPLICor. “It would be
nearly impossible to test in house all the viruses,
prion and other infectious agents.”
Using a mouse model of scrapie, a prion disease of
sheep, researchers found that the
PS-oligonucleotides prevented aggregation as well as
breakdown pre-existing aggregates. “The drug could
probably be of utility as a treatment to control the
disease,” Juteau says. “But we can also foresee the
potential market of blood product and tissue
treatment for inhibition of transmission of prion
diseases.”
And because the PS-oligonucleotides have a simple
chemistry and work by preventing protein aggregation,
their therapeutic indications may extend beyond
prion diseases. Says Caughey: “It is possible that by
a similar mechanism, these compounds could reduce
the formation of the abnormal protein aggregates
that appear to cause a number of other diseases such
as Alzheimer’s, Parkinson’s and Huntington’s.”
According to Juteau, REPLICor already has data
showing the compounds have strong anti-malarial
potential, and the company expects to file INDs in
late 2006 or early 2007 for the treatment of
hepatitis C and influenza.
In the meantime, the scientists acknowledge that there
is still a long way to go before getting these compounds
into the clinic as prion therapeutics. “We want to
further resolve the mode of action in prions in order to
improve the activity,” Juteau says, but the company does
foresee drug formulations that are active against both
viral infections and prion diseases.