1区 · 综合性期刊
ArticleOA
作者: Gazorpak, Mahshid  ; Fischer, Vincent  ; Ptaszek, Aleksandra L  ; Gapp, Katharina  ; Mathis, Kei  ; Bohacek, Johannes  ; Ivanova, Iryna  ; Privitera, Mattia  ; Kretschmer, Miriam  ; Rudolf, Remo  ; Frei, Selina  ; Germain, Pierre-Luc  ; Hierlemann, Andreas  ; Meijer, Onno C  ; Holzinger, Julian  ; Konrat, Robert  ; Mompart Barrenechea, Sergio  ; Paul, Dominique  ; Xue, Xiaohan  ; Hugentobler, Karina M  ; Carreira, Erick M 
Abstract:Counteracting the overactivation of glucocorticoid receptors (GR) is an important therapeutic goal in stress-related psychiatry and beyond. The only clinically approved GR antagonist lacks selectivity and induces unwanted side effects. To complement existing tools of small-molecule-based inhibitors, we present a highly potent, catalytically-driven GR degrader, KH-103, based on proteolysis-targeting chimera technology. This selective degrader enables immediate and reversible GR depletion that is independent of genetic manipulation and circumvents transcriptional adaptations to inhibition. KH-103 achieves passive inhibition, preventing agonistic induction of gene expression, and significantly averts the GR’s genomic effects compared to two currently available inhibitors. Application in primary-neuron cultures revealed the dependency of a glucocorticoid-induced increase in spontaneous calcium activity on GR. Finally, we present a proof of concept for application in vivo. KH-103 opens opportunities for a more lucid interpretation of GR functions with translational potential.