1区 · 医学
Article
作者: Senter, Timothy J. ; Morris, Mark ; Gagnon, Kevin J. ; Vought, Bryan ; Song, Bin ; Gale-Day, Zachary ; Clark, Michael P. ; Zuccola, Harmon ; Considine, Tony ; Magavi, Sanjay S. ; Krueger, Elaine ; Mohanty, Arun K. ; Doyle, Elisabeth ; Huang, Yulin ; Come, Jon H. ; Lu, Fan ; Bonanno, Kenneth C. ; Bunnage, Mark E. ; Andreassi, John ; Phillips, Jonathan ; Court, John J. ; Jackson, Katrina L. ; Charifson, Paul S. ; Gao, Hong ; Taylor, William ; Swett, Rebecca ; Kramer, Tal ; Winquist, Ray ; Gan, Lu ; Furey, Brinley ; Moody, Cameron S. ; O’Dowd, Hardwin ; Iyer, Ganesh ; Kemper, Raymond ; Coll, Joyce ; Nanthakumar, Suganthini ; Crawford, Dan ; Gu, Wenxin ; Boucher, Christina ; Sanders, Martin ; Engtrakul, Juntyma ; Maltais, Francois ; Chakilam, Ananthisrinivas ; Liang, Jianglin
Accumulation of very long chain fatty acids (VLCFAs) due to defects in ATP binding cassette protein D1 (ABCD1) is thought to underlie the pathologies observed in adrenoleukodystrophy (ALD). Pursuing a substrate reduction approach based on the inhibition of elongation of very long chain fatty acid 1 enzyme (ELOVL1), we explored a series of thiazole amides that evolved into compound 27─a highly potent, central nervous system (CNS)-penetrant compound with favorable in vivo pharmacokinetics. Compound 27 selectively inhibits ELOVL1, reducing C26:0 VLCFA synthesis in ALD patient fibroblasts, lymphocytes, and microglia. In mouse models of ALD, compound 27 treatment reduced C26:0 VLCFA concentrations to near-wild-type levels in blood and up to 65% in the brain, a disease-relevant tissue. Preclinical safety findings in the skin, eye, and CNS precluded progression; the origin and relevance of these findings require further study. ELOVL1 inhibition is an effective approach for normalizing VLCFAs in models of ALD.