Targeted pharmacological depletion of serum amyloid P component for treatment of human amyloidosis.
Authors:
Pepys, MB Herbert, J Hutchinson, WL Tennent, GA Lachmann, HJ Gallimore, JR Lovat, LB Bartfai, T Alanine, A Hertel, C Hoffmann, T Jakob-Roetne, R Norcross, RD Kemp, JA Yamamura, K Suzuki, M Taylor, GW Murray, S Thompson, D Purvis, A Kolstoe, S Wood, SP Hawkins, PN
Citation:
Pepys MB, etal., Nature 2002 May 16;417(6886):254-9.
The normal plasma protein serum amyloid P component (SAP) binds to fibrils in all types of amyloid deposits, and contributes to the pathogenesis of amyloidosis. In order to intervene in this process we have developed a drug, R-1-[6-[R-2-carboxy-pyrrolidin-1-yl]-6-oxo-hexanoyl]pyrrolidine-2-carboxyl ic acid, that is a competitive inhibitor of SAP binding to amyloid fibrils. This palindromic compound also crosslinks and dimerizes SAP molecules, leading to their very rapid clearance by the liver, and thus produces a marked depletion of circulating human SAP. This mechanism of drug action potently removes SAP from human amyloid deposits in the tissues and may provide a new therapeutic approach to both systemic amyloidosis and diseases associated with local amyloid, including Alzheimer's disease and type 2 diabetes.