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AbstractMost protein-coding genes produce multiple protein isoforms; however, these isoforms are commonly neglected in drug discovery. The expression of protein isoforms can be specific to a disease, tissue and/or developmental stage, and this specific expression can be harnessed to achieve greater drug specificity than pan-targeting of all gene products and to enable improved treatments for diseases caused by aberrant protein isoform production.
摘要大多数蛋白质编码基因产生多种蛋白质同工型;然而,这些同工型在药物发现中通常被忽视。蛋白质同工型的表达可以对疾病,组织和/或发育阶段具有特异性,并且可以利用这种特异性表达来实现比所有基因产物的泛靶向更高的药物特异性,并且能够改进由异常蛋白质同工型产生引起的疾病的治疗。
In recent years, several protein isoform-centric therapeutics have been developed. Here, we collate these studies and clinical trials to highlight three distinct but overlapping modes of action for protein isoform-centric drugs: isoform switching, isoform introduction or depletion, and modulation of isoform activity.
近年来,已经开发了几种以蛋白质同工型为中心的疗法。在这里,我们整理了这些研究和临床试验,以突出以蛋白质同工型为中心的药物的三种不同但重叠的作用模式:同工型转换,同工型引入或消耗以及同工型活性的调节。
In addition, we discuss how protein isoforms can be used clinically as targets for cell type-specific drug delivery and immunotherapy, diagnostic biomarkers and sources of cancer neoantigens. Collectively, we emphasize the value of a focus on isoforms as a route to discovering drugs with greater specificity and fewer adverse effects.
此外,我们讨论了蛋白质同工型如何在临床上用作细胞类型特异性药物递送和免疫疗法,诊断生物标志物和癌症新抗原来源的靶标。总的来说,我们强调关注同工型作为发现具有更高特异性和更少不良反应的药物的途径的价值。
This approach could enable the targeting of proteins for which pan-inhibition of all isoforms is toxic and poorly tolerated..
这种方法可以靶向所有同工型的泛抑制有毒且耐受性差的蛋白质。。
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Fig. 1: Genes can give rise to multiple protein isoforms through alternative RNA splicing.Fig. 2: Three modes of action for function-dependent protein isoform-centric therapeutics.Fig. 3: Examples of function-dependent protein isoform-centric therapies.Fig. 4: Function-agnostic clinical uses for protein isoforms..
图1:基因可以通过替代RNA剪接产生多种蛋白质同种型。图2:功能依赖性蛋白质同工型中心疗法的三种作用模式。图3:功能依赖性蛋白质同种型中心疗法的例子。图4:蛋白质同工型的功能不可知临床用途。。
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Download referencesAcknowledgementsThe authors acknowledge the members of the Weatheritt lab for fruitful discussions on protein isoforms and their therapeutic uses. They also thank S. Zinn, D. Christ and A. Cooper, for critical reading of the manuscript and helpful suggestions. They thank A.
下载参考文献致谢作者感谢Weatheritt实验室的成员就蛋白质同工型及其治疗用途进行了富有成效的讨论。他们还感谢S.Zinn,D.Christ和A.Cooper对稿件的批判性阅读和有益的建议。他们感谢A。
Grootveld for discussions on vaccination responses and P. Sinitcyn for discussions on using mass spectrometry for protein isoform characterization. P.K.-H. discloses support for this work from a University International Postgraduate Award scholarship from the University of New South Wales and a Peter & Emma Thomsens legat (stipend).
Grootveld讨论疫苗接种反应,P.Sinitcyn讨论使用质谱法进行蛋白质同工型表征。P、 K.-H.披露了新南威尔士大学国际研究生奖奖学金和Peter&EmmaThomsens legat(津贴)对这项工作的支持。
T.G.P. is supported by the Australian National Health and Medical Research Council (NHMRC) Investigator Grant (APPID1155678), the Kinghorn Foundation, Cancer Institute NSW, Australian Cancer Research Foundation and the Tour de Cure. R.J.W. discloses support for this work from E. P. Oldham — Viertel Senior Medical Fellowship, the Scrimshaw Family Foundation, EMBL Australia, Australian Research Council Future Fellowship and Discovery Project, NSW Institute of Cancer Research and NSW Cancer Council.Author informationAuthors and AffiliationsEMBL Australia, Garvan Institute of Medical Research, Darlinghurst, New South Wales, AustraliaPeter Kjer-Hansen & Robert J.
T、 G.P.得到了澳大利亚国家健康与医学研究委员会(NHMRC)研究员资助(APPID1155678),金霍恩基金会,新南威尔士州癌症研究所,澳大利亚癌症研究基金会和Tour de Cure的支持。R、 J.W.披露了E.P.Oldham-Viertel高级医学奖学金、Scrimshaw家庭基金会、澳大利亚EMBL、澳大利亚研究委员会未来奖学金和发现项目、新南威尔士州癌症研究所和新南威尔士州癌症委员会对这项工作的支持。作者信息作者和附属机构澳大利亚,加文医学研究所,新南威尔士州达林赫斯特,澳大利亚彼得克杰尔·汉森和罗伯特·J。
WeatherittSt. Vincent’s Healthcare Clinical Campus, School of Clinical Medicine, Faculty of Medicine and Health, UNSW Sydney, Darlinghurst, New South Wales, AustraliaPeter Kjer-Hansen & Tri Giang PhanPrecision Immunology Program, Garvan Institute of Medical Research, Sydney, New South Wales, AustraliaTri Giang PhanSchool of Biotechnology and Biomolecular Sciences, University of New South Wales, Sydney, New South Wales, AustraliaRobert J.
WeatherittSt公司。新南威尔士州悉尼新南威尔士州达林赫斯特市新南威尔士州医学与健康学院临床医学院文森特医疗保健临床校区澳大利亚新南威尔士州悉尼加万医学研究所Kjer Hansen&Tri Giang PhanPrecision免疫学计划澳大利亚新南威尔士州悉尼新南威尔士大学生物技术与生物分子科学学院。
WeatherittAuthorsPeter Kjer-HansenView author .
Weatheritt作者Peter Kjer HansenView作者。
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PubMed Google ScholarContributionsP.K.-H. and R.J.W. researched data for the article. All authors contributed substantially to discussion of the content. P.K.-H. and R.J.W. wrote the article. All authors reviewed and/or edited the manuscript before submission.Corresponding authorsCorrespondence to.
PubMed谷歌学术贡献SP。K、 -H.和R.J.W.研究了文章的数据。所有作者都对内容的讨论做出了重大贡献。P、 K.-H.和R.J.W.写了这篇文章。所有作者在提交前都对稿件进行了审查和/或编辑。通讯作者通讯。
Peter Kjer-Hansen or Robert J. Weatheritt.Ethics declarations
Peter Kjer Hansen或Robert J.Weatheritt。道德宣言
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The authors declare no competing interests.
作者声明没有利益冲突。
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Nature Reviews Drug Discovery thanks Rotem Karni and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.
《自然评论》药物发现感谢Rotem Karni和另一位匿名审稿人对这项工作的同行评审做出的贡献。
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Additional informationPublisher的注释Springer Nature在已发布的地图和机构隶属关系中的管辖权主张方面保持中立。相关链接clinicaltrials.gov:https://clinicaltrials.govRights许可Pringer Nature或其许可方(例如协会或其他合作伙伴)根据与作者或其他权利持有人的出版协议对本文拥有专有权;本文接受稿件版本的作者自行存档仅受此类出版协议和适用法律的条款管辖。转载和许可本文引用本文Kjer Hansen,P.,Phan,T.G。
& Weatheritt, R.J. Protein isoform-centric therapeutics: expanding targets and increasing specificity..
&Weatheritt,R.J。以蛋白质同工型为中心的疗法:扩大靶标和提高特异性。。
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