PKAN drug screening at Yale University

PKAN drug screening at Yale University

Since July 2021, a new one-year PKAN research project has been underway at Yale University, New Haven (USA) under the direction of Professor Choukri Ben Mamoun. The project, entitled: "A High-Throughput Screening for PKAN-Reversing Agents", is funded with $115,000 from Hoffnungsbaum e.V., Aisnaf and NBIA Disorders Association. We are contributing $47,500 (€40,595), thanks in part to successful fundraising campaigns by some PKAN-affected families and numerous individual donations to PKAN research.

PKAN (pantothenate kinase-associated neurodegeneration), one of the most common forms of NBIA, predominantly affects children, adolescents and young adults and is caused by two mutations in each of the PANK2 gene. These mutations lead to a deficiency of the PANK2 enzyme in cell metabolism and thus to PKAN disease. Their main symptom, among other features of the disease, is muscle cramps (dystonia), which sooner or later lead to pronounced disabilities. To date, there is not a single approved therapy for PKAN that targets the causes of the disease, but mainly symptomatic treatments. However, they are insufficiently able to mitigate the consequences of the disease.

Dr. Ben Mamoun, who is still relatively new to the field of PKAN research, is supervising another PKAN project that we have previously reported on:
https://www.hoffnungsbaum.de/forscher-an-der-yale-universitaet-arbeitet-an-neuem-therapieansatz-fuer-pkan/

Mamoun sees the limited knowledge of the metabolic and cellular defects caused by the failure of PANK2 as an obstacle to finding an ideal therapeutic strategy for PKAN and explains the project, which is now jointly funded by the NBIA Patient Self-Help: "We hypothesize that an unbiased approach to detecting small molecules that restore normal function in PanK2-deficient cells could be a better therapeutic strategy. The aim of our research is to use a cell-based detection method to search for small molecules that restore normal metabolic function in cells of PKAN patients with Pank2 deficiency. The identified potential drug candidates will then be investigated in PKAN mouse models for their mode of action and biological activity. The success of these studies will set the stage for future clinical trials of the lead compounds for the treatment of PKAN."

We hope that this project, along with several other ongoing and upcoming PKAN research projects, can pave the way for new effective PKAN therapies. In the interest of PKAN sufferers, we believe that parallel research into different therapy options makes sense in the search for therapeutic solutions. 

Lena Burbulla discovers new possible BPAN disease mechanisms

Lena Burbulla discovers new possible BPAN disease mechanisms

Prof. Dr. Lena Burbulla recently successfully completed a project to research beta propeller protein-associated neurodegeneration (BPAN). The project, funded in 2019 with a total budget of € 65,000 by Aisnaf, NBIADA and Hoffnungsbaum e.V. jointly funded, was carried out at Northwestern University in Chicago over a period of 18 months.

BPAN is caused by mutations in the WDR45 gene, which is involved in autophagy, a mechanism by which unneeded components of our cells are broken down and recycled. To date, it is not clear how the mutation of the WDR45 gene leads to the accumulation of iron in the brain and all the disease features observed in patients with BPAN.

 

Defective lysosomes contribute to iron storage in neuronal cells.

In order to understand these mechanisms, the researcher first generated neurons from induced pluripotent stem cells (iPSCs) obtained from small skin flaps of patients. Examination of these neurons revealed that the WDR45 gene is probably involved in the process of autophagy, which ultimately leads to the degradation of proteins in the lysosomes. Lysosomes are organelles, or "small organs" within a cell, whose main function is to collect cellular waste and transport it out of the cell. The lysosomes in BPAN neurons are probably defective. They are therefore only able to dispose of proteins and cell organelles correctly to a limited extent. This could also affect iron-binding proteins. If this is confirmed in further studies, it could be a possible explanation for the pathological accumulation of iron observed in the neurons of BPAN patients. Examination of the neurons also revealed an accumulation of neuromelanin, which may be due to poor iron regulation. Neuromelanin is in fact one of the molecules that can bind iron and is typically present in dopaminergic neurons - the neurons most affected in BPAN. Prof. Burbulla's studies on the human BPAN model are promising preliminary findings, which will need to be further investigated in further studies.

 

Mini-brain as a three-dimensional disease model shows changes typical of BPAN

Another aim of the project was to create more sophisticated models of the disease, so-called mini-brains. Dr. Burbulla was able to create three-dimensional cellular structures from iPSCs of the patients. Of course, the human brain is much more complex than the mini-brains produced in the laboratory - and yet these allow the disease to be reproduced and studied in a "brain-like" system.

The analyses performed have confirmed that the mini-brains contain structures typical of the brain regions affected by BPAN and have revealed those pathological changes that are similar to those observed in simpler cellular models, such as the defects in the lysosomes and the accumulation of neuromelanin.

 

Research into therapeutic strategies for BPAN

A third part of the project was aimed at researching therapeutic strategies. Among the approaches tested, interesting preliminary results were obtained with antioxidant molecules that showed a partial improvement of the defects in the models. Ultimately, the results of the project, although still preliminary, open up new and interesting perspectives on the functions of the WDR45 gene with regard to the role it plays in neurons and with regard to possible new therapeutic strategies.

 

Prof. Lena Burbulla moves to Munich

After completing this project, Prof. Burbulla has since moved from Northwestern University in Chicago to the Biomedical Center at Ludwig-Maximilians-Universität in Munich, where she is leading the "oxDOPAMINE" project funded by the European Research Council as part of the SyNergy Cluster of Excellence. In this project, she wants to investigate why nerve cells in the midbrain are susceptible to an accumulation of the oxidized neurotransmitter dopamine and subsequently degenerate. As she suspects that, in addition to a defective dopamine metabolism, a disturbed iron balance also plays a critical role in this process, the researcher would also like to focus on rarer neurodegenerative diseases in addition to the relatively common Parkinson's disease. Research on BPAN will therefore also be part of her projects.

Hoffnungsbaum e.V. is very pleased that NBIA diseases will also play a role in Prof. Burbulla's future research projects, as they represent an ideal research model in view of the scientific issues surrounding impaired iron balance.

 

Editorial work: Angelika Klucken

Corrections: Prof. Lena Burbulla

Sources:
https://www.lmu.de/de/newsroom/news-und-events/news/sechs-neue-erc-grants-an-der-lmu.html
Lay Summary of the project: "Mechanistic insights into iron accumulation in WDR45 mutant neurons linked to β-propeller-associated neurodegeneration"

News from CoA-Therapeutics: Phase 1 trial with new drug for PKAN has started

News from CoA-Therapeutics: Phase 1 trial with new drug for PKAN has started

Es gibt aktuelle Neuigkeiten von CoA Therapeutics, Inc., einer Tochtergesellschaft von BridgeBio Pharma, Inc. Das kalifornische Unternehmen arbeitet an einer neuen möglichen Therapie für PKAN-Patienten. „CoA“ steht für Coenzym A und weist schon im Namen der Firma darauf hin, dass sie sich darauf spezialisiert hat, Medikamente zur Behandlung von Erkrankungen zu entwickeln, die mit einem Coenzym A-Mangel einhergehen, wie zum Beispiel bei PKAN-Patienten. Jetzt hat CoA Therapeutics uns über den aktuellen Stand ihres PKAN-Forschungsprogramms informiert:

Die notwendigen präklinischen Tierstudien mit dem niedermolekularen Wirkstoffkandidaten BBP-671 sind abgeschlossen und die US-amerikanische Arzneimittelbehörde FDA (Food and Drug Administration) hat den Antrag von CoA Therapeutics auf Verwendung des neuen Prüfpräparates (Investigational New Drug – IND) bei Menschen genehmigt. Im April 2021 startete daher eine Phase-1-Studie, die an gesunden Probanden die Sicherheit von BBP-671 testet, bevor es an PKAN-Patienten untersucht wird. Das Team von CoA Therapeutics plant, Ende 2022 mit klinischen Studien an PKAN-Patienten zu beginnen, sobald feststeht, dass der Wirkstoffkandidat sicher ist und eine für PKAN-Patienten geeignete Dosis ermittelt werden konnte.

Das Unternehmen plant, sein Medikament weltweit an PKAN-Patienten zu untersuchen. In den USA hat BBP-671 bereits den Status eines Medikaments für seltene Erkrankungen und auch für seltene pädiatrische Erkrankungen (Orphan-Drug-Status) bekommen. In der Europäischen Union wurde BBP-671 kürzlich die Kennzeichnung als Arzneimittel für Seltene Erkrankungen (Orphan-Drug Designation) durch die Europäische Arzneimittelagentur EMA ebenfalls gewährt. Das Team von CoA Therapeutics setzt sich dafür ein, diese potenzielle Therapie für PKAN-Patienten so schnell und so sicher wie möglich voranzutreiben. Wer mehr über CoA Therapeutics erfahren möchte, kann sich direkt auf der Firmen-Website informieren: https://coatherapeutics.com/

Hoffnungsbaum e.V. wird PKAN-Familien weiterhin über alle neuen Entwicklungen zu dieser geplanten Studie auf dem Laufenden halten.

NBIA Disorders Association family conference sessions now available online

NBIA Disorders Association family conference sessions now available online

The virtual conference platform is now open to all, free of charge, so that interested English-speaking families can view those sessions that are available as recordings. The program includes patient-focused research updates and information from NBIA specialists at Oregon Health & Science University in Portland (USA) and other NBIA scientists on clinically relevant questions for the most common NBIA forms PKAN, BPAN, MPAN, PLAN and FAHN. In addition, there are cross-variant sessions on special topics such as dental health and nutritional problems, as well as tips for fundraising and public relations.

This and much more can be found under this link: https://nbiaconference.org/ In order to access the lectures, you have to register for free beforehand.

The NBIA Disorders Association is also celebrating its 25th anniversary in September. We would like to take this opportunity to congratulate our big sister organization on this anniversary, without whose encouraging example there would probably not be many NBIA associations in the world. Also Hoffnungsbaum e.V. also owes a great deal to the NBIA Disorders Association and its extremely dedicated chairperson Patricia Wood (Founding history). We wish this beacon of the NBIA patient movement much continued success and radiance.

PKAN family launches fundraising campaign - Newspapers report

PKAN family launches fundraising campaign - Newspapers report

Shortly after their 11-year-old daughter Vivienne was diagnosed with PKAN last year, the Helmold family set out to collect donations for the PKAN Fund at Hoffnungsbaum to support research into one of the most common forms of NBIA, because children, teenagers and mostly young adults struggling with PKAN need nothing more than effective therapies.

Vivienne with her parents,
Photo: Family Helmold

Since then, the regional press in Lower Saxony has reported on the family several times, including the Peiner Allgemeine Zeitung in an online article.
And in March, the Braunschweiger Zeitung in the Pein local section in a touching way about Vivienne, her family and her commitment to promoting research with the help of Hoffnungsbaum e.V. to promote research. Both articles are available online.

Hoffnungsbaum would like to thank the Helmold family, whose campaign has raised 3,225.61 euros for the PKAN Research Fund since December. We would also like to thank all other PKAN families and all donors who have supported this and other PKAN fundraising campaigns to date. Hoffnungsbaum e.V. has started to prepare the use of funds for a PKAN research project.

PKAN has been reliably diagnosable since 2001 and has been the subject of intensive research ever since, with many advances, particularly with regard to insights into the underlying pathomechanisms, but also with some setbacks and unexpected twists and turns. This is no different in research on neurodegenerative diseases than in cancer research. However, PKAN research is no longer in the early stages of discovery, but scientists are increasingly on the path to therapies that will hopefully be able to improve, stop or even cure this disease in the near future.

If you would also like to donate to PKAN research, you are welcome to do so with the note: "PKAN" or "Vivienne" to the donation account of Hoffnungsbaum e.V..

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