- 专利标题: Treatment and prediction of therapeutic responses in patients suffering from Friedreich ataxia
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申请号: US17418981申请日: 2019-12-27
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公开(公告)号: US11857532B2公开(公告)日: 2024-01-02
- 发明人: Anne Agnès Rotig , Arnold Munnich , Floriane Petit
- 申请人: INSERM (Institut National de la Santé et de la Recherche Médicale) , Université de Paris , Assistance Publique—Hôpitaux de Paris (APHP) , Fondation Imagine
- 申请人地址: FR Paris
- 专利权人: INSERM (INSTITUT NATIONAL DE LA SANTE ET DE LA RECHERCHE MEDICALE),FONDATION IMAGINE,ASSISTANCE PUBLIQUE-HÔPITAUX DE PARIS (APHP)
- 当前专利权人: INSERM (INSTITUT NATIONAL DE LA SANTE ET DE LA RECHERCHE MEDICALE),FONDATION IMAGINE,ASSISTANCE PUBLIQUE-HÔPITAUX DE PARIS (APHP)
- 当前专利权人地址: FR Paris; FR Paris; FR Paris
- 代理机构: WCF IP
- 优先权: EP 306863 2018.12.28
- 国际申请: PCT/EP2019/087060 2019.12.27
- 国际公布: WO2020/136233A 2020.07.02
- 进入国家日期: 2021-06-28
- 主分类号: A01N43/04
- IPC分类号: A01N43/04 ; A61K31/70 ; A61K31/357 ; A61K31/194 ; A61K31/7076
摘要:
Friedreich ataxia (FRDA) is caused by a GAA repeat expansion in FXN gene that encodes a mitochondrial protein, frataxin, involved in iron sulfur complex (ISC) assembly. Frataxin deficiency results in abnormal ISC containing proteins, namely respiratory chain complex I-III and aconitases and accumulation of iron in brain and heart of patients. Here, the inventors show that FRDA fibroblasts are unable to limit iron uptake inducing a massive cytosolic iron accumulation and to a lesser extent in mitochondria. The inventors also observed increased transferrin receptor (TfR1) steady state levels and membrane TfR1 accumulation that they ascribed to impaired post-translational modification by palmitoylation as well as delayed transferrin recycling. Finally, the inventors showed that artesunate, dichloroacetate and Coenzyme-A improved TfR1 palmitoylation and thus represent candidate molecules for the treatment of patients with Friedreich ataxia. Thus the present invention relates to methods of treating Friedreich ataxia (FRDA) as well as to methods of predicting whether a patient suffering from FRDA will achieve a therapeutic response.
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