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Foldamers rescue synucleinopathy phenotypes in multiple in vitro and in vivo models

Item Type:Article
Title:Foldamers rescue synucleinopathy phenotypes in multiple in vitro and in vivo models
Creators: Dohoney, Ryan A. ORCID logoORCID: https://orcid.org/0000-0002-0190-8665, Palanikumar, L. ORCID logoORCID: https://orcid.org/0000-0002-2639-0436, Oldani, Emily ORCID logoORCID: https://orcid.org/0009-0006-5430-0270, Baysah, Charles Zuwu ORCID logoORCID: https://orcid.org/0000-0003-0657-0461, Joseph, Johnson A. ORCID logoORCID: https://orcid.org/0000-0002-0415-3122, Polanco, David ORCID logoORCID: https://orcid.org/0000-0002-0005-6712, Santos-Otte, Paula ORCID logoORCID: https://orcid.org/0009-0009-4556-0574, Stillman, Nicholas H. ORCID logoORCID: https://orcid.org/0000-0002-8353-7684, Corcoran, Peter, Ball, Tyler D. ORCID logoORCID: https://orcid.org/0000-0001-9602-0329, Fitch, Tessa C., Ahmed, Jemil, Ogbonna-Ukuku, Ifunayachi ORCID logoORCID: https://orcid.org/0009-0001-3818-5421, Reynolds Caicedo, Kevin M. ORCID logoORCID: https://orcid.org/0009-0000-4688-0144, Liu, Ying, Leehey, Maureen A., Linseman, Daniel A. ORCID logoORCID: https://orcid.org/0000-0001-8774-1976, Paredes, Daniel A. ORCID logoORCID: https://orcid.org/0000-0002-9635-8001, Birol, Melissa ORCID logoORCID: https://orcid.org/0000-0003-3397-8446, Cremades, Nunilo ORCID logoORCID: https://orcid.org/0000-0002-9138-6687, Magzoub, Mazin ORCID logoORCID: https://orcid.org/0000-0003-3414-6617 and Kumar, Sunil ORCID logoORCID: https://orcid.org/0000-0001-5472-4619
Abstract:Synucleinopathies is an umbrella term for multiple neurological disorders, including Parkinson’s disease (PD), Lewy body dementia (LBD), and multiple system atrophy (MSA). A central pathological hallmark of synucleinopathies is the aggregation of α-synuclein (αS, a neuronal protein) and its prion-like spread. Therefore, inhibition of αS aggregation and spread is considered a viable therapeutic approach for the treatment of synucleinopathies. Foldamers are synthetic ligands that mimic the secondary structure of proteins. Using an oligoquinoline (OQ) scaffold–based foldamer approach, we have previously identified a foldamer (SK-129) that potently inhibits αS aggregation. Here, using a wide range of biophysical, cellular, and in vivo methods, we showed that SK-129 rescued synucleinopathy phenotypes in cellular, Caenorhabditis elegans, and human induced pluripotent stem cell (iPSC)–derived neuron models. SK-129 specifically bound to neurotoxic αS oligomers with ~6-fold higher affinity (K(d) = 221 ± 29 nM) than to physiological αS monomer, validating αS oligomers as a therapeutic target. Furthermore, SK-129 efficiently crossed the blood-brain barrier (BBB) and exhibited favorable pharmaceutical properties in mice. Treatment with SK-129 prevented brain histopathology and increased survival in a mouse model expressing human A53T mutant αS without showing any apparent cytotoxicity. SK-129 inhibited αS aggregation mediated by exosomes derived from C. elegans or patients with PD in HEK293T reporter cells. SK-129 completely inhibited the coaggregation of αS-tau, a pathological biomarker for LBD in both cellular and mouse models. Overall, we report a potent foldamer with therapeutic potential for PD and LBD.
Keywords:Alpha-Synuclein, Animal Disease Models, Blood-Brain Barrier, Induced Pluripotent Stem Cells, Neurons, Phenotype, Synucleinopathies, Animals, Mice, Worms, Caenorhabditis elegans
Source:Science Translational Medicine
ISSN:1946-6234
Publisher:American Association for the Advancement of Science
Volume:18
Number:843
Page Range:eadu1050
Date:1 April 2026
Official Publication:https://doi.org/10.1126/scitranslmed.adu1050
PubMed:View item in PubMed

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