Another SCA1 cure being studied too slowly. ... - Ataxia UK

Ataxia UK

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Another SCA1 cure being studied too slowly. PKA inhibitors.

sunvox profile image
5 Replies

So in my never ending quest to keep abreast of the research on cures for SCA1, I came across several articles and a patent application that are most intriguing. As most folks know, many of the SCAs share a common element in that the body produces a mutant protein that is toxic to cells in the brain, and that is what causes the disease. For many years research was focused on ways to repair the genetic defect, but those methods required surgery of the brain or direct injections into the brain and they presented numerous hurdles to science. The research is ongoing in these areas. In the last decade though researchers have begun to realize that maybe just clearing the protein might be enough to stop the disease. This post is about one group of molecules that scientists are examining. (For those who don't already know who I am or have not followed any of my posts I urge you to click on my name after reading this post to learn about other molecules that have been shown in cell cultures and mouse models to help clean out mutant proteins). Anyways, back to the main point here . . .

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It appears that researchers learned years ago that a class of drugs used in cancer treatments that "inhibited" cancer cells from reproducing could also "inhibit" the bad protein in patients with SCA1 from becoming toxic. The paper linked below was from 2014 and is entitled:

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The design and delivery of a PKA inhibitory polypeptide to treat SCA1

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onlinelibrary.wiley.com/doi...

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I got to that article because I came across a newly published paper:

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Reduction of protein kinase A-mediated phosphorylation of ATXN1-S776 in Purkinje cells delays onset of Ataxia in a SCA1 mouse model

ncbi.nlm.nih.gov/pubmed/297...

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and, what I thought most interesting is that the names on the second paper are all super big-wigs in the world of SCA including Harry Orr and Huda Zoghbi.

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but, what really got my interest is when I learned that the authors of the first paper from 2014 have applied for a patent on a molecule and method for treating SCA1 and other polyQ diseases:

patents.google.com/patent/U...

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In the end though, this only makes me further infuriated at researchers and drug companies because here you have a line of research that has the potential to be a true cure, and what's more there are many other Protein Kinase Inhibitors ALREADY on the market like, Tasigna (nilotinib), that may be beneficial. In fact the second paper to which I linked above screened over 50 potential drug candidates and found several that were effective in mice, BUT nobody in the US or Europe seems to be in any hurry to try this for ataxia in humans even though the drugs are already being used in humans for other diseases. . . . AAHHHHHHHHHHH!!!

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Ah well, c'est la vie . . .

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sunvox
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5 Replies
Libra7 profile image
Libra7

I admire your tenacity! If only a researcher had the same determination! But I guess the rarity of the disease does not encourage drug companies to throw money at it and Brexit is disastrous for medical research in Europe.

Sunny8088 profile image
Sunny8088

All Money game, More sufferers / big the market & returns simple

february profile image
february

Dear Sunvox, I can totally relate to your frustration, as I have ataxia due to adult on-set Niemann Pick C1 disease. There's a drug that is potentially helpful for NPC1 (could stop or at least slow the progression of ataxia, as it HAS in people in other countries), but not approved in the USA by the FDA, even though it's in used in 40 other countries. Therefore, my primary and secondary insurance companies have denied it for me. I can't afford it, as it costs $20,000+ per month. It IS approved by the FDA for use for another disease in the USA. There will probably be no clinical trials in the USA, as my type of ataxia is extremely rare and finding enough people to be involved in a clinical trial would be a huge stretch. Therefore, It most likely will NEVER be approved by the FDA in my lifetime for ataxia due to NPC1! I'm beyond infuriated!!! My best to you..., :o)

sunvox profile image
sunvox in reply to february

Wow! THAT is infuriating. I can't imagine. What is the drug? Is it possible there is another drug in the same class that is going generic? That is my secret hope with the PKA drugs. Many are soon to go generic and prices are expected to tumble. Then maybe we, patients, will have a shot at getting them off label.

february profile image
february in reply to sunvox

The drug is Zavesca (aka: Migulstat). Unfortunately there's no generic brand. Believe you me, I've done loads of research and talked to many neurologists about this!I hope the PKA drugs go generic for you!

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