Evidence map›Paper›PMID 37279624›Full record

ReviewCurrent opinion in chemical biology2023

Pharmacological stabilization of the native state of full-length immunoglobulin light chains to treat light chain amyloidosis.

Nicholas L Yan, Gareth J Morgan, H Michael Petrassi, Ian A Wilson, Jeffery W Kelly

Open access · greenAbstract readReview
In one paragraph

Review in Current opinion in chemical biology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Nicholas L YanDepartment of Chemistry, The Scripps Research Institute, La Jolla, CA 92037, USA.
Gareth J MorganAmyloidosis Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA 02118, USA.
H Michael PetrassiProtego Biopharma, 10945 Vista Sorrento Parkway, San Diego, CA 92130, USA.
Ian A WilsonDepartment of Integrative Structural and Computational Biology, The Scripps Research Institute, La Jolla, CA 92037, USA; The Skaggs Institute for Chemical Biology, The Scripps Research Institute, La Jolla, CA 92037, USA.
Jeffery W KellyDepartment of Chemistry, The Scripps Research Institute, La Jolla, CA 92037, USA; The Skaggs Institute for Chemical Biology, The Scripps Research Institute, La Jolla, CA 92037, USA. Electronic address: jkelly@scripps.edu.
Scripps Research Institute · USBoston University · US

Funding

Probing the Proteinopathy Component of Light Chain Amyloidosis PharmacologicallyR01HL157566 · NHLBI · SCRIPPS RESEARCH INSTITUTE, THE · PI JEFFERY W KELLY · 2021 to 2026
$3.3M
Potent and specific small molecule stabilizers of amyloidogenic antibody light chainsF31HL154732 · NHLBI · SCRIPPS RESEARCH INSTITUTE, THE · PI YAN, NICHOLAS · 2020 to 2022
$66k
NHLBI NIH HHS F31 HL154732NHLBI NIH HHS R01 HL157566
6 · The paper itself

Abstract

Immunoglobulin light chain amyloidosis (AL) is a cancer of plasma cells that secrete unstable full-length immunoglobulin light chains. These light chains misfold and aggregate, often with aberrant endoproteolysis, leading to organ toxicity. AL is currently treated by pharmacological elimination of the clonal plasma cells. Since it remains difficult to completely kill these cells in the majority of patients, we seek a complementary drug that inhibits light chain aggregation, which should diminish organ toxicity. We discovered a small-molecule binding site on full-length immunoglobulin light chains by structurally characterizing hit stabilizers emerging from a high-throughput screen seeking small molecules that protect full-length light chains from conformational excursion-linked endoproteolysis. The x-ray crystallographic characterization of 7 structurally distinct hit native-state stabilizers provided a structure-based blueprint, reviewed herein, to design more potent stabilizers. This approach enabled us to transform hits with micromolar affinity into stabilizers with nanomolar dissociation constants that potently prevent light chain aggregation.

Indexed as

AmyloidosisImmunoglobulin Light ChainsHumansImmunoglobulin Light ChainsAggregation inhibitorConformational diseaseKinetic stabilizersMisfolding disease

Identifiers

PMID37279624
PMCPMC10523890
OpenAlexW4379532371

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.