Evidence map›Paper›PMID 40421796›Full record

ArticleJournal of medicinal chemistry2025

Design and Mechanistic Analysis of a Potent Bivalent Inhibitor of Transthyretin Amyloid Fibrillogenesis.

P Patrizia Mangione, Guglielmo Verona, Cristina Cantarutti, Paola Nocerino, Maria Chiara Mimmi, Christopher J Swain, Diana Canetti, Sofia Giorgetti, Iain Uings, Julian D Gillmore and 4 more

Abstract read
In one paragraph

Article in Journal of medicinal chemistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

14 authors.

P Patrizia MangioneDepartment of Molecular Medicine, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0003-0260-1400
Guglielmo VeronaDepartment of Molecular Medicine, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0001-8100-3876
Cristina CantaruttiDepartment of Medicine, University of Udine, 33100 Udine, Italy.ORCID 0000-0003-3435-9807
Paola NocerinoDepartment of Molecular Medicine, University of Pavia, 27100 Pavia, Italy.
Maria Chiara MimmiTransplant Research Area and Centre for Inherited Cardiovascular Diseases, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Christopher J SwainCambridge MedChem Consulting, CB22 4RN Cambridge, U.K.
Diana CanettiCentre for Amyloidosis, University College London, NW3 2PF London, U.K.
Sofia GiorgettiDepartment of Molecular Medicine, University of Pavia, 27100 Pavia, Italy.
Iain UingsGSK Medicines Research Centre, SG1 2NY Stevenage, U.K.
Julian D GillmoreCentre for Amyloidosis, University College London, NW3 2PF London, U.K.ORCID 0000-0001-6174-9232
Graham W TaylorCentre for Amyloidosis, University College London, NW3 2PF London, U.K.
Mark B PepysWolfson Drug Discovery Unit, University College London, London NW3 2PF, U.K.
Vittorio BellottiDepartment of Molecular Medicine, University of Pavia, 27100 Pavia, Italy.
Alessandra CorazzaDepartment of Medicine, University of Udine, 33100 Udine, Italy.ORCID 0000-0003-2272-1928

Funding

EPA EP-C-17-009
6 · The paper itself

Abstract

Transthyretin amyloidosis (ATTR) is a systemic disease that primarily affects the heart and the peripheral nervous system. Despite available therapeutic options, advanced ATTR amyloidosis still presents unmet medical needs. We have therefore focused on the design of bivalent small molecules starting from our prototype palindromic ligand mds84, whose binding by transthyretin (TTR) greatly improves stability of the native structure by overcoming the negative cooperativity which is typical of monovalent stabilizers. Among the newly designed compounds here, we present B26, which is pseudoirreversibly bound by native TTR with faster entry kinetics into the protein molecule compared to mds84. It retains the ability to inhibit fibril formation

Indexed as

AmyloidDrug DesignPrealbuminAmyloid Neuropathies, FamilialBinding SitesHumansLigandsAmyloidLigandsPrealbumin

Identifiers

PMID40421796
PMCPMC12169680

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.