Disease-modifying therapy for proteinopathies: Can the exception become the rule?

Prog Mol Biol Transl Sci. 2019:168:277-287. doi: 10.1016/bs.pmbts.2019.07.010. Epub 2019 Aug 7.

Abstract

Disease-modifying therapies for proteinopathies are urgently needed yet clinical trials for the major neurodegenerative diseases, Alzheimer's and Parkinson's, have been failing at an alarming rate leaving patients and caregivers scrambling for any sign of hope. At the same time, for one family of proteinopathies, the rare TTR amyloidoses, disease-modifying therapy has existed for almost 3 decades and two new types of disease-modifying therapy have become available more recently. In this chapter, I discuss those therapies, examine to what extent they can be generalized for other diseases, and consider what we may learn from their relative success.

Keywords: Amyloid; Antisense oligonucleotide; Kinetic stabilizers; Proteinopathy; RNAi; Transthyretin.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Humans
  • Neurodegenerative Diseases / pathology
  • Neurodegenerative Diseases / therapy*
  • Proteostasis Deficiencies / pathology
  • Proteostasis Deficiencies / therapy*