Taking the STING out of MND

Date:
October 7, 2020
Source:
Walter and Eliza Hall Institute
Summary:
Researchers are working towards a potential treatment to slow the
progression of motor neuron disease (MND). The research team have
uncovered how inflammation in MND is triggered. Pinpointing the
molecules involved in this pathway could be a first step towards
a new treatment for MND.



FULL STORY ========================================================================== Melbourne researchers are working towards a potential treatment to slow
the progression of motor neuron disease (MND), offering hope to people
with this debilitating and incurable illness.


==========================================================================
The research team have uncovered how inflammation in MND is triggered.

Pinpointing the molecules involved in this pathway could be a first step towards a new treatment for MND.

They found that by blocking an immune sensor called STING, they could dramatically prevent inflammation from MND patient cells, paving the way
for a new class of drugs to be developed for people with neurodegenerative disorders, such as MND.

The discovery, published today in Cell, was led by Walter and Eliza Hall Institute researchers Associate Professor Seth Masters and Dr Alan Yu,
with colleagues from the University of Melbourne and Hudson Institute.

Halting the inflammatory response MND is an incurable condition in which
the nerve cells controlling the muscles that enable us to move, speak,
swallow and breathe, fail to work. One in 10,000 Australians will be
diagnosed with MND in their lifetime and the average life expectancy
from diagnosis is just two years.



==========================================================================
Most people suffering from MND have an accumulation of a protein called
TDP-43 within cells of the central nervous system. This build-up is
associated with an inflammatory response that precedes major symptoms
of MND.

Institute researchers investigated how the disease-causing inflammation
is triggered in MND, said Associate Professor Masters. "This unexpectedly identified that an immune sensor called STING is activated downstream of
TDP- 43. Fortuitously, our team had already studied the role of STING in
other inflammatory diseases and are now working out how to block it."
The team then used new inhibitors -- drug-like compounds -- to block
different components of this inflammatory pathway.

"Using cells from patients with MND that we can turn into motor neurons in
a dish, we showed that blocking STING dramatically prevented inflammation
and kept the cells alive longer. This is an exciting first step before
taking these inhibitors into the clinic for treatment for MND.

Vital first step towards a treatment Associate Professor Masters said
his research had also established activation of STING in people who had
passed away due to MND.



==========================================================================
"We are now aiming to validate a biomarker of the pathway earlier in the disease progression. Once this neuroinflammatory biomarker is validated,
we will better understand which patients will benefit the most from
treatments targeting the pathway," he said.

"With this knowledge, there is the potential to develop a treatment for patients with MND.

"Interestingly, our preclinical models suggest that although the anti- inflammatory drugs that inhibit STING did not prevent disease onset,
they did slow the degenerative progression of disease." Hope for people
with MND and other neurodegenerative disorders Associate Professor
Masters said this discovery offered hope for people diagnosed with the debilitating condition.

"We are hopeful this research could lead to a treatment for people with established MND, who currently have very few treatment options and a
life expectancy post diagnosis of just two to five years," he said.

"While it isn't a cure, we hope it might extend life expectancy and dramatically improve the quality of life for people diagnosed with MND." Associate Professor Masters said a future treatment might also be
effective in slowing the progression of other neurodegenerative disorders.

"We are hoping to develop a new class of drugs that would act as STING inhibitors to stop the progression of neurodegenerative disorders,
such as MND, Frontotemporal Dementia and Parkinson's disease."

========================================================================== Story Source: Materials provided by Walter_and_Eliza_Hall_Institute. Note: Content may be edited for style and length.


========================================================================== Journal Reference:
1. Chien-Hsiung Yu, Sophia Davidson, Cassandra R. Harapas, James
B. Hilton,
Michael J. Mlodzianoski, Pawat Laohamonthonkul, Cynthia Louis,
Ronnie Ren Jie Low, Jonas Moecking, Dominic De Nardo, Katherine
R. Balka, Dale J.

Calleja, Fiona Moghaddas, Erya Ni, Catriona A. McLean, Andre
L. Samson, Shiraz Tyebji, Christopher J. Tonkin, Christopher R. Bye,
Bradley J.

Turner, Genevieve Pepin, Michael P. Gantier, Kelly L. Rogers,
Kate McArthur, Peter J. Crouch, Seth L. Masters. TDP-43 Triggers
Mitochondrial DNA Release via mPTP to Activate cGAS/STING in
ALS. Cell, 2020; DOI: 10.1016/j.cell.2020.09.020 ==========================================================================

Link to news story: https://www.sciencedaily.com/releases/2020/10/201007123101.htm

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