Targeted pharmacological depletion of serum amyloid P component for treatment of human amyloidosis
Targeted pharmacological depletion of serum amyloid P component for treatment of human amyloidosis
The normal plasma protein serum amyloid P component (SAP) binds to fibrils in all types of amyloid deposits, and contributes to the pathogenesis of amyloidosis. In order to intervene in this process we have developed a drug, R-1-[6-[R-2-carboxy-pyrrolidin-1-yl]-6-oxo-hexanoyl]pyrrolidine-2-carboxylic acid, that is a competitive inhibitor of SAP binding to amyloid fibrils. This palindromic compound also crosslinks and dimerizes SAP molecules, leading to their very rapid clearance by the liver, and thus produces a marked depletion of circulating human SAP. This mechanism of drug action potently removes SAP from human amyloid deposits in the tissues and may provide a new therapeutic approach to both systemic amyloidosis and diseases associated with local amyloid, including Alzheimer's disease and type 2 diabetes.
254-259
Pepys, M.B.
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Herbert, J.
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Huchinson, W.L.
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Tennent, G.A.
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Lachmann, H.J.
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Gallimore, J.R.
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Lovat, L.B.
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Bartfai, T.
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Alanine, A.
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Hertel, C.
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Hoffman, T.
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Jakob-Roetne, R.
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Norcross, R.D.
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Kemp, J.A.
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Yamamura, K.
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Suzuki, M.
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Taylor, G.W.
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Murray, S.
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Thompson, D.
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Purvis, A.
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Kolstoe, S.
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Wood, S.P.
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Hawkins, P.N.
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16 May 2002
Pepys, M.B.
eb147030-b7f9-448a-9d69-9adb72fe7ed2
Herbert, J.
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Huchinson, W.L.
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Tennent, G.A.
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Lachmann, H.J.
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Gallimore, J.R.
22a402cf-e172-4690-9efc-c25cc9289db3
Lovat, L.B.
6c1c98c4-ab8b-40a2-99cc-3a4122bed28e
Bartfai, T.
9ba33919-3750-45f5-840b-0e797f11bff4
Alanine, A.
86b5130d-9fa7-4890-b2be-faed99d47ae8
Hertel, C.
9ae1332e-5167-464f-8dea-52231e0401d4
Hoffman, T.
ea1fd7d3-df7c-4e83-a7b7-de04a207f005
Jakob-Roetne, R.
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Norcross, R.D.
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Kemp, J.A.
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Yamamura, K.
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Suzuki, M.
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Taylor, G.W.
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Murray, S.
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Thompson, D.
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Purvis, A.
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Kolstoe, S.
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Wood, S.P.
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Hawkins, P.N.
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