2. A genetic disease of Duchenne muscular dystrophy (DMD) is the most
common X-liked disorder
Muscular dystrophy in children, presenting in early childhood and
characterized by muscle weakness and calf hypertrophy in affected male
children
Presently there is no permanent treatment available at a commercial level
for this disease.
DMD affects about one in 5,000 males at birth.
3. Drug repurposing is re-investigating existing drugs that failed approval for
new therapeutic indications
Repurposed drugs may have a good effectiveness record with their
primary condition.
It takes almost 9-12yrs to introduced a new drug for particular disease but
re-purposing impact only take 2-3 yrs.
Using drug repurposing, pharmaceutical companies have achieved a
number of successes for example pfizer’s viagra(sidenafil) is a medication
used to treat erectile dysfunction and pulmonary arterial hypertension.
4. METHODOLOGY
For this study on duchenne muscular dystrophy we obtained the mapped
genes list using EBI- GWAS (genome-wide association study).
It is an observational study of a genome-wide set of genetic variants in
different individuals to see if any variant is associated with a trait.
GWAS typically focus on associations between single-nucleotide
polymorphisms (SNPs) and traits like major human diseases but can
equally be applied to any other genetic variants and any other organisms.
The obtained mapped genes which serve as marker for the muscular
dystrophy disease are used to generate whole genomic and proteomic data
associated with those genes using GeneAlaCart.
5. Data obtained from this genecard is vast and need to be filtered manually
to obtained relation among genes and pathways obtained .
Adenylate cyclase which is coded by gene ADCY is a membrane bound
enzyme plays a key role in many signaling pathways likes MAPK, G
protein coupled signalling pathways.
6. Activation of signalling pathways due to effect in Dystrophin
Glycoprotein Complex:
Over-expresion of cAMP signalling , MAPK signalling
exacerbate disease progression(DMD)
Adenylate cyclase which is responsible for conversion of ATP to
cyclicAMP (a secondary messenger) is targeted to inhibit the excess
activation of signalling pathways .
7. Search for ligands:
Compounds which can act on the target proteins are obtained from zinc
database in sdf format and the suitable ligands are combined with each
target for docking.
FlexX docking from BioSolveIT is performed to predict the position and
orientation of a ligand to the protein
Later the score obtained are compared to the ligand which are originally
proposed act against these targets
11. Secretions:
Pancreatic Secretion
Bile Secretion
Salivary Secretion
Parathyroid Hormone, Secretion And
Action
ADCY1,ADCY8
ADCY1,ADCY8
ADCY1,ADCY8
ADCY1,ADCY8
innate immune system ADCY1,ADCY8,DOCK1,NUP93,PTP
N1
human cytomegalovirus infection ADCY1, SLC8A1,ADCY8,NUP93
12. 2.Duchenne muscular dystrophy disease associated genes and their role
in various functions
The data obtained in GeneAlaCart is filtered to screen specific relation
among genes and associated pathways.
GENES NUMBER OF PATHWAYS
XYLT1 13
SLC8A1 16
SATB1 30
RGS6 6
PTPN1 14
NUP93 46
JAM2 63
DOCK1 21
DGKB 39
CYB5A 6
ADCY1 175
ADCY8 143
18. 3.Ligand and the target protein interactions:
Six compounds are obtained from zinc database along with 2D structure
(sdf format)
Zinc 504 (mianserin hydrochloride - MHC) – FDA approved drug used for
anti-depression.
MHC is indirectly associated with adenylate cyclase in provoking
neurotransmitters in brain and hence considered for repurposing for DMD
25. Conclusion
Duchenne muscular dystrophy is one of the most lethal genetic disorder in
humans and there is no permanent cure
In our study we proposed a strategy, to inhibit a crucial protein adenylate
cyclase (ADCY1 and ADCY8) which is over expressed in DMD patients
only
Its involved in MAPK signaling pathway and cAMP pathway
The drug that can be repurposed against ADCY1 and ADCY8 for DMD are
MHC and NHC
Docking studies using FlexX shows that NHC shows high binding affinity
towards ADCY1
Docking studies using FlexX shows that MHC shows high binding affinity
towards ADCY8
Further molecular dynamics simulation (MDS), principal component
analysis (PCA) and invitro/invivo studies are required to confirm their
stability and activity against the selected drug targets
26. R. J. Marshall, Department of Pharmacology, Organon Laboratories Ltd.,
Newhouse, Lanarkshire MLI 5SH, Scotland, UK
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