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Discovery of MDI-114215: A Potent and Selective LIMK Inhibitor To Treat Fragile X Syndrome

  • Alex G Baldwin
  • , David W Foley
  • , Ross Collins
  • , Hyunah Lee
  • , D Heulyn Jones
  • , Ben Wahab
  • , Loren Waters
  • , Josephine Pedder
  • , Marie Paine
  • , Gui Jie Feng
  • , Lucia Privitera
  • , Alexander Ashall-Kelly
  • , Carys Thomas
  • , Jason A Gillespie
  • , Lauramariú Schino
  • , Delia Belelli
  • , Cecilia Rocha
  • , Gilles Maussion
  • , Andrea I Krahn
  • , Thomas M Durcan
  • Jonathan M Elkins, Jeremy J Lambert, John R Atack, Simon E Ward (Lead / Corresponding author)

Research output: Contribution to journalArticlepeer-review

191 Downloads (Pure)

Abstract

LIMKs are serine/threonine and tyrosine kinases responsible for controlling cytoskeletal dynamics as key regulators of actin stability, ensuring synaptic health through normal synaptic bouton structure and function. However, LIMK1 overactivation results in abnormal dendritic synaptic development that characterizes the pathogenesis of Fragile X Syndrome (FXS). As a result, the development of LIMK inhibitors represents an emerging disease-modifying therapeutic approach for FXS. We report the discovery of MDI-114215 (85), a novel, potent allosteric dual-LIMK1/2 inhibitor that demonstrates exquisite kinome selectivity. 85 reduces phospho-cofilin in mouse brain slices and rescues impaired hippocampal long-term potentiation in brain slices from FXS mice. We also show that LIMK inhibitors are effective in reducing phospho-cofilin levels in iPSC neurons derived from FXS patients, demonstrating 85 to be a potential therapeutic candidate for FXS that could have broad application to neurological disorders or cancers caused by LIMK1/2 overactivation and actin instability.

Original languageEnglish
Pages (from-to)719-752
Number of pages34
JournalJournal of Medicinal Chemistry
Volume68
Issue number1
DOIs
Publication statusPublished - 9 Jan 2025

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Lim Kinases/antagonists & inhibitors
  • Fragile X Syndrome/drug therapy
  • Animals
  • Humans
  • Mice
  • Protein Kinase Inhibitors/pharmacology
  • Drug Discovery
  • Structure-Activity Relationship
  • Induced Pluripotent Stem Cells/metabolism
  • Long-Term Potentiation/drug effects
  • Hippocampus/drug effects
  • Neurons/drug effects
  • Actin Depolymerizing Factors/metabolism
  • Male
  • Mice, Inbred C57BL

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