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www.valentiabiopharma.com [email protected] Valentia Biopharma - In vivo Drug Discovery Research and development of new drugs for human diseases Currently focused on finding lead compounds to achieve an effective treatment on Myotonic Dystrophy Type 1 (DM1) disease Valentia Biopharma - In vivo Drug Discovery Drosophila melanogaster, a new technology for Drug Discovery Valentia Biopharma R&D Generation of disease models Generation of genetic/biochemical models • Genetic diseases • Other disease mechanisms In vivo High Throughput Screening • Phenotypic assays • Biochemical assays Why Drosophila? 75% of human disease causing genes are conserved in Drosophila Short time frame from drug dosing to results No ethical issues. Large number of genetic tools available Low variability at low costs (Flies are CHEAP) Not only Drosophila: Drug delivery can be problematic and not all human systems can be easily modeled. (pulmonary disease…) So we always validate any positive result with mouse models and human cell lines Drosophila models. Screening experimental approaches (1) Phenotypic assay (viability) Viability model Toxic in mushroom bodies (neuronal cells) 200 160 120 80 40 0 n=191 n=67 Control DM1 fly (2) Biochemical assay (gene-reporter) by fusing known human genes involved in DM1 pathologies to a reporter TRANSGENIC FLY PROMOTER-CONSTRUCT Gene Reporter FLY INJECTION In vivo automated HTS platform Our high-throughput screen (HTS) platform allows testing thousands of compounds per week with the advantage of working in in vivo conditions. TOXICITY AND ACTIVITY EVALUATION IN THE SAME EXPERIMENTAL APPROACH In vivo automated HTS platform Screening platform - Steps in red are automated 1. FLY CROSSES 2. DRUG PLATES PREPARATION (Robot with stackers) F0:Adults 3. SEEDING (Sorter Cytometry) 4. HOMOGENIZATION (Robot with stackers) 5. READING (Envision Reader /Scanner) 6. ANALYSIS F1:Embryo/Larvae F1:Adults By genetic modification we have been able to develop transgenic flies models that reproduces some aspects of the genetic human disease Myotonic Dystrophy. This has been the first model we developed in and now it is being used with our High Throughput Screening (HTS) technology. Our HTS platform allows the testing of thousands of compounds per week, with the differential advantage of working with in vivo models. Large scale in vivo compound testing on Drosophila provides important early information on multiple key parameters of drug discovery DM1 Drug Discovery Pipeline > 15,000 small molecules screening >8,000 screening analyisis and validation 30 candidates Secondary assays validation Research Exploratory 4 hits Development Hit to lead Optimization Pre-clinic *VLT001 (ABP1) VLT002 VLT003 VLT004 VLT005 *ABP1 was discovered by an academic group performing manual screening in the DM1 Drosophila model Clinic The disease: Myotonic Dystrophy Type 1 (Steiner disease) Rare Disease. Overall worldwide prevalence: 1 / 8,000. Higher in some populations like in Quebec (Canada). High penetrance Multifactorial disease. Mainly a muscular disorder: Myotonia, progressive muscular wasting and weakness. But also cataracts, hypogonadism, ECG changes, infertility, cognitive dysfunction, mental retardation… Source:http://omim.org/entry/160900 Harper 2001 DM1 DNA mutation: repeat expansion (A) (B) (C) Size of CUG repeat DM1 Phenotype “Premutation” Asymptomatic Normal CAP 5’ 50 - 400 38 - 49 5 - 37 (CUG)n 3’ (AAA) n 5’ UTR DMPK Gene (Coding region) 3’ UTR (A) In DM1, the repeat involved is a CTG tract located in the 3´UTR region of the DMPK gene. In normal population we have two alleles between 5-37 CTG repeats. In patients the length of one allele is expanded from more than 50 repeats up to even thousands of repeats. (B) Mutant transcripts form stable CUG hairpins that avoid their normal transportation to cytoplasm, with the ability of forming nuclear aggregates and sequester RNA-binding factors such as Muscleblind-like-1 protein (MBLN1), which plays an important role in alternative splicing and gene expression regulation. (C) Thus, in DM1 patients several aberrant splicing events in many genes (spliceopathy) have been characterized, most of them dependent of MBLN1. A few of these aberrant splicing event have already been linked to distinct DM1 clinical symptoms. VLT001 (ABP1) active compound In vivo discovery of a peptide that prevents CUG–RNA hairpin formation and reverses RNA toxicity in myotonic dystrophy models Amparo García-López, Beatriz Llamusía Mar Orzáez, Enrique Pérez-Payá, and Ruben D. Artero PNAS U S A. 2011 Jul 19;108(29):11866-71. Summary Results: 1. Orally administered ABP1 increased adult viability and reversed muscle degeneration phenotypes in DM model flies in a dose-dependent manner. 2. Aberrant ribonuclear CUG foci diminished and Muscleblind (the Drosophila functional homolog of human MBNL1) misdistribution in CUG foci was improved in model flies taking ABP1 orally. 3. Intramuscular administration of ABP1 suppressed muscle histopathology signs and reversed missplicing events in DM model mice up to one month after administration. Expression of Clcn1, which is low in DM1 model mice, recovered in ABP1 injected muscle. 4. Binding and destabilizing CUG repeat RNA hairpins in vitro suggest a mechanism of action of ABP1 located very upstream of the disease pathway suggesting the molecule should be therapeutically active against many of the clinical signs. ABP1 suggested mechanism of action MBNL1 MBNL1 sequestration Splicing misregulation CUG G C U U CG GC U U CG GC U U CG GC U U CG GC U U CG GC U U CG GC U U CG GC U U CG GC U U CG GC U U CG GC U U CG GC UC GU GC U U CG DMPK 3’ UTR ABP1 A)n CUG G C U U CG GC U U CG GC U U G C C G U U G C C G U U CG GC U U CG GC U U CG GC U U CG GC U U CG GC U U C G G C U U CUGCUGC GCUGCUG MBNL1 released Normal Splicing DMPK 3’ UTR ABP1 binds to CUG repeat RNA and induce a switch to a single-stranded conformation, releasing MBLN1 and decreasing CUG toxicity. Business case for DM Among rare diseases, Myotonic Dystrophy presents an attractive commercial opportunity on multiple fronts: Clinical state (urgent unmet medical need, lack of suitable treatments) Scientific rationale (solid understanding of disease pathology, druggable targets, and proof of concept for therapeutic intervention leading to clinically meaningful benefit in animal models) Logistics/marketing considerations (significant disease prevalence/potential market size, accessibility of patients, wellorganized global research community) Source: 2010 Marigold therapeutic strategies for myotonic dystrophy