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      scieNce ON the cUttiNG edGe



      The Scripps Research Institute News


      New Drug Has Potential                             the researchers think the drug is likely to be effective against   Infectious Diseases announced it  is establishing nine

      To Turn COVID-19 Virus                             many other variants of SARS-CoV-2.                multi-institution  centers  focused  on  developing  new

                                                           “We expect this compound would continue to be
                                                                                                           medications to address the ongoing COVID-19 crisis, and
      Against Itself                                     effective even as new variants emerge, because it doesn’t   to treat other viruses with pandemic potential. Seven UF
                                                         rely on attacking parts of the virus that commonly mutate,”   Scripps faculty will contribute to three of those centers.
         A  n e w  dr u g                                says Chang-ki Oh, a senior staff scientist and first author      “UF Scripps is a thriving place to start my research
      designed by scientists                             of the new paper.                                 program,” Burke said. “There is a lot of collaboration,
      at Scripps Research                                   Though they have only studied the compound in animal   a lot of cross-disciplinary studies, and there are drug
      can turn the COVID-19                              models, the team is now making a version of the drug to   discovery resources you just don’t have most places.”
      virus into a harbinger                             evaluate for human use, while carrying out additional
      of its own doom.                                   safety and effectiveness trials in animals. This work is   Opioid Drug Tolerance Develops
         The drug, NMT5,                                 being sponsored by the Scripps Center Grant for Antiviral
      described in  Nature                               Medicines & Pandemic Preparedness (CAMPP AViDD)   From Interplay Of Key Gene
      Chemical Biology on                                from the National Institutes of Health (U19 AI171443).
      Sept. 29, coats SARS-                                 “These exciting findings suggest a new avenue for   And Cholesterol
      CoV-2 with chemicals                               drug development that requires drug combinations for
      that can temporarily alter the human ACE2 receptor – the   effective pandemic preparedness,” says co-author Arnab      UF Scripps Biomedical
      molecule the virus normally latches onto to infect cells.   Chatterjee, Ph.D                         Research scientists have
      That means that when the virus is near, its path into human                                          discovered a key gene that is
      cells via the ACE2 receptor is blocked; in the absence of   Biochemist Studying How                  shedding light on how people
      the virus, however, ACE2 can function as usual.    Cells Defend Against Viruses                      develop tolerance to pain
         “What’s so neat about this drug is that we’re actually                                            relievers over time, a problem
      turning the virus against itself,” says senior author Stuart   Joins UF Scripps                      that raises risk of addiction and
      Lipton, M.D., Ph.D., the Step Family Endowed Chair and                                               overdose.
      Scripps Research professor. “We’re arming it with little      A new scientist joining                   The finding could open the
      molecular warheads that end up preventing it from infecting   UF Scripps Biomedical                  door to a new generation of
      our cells; it’s our revenge on the virus.”         Research, James M.                                pain medications designed to
         Before the COVID-19 pandemic, Lipton and his    Burke, Ph.D., is exploring                        function differently and lower
      colleagues had long been studying variations of the drug   how our innate immune                     the chance patients could grow dependent on opioids and other
      memantine, which Lipton developed and patented in the   system protects us from                      drugs like morphine and fentanyl.
      1990s for treating neurological diseases like Alzheimer’s.   viruses – including the                    People who suffer severe pain from stroke, trauma or cancer
      While memantine originated from an anti-influenza drug   pandemic coronavirus –                      know that over time, the most effective prescription pain relievers
      used in the 1960s, clinicians began investigating it for   and how viruses evade                     lose power, said UF Scripps neuroscientist Kirill Martemyanov,
      additional diseases after they noticed a woman with   these defenses.                                Ph.D. To provide patients with the same pain-relieving effect,
      Parkinson’s symptoms improved when she took the drug      Burke says he hopes                        doctors often must prescribe higher and higher doses.
      for the flu.                                       the work will lead to new                            To date, why this tolerance to opioids develops has not
         “My team had made these antiviral drugs better for   medicines that thwart  James M. Burke, Ph.D.,   been clearly understood. The new study, led by Martemyanov
      the brain, and when COVID-19 emerged, we wondered   viruses’ ability to make  has  joined  the  molecular   at UF Scripps and Brock Grill, Ph.D. at the Seattle Children’s
      whether we had also, in the process, made any of them   copies of themselves inside  medicine department at UF   Research Institute and the University of Washington, shows
      better antivirals,” says Lipton.                   our cells. And because our  Scripps. He studies how cells   a key role for a gene known as PTCHD1, which is involved
         Lipton and his team tested a library of compounds   cells’ viral defenses can  defend themselves from viral   in altering cholesterol content in a cell’s membrane.
      similar to memantine in overall structure but covered with   become inappropriately  attack.            In addition to offering new directions for pain medication
      additional pharmacological warheads. They pinpointed   activated and cause other                     development, the discovery raises the possibility that
      the drug candidate designated NMT5 as having two key   illnesses, the work may contribute to new approaches   cholesterol in the cell membrane may affect how people
      properties: It could recognize and attach to a pore on the   for treating inflammatory diseases, autoimmune diseases,   respond to other drugs, too.
      surface of SARS-CoV-2, and it could chemically modify   cancer and more.                                Hundreds of receptors act as landing sites for medications
      human ACE2 using a fragment of nitroglycerin as the      “We’re pleased to welcome James Burke to our faculty.   and biological molecules on the surface of cells. Like a baseball
      warhead. The group realized this could turn the virus into   His  impactful  work  complements  our  expertise  in  the   catcher at home plate, mu opioid receptors specifically catch
      a delivery vehicle for its own demise.             study of viral diseases, autoimmune diseases and RNA   morphine or related drug molecules. When they do, systems
         In the new paper, Lipton’s group characterized and   biology,” said Patrick Griffin, Ph.D., scientific director   within the cell responsible for pain relief, slowed breathing
      tested NMT5 in isolated cells as well as animals. They   and professor of molecular medicine at UF Scripps. “With   and even digestive changes become activated. Scientists call
      showed how NMT5 attaches tightly to SARS-CoV-2 viral   our unique drug-discovery capabilities, and the clinical   the group of landing sites GPCRs, short for G-protein coupled
      particles as the viruses move through the body. Then,   and research strengths of the University of Florida’s   receptors. About one-third of all medications act on a GPCR,
      they revealed the details of how the drug adds a chemical   academic health center, this campus has become a premier   making them of great interest to scientists. Finding a gene that
      (similar to nitroglycerin) to certain molecules if it gets close   research center for up-and-coming scientists to establish   drives tolerance to opioids by altering cholesterol in the cell
      enough. When the virus gets near ACE2 to infect a cell,   their independent programs.”               membrane surprised the researchers.
      that translates into NMT5 adding a “nitro group” to the      When a virus infects a cell, it has one goal: hijack the      “There are more than 800 known G-protein coupled
      receptor. When ACE2 is modified in this way, its structure   cell’s protein-building systems to make new copies of   receptors, and regulation of cholesterol by genes in this
      temporarily shifts – for about 12 hours – so that the SARS-  itself. Multiple immune defense systems work together to   family could be important to understanding many of
      CoV-2 virus can no longer bind to it to cause infection.  interfere with this process. Sorting out how these innate   them,” said Martemyanov, who chairs the UF Scripps
         “What’s really beautiful is that this only knocks down   systems are activated in both a healthy and unhealthy   Department of Neuroscience.
      availability of ACE2 locally when the virus is coming at   manner is important, Burke said. The pandemic revealed      Understanding how cholesterol may drive tolerance is an
      it,” says Lipton. “It doesn’t knock down all the function of   large gaps in scientific knowledge in this area, he added.  important advance in the quest to find a new generation of
      ACE2 elsewhere in the body, allowing for normal function      “I think this pandemic is a wake-up call to start   pain medications less prone to causing overdose, he added.
      of this protein.”                                  understanding the fundamentals of viral infection and      In their quest to better understand opioid tolerance, the team
         In cell culture experiments testing how well the Omicron   our cells’ response to infection,” Burke said.  of scientists chose to conduct an “unbiased” genetic screen
      variant  of  SARS-CoV-2  can  attach  to  human ACE2      Burke  joined the molecular  medicine  department   working with a type of tiny worm called C. elegans. Unbiased
      receptors, the drug prevented 95 percent of viral binding.   at UF Scripps Biomedical Research in Jupiter, Fla., in   genetic screens allow the organism’s biology to reveal what’s
      In hamsters with COVID-19, NMT5 decreased virus levels   June following a postdoctoral fellowship with noted   happening, without preconceived ideas of specific genes that
      by hundred-fold, eliminated blood vessel damage in the   biochemist Roy Parker, Ph.D., an investigator with the   might be involved. Researchers often use simpler animal
      animals’ lungs, and ameliorated inflammation. The drug also   Howard Hughes Medical Institute and the University of   models like worms for this purpose.
      showed effectiveness against nearly a dozen other variants of   Colorado, Boulder.                      An “unbiased” screen for genes involved in opioid
      COVID-19, including alpha, beta, gamma and delta strains.     Working with Parker, Burke uncovered the mechanism   tolerance relied upon tiny worms called C. elegans. The
         Most antiviral drugs work by directly blocking part of a   underlying how cells express critical antiviral genes, such   worm genetics revealed PTCHD1 plays a key role, altering
      virus – which can pressure the virus to evolve resistance to   as type I interferons, while simultaneously limiting viral   cholesterol in cell membranes.
      the drug. Since NMT5 is only using the virus as a carrier,   gene expression. He earned his doctorate at the University      They started by altering the genome of C. elegans worms
                                                         of Texas, Austin with adviser Christopher Sullivan, Ph.D.,   to add the mammalian mu opioid receptor, to make the worms
                                                         where he helped discover how DNA tumor viruses and   responsive to pain-relieving drugs. Treating them with fentanyl
                                                         retroviruses evade host immune responses.         and morphine left the genetically altered worms paralyzed at
                                                            Within cells, many different types of RNA do the   first, but that effect diminished with repeated exposure, as the
        Captain’s was established in 1980 servicing      work of reading genes and building the information   worms developed tolerance.
        Palm Beach County and is a privately             they encode. Better understanding their role is critical      The genetically altered worms were then subjected to
        owned and managed company.                       to preparing us for the next new viral threat, he said.  random genetic changes, silencing various genes. Those that
        Captain’s is committed to providing                 “When viruses are evolving so rapidly, we need as   stopped showing tolerance were selected for further testing
        dependable, reliable and professional
        ground transportation to and from all            many tools as we can get,” he said.               to see what made them different. One gene that encoded a
        South Florida Airports and Seaports.  PBCVH212      Multiple scientists at UF Scripps are joining the   membrane protein stood out. The closest mammalian version
           To reserve your vehicle:                      $577  million  federal  effort  to  develop  new  antiviral   of this gene was PTCHD1.
       561-798-2180 or 800-634-7890  www.captainsairport.com  drugs to treat the pandemic coronavirus and other viral
                                                         threats. Last month the National Institute of Allergy and   Scripps Research on page 17
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