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1,6-epi-Cyclophellitol Cyclosulfamidate Is a Bona Fide Lysosomal α-Glucosidase Stabilizer for the Treatment of Pompe Disease.


ABSTRACT: α-Glucosidase inhibitors are potential therapeutics for the treatment of diabetes, viral infections, and Pompe disease. Herein, we report a 1,6-epi-cyclophellitol cyclosulfamidate as a new class of reversible α-glucosidase inhibitors that displays enzyme inhibitory activity by virtue of its conformational mimicry of the substrate when bound in the Michaelis complex. The α-d-glc-configured cyclophellitol cyclosulfamidate 4 binds in a competitive manner the human lysosomal acid α-glucosidase (GAA), ER α-glucosidases, and, at higher concentrations, intestinal α-glucosidases, displaying an excellent selectivity over the human β-glucosidases GBA and GBA2 and glucosylceramide synthase (GCS). Cyclosulfamidate 4 stabilizes recombinant human GAA (rhGAA, alglucosidase alfa, Myozyme) in cell medium and plasma and facilitates enzyme trafficking to lysosomes. It stabilizes rhGAA more effectively than existing small-molecule chaperones and does so in vitro, in cellulo, and in vivo in zebrafish, thus representing a promising therapeutic alternative to Miglustat for Pompe disease.

SUBMITTER: Kok K 

PROVIDER: S-EPMC9389588 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature

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1,6-<i>epi</i>-Cyclophellitol Cyclosulfamidate Is a Bona Fide Lysosomal α-Glucosidase Stabilizer for the Treatment of Pompe Disease.

Kok Ken K   Kuo Chi-Lin CL   Katzy Rebecca E RE   Lelieveld Lindsey T LT   Wu Liang L   Roig-Zamboni Véronique V   van der Marel Gijsbert A GA   Codée Jeroen D C JDC   Sulzenbacher Gerlind G   Davies Gideon J GJ   Overkleeft Herman S HS   Aerts Johannes M F G JMFG   Artola Marta M  

Journal of the American Chemical Society 20220802 32


α-Glucosidase inhibitors are potential therapeutics for the treatment of diabetes, viral infections, and Pompe disease. Herein, we report a 1,6-<i>epi</i>-cyclophellitol cyclosulfamidate as a new class of reversible α-glucosidase inhibitors that displays enzyme inhibitory activity by virtue of its conformational mimicry of the substrate when bound in the Michaelis complex. The α-d-<i>glc-</i>configured cyclophellitol cyclosulfamidate <b>4</b> binds in a competitive manner the human lysosomal aci  ...[more]

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