Isofagomine tartrate

      Isofagomine tartrate
      Systematic (IUPAC) name
      (3R,4R,5R)-3,4-Dihydroxy-5-(hydroxymethyl)piperidine L-(+)-tartrate
      Clinical data
      Pregnancy cat.  ?
      Legal status  ?
      Routes Oral
      Identifiers
      CAS number 957230-65-8
      ATC code None
      PubChem CID 23581846
      Synonyms AT-2101, HGT-3410
      Chemical data
      Formula C10H19NO9 
      Mol. mass 297.25916 g/mol
       YesY (what is this?)  (verify)

      Isofagomine tartrate (planned trade name Plicera) is an experimental drug for the treatment of certain forms of Gaucher's disease, developed by Amicus Therapeutics and Shire plc.[1] It has been granted orphan drug status by the European Medicines Agency (EMA).[2] Isofagomine way invented Mikael Bols and Troels Skrydstrup, and was first prepared by Jespersen and Bols.[3]

      Mechanism of action

      β-glucocerebrosidase, an enzyme needed for the metabolisation of glucocerebroside, is misfolded in individuals with Gaucher's disease due to various mutations, one of which is called N370S. Isofagomine binds selectively to N370S glucocerebrosidase and restores its correct conformation and, consequently, enhances its activity about threefold.[4][5]

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      See also

      • Imiglucerase, a recombinant human β-glucocerebrosidase for enzyme replacement therapy of Gaucher's disease
      • Miglustat, another orphan drug for the treatment of Gaucher's disease with a different mechanism of action
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      References

      1. ^ H. Spreitzer (20 June 2009). "Neue Wirkstoffe - Isofagomin tartrat". Österreichische Apothekerzeitung (in German) (13/2009): 736. 
      2. ^ Public summary of positive opinion for orphan designation of isofagomine tartrate for the treatment of Gaucher disease
      3. ^ Jespersen, T. M.; Dong, W; Skrydstrup, T; Sierks, M.R; Lundt, I; Bols, M. (1994). "Isofagomine, a Potent New Glycosidase Inhibitor". Angew. Chem. Int. Ed. Engl. 33 (17): 1778–1779. doi:10.1002/anie.199417781. 
      4. ^ Dulsat, C., Mealy, N. (2009). "Isofagomine tartrate". Drugs of the Future 34 (1): 23. doi:10.1358/dof.2009.034.01.1323946. 
      5. ^ Richard A. Steet, Stephen Chung, Brandon Wustman, Allan Powe, Hung Do, and Stuart A. Kornfeld (2006). "The iminosugar isofagomine increases the activity of N370S mutant acid β-glucosidase in Gaucher fibroblasts by several mechanisms". PNAS 103 (37): 13813–8. doi:10.1073/pnas.0605928103. PMC 1564243. PMID 16945909. 
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      Last modified on 3 September 2011, at 16:08