A molecular glue degrader of the WIZ transcription factor for fetal hemoglobin induction

Author:

Ting Pamela Y.1ORCID,Borikar Sneha1ORCID,Kerrigan John Ryan1,Thomsen Noel M.1,Aghania Eamon1ORCID,Hinman Amelia E.1,Reyes Alejandro2ORCID,Pizzato Nicolas2ORCID,Fodor Barna D.2ORCID,Wu Fabian2,Belew Muluken S.1,Mao Xiaohong1,Wang Jian1ORCID,Chitnis Shripad1,Niu Wei1,Hachey Amanda1,Cobb Jennifer S.1ORCID,Savage Nikolas A.1ORCID,Burke Ashley1,Paulk Joshiawa1ORCID,Dovala Dustin3,Lin James3,Clifton Matthew C.3ORCID,Ornelas Elizabeth3ORCID,Ma Xiaolei3ORCID,Ware Nathaniel F.1ORCID,Sanchez Carina C.1ORCID,Taraszka John1,Terranova Remi2ORCID,Knehr Judith2ORCID,Altorfer Marc2ORCID,Barnes S. Whitney4ORCID,Beckwith Rohan E. J.1ORCID,Solomon Jonathan M.1ORCID,Dales Natalie A.1,Patterson Andrew W.1,Wagner Jürgen2ORCID,Bouwmeester Tewis2ORCID,Dranoff Glenn1,Stevenson Susan C.1,Bradner James E.1ORCID

Affiliation:

1. Novartis Biomedical Research, Cambridge, MA, USA.

2. Novartis Biomedical Research, Basel, Switzerland.

3. Novartis Biomedical Research, Emeryville, CA, USA.

4. Novartis Biomedical Research, San Diego, CA, USA.

Abstract

Sickle cell disease (SCD) is a prevalent, life-threatening condition attributable to a heritable mutation in β-hemoglobin. Therapeutic induction of fetal hemoglobin (HbF) can ameliorate disease complications and has been intently pursued. However, safe and effective small-molecule inducers of HbF remain elusive. We report the discovery of dWIZ-1 and dWIZ-2, molecular glue degraders of the WIZ transcription factor that robustly induce HbF in erythroblasts. Phenotypic screening of a cereblon (CRBN)–biased chemical library revealed WIZ as a previously unknown repressor of HbF. WIZ degradation is mediated by recruitment of WIZ(ZF7) to CRBN by dWIZ-1, as resolved by crystallography of the ternary complex. Pharmacological degradation of WIZ was well tolerated and induced HbF in humanized mice and cynomolgus monkeys. These findings establish WIZ degradation as a globally accessible therapeutic strategy for SCD.

Publisher

American Association for the Advancement of Science (AAAS)

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Molecular glue degrader for sickle cell disease;Nature Reviews Drug Discovery;2024-07-23

2. Developing a pill to treat sickle cell disease;Science;2024-07-05

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