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7ACU

Crystal structure of human transthyretin in complex with Benzbromarone

Summary for 7ACU
Entry DOI10.2210/pdb7acu/pdb
DescriptorTransthyretin, [3,5-bis(bromanyl)-4-oxidanyl-phenyl]-(2-ethyl-1-benzofuran-3-yl)methanone (3 entities in total)
Functional Keywordstransthyretin, ttr, benzbromarone, complex, transport protein
Biological sourceHomo sapiens (Human)
Total number of polymer chains2
Total formula weight26060.37
Authors
Leite, J.P.,Gales, L. (deposition date: 2020-09-11, release date: 2020-10-28, Last modification date: 2024-01-31)
Primary citationCotrina, E.Y.,Oliveira, A.,Leite, J.P.,Llop, J.,Gales, L.,Quintana, J.,Cardoso, I.,Arsequell, G.
Repurposing Benzbromarone for Familial Amyloid Polyneuropathy: A New Transthyretin Tetramer Stabilizer.
Int J Mol Sci, 21:-, 2020
Cited by
PubMed Abstract: Transthyretin (TTR) is a homotetrameric protein involved in human amyloidosis, including familial amyloid polyneuropathy (FAP). Discovering small-molecule stabilizers of the TTR tetramer is a therapeutic strategy for these diseases. Tafamidis, the only approved drug for FAP treatment, is not effective for all patients. Herein, we discovered that benzbromarone (BBM), a uricosuric drug, is an effective TTR stabilizer and inhibitor against TTR amyloid fibril formation. BBM rendered TTR more resistant to urea denaturation, similarly to iododiflunisal (IDIF), a very potent TTR stabilizer. BBM competes with thyroxine for binding in the TTR central channel, with an IC similar to IDIF and tafamidis. Results obtained by isothermal titration calorimetry (ITC) demonstrated that BBM binds TTR with an affinity similar to IDIF, tolcapone and tafamidis, confirming BBM as a potent binder of TTR. The crystal structure of the BBM-TTR complex shows two molecules binding deeply in the thyroxine binding channel, forming strong intermonomer hydrogen bonds and increasing the stability of the TTR tetramer. Finally, kinetic analysis of the ability of BBM to inhibit TTR fibrillogenesis at acidic pH and comparison with other stabilizers revealed that benzbromarone is a potent inhibitor of TTR amyloidogenesis, adding a new interesting scaffold for drug design of TTR stabilizers.
PubMed: 32998442
DOI: 10.3390/ijms21197166
PDB entries with the same primary citation
Experimental method
X-RAY DIFFRACTION (1.541 Å)
Structure validation

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