Completed Cancer Heart, Stroke & Blood

Perforin Inhibitors for the prevention of allogenic bone marrow stem cell transplant rejection

In plain English

AI plain-English summary

A new class of drugs blocks a protein called perforin, which immune cells use to punch holes in and kill other cells. The Wellcome Trust has awarded AU$6.8 million to a team led by Professor Joe Trapani to develop these compounds into treatments that prevent the immune system from destroying transplanted bone marrow stem cells. Perforin is the molecular weapon that killer immune cells deploy to destroy infected or foreign cells. Current immunosuppressants are blunt instruments that dampen the entire immune response, leaving patients vulnerable to infection. A drug that specifically blocks perforin would target only the cell-killing pathway responsible for transplant rejection, leaving the rest of the immune system intact. If successful, these inhibitors could prevent rejection of bone marrow stem cell transplants, a procedure used to treat many forms of cancer. This would increase survival rates for patients who currently have few options. The team has already developed three classes of compounds that block perforin in the lab. Under this funding, they will refine these molecules, test them in disease models, and advance them toward clinical trials for conditions where no adequate treatment exists.

View original technical description
Perforin is a novel and tractable target, the inhibition of which would address significant unmet need in clinical allotransplantation and potentially, a number of other human disorders. An immunosuppressant targeting perforin would provide the first-ever therapy focussed specifically on one of the principal cell death pathways leading to transplant rejection.The Trust has awarded AU$6.8m over three years to Professor Joe Trapani (Peter MacCallum Cancer Centre), Professor Bill Denny (University of Auckland), Professor James Whisstock (Monash University) and Professor Geoff Hill (Queensland Institute for Medical Research) for the development of small molecule inhibitors of perforin that could lead to more prevention of allogeneic bone marrow stem cell transplant rejection and therefore increase survival rates for many forms of cancer. The team led by Professor Joe Trapani, have recently developed three classes of compounds which have been shown to block the action of perforin. Under the Trust funding the team will continue to characterise and improve on these compounds. These inhibitors will be assessed in specific models and then progressed into clinical candidates that could be ultimately assessed in drug trials for indications with significant unmet clinical need.

View the original record at the funder ↗

Researchers

Joseph Trapani (EPMC Awardee)

Related Research

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Immunometabolic impact of machine perfusion strategies in liver transplantation
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Original classification

Seeding Drug Discovery Award

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