PMID- 20721828 OWN - NLM STAT- MEDLINE DCOM- 20101213 LR - 20211020 IS - 2040-3410 (Electronic) IS - 1369-7056 (Print) IS - 1369-7056 (Linking) VI - 13 IP - 8 DP - 2010 Aug TI - Olesoxime, a cholesterol-like neuroprotectant for the potential treatment of amyotrophic lateral sclerosis. PG - 568-80 AB - Effective therapies are needed for amyotrophic lateral sclerosis (ALS), a debilitating and fatal motor neuron disease. Cell and animal models of ALS are beginning to reveal possible principles governing the biology of motor neuron-selective vulnerability that implicate mitochondria and the mitochondrial permeability pore (mPTP). Proteins associated with the mPTP are known to be enriched in motor neurons and the genetic deletion of a major regulator of the mPTP has robust effects in ALS transgenic mice, delaying disease onset and extending survival. Thus, the mPTP is a rational, mechanism-based target for the development of drugs designed to treat ALS. Trophos SA has discovered olesoxime (TRO-19622), a small-molecule with a cholesterol-like structure, which has remarkable neuroprotective properties for motor neurons in cell culture and in rodents. Olesoxime appears to act on mitochondria, possibly at the mPTP. Phase I clinical trials of olesoxime have been completed successfully. Olesoxime is well tolerated and achieves levels predicted to be clinically effective when administered orally. It has been granted orphan drug status for the treatment of ALS in the US and for the treatment of spinal muscular atrophy in the EU. Phase II/III clinical trials are in progress in Europe. FAU - Martin, Lee J AU - Martin LJ AD - Johns Hopkins University School of Medicine, Departments of Pathology and Neuroscience, Baltimore, MD 21205-2196, USA. martinl@jhmi.edu LA - eng GR - R01 NS065895-01/NS/NINDS NIH HHS/United States GR - R01 NS052098/NS/NINDS NIH HHS/United States GR - NS052098/NS/NINDS NIH HHS/United States GR - R01 AG016282-01A1/AG/NIA NIH HHS/United States GR - R01 NS052098-02/NS/NINDS NIH HHS/United States GR - AG016282/AG/NIA NIH HHS/United States GR - R01 NS065895/NS/NINDS NIH HHS/United States GR - R01 AG016282/AG/NIA NIH HHS/United States GR - NS065895/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - England TA - IDrugs JT - IDrugs : the investigational drugs journal JID - 100883655 RN - 0 (Cholestenones) RN - 0 (Mitochondrial Membrane Transport Proteins) RN - 0 (Mitochondrial Permeability Transition Pore) RN - 0 (Neuroprotective Agents) RN - A6778U5IFY (olesoxime) SB - IM MH - Amyotrophic Lateral Sclerosis/*drug therapy/metabolism MH - Animals MH - Cholestenones/adverse effects/pharmacology/*therapeutic use MH - Humans MH - Mitochondrial Membrane Transport Proteins/metabolism MH - Mitochondrial Permeability Transition Pore MH - Neuroprotective Agents/adverse effects/pharmacology/*therapeutic use PMC - PMC3058503 MID - NIHMS276664 EDAT- 2010/08/20 06:00 MHDA- 2010/12/14 06:00 PMCR- 2011/03/16 CRDT- 2010/08/20 06:00 PHST- 2010/08/20 06:00 [entrez] PHST- 2010/08/20 06:00 [pubmed] PHST- 2010/12/14 06:00 [medline] PHST- 2011/03/16 00:00 [pmc-release] PST - ppublish SO - IDrugs. 2010 Aug;13(8):568-80.