Emergence of prions selectively resistant to combination drug therapy.

Abstract:

:Prions are unorthodox infectious agents that replicate by templating misfolded conformations of a host-encoded glycoprotein, collectively termed PrPSc. Prion diseases are invariably fatal and currently incurable, but oral drugs that can prolong incubation times in prion-infected mice have been developed. Here, we tested the efficacy of combination therapy with two such drugs, IND24 and Anle138b, in scrapie-infected mice. The results indicate that combination therapy was no more effective than either IND24 or Anle138b monotherapy in prolonging scrapie incubation times. Moreover, combination therapy induced the formation of a new prion strain that is specifically resistant to the combination regimen but susceptible to Anle138b. To our knowledge, this is the first report of a pathogen with specific resistance to combination therapy despite being susceptible to monotherapy. Our findings also suggest that combination therapy may be a less effective strategy for treating prions than conventional pathogens.

journal_name

PLoS Pathog

journal_title

PLoS pathogens

authors

Burke CM,Mark KMK,Kun J,Beauchemin KS,Supattapone S

doi

10.1371/journal.ppat.1008581

subject

Has Abstract

pub_date

2020-05-18 00:00:00

pages

e1008581

issue

5

eissn

1553-7366

issn

1553-7374

pii

PPATHOGENS-D-20-00419

journal_volume

16

pub_type

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