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Volume 08

Journal of Alzheimers Disease & Parkinsonism

Alzheimer's Congress 2018

May 30-31, 2018

Page 29

Notes:

conference

series

.com

May 30-31, 2018 Osaka, Japan

10

th

World Congress on

Alzheimer's Disease & Dementia

Hydromethylthionine: Potential of a single drug for multiple neurodegenerative protein aggregation

disorders

F

ollowing our discovery of a fragment from the repeat domain of τ-protein as a structural constituent of the PHF-core in

alzheimer’s disease, we developed an assay that captured several key features of the aggregation process. τ-τ u binding through

the core τ fragment can be blocked by variants of the Methyl Thioninium (MT) moiety found to dissolve proteolytically stable

PHFs isolated from AD brain. The PHF-core tau fragment induces templated proteolytic processing of normal τ, is inherently

capable of auto-catalytic self-propagation, can be assembled into characteristic PHFs

in vitro

and assembly can be blocked by

MT-like compounds. The potential utility of these compounds for reduction of pathology and reversal of behavioural deficits

was confirmed in tau transgenic mouse models using a stable reduced form of the molecule (hydromethylthionine) which is

better absorbed and tolerated. Similar benefits have been shown in a synucein aggregation assay

in vitro

and in a transgenic

synuclein mouse model. These findings led to the first clinical trials to test hydromethylthionine therapy in alzheimer’s

disease as a way to block this cascade. Although hydromethylthionine appears to be beneficial as monotherapy, there is a

negative interaction with standard symptomatic treatments for AD which was has now been confirmed in a τ transgenic

mouse model. In clinical practice, hydromethylthionine therapy will be optimally useful as first-line monotherapy. The efficacy

of hydromethylthionine as a synuclein aggregation inhibitor suggests that it may also be useful in parkinson’s disease and

dementia of the lewy body type.

Biography

Claude M Wischik has completed his Medical degree at Flinders University in South Australia and PhD at the University of Cambridge, UK. He is the Professor of

Psychiatric Geratology at the University of Aberdeen and Chairman of TauRx Therapeutics. He has published extensively on the τ-pathology of AD.

cmw@taurx.com

Claude MWischik

University of Aberdeen, UK

Claude M Wischik, J Alzheimers Dis Parkinsonism 2018, Volume 8

DOI: 10.4172/2161-0460-C4-044