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Adenosine deaminase acting on RNA 1 Z-alpha domain (ADAR1 Zα domain) (ADAR1 Zα)

Target
ADAR1 Zα
Molecular classification
Enzyme (Adenosine deaminase), RNA-binding protein, DNA-binding protein
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Overview

The Adenosine deaminase acting on RNA 1 (ADAR1) Z-alpha (Zα) domain is a specialized nucleic acid-binding motif found in the interferon-inducible p150 isoform of the ADAR1 enzyme (UniProt P55265). This domain is unique for its high-affinity binding to left-handed Z-DNA and Z-RNA, which are high-energy conformations of double-stranded nucleic acids (Herbert, 2019). Biologically, the Zα domain targets ADAR1 to specific double-stranded RNA (dsRNA) substrates, such as Alu elements, where the enzyme performs adenosine-to-inosine (A-to-I) editing (Fritzell et al., 2019). This editing process is essential for distinguishing self RNA from viral RNA, as it prevents the activation of the MDA5-mediated innate immune pathway by endogenous transcripts (Mao et al., 2022). In many cancers, ADAR1 is upregulated to suppress the sensing of immunogenic dsRNA, thereby promoting immune evasion and resistance to checkpoint inhibitors (Ishizuka et al., 2019). Consequently, the Zα domain is a high-interest therapeutic target for small molecule inhibitors designed to unmask tumor RNA and stimulate a robust anti-tumor immune response (Gannon et al., 2018). However, therapeutic intervention must be carefully managed, as genetic defects in this domain are known to cause Aicardi-Goutières Syndrome, a severe autoinflammatory disease (Rice et al., 2012).

Other names
ADAR1 Z-alpha domainZ-DNA binding domain of ADAR1DSRADIFI4K88DSRBPp150 ADAR1
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Mechanism of action

Inhibition of the Z-alpha domain prevents ADAR1 from binding to and editing Z-RNA, leading to the accumulation of immunogenic double-stranded RNA and subsequent activation of the MDA5-mediated innate immune response (Ishizuka et al., 2019).

03

Biological functions

RNA editing (Adenosine-to-Inosine conversion)Innate immune response regulationRecognition of left-handed Z-DNA and Z-RNASuppression of endogenous double-stranded RNA sensing
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Disease associations

Cancer (Immune evasion and immunotherapy resistance)Aicardi-Goutières Syndrome (AGS)Autoimmune disease (e.g., Systemic Lupus Erythematosus)Bilateral Striatal Necrosis
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Safety considerations

Risk of systemic autoimmunity and chronic inflammationInduction of Aicardi-Goutières Syndrome-like symptomsPotential for neurotoxicity due to interferon overproduction in the CNS
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Interacting drugs

ADAR1 inhibitors (preclinical development by companies such as Accent Therapeutics and Storm Therapeutics)

1 more in the full profile.

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Biomarkers

ADAR1 p150 protein expression levels (Mao et al., 2022)Alu element RNA editing frequency (Fritzell et al., 2019)Interferon-stimulated gene (ISG) signature (Gannon et al., 2018)MDA5-MAVS pathway activation markers (Ishizuka et al., 2019)

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