Target intelligence / Profile preview

Spinocerebellar ataxia protein (ATXN) (ATXN)

Target
ATXN
Molecular classification
RNA-binding protein [5, 8], Deubiquitinating enzyme [19, 22], Transcription factor [17, 20], Nuclear protein [2], Enzyme [16, 19]
01

Overview

Spinocerebellar ataxia proteins, primarily known as Ataxins, are a diverse group of proteins whose mutations—most commonly polyglutamine (polyQ) expansions—lead to the progressive neurodegenerative disorders known as Spinocerebellar Ataxias (SCAs) [2, 12]. These proteins normally function in critical cellular processes such as RNA metabolism, deubiquitination, and transcriptional regulation [5, 8, 19]. In disease states, the expanded polyQ tracts cause the proteins to misfold and aggregate, leading to a toxic gain-of-function that results in the degeneration of Purkinje cells in the cerebellum and other neurons [6, 16, 22]. Therapeutic strategies currently focus on reducing the levels of these mutant proteins using antisense oligonucleotides (ASOs), RNA interference (RNAi), and gene therapy to halt or reverse disease progression [10, 15, 24]. While no disease-modifying treatments are currently approved, several candidates are in clinical and preclinical development, with biomarkers like neurofilament light chain (NfL) being used to monitor efficacy [3, 4, 7, 9].

Other names
AtaxinSCA proteinSpinocerebellar ataxia-associated proteinATXN protein
02

Mechanism of action

Antisense oligonucleotide-mediated mRNA degradation and RNA interference-mediated gene silencing to reduce levels of mutant proteins and mitigate toxic gain-of-function [6, 10, 15, 24]; symptomatic relief via modulation of ion channel activity [12, 13].

03

Biological functions

RNA processing [5, 8]Deubiquitination [19, 22]Transcription regulation [17, 20]Protein quality control [19, 22]mRNA stability [5, 8]Translation regulation [5, 8]Calcium homeostasis [8, 16]
04

Disease associations

Spinocerebellar ataxia [2, 12]Neurodegenerative disease [6, 12]Amyotrophic lateral sclerosis [5, 8]Parkinson's disease [5, 8]Huntington's disease [19, 22]
05

Safety considerations

Loss of physiological protein function [14, 15]Off-target gene silencing [14, 15]Delivery across the blood-brain barrier [10, 12]Immunogenicity of viral vectors [12, 15]Potential for tumor suppressor inhibition [14]
06

Interacting drugs

BIIB105 (IONIS-ATXN2-Rx) [10, 18]

3 more in the full profile.

07

Biomarkers

Neurofilament light chain (NfL) [1, 4, 7, 9]polyQ-Ataxin-3 protein level [3, 7]CAG repeat length [9, 22]MRI cerebellar volume [9]Scale for the Assessment and Rating of Ataxia (SARA) score [3, 12]

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