IP Library Granted Patent US 12,648,917
Granted Patent B2
US 12,648,917 · App. 18/403,100 · Granted Jun 9, 2026

Use of metformin and analogs thereof to reduce RAN protein levels in the treatment of neurological disorders

Inventors: Laura Ranum (Gainesville, FL); Tao Zu (Gainesville, FL)
Assignee: University of Florida Research Foundation, Incorporated
A61K31/155
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Quick Facts
Patent No.
US 12,648,917
App. No.
18/403,100
Granted
Jun 9, 2026
Kind
B2
Abstract

The present disclosure provides the use of compounds of Formulae (I), (II), (III), (III-A), and (III-B) (e.g., metformin) in treating a neurological disease associated with repeat expansions and/or RAN protein accumulation, reducing the level of one or more repeat associated non-ATG (RAN) proteins, and reducing the accumulation of RAN proteins in a subject and/or biological sample. Also provided is the use of compounds of Formulae (I), (II), (III), (III-A), and (III-B) (e.g., metformin) in inhibiting RAN protein translation in a subject and in a biological sample (e.g., cells, tissue). Also provided in the present disclosure are pharmaceutical compositions, kits, and uses of compounds of Formulae (I), (II), (III), (III-A), and (III-B) (e.g., metformin) for treating diseases associated with repeat expansions. Exemplary diseases associated with repeat expansions include, but are not limited to, C9ORFf72 amyotrophic lateral sclerosis (ALS), or C9ORFf72 frontotemporal dementia; myotonic dystrophy type 1 (DM1) and myotonic dystrophy type 2 (DM2); spinocerebellar ataxia; Huntington's disease; Fragile X Tremor Ataxia Syndrome (FXTAS); and Fragile XE syndrome (FRAXE).

Claims (29)

1 . A method of treating a neurological disease associated with repeat expansions in a subject in need thereof, the method comprising administering to the subject in need thereof an effective amount of a compound of Formula (I):

or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof, wherein:

each instance of is a single bond or double bond, as valency permits;

each instance of R 2A is independently hydrogen or substituted or unsubstituted C 1-6 alkyl;

R 3 is hydrogen or unsubstituted C 1-6 alkyl;

each instance of R 4 is independently hydrogen, unsubstituted C 1-6 alkyl, or absent, as valency permits;

each instance of R 6 is independently hydrogen, unsubstituted C 1-6 alkyl, or absent, as valency permits; and

R 7 is hydrogen, unsubstituted C 1-6 alkyl, or absent, as valency permits;

wherein the neurological disease associated with repeat expansions is spinocerebellar ataxia type 1, 2, 3, 6, 7, 8, 12, or 17.

2 . The method of claim 1 , wherein the compound is of Formula (I-A):

or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof.

3 . The method of claim 1 , wherein the compound is of formula:

or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof.

4 . The method of claim 1 , wherein at least one instance of R 2A is substituted or unsubstituted C 1-6 alkyl.

5 . The method of claim 1 , wherein R 3 is hydrogen.

6 . The method of claim 1 , wherein at least one instance of R 6 is hydrogen.

7 . The method of claim 1 , wherein the compound is of formula:

or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof.

8 . The method of claim 1 , wherein the compound is of formula:

or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof.

9 . The method of claim 1 , whereby the method comprises reducing the level of one or more repeat associated non-ATG (RAN) proteins, and/or reducing the translation of one or more RAN proteins.

10 . The method of claim 1 , wherein the neurological disease associated with repeat expansions is spinocerebellar ataxia type 8.

11 . The method of claim 1 , wherein the neurological disease associated with repeat expansions is spinocerebellar ataxia type 1, spinocerebellar ataxia type 2, spinocerebellar ataxia type 3, spinocerebellar ataxia type 6, spinocerebellar ataxia type 7, spinocerebellar ataxia type 12, or spinocerebellar ataxia type 17.

12 . The method of claim 1 , wherein each instance of R 4 is independently hydrogen or absent, as valency permits; and R 7 is hydrogen or absent, as valency permits.

13 . The method of claim 1 , wherein the method comprises administering to the subject in need thereof an effective amount of the compound, or a pharmaceutically acceptable salt thereof.

14 . The method of claim 1 , wherein the method comprises administering to the subject in need thereof an effective amount of a compound of the formula:

or a pharmaceutically acceptable salt thereof.

15 . The method of claim 1 , wherein the method comprises administering to the subject in need thereof an effective amount of a compound of the formula:

or a pharmaceutically acceptable salt thereof.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 3, 2024
From: RANUM, LAURA; ZU, TAO
To: UNIVERSITY OF FLORIDA RESEARCH FOUNDATION, INCORPORATED
Reel/Frame 066986/0546 →
Continuity (3)
Continuation 16650721
Provisional Application 62563588 · Sep 26, 2017
Related Publication 20240269093A1 · Aug 15, 2024
References Cited (272)
US 5011912A · Hopp et al. · 1991 [cited by applicant]
US 6204008B1 · Borneman et al. · 2001 [cited by applicant]
US 6326151B1 · Katze et al. · 2001 [cited by applicant]
US 6342581B1 · Rosen et al. · 2002 [cited by applicant]
US 7008796B2 · Wohlstadter et al. · 2006 [cited by applicant]
US 7481997B1 · Hardy · 2009 [cited by applicant]
US 8993633B2 · Megeney et al. · 2015 [cited by applicant]
US 9448232B2 · Petrucelli et al. · 2016 [cited by applicant]
US 10066007B2 · Edbauer et al. · 2018 [cited by applicant]
US 10295547B2 · Ranum et al. · 2019 [cited by applicant]
US 10392447B2 · Montrasio et al. · 2019 [cited by applicant]
US 10509045B2 · Ranum et al. · 2019 [cited by applicant]
US 10663475B2 · Ranum et al. · 2020 [cited by applicant]
US 10940161B2 · Ranum et al. · 2021 [cited by applicant]
US 10961322B2 · Montrasio et al. · 2021 [cited by applicant]
US 11034974B2 · Ling et al. · 2021 [cited by applicant]
US 11345911B2 · Ranum et al. · 2022 [cited by applicant]
US 11903910B2 · Ranum et al. · 2024 [cited by applicant]
US 12025622B2 · Ranum et al. · 2024 [cited by applicant]
US 12162952B2 · Grimm et al. · 2024 [cited by applicant]
US 12360124B2 · Ranum et al. · 2025 [cited by applicant]
US 12364707B2 · Ranum et al. · 2025 [cited by applicant]
US 12392786B2 · Ranum et al. · 2025 [cited by applicant]
US 12436154B2 · Ranum et al. · 2025 [cited by applicant]
US 12473545B2 · Ranum et al. · 2025 [cited by applicant]
US 20020165355A1 · Meheus et al. · 2002 [cited by applicant]
US 20030113826A1 · Wehner et al. · 2003 [cited by applicant]
US 20030233675A1 · Cao et al. · 2003 [cited by applicant]
US 20050042657A1 · Weese-Mayer et al. · 2005 [cited by applicant]
US 20060068434A1 · Stoerker · 2006 [cited by applicant]
US 20070004729A1 · Timmer et al. · 2007 [cited by applicant]
US 20070014810A1 · Baker et al. · 2007 [cited by applicant]
US 20070036760A1 · Wilson et al. · 2007 [cited by applicant]
US 20070093426A1 · Wormser · 2007 [cited by applicant]
US 20080188457A1 · Barlow et al. · 2008 [cited by applicant]
US 20080227699A1 · Chiba et al. · 2008 [cited by applicant]
US 20080248099A1 · Ishii · 2008 [cited by applicant]
US 20090074721A1 · Kim et al. · 2009 [cited by applicant]
US 20090143418A1 · Dixon et al. · 2009 [cited by applicant]
US 20090148866A1 · Datwyler et al. · 2009 [cited by applicant]
US 20090312395A1 · El-Tanani et al. · 2009 [cited by applicant]
US 20100298280A1 · Kioschis-Schneider et al. · 2010 [cited by applicant]
US 20120076785A1 · Nikolaev et al. · 2012 [cited by applicant]
US 20120094299A1 · Ranum et al. · 2012 [cited by applicant]
US 20120142027A1 · Kim · 2012 [cited by applicant]
US 20120220534A1 · Levin et al. · 2012 [cited by applicant]
US 20130085169A1 · Baghdoyan et al. · 2013 [cited by applicant]
US 20130115603A9 · Ranum et al. · 2013 [cited by applicant]
US 20140100282A1 · Wong · 2014 [cited by applicant]
US 20140336133A1 · Miller et al. · 2014 [cited by applicant]
US 20150011729A1 · Ranum et al. · 2015 [cited by applicant]
US 20150361166A1 · Edbauer et al. · 2015 [cited by applicant]
US 20160025747A1 · Ranum et al. · 2016 [cited by applicant]
US 20160096800A1 · Walter et al. · 2016 [cited by applicant]
US 20160346297A1 · Sheehan · 2016 [cited by applicant]
US 20170247471A1 · Montrasio et al. · 2017 [cited by applicant]
US 20180050001A1 · During · 2018 [cited by examiner]
US 20180088111A1 · Ni et al. · 2018 [cited by applicant]
US 20180292416A1 · Ranum et al. · 2018 [cited by applicant]
US 20190142858A1 · Ranum et al. · 2019 [cited by applicant]
US 20190153445A1 · Seow et al. · 2019 [cited by applicant]
US 20190285652A1 · Ranum et al. · 2019 [cited by applicant]
US 20200010567A1 · Montrasio et al. · 2020 [cited by applicant]
US 20200140846A1 · Ranum et al. · 2020 [cited by applicant]
US 20200206255A9 · Ranum et al. · 2020 [cited by applicant]
US 20200232925A1 · Ranum et al. · 2020 [cited by applicant]
US 20200241013A1 · Ranum et al. · 2020 [cited by applicant]
US 20200268691A1 · Ranum et al. · 2020 [cited by applicant]
US 20200341012A1 · Ranum et al. · 2020 [cited by applicant]
US 20200355701A1 · Van Meter · 2020 [cited by applicant]
US 20210236535A1 · Ranum et al. · 2021 [cited by applicant]
US 20210285970A1 · Ranum et al. · 2021 [cited by applicant]
US 20210347866A1 · Wang et al. · 2021 [cited by applicant]
US 20220153874A1 · Grimm et al. · 2022 [cited by applicant]
US 20220202935A1 · Edbauer et al. · 2022 [cited by applicant]
US 20220373559A1 · Ranum et al. · 2022 [cited by applicant]
US 20230002753A1 · Ranum et al. · 2023 [cited by applicant]
US 20230218730A1 · Ranum et al. · 2023 [cited by applicant]
US 20230288434A1 · Ranum et al. · 2023 [cited by applicant]
US 20240069039A1 · Ranum et al. · 2024 [cited by applicant]
US 20240393348A1 · Ranum et al. · 2024 [cited by applicant]
US 20240426844A1 · Ranum et al. · 2024 [cited by applicant]
US 20250027084A1 · Wolin et al. · 2025 [cited by applicant]
US 20250041247A1 · Ranum · 2025 [cited by examiner]
US 20250164489A1 · Ranum et al. · 2025 [cited by applicant]
US 20250177431A1 · Richter et al. · 2025 [cited by applicant]
US 20250237666A9 · Ranum et al. · 2025 [cited by applicant]
CA 3137666A1 · 2020 [cited by applicant]
EP 2837390A1 · 2015 [cited by applicant]
EP 2948471A1 · 2015 [cited by applicant]
EP 3440100A1 · 2019 [cited by applicant]
JP H11344491A · 1999 [cited by applicant]
JP 2004510162A · 2004 [cited by applicant]
JP 2004518437A · 2004 [cited by applicant]
JP 2004520803A · 2004 [cited by applicant]
JP 2007507223A · 2007 [cited by applicant]
JP 2012501193A · 2012 [cited by applicant]
JP 2016515208A · 2016 [cited by applicant]
JP 2017205118A · 2017 [cited by applicant]
JP 2018031780A · 2018 [cited by applicant]
JP 2019515894A · 2019 [cited by applicant]
WO WO200175067A2 · 2001 [cited by applicant]
WO WO200181581A2 · 2001 [cited by applicant]
WO WO2002027317A2 · 2002 [cited by applicant]
WO WO2002040672A2 · 2002 [cited by applicant]
WO WO2002062945A2 · 2002 [cited by applicant]
WO WO2005033321A2 · 2005 [cited by applicant]
WO WO2006083800A2 · 2006 [cited by applicant]
WO WO2009144480A1 · 2009 [cited by applicant]
WO WO2010115033A2 · 2010 [cited by applicant]
WO WO2010132982A1 · 2010 [cited by applicant]
WO WO2011052906A2 · 2011 [cited by applicant]
WO WO2012159754A2 · 2012 [cited by applicant]
WO WO2013030588A1 · 2013 [cited by applicant]
WO WO2013061163A2 · 2013 [cited by applicant]
WO WO2013078375A2 · 2013 [cited by applicant]
WO WO2013172537A1 · 2013 [cited by applicant]
WO WO2014114303A1 · 2014 [cited by applicant]
WO WO2014114660A1 · 2014 [cited by applicant]
WO WO2014116865A1 · 2014 [cited by applicant]
WO WO2014159247A1 · 2014 [cited by applicant]
WO WO2016025692A1 · 2016 [cited by applicant]
WO WO2016050822A2 · 2016 [cited by applicant]
WO WO2017176813A1 · 2017 [cited by applicant]
WO WO2018035408A1 · 2018 [cited by applicant]
WO WO2019060918A1 · 2019 [cited by applicant]
WO WO2019067587A1 · 2019 [cited by applicant]
WO WO2021007110A1 · 2021 [cited by applicant]
WO WO2021231887A1 · 2021 [cited by applicant]
Cleary et al. Current Opinion in Genetics & Development 2017, 44, 125-134, available online Mar. 30, 2017. [cited by examiner]
Cleary et al. Human Molecular genetics 2013, 22 (1), R45-R51. [cited by examiner]
Batra et al. Human Molecular genetics 2010, 19 (1), R77-R82. [cited by examiner]
Tandon et al. Life Sciences 2024, 344, 122562, p. 1-17. [cited by examiner]
Cendelin et al. The Cerebellum 2022, 21, 452-481. [cited by examiner]
Cui et al. Frontiers in Neuroscience 2024, 18:1422442, p. 1-15. [cited by examiner]
International Preliminary Report on Patentability, mailed Jun. 13, 2024, in connection with Application No. PCT/US2022/051530. [cited by applicant]
International Preliminary Report on Patentability, mailed Sep. 12, 2024, in connection with Application No. PCT/US2023/063328. [cited by applicant]
[No Author Listed] CRC group Top> L. K. Housing> Query, after sampling and sampling, was conducted, kept still in whole blood; CRC Corporation, Jun. 30, 2013. https://web.archive.org/web/20130630024235/http://www.crc-gr… [cited by applicant]
Asokan et al., The AAV vector toolkit: poised at the clinical crossroads. Mol Ther. Apr. 2012;20(4):699-708. doi: 10.1038/mt.2011.287. Epub Jan. 24, 2012. [cited by applicant]
William et al., Old friends on new paths: metformin as an early phase treatment in Huntington's Disease? Medizinische Genetik, 28, pp. 215-216, Mar. 4, 2016 (Mar. 4, 2016) (Abstract). [cited by applicant]
Extended European Search Report, mailed Sep. 30, 2016, in connection with Application No. EP 14776090.4. [cited by applicant]
International Search Report and Written Opinion, mailed Aug. 22, 2014, in connection with Application No. PCT/US2014/022670. [cited by applicant]
International Preliminary Report on Patentability, mailed Sep. 24, 2015, in connection with Application No. PCT/US2014/022670. [cited by applicant]
International Search Report and Written Opinion, mailed Sep. 21, 2016, in connection with Application No. PCT/US2016/034738. [cited by applicant]
International Preliminary Report on Patentability, mailed Dec. 14, 2017, in connection with Application No. PCT/US2016/034738. [cited by applicant]
Supplementary Partial European Search Report, mailed Oct. 18, 2019, in connection with Application No. EP 17779695.0. [cited by applicant]
Extended European Search Report, mailed Jan. 7, 2020, in connection with Application No. EP 17779695.0. [cited by applicant]
International Search Report and Written Opinion, mailed Jul. 7, 2017, in connection with Application No. PCT/US2017/026020. [cited by applicant]
International Preliminary Report on Patentability, mailed Oct. 18, 2018, in connection with Application No. PCT/US2017/026020. [cited by applicant]
Extended European Search Report, mailed Dec. 17, 2020, in connection with Application No. EP 18786964.9. [cited by applicant]
International Search Report and Written Opinion, mailed Jul. 27, 2018, in connection with Application No. PCT/US2018/028015. [cited by applicant]
International Preliminary Report on Patentability, mailed Oct. 31, 2019, in connection with Application No. PCT/US2018/028015. [cited by applicant]
Extended European Search Report, mailed Nov. 26, 2021, in connection with Application No. EP 18860923.4. [cited by applicant]
International Search Report and Written Opinion, mailed Jan. 15, 2019, in connection with Application No. PCT/US2018/052913. [cited by applicant]
International Preliminary Report on Patentability, mailed Apr. 9, 2020, in connection with Application No. PCT/US2018/052913. [cited by applicant]
Extended European Search Report, mailed Jun. 11, 2021, in connection with Application No. EP 18859783.5. [cited by applicant]
International Search Report and Written Opinion, mailed Dec. 6, 2018, in connection with Application No. PCT/US2018/052745. [cited by applicant]
International Preliminary Report on Patentability, mailed Apr. 9, 2020, in connection with Application No. PCT/US2018/052745. [cited by applicant]
Extended European Search Report, mailed Oct. 4, 2023, in connection with application No. EP 20865149.7. [cited by applicant]
Invitation to Pay Additional Fees, mailed Nov. 30, 2020, in connection with Application No. PCT/US2020/051671. [cited by applicant]
International Search Report and Written Opinion, mailed Feb. 9, 2021, in connection with Application No. PCT/US2020/051671. [cited by applicant]
International Preliminary Report on Patentability, mailed Mar. 31, 2022, in connection with Application No. PCT/US2020/051671. [cited by applicant]
Extended European Search Report, mailed Aug. 25, 2023, in connection with Application No. EP 20869039.6. [cited by applicant]
International Search Report and Written Opinion, mailed Dec. 31, 2020, in connection with Application No. PCT/US2020/051670. [cited by applicant]
International Preliminary Report on Patentability, mailed Apr. 7, 2022, in connection with Application No. PCT/US2020/051670. [cited by applicant]
Extended European Search Report, mailed Oct. 4, 2023, in connection with application No. EP 20874343.5. [cited by applicant]
Invitation to Pay Additional Fees, mailed Feb. 19, 2021, in connection with Application No. PCT/US2020/054976. [cited by applicant]
International Search Report and Written Opinion, mailed Apr. 23, 2021, in connection with Application No. PCT/US2020/054976. [cited by applicant]
International Preliminary Report on Patentability, mailed Apr. 21, 2022, in connection with Application No. PCT/US2020/054976. [cited by applicant]
Invitation to Pay Additional Fees, mailed Mar. 30, 2023, in connection with Application No. PCT/US2022/051530. [cited by applicant]
International Search Report and Written Opinion, mailed May 25, 2023, in connection with Application No. PCT/US2022/051530. [cited by applicant]
International Search Report and Written Opinion, mailed Jul. 19, 2023, in connection with Application No. PCT/US2023/063328. [cited by applicant]
[No Author Listed] Amersham ECL Western Blotting Detection Reagent. Retrieved from the internet under https://www.cytivalifesciences.com/en/us/shop/protein-analysis/blotting-and-detection/blotting-standards-and-reagents… [cited by applicant]
[No Author Listed] EBNA1—Epstein-Barr nuclear antigen 1—Epstein-Barr virus (strain GD1) (HHV-4)—EBNA1 gene & protein, Jan. 2018. 2018. Retrieved from the internet under https://www.uniprot.org/uniprot/Q3KSS4 on Sep. 12,… [cited by applicant]
[No Author Listed], Abstracts. Medizinische Genetik, Berufsverband Nedizinische Genetik, Muchen, DE. Medgen. Mar. 4, 2016; 28(1):84-232. DOI: 10.1007/s11825-016-0083-5. [cited by applicant]
Ash et al., Unconventional translation of C9ORF72 GGGGCC expansion generates insoluble polypeptides specific to c9FTD/ALS. Neuron. Feb. 20, 2013;77(4):639-46. doi: 10.1016/j.neuron.2013.02.004. Epub Feb. 12, 2013. [cited by applicant]
Ashizawa et al., GGCCTG repeats put a hex on Purkinje cells and motor neurons in SCA36. Neurology. Jul. 24, 2012;79(4):302-3. doi: 10.1212/WNL.0b013e31826043d9. Epub Jun. 27, 2012. [cited by applicant]
Ayhan et al., SCA8 RAN polySer protein preferentially accumulates in white matter regions and is regulated by eIF3F. EMBO J. Oct. 1, 2018;37(19). pii: e99023. doi: 10.15252/embj.201899023. Epub Sep. 11, 2018. [cited by applicant]
Baboonian et al., Cross reaction of antibodies to a glycine/alanine repeat sequence of Epstein-Barr virus nuclear antigen-1 with collagen, cytokeratin, and actin. Ann Rheum Dis. Nov. 1991;50(11):772-5. [cited by applicant]
Bae et al., Antibody-aided clearance of extracellular α-synuclein prevents cell-to-cell aggregate transmission. J Neurosci. Sep. 26, 2012;32(39):13454-69. [cited by applicant]
Barzilai et al., Metformin as a Tool to Target Aging. Cell Metab. Jun. 14, 2016;23(6):1060-1065. doi: 10.1016/j.cmet.2016.05.011. [cited by applicant]
Batra et al., Partners in crime: bidirectional transcription in unstable microsatellite disease. Hum Mol Genet. Apr. 15, 2010;19(R1):R77-82. doi: 10.1093/hmg/ddq132. Epub Apr. 4, 2010. [cited by applicant]
Bañez-Coronel et al., A pathogenic mechanism in Huntington's disease involves small CAG-repeated RNAs with neurotoxic activity. PLoS Genet. 2012;8(2):e1002481. doi: 10.1371/journal.pgen.1002481. Epub Feb. 23, 2012. [cited by applicant]
Bañez-Coronel et al., RAN Translation in Huntington Disease. Neuron. Nov. 18, 2015888(4):667-77. doi: 10.1016/j.neuron.2015.10.038. [cited by applicant]
Bañez-Coronel et al., Repeat-associated non-AUG (RAN) translation: insights from pathology. Lab Invest. Jul. 2019;99(7):929-942. doi: 10.1038/s41374-019-0241-x. Epub Mar. 27, 2019. [cited by applicant]
Bañez-Coronel et al., Sense and antisense RAN proteins in the CAG⋅CTG polyglutamine spinocerebellar ataxias. International Congress for Ataxia Research. Abstract ID 271. Nov. 1-4, 2022. 1 page. [cited by applicant]
Benkirane et al., Oncogenic potential of TAR RNA binding protein TRBP and its regulatory interaction with RNA-dependent protein kinase PKR. EMBO J. Feb. 3, 1997;16(3):611-24. doi: 10.1093/emboj/16.3.611. [cited by applicant]
Brooks et al., Spinal and bulbar muscular atrophy: a trinucleotide-repeat expansion neurodegenerative disease. Trends Neurosci. Oct. 1995;18(10):459-61. doi: 10.1016/0166-2236(95)94497-s. [cited by applicant]
Carroll et al., Potent and selective antisense oligonucleotides targeting single-nucleotide polymorphisms in the Huntington disease gene / allele-specific silencing of mutant huntingtin. Mol Ther. Dec. 2011;19(12):2178-… [cited by applicant]
Chen et al., Antidiabetic drug metformin (Glucophage [cited by applicant]
Chen et al., Functional genomics in [cited by applicant]
Cheng et al., C9ORF72 GGGGCC repeat-associated non-AUG translation is upregulated by stress through eIF2α phosphorylation. Nat Commun. Jan. 4, 2018;9(1):51. doi: 10.1038/s41467-017-02495-z. [cited by applicant]
Cleary et al., New developments in RAN translation: insights from multiple diseases. Curr Opin Genet Dev. Jun. 2017;44:125-134. doi: 10.1016/j.gde.2017.03.006. Epub Mar. 30, 2017. Author Manuscript, 18 pages. [cited by applicant]
Cleary et al., Repeat associated non-ATG (RAN) translation: new starts in microsatellite expansion disorders. Curr Opin Genet Dev. Jun. 2014;26:6-15. doi: 10.1016/j.gde.2014.03.002. Epub May 22, 2014. Author Manuscript,… [cited by applicant]
Cleary et al., Repeat-associated non-ATG (RAN) translation in neurological disease. Hum Mol Genet. Oct. 15, 2013;22(R1):R45-51. doi: 10.1093/hmg/ddt371. Epub Aug. 4, 2013. [cited by applicant]
Donnelly et al., RNA toxicity from the ALS/FTD C9ORF72 expansion is mitigated by antisense intervention. Neuron. Oct. 16, 2013;80(2):415-28. doi: 10.1016/j.neuron.2013.10.015. [cited by applicant]
Duan et al., Generation of polyclonal antiserum for the detection of methylarginine proteins. J Immunol Methods. Mar. 30, 2007;320(1-2):132-42. Epub Feb. 6, 2007. [cited by applicant]
Duellman et al., Antigen-binding properties of monoclonal antibodies reactive with EBNA1 and use in immunoaffinity chromatography. PLoS One. 2009;4(2):e4614. doi: 10.1371/journal.pone.0004614. Epub Feb. 26, 2009. [cited by applicant]
Foretz et al., Metformin: from mechanisms of action to therapies. Cell Metab. Dec. 2, 2014;20(6):953-66. doi: 10.1016/j.cmet.2014.09.018. Epub Oct. 30, 2014. [cited by applicant]
Gantois et al., Metformin ameliorates core deficits in a mouse model of fragile X syndrome. Nat Med. Jun. 2017;23(6):674-677. doi: 10.1038/nm.4335. Epub May 15, 2017. [cited by applicant]
Gkogkas et al., Pharmacogenetic inhibition of eIF4E-dependent Mmp9 mRNA translation reverses fragile X syndrome-like phenotypes. Cell Rep. Dec. 11, 2014;9(5):1742-1755. doi: 10.1016/j.celrep.2014.10.064. Epub Nov. 26, 2… [cited by applicant]
Green et al., RAN translation at C9orf72-associated repeat expansions is selectively enhanced by the integrated stress response. Nat Commun. Dec. 8, 2017;8(1):2005. doi: 10.1038/s41467-017-02200-0. [cited by applicant]
GÓMez-tortosa et al., C9ORF72 hexanucleotide expansions of 20-22 repeats are associated with frontotemporal deterioration. Neurology. Jan. 22, 2013;80(4):366-70. doi: 10.1212/WNL.0b013e31827f08ea. Epub Jan. 2, 2013. [cited by applicant]
Hock et al., Antibodies against beta-amyloid slow cognitive decline in Alzheimer's disease. Neuron. May 22, 2003;38(4):547-54. [cited by applicant]
Jawaid et al., ALS disease onset may occur later in patients with pre-morbid diabetes mellitus. Eur J Neurol. May 2010;17(5):733-9. doi: 10.1111/j.1468-1331.2009.02923.x. Epub Jan. 13, 2010. [cited by applicant]
Jin et al., Metformin Protects Cells from Mutant Huntingtin Toxicity Through Activation of AMPK and Modulation of Mitochondrial Dynamics. Neuromolecular Med. Dec. 2016;18(4):581-592. doi: 10.1007/s12017-016-8412-z. Epub… [cited by applicant]
Kearse et al., CGG Repeat-Associated Non-AUG Translation Utilizes a Cap-Dependent Scanning Mechanism of Initiation to Produce Toxic Proteins. Mol Cell. Apr. 21, 2016;62(2):314-322. doi: 10.1016/j.molcel.2016.02.034. Epu… [cited by applicant]
Kioumourtzoglou et al., Diabetes Mellitus, Obesity, and Diagnosis of Amyotrophic Lateral Sclerosis: A Population-Based Study. JAMA Neurol. Aug. 2015;72(8):905-11. doi: 10.1001/jamaneurol.2015.0910. Author Manuscript, 15… [cited by applicant]
Koide et al., Unstable expansion of CAG repeat in hereditary dentatorubral-pallidoluysian atrophy (DRPLA). Nat Genet. Jan. 1994;6(1):9-13. doi: 10.1038/ng0194-9. [cited by applicant]
Koob et al., An untranslated CTG expansion causes a novel form of spinocerebellar ataxia (SCA8). Nat Genet. Apr. 1999;21(4):379-84. doi: 10.1038/7710. [cited by applicant]
Leitman et al., ER stress-induced eIF2-alpha phosphorylation underlies sensitivity of striatal neurons to pathogenic huntingtin. PLoS One. Mar. 3, 2014;9(3):e90803. doi: 10.1371/journal.pone.0090803. [cited by applicant]
Liu et al., C9orf72 BAC Mouse Model with Motor Deficits and Neurodegenerative Features of ALS/FTD. Neuron. May 4, 2016;90(3):521-34. doi: 10.1016/j.neuron.2016.04.005. Epub Apr. 21, 2016. [cited by applicant]
Ma et al., Metformin therapy in a transgenic mouse model of Huntington's disease. Neurosci Lett. Jan. 10, 2007;411(2):98-103. doi: 10.1016/j.neulet.2006.10.039. Epub Nov. 15, 2006. [cited by applicant]
Memmott et al., Metformin prevents tobacco carcinogen—induced lung tumorigenesis. Cancer Prev Res (Phila). Sep. 2010;3(9):1066-76. doi: 10.1158/1940-6207.CAPR-10-0055. Epub Sep. 1, 2010. [cited by applicant]
Mirkin, Expandable DNA repeats and human disease. Nature. Jun. 21, 2007;447(7147):932-40. doi: 10.1038/nature05977. [cited by applicant]
Moon et al., Neuronal Regulation of eIF2α Function in Health and Neurological Disorders. Trends Mol Med. Jun. 2018;24(6):575-589. doi: 10.1016/j.molmed.2018.04.001. Epub Apr. 30, 2018. [cited by applicant]
Mori et al., The C9orf72 GGGGCC repeat is translated into aggregating dipeptide-repeat proteins in FTLD/ALS. Science. Mar. 15, 2013;339(6125):1335-8. doi: 10.1126/science.1232927. Epub Feb. 7, 2013. Supplementary inform… [cited by applicant]
Nguyen et al., Repeat-Associated Non-ATG Translation: Molecular Mechanisms and Contribution to Neurological Disease. Annu Rev Neurosci. Jul. 8, 2019;42:227-247. doi: 10.1146/annurev-neuro-070918-050405. Epub Mar. 25, 20… [cited by applicant]
Pakos-Zebrucka et al., The integrated stress response. EMBO Rep. Oct. 2016;17(10):1374-1395. doi: 10.15252/embr.201642195. Epub Sep. 14, 2016. [cited by applicant]
Park et al., TAR RNA-binding protein is an inhibitor of the interferon-induced protein kinase PKR. Proc Natl Acad Sci U S A. May 24, 1994;91(11):4713-7. doi: 10.1073/pnas.91.11.4713. [cited by applicant]
Perez et al., CCG⋅CGG interruptions in high-penetrance SCA8 families increase RAN translation and protein toxicity. EMBO Mol Med. Nov. 8, 2021;13(11):e14095. doi: 10.15252/emmm.202114095. Epub Oct. 11, 2021. [cited by applicant]
Satoh et al., Dystrophic neurites express C9orf72 in Alzheimer's disease brains. Alzheimers Res Ther. Aug. 16, 2012;4(4):33. doi: 10.1186/alzrt136. 13 pages. [cited by applicant]
Sha et al., Treatment implications of C9ORF72. Alzheimer's Res Ther. Nov. 27, 2012;4(6):46. doi: 10.1186/alzrt149. eCollection 2012. [cited by applicant]
Shoesmith et al., Amyotrophic lateral sclerosis: update for family physicians. Can Fam Physician. Dec. 2006;52(12):1563-9. [cited by applicant]
Sonenberg et al., Regulation of translation initiation in eukaryotes: mechanisms and biological targets. Cell. Feb. 20, 2009;136(4):731-45. doi: 10.1016/j.cell.2009.01.042. [cited by applicant]
Soragni et al., Repeat-Associated Non-ATG (RAN) Translation in Fuchs' Endothelial Corneal Dystrophy. Invest Ophthalmol Vis Sci. Apr. 1, 2018;59(5):1888-1896. doi: 10.1167/iovs.17-23265. [cited by applicant]
Taylor et al., Decoding ALS: from genes to mechanism. Nature. Nov. 10, 2016;539(7628):197-206. doi: 10.1038/nature20413. Author Manuscript, 28 pages. [cited by applicant]
Tian et al., Expanded CUG repeat RNAs form hairpins that activate the double-stranded RNA-dependent protein kinase PKR. RNA. Jan. 2000;6(1):79-87. doi: 10.1017/s1355838200991544. [cited by applicant]
Todd et al., CGG repeat-associated translation mediates neurodegeneration in fragile X tremor ataxia syndrome. Neuron. May 8, 2013;78(3):440-55. doi: 10.1016/j.neuron.2013.03.026. Epub Apr. 18, 2013. Erratum in: Neuron.… [cited by applicant]
Todd et al., Insights into the pathogenic mechanisms of Chromosome 9 open reading frame 72 (C9orf72) repeat expansions. J Neurochem. Aug. 2016;138 Suppl 1:145-62. doi: 10.1111/jnc.13623. Epub Jun. 15, 2016. [cited by applicant]
Trouth et al., Myasthenia gravis: a review. Autoimmune Dis. 2012;874680. doi: 10.1155/2012/874680. Epub Oct. 31, 2012. [cited by applicant]
Tsuji, S., Dentatorubral-pallidoluysian atrophy. Handb Clin Neurol. 2012; 103:587-94. doi: 10.1016/B978-0-444-51892-7.00041-3. [cited by applicant]
Vaughn et al., Inhibition of PKR protects against tunicamycin-induced apoptosis in neuroblastoma cells. Gene. Feb. 15, 2014;536(1):90-6. doi: 10.1016/j.gene.2013.11.074. Epub Dec. 14, 2013. [cited by applicant]
Vishwakarma et al., Current molecular insight to reveal the dynamics of CAG repeating units in spinocerebellar ataxia. Intractable Rare Dis Res. May 2018;7(2):79-86. doi: 10.5582/irdr.2018.01039. [cited by applicant]
Wang et al., Comparative Analysis of VOCs in Exhaled Breath of Amyotrophic Lateral Sclerosis and Cervical Spondylotic Myelopathy Patients. Sci Rep. 2016;6:26120. Published May 23, 2016. doi:10.1038/srep26120. [cited by applicant]
Welnowska et al., Translation of viral mRNA without active eIF2: the case of picornaviruses. PLoS One. 2011;6(7):e22230. doi: 10.1371/journal.pone.0022230. Epub Jul. 14, 2011. [cited by applicant]
Wieben et al., Amplification-free long-read sequencing of TCF4 expanded trinucleotide repeats in Fuchs Endothelial Corneal Dystrophy. PLoS One. Jul. 5, 2019;14(7):e0219446. doi: 10.1371/journal.pone.0219446. [cited by applicant]
Wojciechowska et al., RAN translation and frameshifting as translational challenges at simple repeats of human neurodegenerative disorders. Nucleic Acids Res. Oct. 29, 2014;42(19):11849-64. doi: 10.1093/nar/gku794. Epub… [cited by applicant]
Xiao et al., Isoform-specific antibodies reveal distinct subcellular localizations of C9orf72 in amyotrophic lateral sclerosis. Ann Neurol. Oct. 2015;78(4):568-83. doi: 10.1002/ana.24469. Epub Aug. 29, 2015. [cited by applicant]
Yanagisawa et al., Protein Binding of a DRPLA Family Through Arginine-Glutamic Acid Dipeptide repeats is Enhanced by Extended polyglutamine. Human Molecular Genetics. 2000;9(9):1433-1442. [cited by applicant]
Yu et al., Developing therapeutic antibodies for neurodegenerative disease. Neurotherapeutics. Jul. 2013;10(3):459-72. doi: 10.1007/s13311-013-0187-4. [cited by applicant]
Zhang et al., Aggregation-prone c9FTD/ALS poly(GA) RAN-translated proteins cause neurotoxicity by inducing ER stress. Acta Neuropathol. 2014;128:505-24. [cited by applicant]
Zhou et al., Antibodies inhibit transmission and aggregation of C9orf72 poly-GA dipeptide repeat proteins. EMBO Mol Med. May 2017;9(5):687-702. doi: 10.15252/emmm.201607054. [cited by applicant]
Zhu et al., Suppression of PKR promotes network excitability and enhanced cognition by interferon-γ-mediated disinhibition. Cell. Dec. 9, 2011;147(6):1384-96. doi: 10.1016/j.cell.2011.11.029. [cited by applicant]
Zu et al., Metformin inhibits RAN translation through PKR pathway and mitigates disease in C9orf72 ALS/FTD mice. Proc Natl Acad Sci U S A. Aug. 4, 2020;117(31):18591-18599. doi: 10.1073/pnas.2005748117. Epub Jul. 20, 20… [cited by applicant]
Zu et al., Non-ATG-initiated translation directed by microsatellite expansions. Proc Natl Acad Sci U S A. Jan. 4, 2011;108(1):260-5. doi: 10.1073/pnas.1013343108. Epub Dec. 20, 2010. [cited by applicant]
Zu et al., RAN proteins and RNA foci from antisense transcripts in C9ORF72 ALS and frontotemporal dementia. Proc Natl Acad Sci U S A. Dec. 17, 2013;110(51):E4968-77. doi: 10.1073/pnas.1315438110. Epub Nov. 18, 2013. [cited by applicant]
Zu et al., RAN Translation Regulated by Muscleblind Proteins in Myotonic Dystrophy Type 2. Neuron. Sep. 13, 2017;95(6):1292-1305.e5. doi: 10.1016/j.neuron.2017.08.039. [cited by applicant]
Gendron et al., Cerebellar c9RAN proteins associate with clinical and neuropathological characteristics of C9ORF72 repeat expansion carriers. Acta Neuropathol. Oct. 2015;130(4):559-73. doi: 10.1007/s00401-015-1474-4. Ep… [cited by applicant]
Gendron et al., Poly(GP) proteins are a useful pharmacodynamic marker for C9ORF72-associated amyotrophic lateral sclerosis. Sci Transl Med. Mar. 29, 2017;9(383):eaai7866. doi: 10.1126/scitranslmed.aai7866. [cited by applicant]
Alaoui-Ismaili et al., Design of second generation therapeutic recombinant bone morphogenetic proteins. Cytokine Growth Factor Rev. Oct.-Dec. 2009;20(5-6):501-7. doi: 10.1016/j.cytogfr.2009.10.001. Epub Nov. 11, 2009. [cited by applicant]
Anger, Animal test systems to study behavioral dysfunctions of neurodegenerative disorders. Neurotoxicology. 1991 Fall;12(3):403-13. [cited by applicant]
Atwood et al., A Unified Hypothesis of Early- and Late-Onset Alzheimer's Disease Pathogenesis. J Alzheimers Dis. 2015;47(1):33-47. doi: 10.3233/JAD-143210. [cited by applicant]
Banez Coronel et al., Repeat associated non-AUG translation as a common mechanism for the polyGln ataxias. bioRxiv. Oct. 15, 2025. doi: https://doi.org/10.1101/2025.10.14.682372. 44 pages. [cited by applicant]
Bruijn et al., Unraveling the mechanisms involved in motor neuron degeneration in ALS. Annu Rev Neurosci. 2004;27:723-49. doi: 10.1146/annurev.neuro.27.070203.144244. [cited by applicant]
Burgess et al., Possible dissociation of the heparin-binding and mitogenic activities of heparin-binding (acidic fibroblast) growth factor-1 from its receptor-binding activities by site-directed mutagenesis of a single … [cited by applicant]
Guo et al., Protein tolerance to random amino acid change. Proc Natl Acad Sci U S A. Jun. 22, 2004;101(25):9205-10. doi: 10.1073/pnas.0403255101. Epub Jun. 14, 2004. [cited by applicant]
Guo et al., RAN proteins in neurodegenerative disease: Repeating themes and unifying therapeutic strategies. Curr Opin Neurobiol. Feb. 2022;72:160-170. doi: 10.1016/j.conb.2021.11.001. Epub Dec. 22, 2021. [cited by applicant]
Henstridge et al., Beyond the neuron-cellular interactions early in Alzheimer disease pathogenesis. Nat Rev Neurosci. Feb. 2019;20(2):94-108. doi: 10.1038/s41583-018-0113-1. [cited by applicant]
Holmes et al., Expansion of a novel CAG trinucleotide repeat in the 5′ region of PPP2R2B is associated with SCA12. Nat Genet. Dec. 1999;23(4):391-2. doi: 10.1038/70493. [cited by applicant]
Ju et al., A yeast model of FUS/TLS-dependent cytotoxicity. PLoS Biol. Apr. 2011;9(4):e1001052. doi: 10.1371/journal.pbio.1001052. Epub Apr. 26, 2011. [cited by applicant]
Lagier-Tourenne et al., TDP-43 and FUS/TLS: emerging roles in RNA processing and neurodegeneration. Hum Mol Genet. Apr. 15, 2010;19(R1):R46-64. doi: 10.1093/hmg/ddq137. Epub Apr. 15, 2010. [cited by applicant]
Murase et al., Drug Discovery Research Toward the Small Molecular Therapeutic Agents for Repeat Expansion Diseases, Nagasaki International University Review, Mar. 2022, vol. 22, pp. 177-185. [cited by applicant]
Pawson et al., Assembly of cell regulatory systems through protein interaction domains. Science. Apr. 18, 2003;300(5618):445-52. doi: 10.1126/science.1083653. [cited by applicant]
Ranganathan et al., Multifaceted Genes in Amyotrophic Lateral Sclerosis-Frontotemporal Dementia. Front Neurosci. Jul. 7, 2020;14:684. doi: 10.3389/fnins.2020.00684. [cited by applicant]
Romano et al., Metformin decreases RAN proteins, rescues splicing abnormalities and improves behavioral phenotypes in SCA8 BAC mice. bioRxiv. Aug. 25, 2025. doi: https://doi.org/10.1101/2025.08.21.671563. 38 pages. [cited by applicant]
Rothstein, Therapeutic horizons for amyotrophic lateral sclerosis. Curr Opin Neurobiol. Oct. 1996;6(5):679-87. doi: 10.1016/s0959-4388(96)80103-6. [cited by applicant]
Sarter, Animal cognition: defining the issues. Neurosci Biobehav Rev. Nov. 2004;28(7):645-50. doi: 10.1016/j.neubiorev.2004.09.005. [cited by applicant]
Sato et al., Spinocerebellar ataxia type 31 is associated with “inserted” penta-nucleotide repeats containing (TGGAA)n. Am J Hum Genet. Nov. 2009;85(5):544-57. doi: 10.1016/j.ajhg.2009.09.019. Epub Oct. 29, 2009. [cited by applicant]
Swerdlow, Pathogenesis of Alzheimer's disease. Clin Interv Aging. 2007;2(3):347-59. [cited by applicant]
Tayebati, Animal models of cognitive dysfunction. Mech Ageing Dev. Feb. 2006;127(2):100-8. doi: 10.1016/j.mad.2005.09.026. Epub Nov. 15, 2005. [cited by applicant]
Williams et al., CCNF mutations in amyotrophic lateral sclerosis and frontotemporal dementia. Nat Commun. Apr. 15, 2016;7:11253. doi: 10.1038/ncomms11253. [cited by applicant]