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TSCure  Research




                    The next-generation of drugs










                The TSA is funding new
                research to create a next-

                generation drug that could
                improve the lives of people
                with TSC. We caught up with
                Kacper Rogala of the

                Whitehead Institute in
                Boston, USA, who is carrying                                                                                     What do you do outside of the lab?
                out the work.
                                                                                                                                 I absolutely love playing handball as a goalkeeper. The ball is often
                                                                                                                                 thrown at you from five to nine metres, with speeds exceeding
                                                                                                                                 60mph. Cat-like instincts and next-level agility are a must if you
                                                                                                                                 want to do well in this game.
           Can you give us a summary of your work?               What issues are you trying to solve for TSC                     I can get really competitive playing handball and always give
                                                                 patients?                                                       100% on the court. During my time at University College London,
           My work is concerned with structural biology and drug
                                                                                                                                 we came second in the British University Handball
           discovery. These two disciplines are very closely linked  Protein affected by genetic mutations in TSC patients is
           and together they can make a real impact for TSC      unable to regulate mTOR, so the growth in cells                 Championships. Then, while at Oxford, we won that title twice in a
                                                                                                                                 row – a feat that has never been accomplished by any other
           patients. The full title of my research project is Towards  impacted by those mutations is completely out of
           specific mTORC1 inhibitors capable of rescuing TSC    control. We have drugs on the market that can curb              university team.
           loss-of-function.                                     the activity of mTOR, but there are two classes of mTOR         I am also an experienced yacht skipper and regularly cruise the
                                                                 in cells and those drugs hit both of those.                                                North, Baltic and Mediterranean
                                                                                                                                                                    Seas with a group of
                                                                 So, when you take drugs such as rapamycin over long
                                                                                                                                                                       friends.
                                                                 periods of time, you potentially fix the abnormal
                                                                 growth problems of those cells, but also affect useful                                                  Now is the time for
                                                                 processes controlled by the other class of mTOR                                                         us to explore the
                                                                 molecules, including the balance of sugar levels. This,                                                 American waters
                                                                 of course, is not ideal, because it increases your risk of                                              and perhaps
                                                                 developing other disorders, including diabetes.                                                         attempt the
                                                                                                                                                                         challenge of
                                                                 How are you trying to rectify this?                                                                     crossing the

                                                                 Work from our lab, and from others around the globe,                                                    Atlantic!
                                                                 has revealed the differences between the two mTOR
                                                                 classes. Having this knowledge, it is now possible to
                                                                 work towards creating medicines that will act only on
                                                                 the mTOR class involved in TSC and not on the other.
                                                                 We want to be able to develop a next-generation drug
                                                                 that alleviates all symptoms of TSC and which patients
                                                                 can take daily without having to worry about                         Read a full version of this interview at
                                                                 developing other conditions.
                                                                                                                                            www.tuberous-sclerosis.org



     20 Summer 2018                                                                                                                                                                                                           TSA SCAN   21
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