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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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