Many
proteins are refractory to targeting because they lack small-molecule binding pockets. An alternative to drugging these
proteins directly is to target the messenger (m)
RNA that encodes them, thereby reducing
protein levels. We describe such an approach for the difficult-to-target
protein α-
synuclein encoded by the SNCA gene. Multiplication of the SNCA gene locus causes dominantly inherited
Parkinson's disease (PD), and α-
synuclein protein aggregates in Lewy bodies and Lewy neurites in sporadic PD. Thus, reducing the expression of α-
synuclein protein is expected to have therapeutic value. Fortuitously, the SNCA
mRNA has a structured
iron-responsive
element (IRE) in its
5' untranslated region (
5' UTR) that controls its translation. Using sequence-based design, we discovered small molecules that target the IRE structure and inhibit SNCA translation in cells, the most potent of which is named Synucleozid. Both in vitro and cellular profiling studies showed Synucleozid directly targets the α-
synuclein mRNA 5' UTR at the designed site. Mechanistic studies revealed that Synucleozid reduces α-
synuclein protein levels by decreasing the amount of SNCA
mRNA loaded into polysomes, mechanistically providing a cytoprotective effect in cells.
Proteome- and transcriptome-wide studies showed that the compound's selectivity makes Synucleozid suitable for further development. Importantly, transcriptome-wide analysis of mRNAs that encode
intrinsically disordered proteins revealed that each has structured regions that could be targeted with small molecules. These findings demonstrate the potential for targeting undruggable
proteins at the level of their coding mRNAs. This approach, as applied to SNCA, is a promising disease-modifying therapeutic strategy for PD and other α-
synucleinopathies.