pUB Biomarker Platform Overview

Myto Health has established a proprietary platform to isolate and enrich minute poly-ubiquitinated structures from human blood, validating ubiquitinated proteins as an objective panel of biomarkers for neurodegenerative disorders.

Proteinopathies & Mitochondrial Degradation

Mutations or environmental stresses lead to misfolded proteins in neurons and other cells. Misfolded or aggregated proteins must be removed immediately or degraded by the ubiquitin proteasome system (UPS). Decades of research have shown that inability to respond to misfolded protein is the major cause of neurodegeneration.

Aggregated proteins or proteinopathies perturb mitochondrial function, leading to damaged mitochondria and loss of energy and ultimately death of a cell or neurons. Defects in mitochondrial health accumulate as we age, leading to a wide variety of pathologies including neurodegeneration. Ubiquitin ligases mark damaged mitochondria for degradation (mitophagy) and generation of new mitochondria (mitobiogenesis).

UPS Dysfunction in Parkinson’s Disease

The Ubiquitin-proteasome system (UPS) dysfunction is a key factor in the development of Parkinson’s disease (PD). Pathogenic PD proteins such as alpha-synuclein have been shown to be ubiquitylated by E3 ligases and degraded by the proteasome, and dysfunction of specific UPS proteins has been implicated in familial PD.

UPS dysfunction is particularly damaging to neuronal cells because these cells are particularly reliant on protein quality control for their survival. The details of these alterations may include changes in the ubiquitin chain linkages that redirect the fate of the ubiquitylated proteins.

Clinical Manifestations

Symptoms of Parkinson’s Disease

Systemic and neurological symptoms resulting from cellular quality control failure and dopaminergic loss.

Clinical Validation

Blood-Based Detection & Drug Evaluation

Correlating unique poly-ubiquitin signatures with disease progression.

Defects in response to misfolded proteins or damaged mitochondria are picked up as unique poly-ubiquitin structures in cells and serum. Myto Health has established a technology platform to selective enrichment of polyubiquitylated proteins from peripheral human blood.
ISOLATION TECHNOLOGY
We have validated the platform by establishing ubiquitinated proteins as a panel of biomarkers. Blinded studies of PD patient and normal serum samples are actively under way to confirm signatures of poly-ubiquitinated proteins across defined cohorts.
COHORT VERIFICATION
The simple test for the ubiquitylated biomarkers will enable rapid, cost-effective screening that will not only establish economical, blood-based PD diagnostics, but also aid in evaluating the next generation of PD drug candidates.
DRUG EVALUATION

Addressing an Unmet Clinical Need

Currently there is no blood-based test for diagnosis of Parkinson’s disease. Application of this test for late onset PD diagnosis includes up to one million patients in the USA alone. Connect with our R&D team in Malvern, PA to discuss collaborative trials or assay access.