In_Vitro experiment designed to assess clinical efficacy targeting EIF2S1, EIF2AK3/PERK, PPP1R15B, EIF2B in iPSC-derived motor neurons from ALS patients (TDP-43 M337V, n=3 donors) + isogenic WT; G93A-SOD1 mice (secondary). Primary outcome: p-eIF2alpha/eIF2alpha ratio normalised to <=1.3x isogenic WT; TDP-43 nuclear:cytoplasmic ratio >=2.5
Test whether combined PERK inhibition (GSK2606414) + GADD34 phosphatase mimetic (Sephin1) restores eIF2alpha-phosphorylation to physiological range, rescues stalled polysomes, and protects TDP-43-aggregating motor neurons in iPSC-derived cultures and G93A-SOD1 mice.
Combined treatment will normalise p-eIF2alpha by >=50%, restore polysome/monosome ratio by >=30%, reduce TDP-43 cytoplasmic aggregates >=60%, and extend rotarod performance >=20%.
Primary: p-eIF2alpha/eIF2alpha <=1.3x isogenic WT at 72 h (ANOVA p<0.01). Secondary: TDP-43 nuclear:cyto ratio >=2.5; LDH <=120% of WT vehicle.
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