Newswise — WASHINGTON (Oct. 3, 2016) -- Today, the 2016 Nobel Prize in the category of medicine or physiology was awarded to Yoshinori Ohsumi “for his discoveries of mechanisms for autophagy,” a fundamental process for degrading and recycling cellular components.

When autophagy (a process also described as cellular “self eating”) doesn’t work properly, cells cannot empty its trash.

In describing autophagy, the prize committee says, “Mutations in autophagy genes can cause disease, and the autophagic process is involved in several conditions including cancer and neurological disease,” and it says, “Intense research is now ongoing to develop drugs that can target autophagy in various diseases.”

Some of that work is well underway at Georgetown University Medical Center.

Researchers led by Charbel Moussa, MD, PhD, scientific and clinical research director for Georgetown’s Translational Neurotherapeutics Program, are examining autophagy and developing therapeutics to jump start the process when its failure causes neurodegenerative diseases including Alzheimer’s and Parkinson’s diseases.

Preclinical studies, led by Moussa, showed that nilotinib, a tyrosine kinase inhibitor, effectively penetrates the blood-brain barrier and destroys toxic proteins that build up in Parkinson’s disease and dementia by turning on autophagy inside neurons.

Based on that work, Moussa and his colleague Fernando Pagan, MD, conducted a pilot study in people with Parkinson’s disease that provided molecular evidence that nilotinib, an FDA-approved drug for leukemia, significantly increased brain dopamine and reduced toxic proteins linked to disease progression in patients with Parkinson’s disease or dementia with Lewy bodies.

This work continues. Georgetown has announced the FDA has completed its review of an investigational new drug application (IND) for the use of nilotinib in a phase II clinical trial for patients with mild to moderate Alzheimer’s disease. A phase II study in Parkinson’s is also being planned.

Moussa describes the selection of Yoshinori Ohsumi for his work in autophagy as “Amazing,” noting that the Nobel prize committee acknowledged the role of autophagy in neurodegenerative diseases and its mention of autophagy as a way of treatment. 

Moussa is an inventor on an allowed US patent and other pending US and foreign patent applications for use of nilotinib and other tyrosine kinase inhibitors for the treatment of neurodegenerative disease.

Read more about Moussa’s work in autophagy and neurotherapeutics hereAbout Georgetown University Medical CenterGeorgetown University Medical Center (GUMC) is an internationally recognized academic medical center with a three-part mission of research, teaching and patient care (through MedStar Health). GUMC’s mission is carried out with a strong emphasis on public service and a dedication to the Catholic, Jesuit principle of cura personalis -- or "care of the whole person." The Medical Center includes the School of Medicine and the School of Nursing & Health Studies, both nationally ranked; Georgetown Lombardi Comprehensive Cancer Center, designated as a comprehensive cancer center by the National Cancer Institute; and the Biomedical Graduate Research Organization, which accounts for the majority of externally funded research at GUMC including a Clinical and Translational Science Award from the National Institutes of Health. Connect with GUMC on Facebook (Facebook.com/GUMCUpdate), Twitter (@gumedcenter) and Instagram (@gumedcenter).