RT Journal Article SR Electronic T1 Small molecule sequestration of amyloid-β as a drug discovery strategy for Alzheimer’s disease JF bioRxiv FD Cold Spring Harbor Laboratory SP 729392 DO 10.1101/729392 A1 Gabriella T. Heller A1 Francesco A. Aprile A1 Thomas C. T. Michaels A1 Ryan Limbocker A1 Michele Perni A1 Francesco Simone Ruggeri A1 Benedetta Mannini A1 Thomas Löhr A1 Massimiliano Bonomi A1 Carlo Camilloni A1 Alfonso De Simone A1 Isabella C. Felli A1 Roberta Pierattelli A1 Tuomas P. J. Knowles A1 Christopher M. Dobson A1 Michele Vendruscolo YR 2020 UL http://biorxiv.org/content/early/2020/05/20/729392.abstract AB Disordered proteins are challenging therapeutic targets, and no drug is currently in clinical use that has been shown to modify the properties of their monomeric states. Here, we identify a small molecule, called 10074-G5, capable of binding and sequestering the intrinsically disordered amyloid-β peptide (Aβ) in its monomeric, soluble state. Our analysis reveals that this compound interacts with Aβ and inhibits both the primary and secondary nucleation pathways in its aggregation process. We characterise this interaction using biophysical experiments and integrative structural ensemble determination methods. We observe that this small molecule has the remarkable effect of increasing the conformational entropy of monomeric Aβ while decreasing its hydrophobic surface area. These results provide an illustration of the strategy of targeting the monomeric states of disordered proteins with small molecules to alter their behaviour for therapeutic purposes.Teaser A small molecule binds to a disordered protein in its monomeric form, preventing its aggregation linked to Alzheimer’s disease.Competing Interest StatementThe authors have declared no competing interest.