Field of the Invention

The invention relates to the newly-discovered interaction between DISCI and FBXW7 which regulates DISCI turnover, and to antagonists that inhibit this interaction, methods of using these antagonists to decrease DISCI turnover, treatment of neuropsychiatric disorders and other conditions with these antagonists, and methods of identifying new antagonists.

Background to the invention

Neuropsychiatric disorders have a net lifetime incidence of approximately l-in-6 worldwide and the World Health Organisation ranks schizophrenia, bipolar disorder and depression 9 ^th , 6 ^th and 1 ^st respectively in the global tables for Years Living with Disability. These disorders thus represent a very substantial unmet medical need and societal impact.

There is strong evidence for these related disorders having a substantial and overlapping genetic component. This evidence comes from multiple lines of enquiry. Genome-wide association studies indicate that at least 25% of the risk is polygenic - the sum effect of a large number of common, ancient variants each

conferring a very modest incremental risk [1]. In addition to these modest effects, molecular cytogenetic, copy number variant and now sequence level analysis, has identified rare mutations of high impact in genes of biological plausibility. This second class of genes is well suited to mechanistic analysis. The DISCI (Disrupted in schizophrenia 1) gene is one of the best validated genes in this category, first identified as a putative risk factor because it is directly disrupted by a chromosomal t(l;ll) translocation that co-segregates with major mental illness in a large family from Scotland [2] .

DISCI is a molecular scaffold protein which interacts with, and modulates, multiple proteins that play critical roles in, for example, cAMP, writ, GABA and NMDA receptor signalling, in

mitochondrial and synapse biology, in neurodevelopment, in cellular stress, in neural stem cell growth and differentiation, and in neuronal migration [3] . Thus, the DISCI complex has the potential to regulate pathways that underpin mental illness.

Understanding the detailed cell biology of DISCI, how this is altered in mental illness and identifying corrective strategies, could transform current thinking about routes toward novel

therapeutic targets or biological markers for major mental

conditions. Additionally, a novel pharmacologic means of

selectively manipulating the levels of DISCI protein in vivo would allow the role of DISCI to be evaluated in key aspects of brain development and function [4] .

Summary of the Invention

The inventors have found that turnover of DISCI (Disrupted in schizophrenia 1) is mediated by the F-box-containing protein FBXW7 (F-box/ D repeat-containing protein 7), and have identified the sequence within DISCI that binds to FBX 7 and targets DISCI for turnover by the ubiquitin-proteasome system.

This finding has implications for the treatment of pathological conditions linked to level, function or turnover of DISCI. these may include intellectual disability and/or neuropsychiatric disorders, including schizophrenia, bipolar disorder, depression, recurrent major depressive disorder (rMDD) , attention-deficit hyperactivity disorder (ADHD) and autism. In a first aspect, the invention provides a method for decreasing DISCI turnover in a biological system, comprising contacting the system with an antagonist capable of inhibiting binding between DISCI and FBXW7. In particular, an antagonist that binds to FBXW7 and inhibits the interaction between FBXW7 and DISCI is believed to reduce the rate of DISCI turnover resulting in increased levels of DISCI. The terms "antagonist" and "inhibitor" are used

interchangeably in this specification. The antagonist may comprise an FBXW7-binding moiety capable of binding to FBXW7 and hence inhibiting DISCI binding to FBXW7. The FBX 7-binding moiety may comprise a fragment of a DISCI

protein, or an analogue thereof, which is capable of binding to FBXW7. Such molecules may be capable of binding to the same site on FBXW7 as full-length DISCI and thus competitively inhibiting (e.g. preventing or disrupting) binding of DISCI to FBX 7.

Residues 197 to 203 of wild type human DISCI have the sequence P197- T198-P199- P2 C O-G201-S202-H203 - This is believed to represent a "phospho- degron" sequence which, especially when phosphorylated at igs and/or S 2 C 2 , is recognised by FBX 7 and targets DISCI for degradation by the ubiquitin-proteasome system. Thus, in the native protein, T193 and/or S 2 C 2 may independently be phosphorylated. Without wishing to be bound by theory, these residues are believed to be particularly significant in the interaction between DISCI and FBXW7, in

combination with the proline residue at position Xigg. The FBXW7- binding moiety may thus comprise this sequence or a fragment or analogue thereof.

Thus, the FBXW7 -binding moiety may comprise a "core" sequence having the formula:

X19--X198-P- X2 C C-X2Q1-X202-X203 (Formula I)

wherein :

X197 is any amino acid or is absent;

Xi98 is any amino acid or is absent;

X200 is any amino acid;

X201 is any amino acid;

X202 is any amino acid;

X203 is any amino acid or is absent; wherein

the core sequence comprises at least 4 amino acids;

one or both of Xige and X2 C 2 is a negatively charged amino acid;

Xi98 is absent if X197 is absent;

and said core sequence binds to FBXW7. It may be desirable that the core sequence comprises at least 5 amino acids from Formula I .

Thus, the core sequence may comprise or consist of the formula:

P-X2CC~X201 -X2C2~ 203

X193- P-X2CC ^_ X201 ^_ X2Q2 / ^*

Xl98-P-X200-X201 -X2C2-X203

:.97-Xi98-P~ 2co-X oi-X202 ; or

Xl 7-Xl98 ^_ P~X200 ^_ X201 ^_ X202 ^_ X203 ·

In any of the above formulae,

X200 may be P or A; and/or

X201 may be G, Q, A or a negatively charged amino acid. In particular, it may be desirable that X200 is P and/or X201 is G, D or E .

Thus the core sequence may comprise or consist of the amino acid sequence :

P-P-X201-X202;

P-X200--G-X202

P-P-G-X202;

P-X2oo~D-X202 ;

P-P-D-X202;

P-X200-E-X202;

P-P-E-X202;

Xl99-P-P-D-X ₂ 02 ;

Xl98-P-X200 ^_ E-X;c2

Xi98-P-P-E-X ₂ o2;

X:98-P-P-X201 ^_ 202 ^_ 203 Χί97-Χϊ98 ^~ Ρ ^— P- 201 -X202

Xl9 -Xl98-P- 200 ^_ G- X202

Xl98 ^_ P ^_ X200 ^_ G-X2C2 ^_ 203 r

Xt97- l 8 ^{_ _} X200 ^_ G-X2C2 ^'" 203 r

Xi97-Xi98-P-X2oo-D-X _2C2 ;

Xl 8 ^_ P ^_ 200 ^_ D-X202 ^_ 203 ;

X197—Xi98 ^— P—X ₂ co ^— D ^— X202—X203 r

Xl97-Xl98 ^_ P ^_ X ₂ 00 ^_ E-X202 / ^'

X198-P-X200-E-X202 -X2C 3 ;

Xl9 -Xl98 ^_ P-X200 ^_ E-X202 ^_ X203 / ^"

Xl?7 -Xl98 ^' -P- P- ^■ G- - 02 r

Xl 98 _p_ ^■ P- -G --X202 - 203 ;

Xl97 -Xl 98 ^' _p_ P- ^■ G- ^" X202 -X203 ;

Xl97 -Xl98 ^' _p_ P- ^■ D- -X20

Xl 8 _p_ ^■ P- ^■ D- -X20 -X2.3 ;

Xl97 ~Xl93 -P- P- ^• D- -X 02 -X?Q ₃ ;

Xl97 -Xl98 _p_ P- ^■ E- ~X202 r

Xl98 -P- ^■ P- ^■ E- -X202 -X203; or

Xl97 ^— Xl98 ^' _p_ P- ^■ E- -X20 -X?03.

One or both of Xige and X202 is an amino acid with a negatively charged side chain. These may be naturally-occurring amino acids or post-trans lationally modified derivatives thereof which occur physiologically in mammalian proteins, such as aspartic acid (D) , glutamic acid (E) and phosphorylated amino acids such as phospho- serine (pS), phospho-threonine (pT) and phospho-tyrosine (pY) .

Alternatively they may be non-naturally occurring amino acids which possess negatively charged side chains.

Any of these residues may independently be present at each of Xigs and/or X202 , although D, E, pS and pT may be preferred to pY. When not a negatively charged amino acid, Xiga and X202 may be any amino acid, especially any of the 18 other naturally-occurring amino acids. Residues having a non-polar side chain may be

preferred, such as Ala or Gly.

It may be desirable that both Xi ₉₈ and X202 have a negatively charged side chain. Thus, each of Xi ge and X202 may independently be selected amongst D, E, pS and pT . In some embodiments, both Xi ₃₈ and X ₂ 0 ₂ are independently selected from D, E.

Thus, any of the formulae presented above may comprise the

sequence:

D-P-X ₂ 00 -X201-E;

E-P-X ₂ oc - 2oi~D ;

D-P-X200-X2C1-D; or

E-P-X 00-X201-E.

As already mentioned, in each of these sequences, X200 may be P and/or X201 may be G, D or E. Without wishing to be bound by any particular theory, structural analysis of the DISC1- FBXW7 complex suggests that the

phosphorylated side chain of Tigs may be capable of intramolecular electrostatic interaction (e.g. forming a hydrogen bond) with the hydrogen atom at its backbone nitrogen atom. This may weaken the potential interaction between the charged phosphate group and

FBXW7. A similar intramolecular interaction may be possible at S202 . In order to maximise the strength of interaction between the FBXW7 - binding moiety and FBXW7 , it may therefore be desirable to

incorporate modifications of the peptide backbone in order to minimise or eliminate such intramolecular interactions.

Thus, when Xi gs is a residue with a negatively charged side chain, it may be desirable that the backbone nitrogen atom of Xi9s does not carry a hydrogen atom capable of participating in a hydrogen bond with the side chain. Thus the backbone nitrogen is substituted with a group other than hydrogen, e.g. the backbone nitrogen forms part of a tertiary amide group. Independently, when X202 is a residue with a negatively charged side chain, it may be desirable that the backbone nitrogen atom of X202 does not carry a hydrogen atom capable of participating in a hydrogen bond with the side chain. Thus the backbone nitrogen is substituted with a group other than hydrogen, e.g. the backbone nitrogen forms part of a tertiary amide group.

In either case, any suitable substituent may be present at the backbone nitrogen atom, as long as the FBXW7-binding moiety remains capable of binding to FBXW7. For example, the substituent may be a methyl group. A methylated nitrogen may be designated by a lower case "m" before the normal designation of the amino acid, e.g. "mD" represents methylated aspartic acid.

Thus, when they are negatively charged residues, each of X198 and X202 may independently be mD, mE, mpS, mpT, or any suitable analogue thereof . As already set out above, it may be desirable that both X198 and X202 have a negatively charged side chain. Thus, each of X193 and X2 ₀ 2 may independently be selected amongst D, E, pS, pT, mD, mE, mpS, mpT and suitable N-substituted glycine analogues thereof. In some embodiments, both Xi9 ₈ and X202 are independently selected from D, E, mD and mE . For example, X198 and X202 may both independently be mD or mE . In some embodiments, X198 is mD and X202 is mE, or both Xigs and X202 are mE .

Thus, any of the formulae presented above may comprise the

sequence :

D-P-X?oo-X2oi-mE;

mD-P-X _2C o-X2oi-mE;

IT1E-P-X200-X201-D; E-P-X ₂ oc-X2oi-mD;

mD-P- X oo -X2o i-D

D-P-X200 -X201-IT1D

mD-P-X ₂₀ o-X2c i-mD;

Π1Ε-Ρ-Χ200 -Χ201-Ε;

E-P-X2CC -X201 -H1E ; or

mE-P-X ₂ oc-X2oi-mE.

As already mentioned, in each of these sequences, X ₂ cc may be P and/or X ₂ Q I may be G, D or E. In any of the above formulae, X197 (when present) may be P, G, A, I, L, D or E (e.g. P or G) or a suitable analogue of any of these residues .

X203 (when present) may be a residue having a positively charged or basic side chain (e.g. H, R or K) or an aromatic residue (e.g. F, W or Y) or a suitable analogue of any of these residues. For example, H or K may be present at this position.

In each of these formulae, one or both of Xi»s and X202 is a

negatively charged residue, which may be independently selected as defined above. It may be desirable that both Xigg and X202 are negatively charged residues. mE and mD may be preferred, but any of the negatively charged residues discussed above may also be employed, as well as non-naturally occurring amino acids having negatively charged side chains.

Alternatively, one of both of Xigs and 2C2 may be an N-substituted glycine residue, wherein the N-substituent is a charged moiety, such as the side chain of aspartic acid, glutamic acid, phospho- serine or phospho-threonine . Such N-substituted glycine residues are analogues of naturally-occurring (or other) amino acids in which the side chain is linked to the backbone nitrogen rather than to the alpha-carbon. Polymers of such N-substituted glycine residues are often referred to as "peptoid" polymers. (See also below . ) References to a negatively charged amino acid or side chain should be taken to mean that, in the absence of secondary structure, the side chain of the amino acid carries at least a partial negative charge at physiological pH (typically pH 7.4) . Typically such side chains carry one negative charge under these conditions, although they may carry two or three negative charges, depending on the functional groups present. It may be desirable that any given side chain carries no more than one, no more than two, or no more than three negative charges. Likewise, reference to a positively charged amino acid or side chain should be taken to mean that, in the absence of secondary structure, the side chain of the amino acid carries at least a partial positive charge at physiological pH (typically pH 7.4) . Typically such side chains carry nor more than one positive charge under these conditions. Throughout the definitions above, each amino acid residue may independently be in the L or D form.

Thus, the core sequence may comprise one or more D-amino acids. Thus a core sequence of 5 amino acids may comprise 1, 2, 3, 4 or 5 D-amino acids. A core sequence of 6 amino acids may comprise 1, 2, 3, 4, 5 or 6 D-amino acids. A core sequence of 7 amino acids may comprise 1, 2, 3, 4, 5, 6 or 7 D-amino acids.

Those amino acids which are not D-amino acids are typically L-amino acids.

It may be desirable that XI QS and/or X202 (when present) are D-amino acids. It may be desirable that only iga and/or X202 (when present) are D-amino acids, with the remainder of the core being composed of L-amino acids . In certain embodiments, the amino acid sequence may be in the all-D form, the retro form, or the retro all-D form (also known as

"retro-inverso") . In the retro all-D form, the core amino acid sequences shown in the formulae above run from C-terminus to N- terminus, instead of the more conventional N-terminus to C- terminus .

Additionally or alternatively, the core sequence may comprise one or more N-substituted glycine analogue of an amino acid. In this context, an N-substituted glycine analogue of a given amino acid is an N-substituted glycine residue in which the N-linked substituent is the side chain of that amino acid which would normally be linked to the alpha-carbon. As alluded to above, it may be particularly desirable that such residues are present at Xigs and/or X202 , since such residues have no N-linked hydrogen to participate in a hydrogen bond with the respective side chain. However, any or all of the core residues may be an N-substituted glycine analogue of an amino acid. A stretch of two or more consecutive such analogues may be referred to as a peptoid.

Peptoids have a number of desirable properties. In addition to the implications for internal hydrogen bonding, they are typically resistant to proteolysis. The entire core sequence, or the entire FBXW7-binding moiety, or the entire antagonist, may be a peptoid.

The core sequence may comprise or consist of a sequence selected from the group consisting of:

16: P-E -P-P-G-d -H;

35 : P-E -P-P-G-d -H;

55 : P-e -P-P-G-mE-H;

64 : P-E -P-P-G-mD-H;

75 : P-e -P-P-G-mE-H;

7 9 : P-e -P-P-G-mD-H;

82 : P-d -P-P-G-mE-H; 90 : P-d -P-P-G-mE-H;

91 : P-d -P-P-G-mE-H ;

139: G-mE-P-P-G-mE-H ;

142 : G-mD-P-P-G-mE-H;

147 : G-e -P-P-G-mE-H;

173 : G-d -P-P-G-mE-H;

181 : G-d -P-P-G-mE-H ;

139' : G-mE-P-P-G-mE;

139' ' : mE-P-P-G-mE-H;

142' : mD-P-P-G-mE-H;

A5 G-d -P-P-G-mE;

A12 G-d -P-P-Q-mE-H ;

A13 G-d -P-P-q-mE-H ;

A18 L-d -P-P-G-mE-H;

A22 G-A -P-P-G-mE-H;

A25 G-e -P-P-G-mE;

A26 e -P-P-G-mE-H ;

A31 a-e -P-P-G-mE-H ;

A40 P-pT-P-P-G-pS-H ;

A45 G-mD-P-P-G-mE;

A51 a-mD-P-P-G-mE-H;

A52 G-mD-P-P-Q-mE-H;

A56 G-mD-P-p-G-mE-H ;

A58 L-mD-P-P-G-mE-H ;

A71 a-mE-P-P-G-mE -H ;

A73 G-mE-P-P- q-mE-H;

A76 G-mE-P-p-G-mE-H;

A79 1-mE-P-P-G-mE-H;

A80 P-pT-P-P-G-pS-H ;

A82 P-A -P-P-G-mE-H ;

A85 P-d -P-P-G-mE;

A86 d -P-P-G-mE-H ;

A97 P-d -p-P-G-mE-H;

A98 L-d -P-P-G-mE-H;

A99 l-d -P-P-G-mE-H; A100 P-pT-P-P-G-pS-H

A101 P-e -P-P-G-mD-H

A102 P-A -P-P-G-mD-H

All 9 P-pT -P-P-G-pS-H

A124 P-e -P-P-G-mE;

A130 a-e -P-P-G-mE-H

A131 P-e -P-P-Q-mE-H

A132 P-e -P-P-q-mE-H

A135 P-e -P-p-G-mE-H

A136 P-e -p-P-G-mE-H

A137 L-e -P-P-G-mE-H

A138 1-e -P-P-G-mE-H

A139 P-pT -P-P-G-pS-H

A144 P-E -P-P-G-mD;

A151 P-E -P-P-Q-mD-H

A160 G-d -P-P-G-mE-H

A161 a-d -P-p-G-mE-H

A162 a-d -p-P-G-mE-H

A163 a-d -p-p-G-mE-H

A164 a-d -P-P-G-mE-h

A165 a-d -P-P-a-mE-h

A166 a-d -P-P-a-mE-H

A168 a-d -P-p-a-mE-h

A169 a-d -p-p-a-mE-h

A170 G-d -P-p-a-mE-H

A171 G-d -P-p-a-mE-h

A172 G-d -p-p-G-mE-H

A173 G-d -p-p-a-mE-H

A174 G-d -p-p-G-mE-h

A175 G-d -p-p-a-mE-h

A176 a-d -P-p-a-mE-h

A177 G-d -P-p-a-mE-H

A180 G-d -p-P-G-mE-H

A181 p-d -P-P-G-mE-H

A184 p-d -P-P-G-mE-h

A185 P-pT -P-P-G-pS-H

A186 G-d -P-P-G-mE; A188 d -P- P- G-mE-H;

A189 P- P- G-mE-H;

A192 G-d -P- A- G-mE-K;

A193 G-d -P-a- G-mE-k;

A194 P-d -P- P- G-mE-K;

A195 P-d -P- P- G-mE-k;

A196 G-d -P- P- a-mE-k; and

A197 a-d -P- P-a-mE-k; or a fragment of at least four amino acids of any one of these sequences which complies with the requirements of Formula I.

In the above sequences, lower case letters represent D-amino acids, and spaces have been introduced purely to assist alignment of residues in corresponding positions of Formula I.

The core sequence may also be a variant of any of the above sequences in which:

(i) one or more of the amino acids present is replaced by an N- substituted glycine analogue of that amino acid;

(ii) any D-amino acid is exchanged for the equivalent L amino acid; and/or

(iii) any L-amino acid is exchanged for the equivalent D amino acid .

It will be understood that, in the formulae provided above for the "core" sequence, the numbering used is intended simply to identify the corresponding residue in the full-length sequence of DISCI. It should not be taken to imply any particular length for the FBXW7- binding moiety itself.

The FBXW7 binding moiety may consist solely of the core sequence described above. Alternatively, it may comprise further protein sequence N-terminal and/or C-terminal of the core sequence, i.e. N- or C-terminal flanking sequence. For example, it may comprise further DISCI sequence corresponding to sequences N-terminal or C- terminal of the phosphodegron motif in DISCI, e.g. from human DISCI or from any other suitable species.

It may be desirable that the core sequence is at the N-terminus or at the C-terminus of the FBX 7 binding moiety, or within 5 or 10 amino acids of the N- or C-terminus.

The FBX 7-binding moiety may comprise or consist of at least 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45, 50 or more amino acids.

Additionally or alternatively, the FBXW7-binding moiety may have a maximum length of 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, or 50 amino acids. The FBXW7-binding moiety may have at least 60% or at least 65%,

70%, 75%, 80%, 85%, 90%, 95%, 98% or 99% sequence identity with the corresponding sequence of DISCI. The FBXW7-binding moiety may be identical to the corresponding sequence of human DISCI. (For the purposes of determining sequence identity, both phosphorylated and unphosphorylated forms of threonine at position 198 and serine at position 202 should be considered identical to the corresponding residues of human DISCI. Where the FBXW7-binding moiety contains a core sequence which is different to a DISCI phosphodegron motif, any flanking N- and/or C-terminal sequence may be identical to the corresponding sequence of human DISCI.

The FBXW7 binding moiety may comprise 2, 3, 4 or 5 or more

consecutive amino acids of DISCI, e.g. 6, 7, 8, 9, 10, 12, 15, 20, 25, 30, 35, 40, 45, 50 or more consecutive amino acids of a DISCI, or an analogue thereof.

Where the terms "comprising", "comprises", "including", "includes" or the like are used herein with respect to the properties of a particular embodiment (for example, an antagonist, FBXW7-binding moiety or fragment etc. comprising a particular amino sequence) the disclosure should be understood as applying mutatis mutandis to embodiments which "consist" or "consist essentially" of those properties (e.g. that amino acid sequence) . The antagonist may be modified or derivatised at the N- and/or C- terminus, for example to improve stability (e.g. against

proteolysis), to improve interaction with FBXW7, or for other purposes. For example, the C-terminus may be amidated or acylated. The N-terminus may be alkylated (e.g. with a Cl-4 alkyl group, such as a methyl group) or acylated (e.g. with an acetyl, formyl, benozyl or trifluoroacetyl group) . The N-terminus may be

glycosylated or otherwise derivatised, e.g. by conjugation of polyethylene glycol to the antagonist (commonly referred to as PEGylation) . The invention further provides that the N-terminus may comprise a capping group. For example, the N-terminus may comprise a capping group formed by a condensation reaction with any one of the following:

0

HO' ΌΗ

or with any other suitable capping moiety.

An antagonist as described herein may comprise one or more

heterologous components. A heterologous component is typically a moiety with a function other than binding to FBXW7. Where the heterologous component is protein in nature, it typically is not derived from DISCI, e.g. it has a sequence which does not have more than 25% sequence identity with any stretch of DISCI sequence of the same length. The heterologous component may modulate a property of the

antagonist such as stability, activity, immunogenicity, solubility, bioavailability, membrane permeability, ability to cross the blood brain barrier or localisation. For example, the heterologous component may be used to increase or reduce half-life in vitro or in vivo.

Thus the antagonist may be chemically derivatised with a

heterologous component in order to modify its pharmacokinetic and/or activity properties. For example, the heterologous

component may be a non-proteinaceaous molecule chemically linked to the antagonist. Examples include polyethylene glycol (PEG), poly- sialic acid and fatty or lipid moieties to increase membrane permeability . The heterologous component may be linked to the free N- or C- terminus of the core sequence, or to a side chain of one of the residues of the core sequence. Alternatively, the FBXW7-binding moiety may comprise one or more additional amino acids N- or C- terminal of the core sequence and the heterologous component may be linked to the free - or C-terminus provided by that additional amino acid, or to the side chain thereof. Thus an amino acid with a readily derivatisable functional group in the side chain may be preferred, such as Cys or Lys .

The heterologous component may be a protein or domain thereof. For example, it may be an immunoglobulin Fc region. Fusions between Fc regions and non-immunoglobulin components are often referred to as immunoadhesins . Alternatively it may be a protein such as albumin which can be used to extend half-life in vivo. The heterologous component may be a moiety to increase membrane permeability, i.e. to increase or facilitate transit or transport of the antagonist across cell membranes. This moiety may be a suitable lipid or other fatty moiety, including but not limited to cholesterol and stearoyl moieties.

Alternatively it may comprise or consist of a cell penetrating peptide (CPP) or peptide transduction domain (PTD) . Cell

penetrating peptides are often amphipathic or cationic sequences and include L-penetratin, D-penetratin, Tat protein and peptide fragments thereof, Syn-B vectors, FBB (fusion sequence-based peptide) and SBP (signal sequence-based peptide) transducing peptide sequence, also known as a cell penetrating peptide (CPP) .

Examples include:

Penetratin (43-58) RQIKI FQNRRMKWKK

Amphipathic model peptide KLALKLALKALKAALKLA

Transportan G TLNSAGYLLKINL ALAALAKKIL

SBP MGLGLHLLVLAAALQGAWSQPKKKRKV

FBP GALFLGWLGAAGSTMGAWSQPKKKR V

HIV Tat peptide (48-60) GRKKRRQRRRPPQ

Syn-Bl RGGRLSYSRRRFSTSTGR

Syn-B3 RRLSYSRRRF

Homoarginine peptides RRRRRRR (RR)

( (Arg) 7 and (Arg) 9)

For more details and references, see Herve, F et al., The AAPS Journal, 10(3), 2008, 455-472.

Additionally or alternatively, the heterologous moiety may assist in passage of the antagonist across the blood-brain barrier. This may be useful for antagonists administered peripherally but intended for treatment of conditions of the brain (e.g.

schizophrenia) or other parts of the central nervous system (CNS) .

Various ways have been proposed to increase transport of peptides and their analogues across the blood brain barrier. Examples include conjugation to polycationic polymers (e.g. hexamethylenediamine (HMD) , putrescine, spermine or spermidine) and amino acid sequences (e.g. the Tat peptide, Syn-Bl, Syn-B3 and homoarginine peptides described above) . Admixture with such poly- cationic polymers or proteins (e.g. protamines) may also be effective. See Herve et al . , 2008, cited above.

However, modification of the molecule itself may not be required to achieve delivery to the CNS. A suitable choice of administration route may serve equally well. For example, intranasal

administration has been proposed to allow proteins and peptides to bypass the blood brain barrier for CNS delivery. (Hanson & Frey, BMC Neuroscience 2008, 9(Suppl. 3) :S5.)

The heterologous component may be cleavable from the antagonist. For example, the heterologous component may be cleaved before or after the antagonist enters a cell.

The heterologous component may prevent the antagonist from

inhibiting DISCI binding to FBXW7. An antagonist having such a heterologous component may be an inactive "pro-drug", which is activated when the heterologous component is modified, e.g. cleaved before or after the antagonist enters a cell. Thus the invention further provides a pro-drug form of an antagonist of the invention, wherein the pro-drug form is activated when a heterologous

component is modified e.g. cleaved.

In other embodiments, though, the heterologous moiety does not interfere with the ability of the FBXW7-binding moiety to inhibit DISCI from binding to FBXW7.

Where appropriate, the heterologous component may be expressed as a fusion protein with the FBXW7-binding moiety.

In the case of fusion proteins, a flexible peptide linker is typically included between the two components to allow the two components to interact freely with one another without steric hindrance. The skilled person is capable of designing a suitable linker. Such linkers may, for example, be between 12 and 20 amino acids in length, and have a high proportion of small and

hydrophilic amino acid residues (e.g. glycine and serine) to provide the required flexibility without compromising aqueous solubility of the molecule. The linker sequence may comprise a cleavage signal sequence, e.g. a recognition/cleavage site for a protease, to allow removal of the heterologous component from the FBXW7-binding moiety.

In a further aspect, the invention further provides an antagonist of the interaction between DISCI and FBXW7 comprising an FBXW7- binding moiety having a core sequence as described above.

In this aspect of the invention, the antagonist or FBX 7-binding moiety is not full length DISCI protein. However, it may be a fragment of DISCI protein having a maximum of 800, 700, 600, 500, 400, 300, 250, 200, 150, 100, 90, 80, 70, 60 or 50 consecutive residues of DISCI sequence and containing the phosphodegron motif described herein. Alternatively, the antagonist or FBXW7-binding moiety may comprise DISCI sequence apart from the residues

corresponding to the phosphodegron motif, which may be another sequence falling within Formula I as described above.

The invention further provides a nucleic acid sequence encoding an FBX 7-binding moiety antagonist of the interaction between DISCI and FBXW7 , as described above. It will be understood that a nucleic acid is normally only capable of encoding a molecule which consists entirely of the 20 naturally occurring (proteinogenic) amino acids.

The invention further provides a vector (e.g. an expression vector) comprising a nucleic acid of the invention. An expression vector typically comprises the above-described nucleic acid sequence in combination with sequences to direct its transcription and

translation to yield the FBXW7-binding moiety or antagonist.

The invention also provides a host cell comprising a nucleic acid or a vector of the invention. The host cell may be prokaryotic or eukaryotic .

The host cells may be capable of expressing and secreting the antagonist of the invention when cultured under suitable

conditions .

The invention further provides a composition comprising an

antagonist (or a salt or derivative thereof) , a nucleic acid, vector or host cell of the invention and a carrier. In preferred embodiments, the composition is a pharmaceutically acceptable composition, the carrier is a pharmaceutically acceptable carrier, and any salt or derivative is a pharmaceutically acceptable salt or derivative . References to a composition comprising an antagonist of the invention, or administration of an antagonist of the invention, should be construed to encompass nucleic acids, expression vectors or host cells of the invention except where the context demands otherwise .

The antagonists of the invention may be manufactured by standard peptide synthetic methods, by use of recombinant expression systems, by a combination of the two, or by any other suitable method. Thus, the compounds may be synthesized in a number of ways, including, e.g., methods comprising:

(a) synthesizing the antagonist by standard solid-phase or liquid- phase methodology, either stepwise or by fragment assembly, and isolating and purifying the antagonist;

(b) expressing a nucleic acid construct that encodes the

antagonist or a fragment or precursor thereof in a host cell and recovering the expression product from the host cell culture; or (c) effecting cell-free in vitro expression of a nucleic acid construct encoding the antagonist or a fragment or precursor thereof, and recovering the expression product;

or by any combination of the methods of (a) , (b) or (c) to obtain fragments of the peptide compound, subsequently joining (e.g., ligating) the fragments to obtain the peptide compound, and recovering the peptide compound.

The method of synthesis may comprise the step of chemically modifying one of more amino acid side chains in a precursor peptide to yield an antagonist of the invention. Such modification may, for example, introduce one or more non-naturally occurring amino acids, convert one or more amino acids into non-naturally occurring amino acids by chemical modification of the side chain, introduce a substituent (such as a methyl group) at a backbone nitrogen atom, or conjugate a heterologous component, such as a polycationic polymer, to a side chain or to a free N- or C-terminal group.

Accordingly, the present invention also provides methods for producing an antagonist of the invention according to above recited methods; a nucleic acid molecule encoding part or all of an antagonist of the invention or a precursor thereof, a vector comprising at least one nucleic acid of the invention, expression vectors comprising at least one nucleic acid of the invention capable of producing an antagonist of the invention when introduced into a host cell, and a host cell comprising a nucleic acid molecule, vector or expression vector of the invention.

It will be apparent to the skilled person that other types of antagonist may also be suitable for use in the methods of the invention. The inhibitor may be an antibody specific for FBXW7 or a functional fragment thereof, or a molecule comprising an antibody binding site specific for FBXW . Alternatively the inhibitor may comprise a nucleic acid, e.g. an aptamer, having affinity for FBXW7. Such moieties may bind to the same site as DISCI, or to a different site, and may (for example) inhibit binding of DISCI competitively, by steric interference, or by inducing a conformational change in FBXW7 which inhibits DISCI binding.

It is well known that fragments of a whole antibody can perform the function of binding antigens. Examples of functional binding fragments are (i) the Fab fragment consisting of VL, VH, CL and CHI domains; (ii) the Fd fragment consisting of the VH and CHI domains; (iii) the Fv fragment consisting of the VL and VH domains of a single antibody; (iv) the dAb fragment (Ward, E.S. et al . , Nature 341, 544-546 (1989)) which consists of a VH domain; (v) isolated

CDR regions; (vi) F(ab')2 fragments, a bivalent fragment comprising two linked Fab fragments (vii) single chain Fv molecules (scFv), wherein a VH domain and a VL domain are linked by a peptide linker which allows the two domains to associate to form an antigen binding site (Bird et al, Science, 242, 423-426, 1988; Huston et al, PNAS USA, 85, 5879-5883, 1988); (viii) bispecific single chain Fv dimers ( PCT/US92/09965) and (ix) "diabodies", multivalent or multispecific fragments constructed by gene fusion (WO94/13804; P. Holliger et al Proc. Natl. Acad. Sci. USA 90 6444-6448, 1993) .

As antibodies can be modified in a number of ways, the term

"antibody" should therefore be construed as covering any specific binding substance having an binding domain with the required specificity. Thus, this term covers the antibody fragments described above, as well as derivatives, functional equivalents and homologues of antibodies, including any polypeptide comprising an immunoglobulin binding domain, whether natural or synthetic.

Chimaeric molecules comprising an immunoglobulin binding domain, or equivalent, fused to another polypeptide are therefore included. Cloning and expression of chimaeric antibodies are described in EP- A-0120694 and EP-A-0125023.

Alternatives to antibodies are increasingly available. So-called

"affinity proteins" or "engineered protein scaffolds" can routinely be tailored for affinity against a particular target. They are typically based on a non-immunoglobulin scaffold protein with a conformationally stable or rigid core, which has been modified to have affinity for the target. Such molecules are clearly envisag for use as binding agents in the present invention.

Modification may include replacement of one or more surface residues, and/or insertion of one or more residues at the surface of the scaffold protein. For example, a peptide with affinity for the target may be inserted into a surface loop of the scaffold protein or may replace part or all of a surface loop of the scaffold protein. Suitable scaffolds and their engineered

equivalents include:

- BPTI, LAC-DI, ITI-D2 (Kunitz domain scaffolds);

- ETI-II, AGRP (Knottin) ;

- thioredoxin (peptide aptamer) ;

- Fn3 (AdNectin) ;

- lipocalin (BBP) (Anticalin) ;

- ankyrin repeat (DARPin) ;

- Z domain of protein A (Affibody) ;

- gamma-B-crystallin/ubiquitin (Affilin) ;

- LDLR-A-domain (Avimer) .

See, for example, Gebauer, M and Skerra, A, Current Op. Chem. Biol. 2009, 13: 245-255, and Friedman, M and Stahl, S, Biotechnol. Appl . Biochem. (2009) 53: 1-29, and references cited therein.

Methods of the invention may be applied in any appropriate

biological system, whether in vivo, ex vivo or in vitro. In general, the system will contain FBXW7. The system may also contain DISCI.

An in vitro or ex vivo biological system may comprise an isolated sample of tissue, blood, plasma or serum, or an isolated cell. A cell or tissue sample may be from any tissue in which DISCI is expressed, including lung, digestive tract, placenta, lymph, liver, skin, heart, kidney and brain, although brain tissue may be preferred. The cell or tissue may be from any suitable species.

Preferred subjects are primates (including humans), although cells and tissues from other animals including rodents (including mice and rats), and other common laboratory, domestic and agricultural animals (including but not limited to rabbits, dogs, cats, horses, cows, sheep, goats, pigs, etc.) may be used. Due to its

transparent nature, cells and tissues from zebrafish may also be employed .

Alternatively, the system may be assembled in vitro from individual components such as isolated proteins (e.g. recombinant proteins), cells (which may be isolated from tissue, or grown in culture) , etc .

The methods of the invention may also be applied in vivo in situations where decreased DISCI turnover is desirable. Such situations include conditions in which DISCI has a protective or therapeutic effect on the pathogenesis or symptoms of the

condition, either directly or indirectly.

Conditions in which DISCI dysregulation or dysfunction has been implicated in pathogenesis or symptoms include intellectual disability and/or neuropsychiatric disorders, including

schizophrenia, bipolar disorder, depression, recurrent major depressive disorder (r DD) , attention-deficit hyperactivity disorder (ADHD) and autism.

Thus the invention provides a method of treating intellectual disability and/or a neuropsychiatric disorder in an individual, the method comprising administering an antagonist capable of inhibiting DISCI binding to FBXW7. Alternatively, the method comprises administering a nucleic acid, vector or host cell as described herein .

The invention also provides an antagonist capable of inhibiting DISCI binding to FBXW7, or a nucleic acid, vector or host cell as described herein, for use in a method of medical treatment, for example for treating intellectual disability and/or a

neuropsychiatric disorder. The invention also provides use of an antagonist capable of inhibiting DISCI binding to FBXW7, or use of a nucleic acid, vector or host cell as described herein, in the preparation of a

medicament for the treatment of intellectual disability and/or a neuropsychiatric disorder.

The treatment described above may be a method of prophylactic treatment .

The antagonist may be any antagonist capable of inhibiting DISCI binding to FBXW7 described herein.

The invention also provides methods by which agents may be screened for an ability to inhibit the interaction between FBXW7 and DISCI. These methods may equally be considered to be methods for testing a candidate agent for an ability to increase expression level and/or decrease turnover of DISCI protein. Agents identified by such screening methods may have utility in the other aspects of the invention described here. For example, they may have therapeutic utility in the treatment or prophylaxis of pathological conditions, as described herein. Broadly, then, the invention provides a method of screening for an agent capable of inhibiting binding between DISCI and FBXW7, the method comprising providing a candidate agent; and testing the candidate agent for the ability to inhibit binding between (i) DISCI or a fragment or analogue thereof, and (ii) FBXW7 or a fragment thereof.

Various methods will be apparent by which such testing can be performed . In one embodiment the invention provides a method of testing a candidate agent for an ability to inhibit binding between DISCI and FBXW7, comprising contacting the candidate agent with

(i) a first binding member comprising

(a) DISCI;

(b) a fragment of DISCI capable of binding to FBXW7; or

(c) an analogue of (a) or (b) capable of binding to FBXW7 and inhibiting binding between FBX 7 and DISCI; and

(ii) a second binding member comprising FBXW7 or a fragment thereof capable of binding to DISCI; and determining the binding between (i) and (ii) .

Typically, the method will involve the steps of determining binding between the first and second binding members in the presence and the absence of the candidate agent. A decreased level of binding in the presence of the candidate agent, as compared to the level of binding seen in the absence of the candidate agent, indicates that the candidate agent is capable of inhibiting binding between DISCI and FBXW7.

The first binding member may comprise or consist of an FBXW7- binding moiety or antagonist as described elsewhere in this specification.

A candidate agent may inhibit binding between DISCI and FBXW7 by binding FBX 7, or by binding DISCI or a fragment thereof. For example, a candidate agent may be a fragment of FBXW7 capable of binding DISCI. More typically, though, the candidate agent may be a fragment of DISCI or an analogue thereof, such as an FBXW7- binding moiety or antagonist as described elsewhere in this specification. Thus, the method may be used to compare the FBX 7- binding properties of two such FBX 7-binding moieties or

antagonists . The method may comprise the step of testing the ability of the candidate agent to increase expression level and/or decrease turnover of DISCI protein. This may comprise:

(i) providing a system comprising DISCI, FBXW7 and a ubiquitin- proteasome system, in which DISCI can be degraded via said

ubiquitin-proteasome system;

(ii) contacting said system with the candidate agent; and

(iii) determining DISCI level, degradation and/or turnover. DISCI expression, degradation or turnover may be determined in the presence and absence of the candidate agent and the results compared .

The method may comprise the steps of testing a plurality of candidate agents and optionally selecting one or more candidate agents having the ability to inhibit binding between DISCI and FBXW7.

The invention further provides a method of optimising an FBXW7- binding moiety for the ability to inhibit binding between DISCI and FBXW7, comprising

(i) providing a parent FBXW7-binding moiety capable of inhibiting binding between DISCI and FBXW7,

(ii) preparing or providing a variant of the parent FBXW7-binding moiety,

(iii) testing the variant FBXW7-binding moiety for the ability to inhibit binding between DISCI and FBXW7; and optionally

(iv) comparing the ability of the parent and variant FBXW7-binding moieties to inhibit binding between DISCI and FBXW7.

The comparison may be direct. For example, the assay may be performed in a competitive format as set out above, in which both the parent and variant are contacted simultaneously with FBXW7. Alternatively the ability of the parent and the variant may be tested separately and the results compared, or the ability of the variant may be compared to a pre-determined level of binding for the parent FBXW7-binding moiety. The ability of the parent and of the variant will typically have been determined under comparable or identical conditions. The step of preparing or providing the variant FBXW7-binding moiety may comprise modifying the parent FBXW7-binding moiety in order to prepare the variant FBXW7-binding moiety. Where the parent FBXW7- binding moiety comprises a peptide, peptoid or protein, the variant may be produced by modification (e.g. substitution, deletion or addition) of one or more amino acids or analogues thereof compared to the parent sequence.

The method may comprise the steps of preparing or providing a plurality of variant FBXW7-binding moieties and optionally

selecting one or more variant FBXW7-binding moieties having the ability to inhibit binding between DISCI and FBXW7, e.g. having superior such activity as compared to the parent FBXW7-binding moiety . In any of the screening methods described herein, the candidate agent or FBXW7-binding moiety may be a small molecule (i.e. a compound having a molecular mass of 900 Da or less), a peptide, polypeptide or peptidomimetic (such as a peptoid), or may be any other suitable compound, and may be an antagonist or FBXW7-binding moiety as described herein.

For the purposes of the testing or screening methods described herein, FBXW7 and DISCI (or the fragment of analogue thereof) form a specific binding pair which interact specifically with one another.

Either member of the binding pair may be immobilised on a solid phase (e.g. a solid support) and contacted with a sample containing the other member of the binding pair. The candidate agent may then be introduced before, concurrently with, or after the sample containing the member of the binding pair which is not immobilised on a solid phase. Whether or not a member of the binding pair is immobilised, one or both members, or another component of the assay, may be labelled in order to facilitate detection of binding.

Any suitable format may be used for the assay, including high- throughput formats. The skilled person is aware of numerous suitable formats for such screening assays, and can select an appropriate format depending on their requirements. Suitable formats include fluorescence polarisation (FP) and isothermal titration calorimetry (ITC) assays. Sample protocols are provided in the Examples.

In a further aspect, the invention provides a method of determining whether a patient will respond to treatment with an antagonist of the interaction between DISCI and FBXW7, comprising the steps of

(i) isolating a sample from a patient,

(ii) contacting the sample with an antagonist capable of inhibiting the interaction between DISCI and FBXW7, and

(iii) comparing expression level, degradation and/or turnover of DISCI protein in the presence and absence of the antagonist, where an increase in expression level, or decrease in degradation and/or turnover of DISCI is a positive indicator that the patient will respond to treatment with the antagonist.

The invention will now be described in more detail, by way of example and not limitation, by reference to the accompanying drawings. Many equivalent modifications and variations will be apparent to those skilled in the art when given this disclosure. Accordingly, the exemplary embodiments of the invention set forth are considered to be illustrative and not limiting. Various changes to the described embodiments may be made without departing from the scope of the invention. All documents cited herein are expressly incorporated by reference. The present invention includes the combination of the aspects and preferred features described except where such a combination is clearly impermissible or is stated to be expressly avoided.

Section headings are used herein are for convenience only and are not to be construed as limiting in any way.

Description of the Figures

Fig. 1: The proteosome inhibitor MG132 up-regulates DISCI levels in HEK293 cells.

Fig. 2: HA-tagged DISCI is ubiquitinated if overexpressed with ubiquiti .

Fig. 3: HA-tagged DISCI is modified by addition of 48-linked ubiquitin chains.

Fig. 4: Mass spectroscopic analysis of DISCI immunoprecipitation identifies ubiquitination sites.

Fig. 5: Overexpression of FBXW7 increases degradation of DISCI.

Fig. 6: Silencing of FBXW7 increases DISCI expression (and other FBXW7 substrates) .

Fig. 7: (A) Comparison of DISCI sequence with phospho-degron motifs in known targets of FBXW7; (B) cross-species alignment of DISCI sequence illustrating conservation of the phospho-degron motif .

Fig. 8: DISCI and FBXW7 co-immunoprecipitate in cells.

Fig. 9: DISCI upregulation is time dependent.

Fig. 10: DISCI upregulation is dose dependent. Fig. 11: Peptides 139 and 142 do not upregulate other FBXW7 substrates .

Fig. 12: FP assay between FBXW7-SKP1 complex and DISCI phospho- degron peptides.

Detailed Description of the Invention

The DISCI gene has been discovered at one breakpoint of a t(l;ll) chromosomal translocation that segregates with schizophrenia (SZ), bipolar disorder (BP) and recurrent major depressive disorder (rMDD) in a Scottish family [5] . Since then, DISCI has become widely recognised as one of the most convincing genetic risk factors for major mental illness. Moreover, the DISCI interactome [6] includes several self-standing risk factors, including PDE4B and D, NDEl, PCMl, and GSK3b. Thus, DISCI and its core partner proteins impact directly on disease relevant biological pathways [2] . The t(l;ll) translocation remains one of the very few unequivocally causal genetic events identified for major mental illness to date.

Using lymphoblastoid cell lines derived from t(l;ll) family members it has been demonstrated that the translocation reduces DISCI expression at both the transcript and protein level [7] . DISCI haploinsufficiency is consequently likely to be a major component of the disease mechanism. Moreover, it has been shown that aberrant chimeric DISCI transcripts are also present [8] . These rare transcripts encode aberrant chimeric DISCI protein species, although the existence of such species remains to be demonstrated. Nonetheless, if present even at very low levels, it is possible that aberrant DISCI protein species are another component of the disease mechanism.

In addition to the t(l;ll) translocation, an inherited deletion targeting DISCI has been identified in an autistic child [9], a duplication targeting DISCI has been reported in two autistic brothers, one additionally diagnosed with attention-deficit hyperactivity disorder (ADHD) [10], and additional duplications /deletions affecting DISCI may be present in patients diagnosed with schizophrenia or intellectual disability. These copy number variants are all predicted to alter expression levels of wild-type DISCI. Modulating wild-type DISCI expression levels may therefore represent a possible route to successful

intervention .

The importance of the DISCI signalling "node" to brain development, brain function and behaviour has been highlighted in studies that achieved transient silencing of DISCI. Additionally, it has been recognized that DISCI protein levels fluctuate during

neurodevelopment, with "peaks" at critical stages such as the neurogenesis period and postnatally [14] . In light of this, it is surprising that nothing is known about how cells regulate DISCI turnover. Understanding how the DISCI protein is regulated and degraded could provide important insights into the disease process and assist with modulation of the protein's expression level.

Protein degradation by the proteosome and lysosome is a dynamic process that has been shown to be crucial for neurodevelopment, synaptic plasticity and neuron self-renewal. Indeed, the balance between protein synthesis and degradation in neurons is now regarded as a control point for regulation of synaptic functions that underpin learning and memory [15] . Recent evidence suggests that the half-life of specific neuronal proteins can be profoundly influenced by synaptic activity [16], hence the stoichiometry of these proteins can be uniquely tailored in a manner that promotes memory formation. Crucial to this process, is the

compartmentalization of protein turnover at the synapse, which maintains optimal levels of the evolutionary conserved

macromolecular signalling complexes, which are required for neural development or synaptic transmission.

The inventors have now found that DISCI levels are tightly

regulated by the ubiquitin proteosome system (UPS) via interactions with the F-box-containing protein FBXW7. Modulating the

interaction between DISCI and FBXW7 may therefore provide means to modulate expression levels of DISCI and thereby ameliorate the symptoms or pathogenesis of intellectual disability and/or neuropsychiatric disorders, including schizophrenia, bipolar disorder, depression, recurrent major depressive disorder (r DD) , attention-deficit hyperactivity disorder (ADHD) and autism

DISCI

Human DISCI protein has the sequence:

1 MPGGGPQGAP AAAGGGGVSH RAGSRDCLPP AACFRRRRLA RRPGY RSST GPGIGFLSPA

61 VGTLFRFPGG VSGEESHHSE SRARQCGLDS RGLLVRSPVS KSAAAPTVTS VRGTSAHFGI

121 QLRGGTRLPD RLSWPCGPGS AGWQQEFAAM DSSETLDASW EAACSDGARR VRAAGSLPSA

181 ELSSNSCSPG CGPEVPPTPP GSHSAFTSSF SFIRLSLGSA GERGEAEGCP PSREAESHCQ

241 SPQEMGAKAA SLDGPHEDPR CLSRPFSLLA TR SADLAQA ARNSSRPERD MHSLPDMDPG

301 SSSSLDPSLA GCGGDGSSGS GDAHSWDTLL RKWEPVLRDC LLRNRRQMEV ISLRLKLQKL

361 QEDAVENDDY DKAETLQQRL EDLEQEKISL HFQLPSRQPA LSSFLGHLAA QVQAALRRGA

421 TQQASGDDTH TPLRMEPRLL EPTAQDSLHV SITRRDWLLQ EKQQLQKEIE ALQARMFVLE

481 AKDQQLRREI EEQEQQLQWQ GCDLTPLVGQ LSLGQLQEVS KALQDTLASA GQIPFHAEPP

541 ETIRSLQERI KSLNLSLKEI TTKVCMSEKF CSTLRKKVND IETQLPALLE AKMHAISGNH

601 FWTA DLTEE IRSLTSEREG LEGLLSKLLV LSSRNVKKLG SVKEDYNRLR REVEHQETAY

661 ETSV ENTMK YMETLKNKLC SCKCPLLGKV WEADLEACRL LIQSLQLQEA RGSLSVEDER

721 QMDDLEGAAP PIPPRLHSED KRKTPLKVLE EWKTHLIPSL HCAGGEQKEE SYILSAELGE

781 KCEDIGKKLL YLEDQLHTAI HSHDEDLIQS LRRELQMVKE TLQAMILQLQ PAKEAGEREA

841 AASCMTAGVH EAQA

(Accession no. Q9NRI5.3; GI : 160332362 ; created: Nov 16, 2001; sequence updated: Nov 13, 2007)

Chimpanzee (Pan troglodytes) DISCI protein has the sequence:

1 MPGGGPQGAP AAAGGGGVSH RAGSRDCLPP AACFRRRRLA RRPGYMRSST GPGIGFLSPA

61 VGTLFRFPGG VSGEESHHSE SRARQCGLDS RGLLVRNPVS KSAAAPAVTS VRGTSAHFGI

121 QLRGGTRLPD RLSWPCGPGN AGWQQEFAAM DSSEILDASW EAACSGGARR VRAAGSLPSA

181 ELSSNSCSPG CGPEAPPTPP DSHSAFTSSF SFIRLSLGSA GERGEAEGCL PSREAESHCQ

241 SPQEMAAKAA SLDGPHEDPR CLSRPFSLLA TRVSADLAQA ARNSSRPERD MHPLPDMDPG

301 SSSSLDPSLA GCGGDGSSSS GDAHSWDTLL RKWEPVLRDC LLRNRRQMEV ISLRLKLQKL

361 QEDAVENDDY DKAETLQQRL EDLEQEKISL HFQLPSRQPA LSSFLGHLAA QVQAALCRGA

421 TQQASRDDTH TSLRMEPRLL EPTAQDSLHV SITRRDWLLQ EKQQLQKEIE ALQARMFVLE

481 AKDQQLRREI EEQEQQLQWQ GCDLTPLVGQ LSLGQLQEVS KALQDTLASA GQIPFHAEPP

541 ETIRSLQERI KSLNLSLKEI TTKVCMSEKF CSTLRKKVND IETQLPALLE AKMHAISGNH

601 FWTAKDLTEE IRSLTSEREG LEGLLSKLLV LSSRNVKKLG SVKEDYDRLR REVEHQETAY

661 ETSVKENTMK YMETLKNKLC SCKCPLLGKV WEADLEACRL LIQSLQLQEA RGSLSVEDER 721 QMDDLEGAVC IAAPPIPPRL HSEDKRKTPL QALEEWKAHL IPSLHCAGGE QKEESYILSA

781 ELGEKCEDIG KKLLYLEDQL HTAIHSHDED LIQSLRRELQ MVKETLQAMI LQLQPAKEAG

841 EREAAASCMT AGVHEAQA

(Accession no. JAA04775.1 GI : 410215112)

Macaque (Macacca mulata) DISCI protein has the sequence:

1 MPGGGPQGAP AAAGGGGVGH RAGSRDCLPP AACFRRRRLA RRPGYMRSST GPGIGFLSPA

61 VGTLFRVPGG VPGEESHHSE SKTRECGLDS RGLLVGSPVS KSAAAPAVTS VRGTSAHFGI

121 QLRGGTRLPD RLSRLCGPGN AGWQQEFAAM DSSETLDTSW EAACSDGARR VQAAGSVPSA

181 ELSSNSCNPG CGLEDPPTPP GSHSAFASSF SFIRLSLGSA GERGEAEGCP PSREAESPCQ

241 SPQEMGA AA SLDGPH DPR CLSRPFSLLA TQVSEDLAQA AGNSSRPECE MHSLPDMDSG

301 SSSSLDPSLA GCGGDGSSGS GDAHSWDTLL RKWEPVLRDC LLR RRQMEV ISLRLKLQKL

361 QEDAVENDDY DKAETLQQRL EDLEQEKINL HFQLPSRQPA LSSFLGHLAA QVQAALRRGA

421 TQQASGDDTH ASLRTEPRLL ECTAQDSLHV SITRRDWLLQ EKQQLQKEIE ALQARMSVLE

481 AKDQQLRREI EEKEQQLRWQ GCDLTPLVGR LSLGQLREVS KALQDTLASA GQIPFHAEPP

541 ETIRSLQERI KSLNLSLKEI TTKVCMSE F CSTLR KVND IETQLPALLE AKMHAISGNH

601 FCTAKDLTEE IRSLTSEREG LEGLLSKLLV LSSRNVKKLG SV EDYDRLR REVEHQETAY

661 ETSMKENTMK YMETLKDKLC SCKCPLLGKV WEADLEACRL LMQSLQLQEA RGSLSVEDER

721 QMDALEGAAP PITPRLHSED KRKTPLQALE EWKAHLI PSL YCAGGEQKEE SYILSAELGE

781 KCEDIGKKLL YLEDQLHTAI HSHDEDLIQS LKRELQMVKE TLQAMILQLQ PAKEAGEREA 841 AASCMTAGVH EAQA

(Accession no. AAV87214.1 GI:56405456)

Mouse (Mus musculus) DI SCI has th>e sequence

1 MQGGGPRDAP IHSPSHGADS GHGLPPAVAP QRRRLTRRPG YMRSTAGSGI GFLSPAVGMP

61 HPSSAGLTGQ QSQHSQSKAG QCGLDPGSHC QASLVGKPFL KSSLVPAVAS EGHLHPAQRS

121 MRKRPVHFGV HSK DSRQSE KLTGSFKPGD SGCWQELLSS DSFKSLAPSL DAPWNTGSRG

181 LKTVKPLASS ALNGPADIPS LPGFQDTFTS SFSFIQLSLG AAGERGEAEG CLPSREAEPL

241 HQRPQEMAAE ASSSDRPHGD PRHLWTFSLH AAPGLADLAQ VTRSSSRQPE CGTVSSSSDT

301 VFSSQDASSA GGRGDQGGGW ADAHGWHTLL REWEPMLQDY LLSNRRQLEV TSLILKLQKC

361 QEKAVEDGDY DTAETLRQRL EELEQEKGHL SWALPSQQPA LRSFLGYLAA QIQVALHGAT

421 QRAGSDDPEA PLEGQLRTTA QDSLPASITR RDWLIREKQQ LQKEIEALQA RMSALEAKEK

481 RLSQELEEQE VLLRWPGCDL MALVAQMSPG QLQEVSKALG ETLTSANQAP FHVEPPETLR

541 SLRERTKSL LAVRELTAQV CSGEKLCSSL RRRLSDLDTR LPALLEAKML ALSGSCFSTA

601 KELTEEIWAL SSEREGLEMF LGRLLALSSR NSRRLGILKE DYLRCRQDLA LQDAAHKTRM

661 KANTVKCMEV LEGQLSSCRC PLLGRVWKAD LETCQLLMQS LQLQEAGSSP HAEDEEQVHS

721 TGEAAQTAAL AVPRTPHPEE EKSPLQVLQE WDTHSALSPH CAAGPWKEDS HIVSAEVGEK

781 CEAIGVRLLH LEDQLLGAMY SHDEALFQSL QGELQTVKET LQAMILQLQP TKEAGEASAS

841 YPTAGAQETE A (Accession no. AAN77091.1 GI:25992176)

Rat (Rattus norvegicus) DISCI has the sequence:

1 MQGAGSRGAW IHSPSHCPGN GHGSPPAVAP QRRRLTRRPG YMRSTASPGI GFLSPAVGMP

61 RPISAGLTGQ EFYPSQSKAR QCSLDLRSHC QDSLVGNPFL KGSLGPAVTS VGHLHPAQGS

121 MRERMVHSGV HSGNDRRQSE RLTGDSGCRQ EFLSSDSSKS LASSLDVAWS KGSRGLKTVR

181 PLVSPASNGP VDIPSLPGFQ DTFTSNFSFI RLSLGAAGER GEAEGCLPSR EAEPLHQSPQ

241 E AAEGSGSD RPHGEPRHLW TFSLHAAPGL VDLAQGTRSN RQPECGMVSS SDAGFSSQDA

301 SPAGGRSDQD GGWADAHG H ALLREWEPML QDYLLSNRRQ LEVTSLILKL QKLQEKAVED

361 GDYDMAETLR QRLEDLEQEK GRLPWALPSQ QPALRSFLGY LATQTHAALH GAPQRAGSDD

421 PEAPLEGQRR TTAQDSLPGL AVTRRDWLMR EKEQLQKEIE ALRARVSVLE AKEQRLSQEL

481 EDQEMLLRWQ GCDQMALVAQ LSPGQLQEVS KALGETLTSA RWAPFRVEPP ETLRSLRERT

541 KSLDLAVREL TEQVCSGEKL CSSLRKRLAD LDTRLPALLE AKMLALSGSC FSTAKELAEE

601 IWAVSSEREG LEMFLGRLLA LSSRNTRRLG SVKEDYLRCR QDLALQEAAH KTRVKANTVK

661 CTEVLEGQLS CCRCPLLERV KADLEACQL LMQSLEIQEA GSSSHVEDEK QVHSTGEAAQ

721 TAALAVPRTP HPEEEKSPLQ ESHVVFAEVG DKCEAIGMRL LHLEDQLLGA MHGHDEALFH 781 SLQGELQMVK ETLQTMFLQL QPAKEAGGEA SASYSTAGAQ EAED

(Accession no. EDL96753.1 GI : 149043221)

Zebrafish (Danio rerio) DISCI has the sequence:

1 MMFAGMVRVE NTSKTL TDI DSPCHRCAVR TGGVNPSGNH RRRSFRRPGY MRSEPINQLD

61 VAETSCDSEH HRSPISKSPA VENTQKSASE LLGEKWLTEG FERDNSSKSS NKHHLHDEED

121 NLPVQSRDVF NSSFSFIQQS LDTSDLLDVN TCYSPRTEHK QSESASGHQL KSKTSNSGFL

181 KPPSDLMNHL SQSETSIVQM NQLETRTVPV SQSKSSFL P LSALMNHLSQ SETTSVPINQ

241 SETSSAPKSQ SNSGFLKPLS DLMKHLTPPE SSIVLMNQSE TITI P NQTK NSTIPVSQSN

301 ADFLNPPSAL MNHLNQSETV LIPMNQSETS SIPVSQSNSG FLKPSSNLIN HLSQSESVTV

361 PMNQSETSTV SLSQSEPDFF SLRHLPCSIG QSAQQKGLLL DRELWLVDLD LQTSSSIMSK

421 YTKENIQDSD SGSLDAEITS SHSIDSSDST SSGYESTTPS SDQSQDGLMK KYEDFLQDCL

481 QNNRTNTKIE SIMMKLQRLQ HKAILDDDYD TAERFGKKLE ELRRERATLK PGLPSRHPEV

541 TGYLERLRTA VNSAIHRTDS DCSTGDPSED QRSCISQSRA QTRETLLEEK QRIQKEMCDV

601 QRRLRDLQER SRALELQLEL QEMQGPVLRA ADSPHLHLTA RALEDLLTSE HRQRISVSPP

661 AHIRRLEEQE RVLSLSIREA ETKVLLNQRL CFSLRQKVSE SETQLLALHE AKLTAVSGND

721 FSSAKELKAE IRSVYRERDR LELLHRKLQT LSTGSGLDLS RMKEKHKHIK LELQNGEAQY

781 ERSLKENTVK YIELLEDKLH SCGSAALEHV LEADLEACHL LLKGLDQRNL SLSQTEDLPS

841 GSASASDVLQ FTKDEEDCAI'4 LTALGGRWCP EADLQHSQFT KKLEEFLFCL EDEAPENLCG

901 ETTELTERCE LISYRLHYLE EQLQTAIDNN DKELTLSLER EVLELKSALQ AMLSQLKEED 961 EDEEDEEKYC DVEEEQVEDE DLEEEHYFSD SWEI

(Accession no. NP 001135735.1 GI : 214010133) As well as FBXW7, DISCI is known to bind to a number of targets including PDE48 and Nudell

As used in this specification, the term DISCI is intended to embrace the human protein and those from chimpanzee, monkey, mouse, rat and zebrafish shown above, as well as their homologues

(especially orthologues) in other species, and variants (e.g.

splice variants) and derivatives thereof which retain the capacity to bind FBXW7.

Such variants and derivatives preferably have at least about 75%, 80%, 85%, 90% or 95% sequence identity to one of the reference sequences shown above, e.g. to the human, chimpanzee or monkey protein sequence.

In particular, conservative substitutions in the DISCI sequence may be particularly well tolerated, without substantial effect on function . Fragments of DISCI (or of its variants and derivatives as described above) which are capable of binding to FBXW7 may also find use in the present invention.

The DISCI fragment itself may comprise at least 5, 6, 7, 8, 9, 10, 12, 15, 20, 25, 30, 35, 40, 45, 50 or more consecutive amino acids of DISCI. It may comprise up to 100, 200, 300, 400, 500, 600, 700 or 800 amino acids of DISCI.

Additionally or alternatively, the DISCI fragment may have a maximum length of 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, or 50 amino acids, although it may be longer.

DISCI molecules, and variants, derivatives and fragments thereof which find use in the present invention retain the ability to bind FBX 7. They comprise a phospho-degron motif, which may be the human motif P197-T198-P199-P20C-G201-S202-H203 or the corresponding sequence from a DISCI molecule from another species (e.g. one of the corresponding sequences shown in Figure 7B, especially those from chimpanzee, monkey, dog, horse, mouse, rat or zebrafish) or a fragment thereof capable of binding to FBXW7. Such phospho-degron motifs and fragments thereof may conform to Formula I as shown above .

FBXW7

Human FBXW7 protein has the sequence:

1 MNQELLSVGS KRRRTGGSLR GNPSSSQVDE EQMNRVVEEE QQQQLRQQEE EHTARNGEVV

61 GVEPRPGGQN DSQQGQLEEN NNRFISVDED SSGNQEEQEE DEEHAGEQDE EDEEEEEMDQ

121 ESDDFDQSDD SSREDEHTHT NSVTNSSSIV DLPVHQLSSP FYTKTTKMKR KLDHGSEVRS

181 FSLGKKPCKV SEYTSTTGLV PCSATPTTFG DLRAANGQGQ QRRRITSVQP PTGLQEWLKM

241 FQSWSGPEKL LALDELIDSC EPTQVKHMMQ VIEPQFQRDF ISLLPKELAL YVLSFLEPKD

301 LLQAAQTCRY WRILAEDNLL REKCKEEGI DEPLHIKRRK VIKPGFIHSP WKSAYIRQHR

361 IDTNWRRGEL KSPKVLKGHD DHVITCLQFC GNRIVSGSDD NTLKVWSAVT GKCLRTLVGH

421 TGGVWSSQMR DNIIISGSTD RTLKVWNAET GECIHTLYGH TSTVRCMHLH EKRVVSGSRD

481 ATLRVWDIET GQCLHVLMGH VAAVRCVQYD GRRVVSGAYD FMVKVWDPET ETCLHTLQGH

541 TNRVYSLQFD GIHVVSGSLD TSIRVWDVET GNCIHTLTGH QSLTSGMELK DNILVSGNAD

601 STVKIWDIKT GQCLQTLQGP NKHQSAVTCL QFNKNFVITS SDDGTVKLWD L TGEFIRNL

661 VTLESGGSGG VVWRIRASNT KLVCAVGSRN GTEETKLLVL DFDVDMK

(Accession no. AAI43945.1 GI :219518973)

As used in this specification, the term FBXW7 is intended to embrace this human protein as well as its homologues (especially orthologues) in other species, and variants, derivatives and fragments thereof which retain the capacity to bind DISCI. Such molecules may also retain the ability to bind other known binding partners of FBXW7 such as cyclin E, Notch, c-Myc, etc..

Such variants and derivatives preferably have at least about 80%, 85%, 90% or 95% sequence identity to the human protein sequence.

In particular, conservative substitutions in the FBXW7 sequence may be particularly well tolerated, without substantial effect on function . Fragments of FBXW7 (or of its variants and derivatives) which are capable of binding to DISCI may also find use in the present invention .

The FBX 7 fragment itself may comprise at least 5, 6, 7, 8, 9, 10, 12, 15, 20, 25, 30, 35, 40, 45, 50, 100, 150, 200, 250, 300, 350, 400, 450, 500, 550, 600, 650 or more consecutive amino acids of FBXW7.

Additionally or alternatively, the FBXW7 fragment may have a maximum length of 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 50, 100, 150, 200, 250, 300, 350, 400, 450, 500, 550, 600 or 650 amino acids, although it may be longer.

In assays making use of an FBX 7 molecule and a DISCI molecule, it may be desirable that they are derived from the same species.

FBXW7 may be purified from any suitable source, or may be expressed recombinantly .

FBXW7 may be expressed and/or used in conjunction with SKPl or a functional fragment thereof. SKPl may, for example, have the sequence of human SKPl:

1 MPSIKLQSSD GEIFEVDVEI AKQSVTIKTM LEDLGMDDEG DDDPVPLPNV NAAILKKVIQ

61 WCTHHKDDPP PPEDDENKEK RTDDIPV DQ EFLKVDQGTL FELILAANYL DIKGLLDVTC 121 KTVANMIKGK TPEEIRKTFN IKNDFTEEEE AQVRKENQWC EEK

(Accession no. AAH20798.1 GI:18089150)

or may have at least 80%, 85%, 90% or 95% sequence identity therewith. By a functional fragment is meant a fragment of SKPl which retains the ability to induce correct folding of FBXW7 such that FBXW7 is capable of binding to DISCI.

Thus, FBXW7 may be co-expressed with SKPl or a functional fragment thereof, e.g. as a fusion protein with SKPl or a functional fragment thereof. SKP1 may be present with FBXW7 (e.g. as a fusion protein with FBX 7) in assays and methods of the present invention if desired. It may be useful in ensuring appropriate interaction between FBXW7 and DISCI. Ideally, the SKPl molecule or fragment thereof is derived from the same species as the FBXW7.

Antagonists of the interaction between DISCI and FBXW7

The antagonists described in this specification comprise an FBXW7- binding moiety.

The FBXW7-binding moiety may be a protein moiety. The term

"protein" does not here imply any particular maximum or minimum size for the FBXW7-binding moiety. It merely signifies that the FBXW7-binding moiety is proteinaceous in nature, i.e. composed of amino acids linked by peptide bonds. It is not restricted to the

20 amino acids encoded by the mammalian genetic code) which will be referred to here as "naturally occurring" or "proteinogenic" amino acids but encompasses post-translationally modified (e.g.

phosphorylated) derivatives of the naturally-occurring amino acids as well as non-naturally occurring amino acids including D-amino acids, N-methylated residues, and N-substituted glycine residues. It will also be understood that the term is intended to encompass protein derivatives such as glycoprotein and lipoprotein moieties, although the carbohydrate and lipid moieties of such molecules may be regarded as "heterologous components".

The FBXW7-binding moiety may comprise or consist of a DISCI molecule or a variant, derivative or fragment thereof as described above which retains the ability to bind FBXW7.

Additionally or alternatively, the FBXW7-binding moiety may comprise or consist of a core sequence of 4 to 7 amino acids which conforms to Formula I as described above. It will be recognised that this includes a number of the wild-type phospho-degron sequences shown in Fig. 7B and fragments thereof. In addition to the core sequence of Formula I, the FBXW7-binding moiety may comprise further flanking protein sequence N- and/or C- terminal of the core sequence. The flanking sequence may be derived from a DISCI molecule.

Depending on the activity for which they are to be used, the antagonist may comprise one or more heterologous components.

Heterologous components are components of the molecule which perform a function other than binding to FBXW7 or other generally- recognised functions of DISCI. Thus, any portion of protein sequence which is not core sequence and does not have recognisable identity to a corresponding sequence of a DISCI molecule (e.g. has no more than 50%, e.g. no more than 25% sequence identity with any stretch of DISCI sequence of the same length) may be regarded as a heterologous component, especially if it has an identifiable function unrelated to FBXW7 binding or other normal cellular functions of DISCI.

For example, the heterologous component may modulate a property of the antagonist such as stability, activity, immunogenicity, solubility, bioavailability, membrane permeability, ability to cross the blood brain barrier or localisation. For example, the heterologous component may be used to increase or reduce half-life in vitro or in vivo. The heterologous component may be protein, lipid, carbohydrate etc.

For antagonists which are to be used in cell-free systems, such as cell-free assays for FBXW7 binding, the size of the molecule may be relatively unimportant. Thus the FBXW7-binding moiety may be an entire DISCI molecule, antibody specific for FBXW7, etc..

The FBXW7-binding moiety may comprise or consist of at least 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45, 50 or more amino acids. However, FBXW7 is an intracellular molecule, so it may be desirable that antagonists for use in vivo, or in cellular assays in vitro, are smaller than an entire DISCI molecule. Smaller molecules may be more likely to pass across membranes or the blood brain barrier .

Thus it may be desirable that the FBXW7-binding moiety has a maximum length of 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, or 50 amino acids .

Indeed, it may be desirable that the protein component of the antagonist molecule (i.e. FBXW7-binding moiety plus any protein heterologous components) may have a maximum length of 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, or 50 amino acids.

It may also be desirable that any non-protein heterologous

component (e.g. lipid, carbohydrate, etc.) has a maximum molecular weight of 1000 Da, 750 Da, 500 Da, 400 Da or even less. For example, cholesterol has a molecular weight of approximately 387, while a stearoyl group has a molecular weight of approx. 268.

Substitutions and sequence identity

A conservative substitution may be defined as a substitution within an amino acid class and/or a substitution that scores positive in the BLOSUM62 matrix.

According to one classification, the amino acid classes are acidic, basic, uncharged polar and nonpolar, wherein acidic amino acids are Asp (D) and Glu (E) ; basic amino acids are Arg (R) , Lys (K)and His (H) ; uncharged polar amino acids are Asn (N) , Gin (Q) , Ser (S), Thr (T) and Tyr (Y) ; and non-polar amino acids are Ala (A) , Gly (G) , Val (V), Leu (L) , He ( I ) , Pro (P), Phe (F), Met (M) , Trp (W) and Cys (C) . The conventional one letter and three letter amino acid codes are used interchangeably in this specification.

According to another classification, the amino acid classes are small hydrophilic, acid/acid amide/hydrophilic, basic, small hydrophobic and aromatic, wherein small hydrophilic amino acids are

Ser, Thr, Pro, Ala and Gly; acid/acidamide/hydrophilic amino acids are Asn, Asp, Glu and Gin; basic amino acids are His, Arg and Lys; small hydrophobic amino acids are Met, lie, Leu and Val; and aromatic amino acids are Phe, Tyr and Trp

Substitutions which score positive in the BLOSUM62 matrix

follows :

Percent (%) amino acid sequence identity with respect to a

reference sequence is defined as the percentage of amino acid residues in a candidate sequence that are identical with the amino acid residues in the reference sequence, after aligning the sequences and introducing gaps, if necessary, to achieve the maximum percent sequence identity, and not considering any

conservative substitutions as part of the sequence identity. % identity values may be determined by WU-BLAST-2 (Altschul et al.,

Methods in Enzymology, 266:460-480 (1996)) . WU-BLAST-2 uses several search parameters, most of which are set to the default values. The adjustable parameters are set with the following values: overlap span = 1, overlap fraction = 0.125, word threshold (T) = 11. A % amino acid sequence identity value is determined by the number of matching identical residues as determined by WU-BLAST-2, divided by the total number of residues of the reference sequence (gaps introduced by WU-BLAST-2 into the reference sequence to maximize the alignment score being ignored), multiplied by 100.

Subjects for treatment

Preferred subjects for treatment by the methods of the invention are mammals. Preferred subjects are primates (including humans), although the invention may extend to other animals including rodents (including mice and rats), and other common laboratory, domestic and agricultural animals (including but not limited to rabbits, dogs, cats, horses, cows, sheep, goats, etc.) especially when they represent models of human neuropsychiatric disorders.

Pharmaceutical compositions and methods of treatment

The molecules described herein can be formulated in pharmaceutical compositions. These compositions may comprise, in addition to one of the above substances, a pharmaceutically acceptable excipient, carrier, buffer, stabiliser or other materials well known to those skilled in the art. Such materials should be non-toxic and should not interfere with the efficacy of the active ingredient. The precise nature of the carrier or other material may depend on the route of administration, e.g. oral, intravenous, cutaneous or subcutaneous, nasal, intramuscular and intraperitoneal routes.

Examples of suitable compositions and methods of administration are provided in Esseku and Adeyeye (2011) and Van den Mooter G. (2006).

Pharmaceutical compositions for oral administration may be in tablet, capsule, powder or liquid form. A tablet may include a solid carrier such as gelatin or an adjuvant. Liquid

pharmaceutical compositions generally include a liquid carrier such as water, petroleum, animal or vegetable oils, mineral oil or synthetic oil. Physiological saline solution, dextrose or other saccharide solution or glycols such as ethylene glycol, propylene glycol or polyethylene glycol may be included.

For intravenous, cutaneous or subcutaneous injection, or injection at the site of affliction, the active ingredient will be in the form of a parenterally acceptable aqueous solution which is pyrogen-free and has suitable pH, isotonicity and stability. Those of relevant skill in the art are well able to prepare suitable solutions using, for example, isotonic vehicles such as Sodium Chloride Injection, Ringer's Injection, Lactated Ringer's

Injection. Preservatives, stabilisers, buffers, antioxidants and/or other additives may be included, as required.

Whatever the nature of the active agent that is to be given to an individual (e.g. a cell, polypeptide, nucleic acid molecule, other pharmaceutically useful agent according to the present invention) , administration is preferably in a "prophylactically effective amount" or a "therapeutically effective amount" (as the case may be, although prophylaxis may be considered therapy) , this being sufficient to show benefit to the individual. The actual amount administered, and rate and time-course of administration, will depend on the nature and severity of what is being treated.

Prescription of treatment, e.g. decisions on dosage etc, is within the responsibility of general practitioners and other medical doctors, and typically takes account of the disorder to be treated, the condition of the individual patient, the site of delivery, the method of administration and other factors known to practitioners. Examples of the techniques and protocols mentioned above can be found in Remington's Pharmaceutical Sciences, 20th Edition, 2000, pub. Lippincott, Williams & Wilkins.

EXAMPLES

The proteasome is implicated in turn-over of DISCI

The proteasome inhibitor MG132 (N-carbobenzoxyl-Leu-Leu-Leucinal ) (Sigma) was dissolved in DMSO to make a stock of lOmM and stored at -20°C. HEK293 cells were treated with G132 at various

concentrations for 3 hours. The cells were then lysed in 3T3 lysis buffer (20 mM Hepes (pH 7.4), 50 mM NaCl, 50 mM NaF, 10% (v/v) glycerol, 1% (w/v) Triton X-100, 10 mM EGTA, 30 mM sodium

pyrophosphate supplemented with protease and phosphatase inhibitor cocktail (Roche) ) . Proteins were quantified and normalised for protein concentration followed by Western blot analysis for DISCI and GAPDH. Results are shown in Figure 1. DISCI tagged with amino acids 98-106 of haemagglutinin (HA-DISC1) was overexpressed in HEK293 cells with an empty vector or HA- Ubiquitin. Samples were treated with DMSO or MG132 at a final concentration of 10μΜ for 3hr. Cells were lysed under denaturing conditions (described in materials and methods) and analysed for the presence of DISCl-Ubiquitin conjugates by Western blotting. Anti-DISCl antibody was used to probe for DISCI (native and Ub conjugate) Anti-tubulin was used as a loading control. Results are shown in Figure 2.

HA-DISCl was overexpressed in HEK293 cells and treated with D SO or MG132 at ΙΟμΜ (final concentration) for 3hr. Cells were lysed under denaturing conditions and immunprecipitation was performed using anti-HA-agarose beads or anti-mouse IgG- agarose beads (negative control) . Captured immunoprecipitate complexes were analysed by Western blot. Results are shown in Figure 3, in which the left panel shows blotting with anti-Ubiquitin and anti-DISCl; the right panel shows blotting with ubiquitin chain-specific antibody.

Samples were prepared to detect DISCI ubiquitination in HEK293 cells by mass spectroscopy. Flag-DISCl-HA Ubiquitin complexes overexpressed in HEK293 cells were immunoprecipitated using anti- FLAG-agarose beads. Untrans fected HEK293 cell lysate was used as a negative control. Samples were prepared, analysed and stained as described in Materials and Methods. Bands were excised and analysed by mass spectroscopy. See Figure 4.

Ubiquitination of DISCI is mediated by FBXW7

Fig. 5 shows the effect of FBXW7 over-expression on the stability of FLAG-DISCI. FLAG-DISCI was co transfected into HEK293 cells with untagged FBXW7 or an empty vector (negative control) . Cells were treated with cycloheximide (CHX) at indicated concentrations and times (hours) . Cell lysates were analysed by Western blotting using anti-DISCl and anti-FBXW7 antibodies. Ku70 and GAPDH protein expression levels serve as loading controls as they are stable under CHX treatment. Results are shown in Figure 5.

Fig. 6 illustrates the effect of siRNA-mediated knockdown of FBXW7 on DISCI protein levels. HEK293 cell cultures were individually transfected with 4 different siRNA (which constitute the SMART Pool used in the FBOX library screen) targeting different regions of the FBXW7 transcript . DISCI (protein of interest) , FBXW7 and c-Myc (known FBXW7 substrate) and GAPDH (loading control) expression levels were evaluated using anti DISCI, anti FBXW7, anti C- yc and anti GAPDH antibodies respectively.

Analysis of the sequence of DISCI reveals the presence of a likely phospho-degron motif. Figure 7(A) shows an alignment of that motif with those from other proteins known to interact with FBX 7.

Figure 7 (B) illustrates the conservation of that phospho-degron motif in DISCI proteins from various different species. FBXW7 and DISCI co-immunoprecipitate in cells

HEK293 cells were transiently co transfected with transfected with FLAG-tagged FBXW7 and GFP- or V5-tagged DISCI using Polyfect transfection reagent (QIAGEN) according to manufacturer's protocol. After 48hr of transfection, cells were lysed using ice cold 3T3 lysis buffer (20 mM Hepes (pH 7.4), 50 mM NaCl, 50 itiM NaF, 10% (v/v) glycerol, 1% (w/v) Triton X-100, 10 mMEGTA, 30 mM sodium

pyrophosphate and protease and phosphatase inhibitor cocktail (Roche) ) . Cell lysate concentration was normalised to 1μς/μ1 followed by pre-clearing with protein A beads. Agarose beads carrying anti-FLAG antibodies (Sigma) were used to

immunoprecipitate FLAG tagged FBXW7 protein. Negative control IP was performed by incubating equal amount of cell lysate with agarose beads carrying anti-VSV antibodies (Sigma) . Cell lysates were incubated with agarose beads carrying anti-FLAG antibodies for 2 h at 4°C. Followed by centrifugation at 10,000 g for 1 min, beads were washed thrice with the lysis buffer. Immunoprecipitate complexes were then eluted in SDS PAGE sample buffer and subjected to SDS-PAGE and Western immuno-blotting with antibodies specific for FLAG, GFP and V5.

Results are shown in Figure 8, confirming that the GFP- and V5- tagged DISCI protein is immunoprecipitated with the FLAG-tagged FBXW7.

Identification of DISCI peptides capable of binding to FBX 7

Peptides derived from DISCI and containing the putative phospho degron motif were immobilised on membranes and screened for the ability to bind FBX 7. Detectable binding was obtained using the 24-mer peptide GPEVPPTPPGSHSAFTSSFSFIRL . Phosphorylation at one or both of Thrl98 and Ser202 was found to improve binding

significantly.

Similar analysis using truncated versions of this peptide showed that at least the peptides P-pT-P-P-G-pS-H-S , P-P-pT-P-P-G-pS-H and P-pT-P-P-G-pS-H retain the ability to bind FBXW .

The 7-mer peptide P-pT-P-P-G-pS-H was used as the basis for further investigation. L- and D- forms of aspartic acid and glutamic acid (upper and lower case letters respectively) as well as N-methylated versions of each (designated "m") were incorporated at positions 198 and 202. Peptides found to retain or have improved binding to FBXW7 included:

Peptide 16: P-E-P-P-G-d-H;

Peptide 35: P-E-P-P-G-d-H;

Peptide 55: P-e-P-P-G-mE-H;

Peptide 64 : P-E-P-P-G-mD-H;

Peptide 75: P-e-P-P-G-mE-H;

Peptide 79: P-e-P-P-G-mD-H;

Peptide 82: P-d-P-P-G-mE-H;

Peptide 90 : P-d-P-P-G-mE-H;

Peptide 91: P-d-P-P-G-mE-H;

Peptide 139: G-mE-P-P-G-mE-H;

Peptide 142 : G-mD-P-P-G-mE-H;

Peptide 147 : G-e-P-P-G-mE-H;

Peptide 173 : G-d-P-P-G-mE-H; and

Peptide 181: G-d-P-P-G-mE-H.

Panels of peptides incorporating further truncation and

substitution have yielded (amongst others) the following peptides which retain or have improved binding to FBX 7 :

A5 G-d -P-P-G-mE

A12 G-d -P-P-Q-mE-H A13 G--d -P- Ρ--q--mE--H

A18 L- -d -P- Ρ- -G- -mE- -H

A22 G- -A -P-p- -G- -mE- -H

A25 G- -e -P-p. -G- -mE

A26 e -P-p. -G- -mE- -H

A31 a- -e -P- P- -G- -mE- -H

A40 P- -pT -P- p. -G- -pS -H

A45 G- -mD -P- p. -G- -mE

A51 a- -mD -P- P- -G- -mE -H

A52 G- -mD -P- .p. -Q- -mE- -H

A56 G- -mD -P-p- -G- -mE- -H

A58 L- -mD -P- .p. -G- -mE -H

A71 a- -mE -p- ^■ P- -G- -mE- -H

A73 G- -mE _p_ .p. -q- -mE- -H

A76 G- -mE -Ρ- ^■ p- -G- -mE- -H

A79 1· -mE -p- .p. -G- -mE- -H

A80 P- -pT _p_ .p. -G- -pS -H

A82 P- -A -p- .p. -G- -mE- -H

A85 P- -d -p- .p. -G- -mE

A86 d -P- ^• P- -G- -mE- -H

A97 P- -d -p-p. -G- -mE- -H

A98 L- -d -p-p. -G- -mE- -H

A99 1· -d -p- .p. -G- -mE- -H

A100 P- -pT -p- P -G- -pS -H

A101 P- -e -p- .p. -G- -mD -H

A102 P- -A -P- P -G- -mD -H

A119 P- -pT -P- p. -G- -pS -H

A124 P- -e -P- ^■ P -G- -mE

A130 a -e -p- ^■ P -G- -mE -H

A131 P- -e -P- ^■ P -Q- -mE -H

A132 P- -e -P- ^■ P -q- -mE -H

A135 P- -e -p- ^■ P ^' -G- -mE -H

A136 P- -e -p- .p. -G- -mE -H

A137 L- -e -p- ^■ P -G- -mE -H

A138 1- -e -Ρ- ^• P -G- -mE -H

A139 P- -pT _p_ ^■ P -G- -pS -H

A144 P -E -Ρ- ^• P -G- -mD A151 Ρ·-E -P-p- ^■ Q--mD-H

A160 G- -d -P -P- ^■ G- -mE -H

A161 a- -d -p- -p- ^■ G- -mE -H

A162 a- -d -p- _p_ ^■ G- -mE -H

A163 a^ -d -p- -p- ^■ G -mE- -H

A164 a- -d _p. -p- ^■ G- -mE- -h

A165 a -d _p. -p- a -mE -h

A166 a- -d _p. _p_ ^■ a- -mE -H

A168 a- -d -P -p- ^■ a- -mE -h

A169 a- -d -p- -p- ^■ a- -mE -h

A170 G- -d _p. -p- ^■ a- -mE -H

A171 G- -d -P -p- ^■ a- -mE -h

A172 G- -d -p- -p- ^■ G- -mE -H

A173 G- -d -p- -p- ^■ a- -mE- -H

A174 G- -d -p- -p- ^■ G- -mE -h

A175 G- -d -p- -p- ^■ a- -mE- -h

A176 a- -d _p.

-p- ^■ a- -mE- -h

A177 G- -d -P- -p- ^■ a- -mE- -H

A180 G- -d -p- -Ρ- ^■ G- -mE -H

A181 p- -d _p. _p_ ^■ G- -mE -H

A184 p- -d _p. -Ρ- ^■ G- -mE- -h

A185 P- -pT _p. -P- G -pS -H

A186 G- -d _p. -P- ^• G- -mE

A188 d _p. _p_ G- -mE- -H

A189 P- _p_ G -mE- -H

A192 G- -d _p. -A- ^■ G- -mE- -K

A193 G- -d _p. -a- ^■ G- -mE- -k

A194 P- -d _p. -P- ^■ G- -mE- -K

A195 P- -d _p. -P- ^■ G- -mE- -k

A196 G- -d -P -P- a- -mE -k

A197 a- -d -P- -P- ^■ a- -mE -k

As elsewhere in this specification, lower case letters represent D- amino acids . Cell-permeable versions of peptides 139 and 142 up-regulate DISCI expression

Peptides modified at the N-terminal amino group with stearate moieties to render them cell permeable (Severn Biotech Ltd) were dissolved in sterile DMSO at a stock concentration of lOOmM.

HEK293 cells were seeded into 6 well plates and cultured until 70- 80% confluent. Cell permeable peptides 139 and 142 were added at ΙΟΟμΜ. Cells were incubated at 37°C/5% C02. Cells were taken at 0, 1, 2, 3 and 6 hours post peptide addition. After treatment cells were washed briefly with ice cold PBS and lysed on ice using 3T3 lysis buffer (20 mM Hepes (pH 7.4), 50 mM NaCl, 50 mM NaF, 10%(v/v) glycerol, 1% (w/v) Triton X-100, 10 mM EGTA, 30 mM sodium pyrophosphate) containing protease and phosphatase inhibitors.

Protein concentrations were assessed using Bradford assay. Cell lysates were separated by SDS-PAGE and levels of DISCI expression determined by quantitative Western blotting using the Licor Odyssey imaging system. GAPDH was used as a control to confirm equal loading .

Figure 9 shows that DISCI is upregulated in a time-dependent manner by these peptides.

In a similar experiment, HEK293 were seeded into 6 well plates and cultured until 70-80% confluent. Cell-permeable peptides 139 and

142 were added over a concentration range: 10μΜ, 30μΜ, 50μΜ, ΙΟΟμΜ in duplicate. Cells were incubated at 37°C/5% C02 for 3 hours.

Cells were taken at 0, 1, 2, 3 and 6 hours post peptide addition.

After treatment cells were washed briefly with ice cold PBS and lysed on ice as described above.

Figure 10 shows that the effect of peptide 139 on DISCI up- regulation is dose-dependent. Similar results were obtained for peptide 142 (data not shown) . Conditions were as described for Figure 9. Figure 11 shows that peptides 139 and 142 have no effect on expression levels of the other FBXW7 substrates Notch-1, c-Myc, c- Jun and cyclinE, thus demonstrating their specificity for the FBXW7-DISC1 interaction.

Co-crystallisation of FBXW7-SKP1 and DISCI phospho-degron peptide

N-terminal His ₆ tagged human FBXW7 (residues 263-707) and truncated Skpl (Schulman et al . , 2000) were co-expressed as a dicistronic message in Escherichia coli. The Skpl-FBXW7 fusion protein was purified by Ni^-nitrilotriacetic acid (ΝΤΆ) affinity chromatography followed by tobacco etch virus (TEV) protease cleavage of the Hise tag, and by anion exchange and gel filtration chromatography. For crystallization, the Skpl-FBXW7 fusion was concentrated to 48 mg/ml by ultrafiltration in 20 mM HEPES-Na (pH 7.4), 200 mM NaCl and 5 mM dithiothreitol (DTT) .

The Skpl-FBXW7-DISCl complexes were prepared by mixing a 48 mg/ml solution of Skpl-FBXW7 with a 2-fold molar excess of DISCI peptide (residues 193-207, phosphorylated at Thrl98 and Ser202) in 25 mM Tris-HCl (pH 8.0), 200 mM NaCl, and 5 mM DTT. The Skpl-FBXW7-DISCl peptide complex was crystallized from 100 mM HEPES-Na (pH 7.4) and 1.2 M L12SO4 by the hanging-drop vapor diffusion method at 4 °C. Crystals were flash-frozen in solutions containing saturated Li^SO*. Diffraction data were collected at the X29 beamline of the National Synchrotron Light Source (NSLS) . Data were processed using the

HKL2000 suite (Otwinowski and Minor, 1997) . All crystals contain one complex in the asymmetric unit. The structures were determined by molecular replacement with the program MOLREP of the CCP4 suite (Vagin and Teplyakov, 2010) and the Skpl-FBXW7 structure (Hao et al . , 2007) was used as the search model. The DISCI peptide was built using 2F ₀ - F _c and F ₀ - F _c maps with Coot (Emsley and Wowtan, 2004) and refined using REFMAC5 (Winn et al . , 2003) . Residues 204- 207 of DISCI are not visible in the electron density maps, and presumably disordered.

The structure suggests that the phosphate of the phospho-threonine residue at position 198 of DISCI may make important contacts with the side chains of Arg205, Tyr519, Arg465 and Arg479 of FBXW7 , while the phosphate of the phospho-serine at position 202 of DISCI may make important contacts with Arg479, Thr463 and Ser462 of FBX 7. (Data not shown.)

Modelling suggests that, if the phospho-threonine and phospho- serine residues are replaced by other charged amino acids such as glutamic acid, the side chains may be capable of forming an intramolecular hydrogen bond with their respective backbone N-H groups, thus reducing their potential to interact with the relevant residues of FBXW7. (Not shown.) Modification of the peptide backbone to substitute the backbone nitrogen with a suitable group other than hydrogen may therefore increase the strength of

interaction between an FBXW7-binding moiety and FBXW7.

Development of fluorescence polarisation (FP) assay between FBXW7- SKP1 complex and DISCI phopshodegron peptide

A fluorescence polarisation assay has been developed to screen for compounds capable of disrupting the interaction between the DISCI phopshodegron peptide and FBXW7 (and hence capable of disrupting the DISC1-FBXW7 interaction) .

All peptides and compound stocks were made in DMSO. PBS+ 0.25% Tween20 was used as assay diluent.

5 μΐ of compound (to give a final concentration of 10μΜ in the assay) in DMSO is added to well of a 384-well black, low-binding, round-bottomed plate and plates are read for background

fluorescence .

5 μΐ of FBXW7/Skpl protein complex (final concentration of 0.4μΜ in well) and fluorescent ( fluorescein-tagged) DISCI phosphodegron peptides singly or doubly phosphorylated ( Flu-VPPpTPPGSH or Flu- VPPpTPPGpSH) or Cyclin E (each at final concentration of 0.1 μΜ in well) in PBS + 0.25% Tween20 is added to each well. Fluorescence is determined by reading the plates in a Mithras plate-reader using the standard protocol for Fluorescence

Polarisation determination. Figure 12 shows that binding of each of the relevant test agents (Cyclin E and the two phospho-peptides ) increases as the

concentration of the relevant test agent increases.

Isothermal Titration Calorimetry (ITC)

Affinity of DISCI analogue peptides (or other binding inhibitors) for FBXW7 may be determined using ITC.

Protein samples are typically dialysed against a solution

containing 20 mM HEPES-Na (pH 7.4), 200 mM NaCl, and 2 mM β- mercaptoethanol before combining. Typically, the concentrations of Skpl-FBXW7 and DISCI peptides used in the assay are 50 μΜ and 1 mM, respectively .

Titration is performed at 25°C with a NANO ITC System (TA

Instruments, New Castle, DE) and data analysed using the TA Nano Analyze software. Dissociation constants and their standard deviations are typically derived from two to three independent measurements . Using this method, the Kd of the doubly-phosphorylated test peptide VPPpTPPGpSH has been determined to be approximately ΙμΜ, which is consistent with the determination made by fluoresence polarisation (shown in Fig. 12) . Supplemental Materials and methods

HEK293 cell culture:

HEK (Human Embryonic Kidney) -293 cells were maintained in DMEM (Dulbecco's modified Eagle's medium) supplemented with 2 mM glutamine, 10% (v/v) fetal bovine serum (Sigma), 1% penicillin/streptomycin (100 units/ml) (Sigma) in an atmospheric chamber of 5% C02 and 37°C. Western Blot

Western blotting was performed using the Novex® protein separation system and reagents (Invitrogen) according to manufacturer's instructions .

Lysates were boiled in Laemmli buffer for 2 minutes prior to SDS- PAGE . Lysates were loaded on to a precast 4-12% bis-tris gel (~lC^g/well) . Gels were resolved at 150V (constant) for 90 mins. Proteins were transfered to nitrocellulose membrane at 30V for 1 hour. Membranes were blocked in 5% Milk in IX TBS-tween20 for 1 hour at room temperature. Primary antibodies were diluted in 1% milk in IX TBS-tween20 and incubated overnight at 4°C. Membranes were washed three times with IX TBS-tween20 and the appropriate secondary antibody (diluted using 1% milk in I X TBS-tween20) was added for 45 mins at room temperature. Membranes were washed a further three times with IX TBS-tween20 and once in IX TBS.

Protein bands were visulised using the Licor Odyssey scanner and analysed using Odyssey software (version 1.2) . DISC-1 protein levels were analysed by densitometry and normalised against those of the loading control (GAPDH) .

Antibodies

The following antibodies were used for western blotting.

Primary antibodies : anti-human DISC-1 (a DISC-1) (Dr K Millar/ Prof A Sawa) (1/4000), c-myc (Santa Cruz, sc-40) (1/1000), c-Jun (Santa Cruz, sc-1694) (1/1000), cyclinE (Abeam, ab7959) (1/1000), GAPDH (Abeam, ab8245) (1/5000), notch-1 (Abeam, ab52627) (1/1000), HA (Santa Cruz, sc-7392) (1/2000), FLAG (HRP-conj ugated; SIGMA, A8592) (1/10000), VSV (SIGMA, V5507) (1/5000) .

Secondary Antibodies : IRDye 800CW Donkey anti-Rabbit IgG (926-

32213) and IRDye 800CW Goat anti-Mouse IgG (926-32210) (1/10,000) . The foregoing written specification is considered to be sufficient to enable one skilled in the art to practice the invention. The present invention is not to be limited in scope by examples provided, since the examples are intended as a single illustration of one aspect of the invention and other functionally equivalent embodiments are within the scope of the invention. Various modifications of the invention in addition to those shown and described herein will become apparent to those skilled in the art from the foregoing description and fall within the scope of the appended claims. The advantages and objects of the invention are not necessarily encompassed by each embodiment of the invention. All references, including patent documents, disclosed herein are incorporated by reference in their entirety for all purposes, particularly for the disclosure referenced herein.

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