Rare & Orphan Lab · DeCure for X

DeCure for Leber congenital amaurosis 2

DeCure's autonomous Rare AI scientist is researching a drug-repurposing hypothesis for Leber congenital amaurosis 2 — screening already-approved drugs against its 2-gene Open Targets disease module to publish open-access research. Research is fast; the path to publication is funded in milestone stages.

Disease module2 genesLead labRare & Orphan
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Rare & OrphanDOID:0110016$DeCureRare

The disease map

Disease moduleLeber congenital amaurosis 2 maps to a 2-gene Open Targets module — the target space DeCure's AI scientist screens approved drugs against.
DeCure.ai methodSignature reversal (LINCS) plus network proximity (STRING) rank already-approved drugs likely to perturb this module — the same engine that produces DeCure.ai's repurposing hypotheses.
Repurposing thesisScreening approved medicines against this disease module, then publishing the evidence for the strongest candidate. Known pharmacology and human exposure data make the first question sharper — they do not establish safety or efficacy in a new indication.

Research record

01
ResearchComing soon
Candidate research + dossier — target rationale, drug-repurposing thesis and evidence pack.proof: Published dossier + on-chain hash
02
ValidationComing soon
In-vitro biological validation at a contract research org (CRO).proof: CRO contract + in-vitro report
03
Peer review & paperComing soon
Peer-reviewed paper published open-access (preprint + journal).proof: DOI + open-access link + on-chain hash

Current lead

No approved-drug candidate for leber congenital amaurosis 2 is corroborated in the literature DeepSearch retrieved. Some conditions are managed with non-pharmacological care — a device, surgery or physical therapy — rather than a medicine; that may be the case here, or the literature we found may simply be too sparse yet to support a drug-repurposing angle.

Molecular view

catenin delta 1 (CTNND1)CTNND1 is one of the genes genetically linked to this disease in Open Targets — shown as context, not as a drug target we're pursuing: no approved-drug candidate for this disease is yet corroborated in the literature we found.

Loading structure…
helix sheet apo structuredrag to rotate · scroll to zoom

RCSB Protein Data Bank · entry 3L6X · 2.4 Å · ligand none (apo structure). Experimental structure, not a prediction.

What the evidence adds up to

In a 2000 study of 100 consecutive Leber congenital amaurosis patients, mutations were identified in only 11% of the cohort. GUCY2D mutations accounted for 6%, RPE65 for 3%, and CRX for 2%. Visual evolution in patients with GUCY2D and CRX mutations remained stable, while individuals with RPE65 mutations showed progressive visual loss. The authors concluded that molecular diagnosis could provide information about prognosis and course of treatment.

A 2016 report on a consanguineous Egyptian family identified a novel homozygous deletion in RPGRIP1, c.[420delG], in a four-year-old girl with severe visual impairment from infancy. Fundus examination showed disc pallor and attenuated vessels. Neurodevelopmental delay and brain atrophy on CT scan were also reported. The mutation was not detected in 80 ethnically matched controls.

A 2008 case report from Kaduna, Nigeria, described Leber congenital amaurosis in three siblings. The report discussed genetic issues, clinical presentation, counselling, and treatment, but provided no molecular genetic data, no quantitative clinical outcomes, and no interventional results. The condition was described as irreversible.

Across these studies, the genetic cause remains unidentified in the large majority of patients. No therapy is tested or recommended in any of the abstracts. What is still missing is a complete genetic characterisation of the patient population, prospective natural history data with standardised functional endpoints, and any trial design that could test a molecularly stratified intervention.

Evidence

Retrieved by DeepSearch across 234,678,978 indexed works and resolved on OpenAlex — ranked by citations, including the results that did not work.

Ophthalmic Genetics · 2000 · 111 citations

Mutational analysis and clinical correlation in Leber congenital amaurosis

AbstractUNLABELLED: Leber congenital amaurosis (LCA, MIM 204001) is a clinically and genetically heterogeneous retinal disorder characterized by severe visual loss from birth, nystagmus, poor pupillary reflexes, retinal pigmentary or atrophic changes, and a markedly diminished electroretinogram (ERG). PURPOSE: To examine 100 consecutive patients with LCA in order to assess the relative burden of the three known genes involved in LCA, namely retinal guanylyl cyclase (GUCY2D), retinal pigment epithelium protein ( RPE65), and the cone-rod homeobox (CRX), and to define their clinical correlates. METHODS: Mutational analysis and detailed clinical examinations were performed in patients diagnosed with LCA at the Johns Hopkins Center for Hereditary Eye Diseases and the Montreal Children's Hospital. RESULTS: Mutations were identified in 11% of our patients: GUCY2D mutations accounted for 6%, while RPE65 and CRX gene mutations accounted for 3% and 2%, respectively. The clinical presentation was variable; however, the visual evolution in patients with mutations in GUCY2D and CRX remained stable, while individuals with mutations in the RPE65 gene showed progressive visual loss. CONCLUSIONS: This study suggests that molecular diagnosis of Leber congenital amaurosis could provide important information concerning prognosis and course of treatment.

https://doi.org/10.1076/1381-6810(200009)2131-zft135
Klinische Monatsblätter für Augenheilkunde · 2016 · 7 citations · open access

A Novel Recessive RPGRIP1 Mutation Causing Leber Congenital Amaurosis

AbstractBACKGROUND: Leber congenital amaurosis is an early-onset childhood severe retinal dystrophy, of significant genetic heterogeneity. RPGRIP1 is ubiquitously expressed, but mutations in RPGRIP1 lead to a retina-restricted phenotype, such as Leber congenital amaurosis and cone-rod dystrophy. PATIENT AND METHODS: We analysed a consanguineous family from Egypt in which one individual, a four-year-old girl, was affected with Leber congenital amaurosis. IROme, a proprietary enrichment system for retinal dystrophy genes, was applied and high throughput sequencing was performed. RESULTS: Severe visual impairment was reported during infancy. The fundus of the affected patient exhibited disc pallor and attenuated vessels. Neurodevelopmental delay and brain atrophy in the CT scan were reported. Genomic sequencing identified a novel homozygous deletion, c.[420delG], in RPGRIP1. This mutation was not detected in 80 ethnically matched controls and has not been reported elsewhere. CONCLUSIONS: Identifying new mutations in Leber congenital amaurosis-related genes and their clinical manifestations can improve our understanding of the disease and could help to stratify the population for potential therapies.

https://doi.org/10.1055/s-0041-111815
Nigerian Journal of Ophthalmology · 2008 · 1 citations · open access

Lebers Amaurosis in Three Siblings: A case report

AbstractThis case report appears to be first reported incident of Lebers congenital amaurosis in three siblings in Kaduna State. Genetic issues, clinical presentation, counselling, treatment and future progression of this irreversible blinding condition are discussed. Keywords: Lebers amaurosis, retinitis pigmentosa, Kaduna, NigeriaNigerian Journal of Ophthalmology Vol. 16 (1) 2008: pp. 26-29

https://doi.org/10.4314/njo.v16i1.12011

Disease module: DeepOracle (Open Targets). Structures: RDKit from PubChem SMILES. Literature: retrieved by DeepSearch across 234,678,978 indexed works (targeted per-candidate search), resolved on OpenAlex.

DeCure is a research and publication project, not medical advice and not a treatment. "DeCure for X" describes a research goal, not a claim that a cure exists. Backing a cure is a contribution to fund the research — it is not an investment, and confers no yield, royalty, equity or IP ownership. Papers are published open-access by the DeCure.ai DAO.