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WHAT IS…?

Protein therapeutics

A promise to revolutionise medicine

Protein therapeutics are medicines that use proteins made in the laboratory to treat diseases. Biochemist Elliott Stollar explains the importance of proteins in health and disease, and how computers are being used to design new protein-based medicines for the future

Proteins are fundamental to all cells. We have learnt much about their biology and function, and have produced proteins in the laboratory to use as therapeutics for a range of diseases. Insulin, growth hormone and monoclonal antibodies are good examples. However, to make more effective therapeutics, we need to understand the functions of more proteins and much of this can be discovered through knowing their structure and their shape.

Genome projects have allowed us to predict the primary sequence of many proteins from their gene sequences. In the 1970s, by denaturing and renaturing ribonuclease, Christian Anfinsen demonstrated that its tertiary structure depended solely on its sequence of amino acids. However, only recently has artificial intelligence solved the 50-year-old protein folding problem of predicting protein structure from amino acid sequences derived from these gene sequences alone (see Box 1). As such, in July 2021, it was a significant milestone for biology when the AlphaFold database was released. AlphaFold solved the problem using artificial intelligence methods that mimic the numerous layers found in neural networks to learn from known protein structures, realising powerful, accurate predictions. As a result, we now have structure predictions for most human proteins, as well as those in 20 other species, with huge implications for protein therapeutics.

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