AI Drug Discovery for Pharma and Biotech

Drug discovery

25

drugs

With orphan designations

Overview

Neuronal ceroid lipofuscinosis (NCL), also called Batten disease, comprises 13 rare genetic neurodegenerative lysosomal storage disorders characterized by progressive vision loss, seizures, motor/cognitive decline, and premature death. Autosomal recessive inheritance predominates (except adult-onset CLN4), with pathogenic variants in CLN1-CLN8, CLN10-CLN14 causing toxic lipofuscin accumulation. Diagnosis combines clinical evaluation, genetic testing, and histopathology [1][6][9].

Population

  • Global incidence: 1–3/100,000 births; prevalence up to 1:14,000 in high-risk regions (e.g., Finland) [4][9][17].

  • CLN2 disease incidence: 0.31–0.78 per 100,000 live births; CLN3 is the most common juvenile form [14][17].

Burden

  • Mortality: Infantile forms (e.g., CLN1) often fatal by age 10; juvenile forms (CLN3) lead to death in teens/early adulthood [1][2][6].

  • Disability: Progressive blindness, dementia, and loss of mobility necessitate 24/7 care [1][14].

  • Caregiver impact: High financial/emotional strain, reduced quality of life, and significant time commitment [14][19].

Therapies

  • FDA-approved: Cerliponase alfa (intracerebroventricular ERT for CLN2) slows motor decline [6][13].

  • Experimental: Gene therapy (AAV-based CLN3/CLN6/CLN8), stem cell therapy, and immunomodulators target neuroinflammation [3][12][18].

  • Symptomatic care: Anticonvulsants, muscle relaxants, and multidisciplinary support remain mainstays [1][6][11].

Categories: rare genetic diseases, rare inborn errors of metabolism, rare neurological diseases

Research Papers

733 drug discovery papers related to Neuronal ceroid lipofuscinosis, with 3 first-in-class and 14 next-in-class early-stage therapies forecasted to outperform the average preclinical success rate. Recent publications:

733 drug discovery papers related to Neuronal ceroid lipofuscinosis, with 3 first-in-class and 14 next-in-class early-stage therapies forecasted to outperform the average preclinical success rate. Recent publications:

2026-06-17 | TGFb signaling promotes astroglial activation and TDP-43 proteinopathy in organoid models of frontotemporal lobar degeneration.

Dominant mutations in Progranulin (GRN) gene cause frontotemporal lobar degeneration (FTLD-GRN), whereas homozygous GRN mutations lead to neuronal ceroid lipofuscinosis, a childhood neurodegenerative disorder. While recent transcriptomic studies reveal profound glial and neuronal pathology in FTLD-GRN at the disease end stage, the mechanism that disrupts glia-neuron homeostasis remains unclear. Using induced pluripotent stem cell (iPSC)-derived cortical organoids, we showed that GRN-/- and GRNR493X mutations lead to precocious astrogliosis that promotes neuronal stress and synaptic loss. Single-cell transcriptomics and histopathology analyses revealed a robust activation in TGFb signaling pathway in GRN-/- and GRNR493X/R493X astrocytes, which was accompanied by features of immune activation, loss of synaptic support, and abundant pTDP-43+ fibrils in astroglial cytoplasm, a feature characteristic of FTLD-GRN. Intriguingly, blocking TGFb signaling mitigated astroglial activation and pTDP-43 proteinopathy in GRN-/- organoids. Together, these results provide new insights into the cell-autonomous role of astroglial activation in neurodegeneration caused by Progranulin deficiency.

Open article ↗



2026-06-11 | Progranulin Is a Survival Factor for Axotomized Retinal Ganglion Cells in Adult Mice.

Progranulin (PGRN) is a secreted protein composed of 7.5 granulin domains. The protein is implicated in various functions, including cell survival, inflammation, lysosomal homeostasis, tumorigenesis, and aging. Haploinsufficiency and complete loss of PGRN function cause the neurodegenerative disorders frontotemporal lobar degeneration and neuronal ceroid lipofuscinosis type 11, respectively. In the nervous system, administration of exogenous PGRN has been shown to promote the survival of various nerve cell types under different pathological conditions and to stimulate neurite outgrowth in vitro and axonal regeneration in vivo. In the retina, PGRN dysfunction results in photoreceptor and retinal ganglion cell (RGC) loss, whereas PGRN administration promotes photoreceptor cell survival. In the present study, we analyzed whether a sustained intravitreal administration of PGRN promotes the survival of axotomized RGCs and the regrowth of the lesioned axons. To this end, we generated a PGRN-overexpressing clonal neural stem cell line and injected the cells into the vitreous cavity of a mouse optic nerve crush model. The progression of the lesion-induced degeneration of RGCs was studied at different time points after the nerve crush. The regeneration of the injured RGC axons into the distal optic nerve stump was analyzed one month after nerve lesioning. We found that the intravitreally administered PGRN slowed the degeneration of the injured RGCs for up to four months, the latest post-lesion interval analyzed. Furthermore, PGRN stimulated the regeneration of some RGC axons over long distances into the distal optic nerve stumps. Taken together, our results identify PGRN as a novel neurotrophic factor for retinal ganglion cells.

Open article ↗



2026-05-28 | Cellular and molecular characterisation of MFSD8 mutations associated with the variant late-infantile NCL CLN7

Batten disease (BD), also known as neuronal ceroid lipofuscinoses (NCLs), is a collective group of inherited neurodegenerative disorders. NCLs are the most prevalent cause of dementia in children, and they are distinguished by a common symptomatology that includes epileptic seizures, visual impairment, and a progressive decline in cognitive and physical function that results in early mortality. There are currently 12 different NCLs genetically identified in humans (CLN1-CLN8, CLN10-CLN13), with four newly identified genes (CLN9, CLN14, CLCN6, and SGSH). This study specifically focused on the variant late-infantile NCL (vLINCL) CLN7, which is caused primarily by homozygous mutations in CLN7/MFSD8, a major facilitator superfamily gene. MFSD8 encodes a multispanning integral lysosomal membrane protein with 12 transmembrane domains and has recently been described as a potential chloride channel on endosomes and lysosomes. However, there is still no cure or treatment available for CLN7 disease. Additionally, there is strong evidence demonstrating that MFSD8 is involved in the pathogenesis and pathobiology of other adult dementias, such as amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD), as well as maculopathies and retinopathies, which share common disease-causing mutations in a heterozygosity manner. Considering the emerging relevance of the use of induced pluripotent stem cells (iPSCs) as a model for the investigation of neurodegenerative diseases, in this thesis, I studied CLN7 disease employing CLN7 patient-derived iPSCs. Specifically, two iPS cell lines were utilised, which were derived from a female patient diagnosed at the age of 2.5 years, who exhibited homozygosity for the common missense mutation p.T294K and a male patient diagnosed at the age of 4.5 years, who was also homozygous for a more severe missense mutation corresponding to p.R465W. These iPS cell lines were further differentiated into Neural Progenitor Cells (NPCs), constituting a novel approach to study the variant late-infantile NCL CLN7 and providing an opportunity to examine the disease using cell types that could more closely resemble those affected in vivo. In light of previous proteomic studies conducted in CLN7 patient-derived NPCs by our group, resulting in a downregulation of several nuclear proteins and, consistent with the observation of other studies, we identify the localisation of MFSD8 in the nucleus. These findings provide evidence of the potential existence of several co-existing MFSD8 variants within the cells, suggesting that MFSD8 might exert different functions depending on the different isoform expressed and its localisation. Additionally, this work also reveals an impairment in the autophagy-lysosomal pathway and mitochondria produced by disease-causing mutations in NPCs and the improvement of these phenotypes with the use of existing compounds. Furthermore, through the study of the post-translational modifications of MFSD8 and different protein stability assays, this work also provides more evidence of the intricacy of this protein. Therefore, further studies on the potential protein binding partners of MFSD8 were conducted to gain a deeper understanding of novel signalling pathways or molecular mechanisms in which MFSD8 might be involved. In summary, this thesis provides significant insights into the cellular and molecular biology of MFSD8 through the use of a clinically relevant model, which sheds new light on future directions for the study of CLN7 disease. These findings can contribute to the development of significant therapeutic strategies to ameliorate CLN7 disease and, as a consequence, improve other adult neurodegenerative diseases which share the same disease-causing mutations as CLN7 disease.

Open article ↗



2026-06-17 | TGFb signaling promotes astroglial activation and TDP-43 proteinopathy in organoid models of frontotemporal lobar degeneration.

Dominant mutations in Progranulin (GRN) gene cause frontotemporal lobar degeneration (FTLD-GRN), whereas homozygous GRN mutations lead to neuronal ceroid lipofuscinosis, a childhood neurodegenerative disorder. While recent transcriptomic studies reveal profound glial and neuronal pathology in FTLD-GRN at the disease end stage, the mechanism that disrupts glia-neuron homeostasis remains unclear. Using induced pluripotent stem cell (iPSC)-derived cortical organoids, we showed that GRN-/- and GRNR493X mutations lead to precocious astrogliosis that promotes neuronal stress and synaptic loss. Single-cell transcriptomics and histopathology analyses revealed a robust activation in TGFb signaling pathway in GRN-/- and GRNR493X/R493X astrocytes, which was accompanied by features of immune activation, loss of synaptic support, and abundant pTDP-43+ fibrils in astroglial cytoplasm, a feature characteristic of FTLD-GRN. Intriguingly, blocking TGFb signaling mitigated astroglial activation and pTDP-43 proteinopathy in GRN-/- organoids. Together, these results provide new insights into the cell-autonomous role of astroglial activation in neurodegeneration caused by Progranulin deficiency.

Open article ↗



2026-06-11 | Progranulin Is a Survival Factor for Axotomized Retinal Ganglion Cells in Adult Mice.

Progranulin (PGRN) is a secreted protein composed of 7.5 granulin domains. The protein is implicated in various functions, including cell survival, inflammation, lysosomal homeostasis, tumorigenesis, and aging. Haploinsufficiency and complete loss of PGRN function cause the neurodegenerative disorders frontotemporal lobar degeneration and neuronal ceroid lipofuscinosis type 11, respectively. In the nervous system, administration of exogenous PGRN has been shown to promote the survival of various nerve cell types under different pathological conditions and to stimulate neurite outgrowth in vitro and axonal regeneration in vivo. In the retina, PGRN dysfunction results in photoreceptor and retinal ganglion cell (RGC) loss, whereas PGRN administration promotes photoreceptor cell survival. In the present study, we analyzed whether a sustained intravitreal administration of PGRN promotes the survival of axotomized RGCs and the regrowth of the lesioned axons. To this end, we generated a PGRN-overexpressing clonal neural stem cell line and injected the cells into the vitreous cavity of a mouse optic nerve crush model. The progression of the lesion-induced degeneration of RGCs was studied at different time points after the nerve crush. The regeneration of the injured RGC axons into the distal optic nerve stump was analyzed one month after nerve lesioning. We found that the intravitreally administered PGRN slowed the degeneration of the injured RGCs for up to four months, the latest post-lesion interval analyzed. Furthermore, PGRN stimulated the regeneration of some RGC axons over long distances into the distal optic nerve stumps. Taken together, our results identify PGRN as a novel neurotrophic factor for retinal ganglion cells.

Open article ↗



2026-05-28 | Cellular and molecular characterisation of MFSD8 mutations associated with the variant late-infantile NCL CLN7

Batten disease (BD), also known as neuronal ceroid lipofuscinoses (NCLs), is a collective group of inherited neurodegenerative disorders. NCLs are the most prevalent cause of dementia in children, and they are distinguished by a common symptomatology that includes epileptic seizures, visual impairment, and a progressive decline in cognitive and physical function that results in early mortality. There are currently 12 different NCLs genetically identified in humans (CLN1-CLN8, CLN10-CLN13), with four newly identified genes (CLN9, CLN14, CLCN6, and SGSH). This study specifically focused on the variant late-infantile NCL (vLINCL) CLN7, which is caused primarily by homozygous mutations in CLN7/MFSD8, a major facilitator superfamily gene. MFSD8 encodes a multispanning integral lysosomal membrane protein with 12 transmembrane domains and has recently been described as a potential chloride channel on endosomes and lysosomes. However, there is still no cure or treatment available for CLN7 disease. Additionally, there is strong evidence demonstrating that MFSD8 is involved in the pathogenesis and pathobiology of other adult dementias, such as amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD), as well as maculopathies and retinopathies, which share common disease-causing mutations in a heterozygosity manner. Considering the emerging relevance of the use of induced pluripotent stem cells (iPSCs) as a model for the investigation of neurodegenerative diseases, in this thesis, I studied CLN7 disease employing CLN7 patient-derived iPSCs. Specifically, two iPS cell lines were utilised, which were derived from a female patient diagnosed at the age of 2.5 years, who exhibited homozygosity for the common missense mutation p.T294K and a male patient diagnosed at the age of 4.5 years, who was also homozygous for a more severe missense mutation corresponding to p.R465W. These iPS cell lines were further differentiated into Neural Progenitor Cells (NPCs), constituting a novel approach to study the variant late-infantile NCL CLN7 and providing an opportunity to examine the disease using cell types that could more closely resemble those affected in vivo. In light of previous proteomic studies conducted in CLN7 patient-derived NPCs by our group, resulting in a downregulation of several nuclear proteins and, consistent with the observation of other studies, we identify the localisation of MFSD8 in the nucleus. These findings provide evidence of the potential existence of several co-existing MFSD8 variants within the cells, suggesting that MFSD8 might exert different functions depending on the different isoform expressed and its localisation. Additionally, this work also reveals an impairment in the autophagy-lysosomal pathway and mitochondria produced by disease-causing mutations in NPCs and the improvement of these phenotypes with the use of existing compounds. Furthermore, through the study of the post-translational modifications of MFSD8 and different protein stability assays, this work also provides more evidence of the intricacy of this protein. Therefore, further studies on the potential protein binding partners of MFSD8 were conducted to gain a deeper understanding of novel signalling pathways or molecular mechanisms in which MFSD8 might be involved. In summary, this thesis provides significant insights into the cellular and molecular biology of MFSD8 through the use of a clinically relevant model, which sheds new light on future directions for the study of CLN7 disease. These findings can contribute to the development of significant therapeutic strategies to ameliorate CLN7 disease and, as a consequence, improve other adult neurodegenerative diseases which share the same disease-causing mutations as CLN7 disease.

Open article ↗



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Drug Discovery Landscape

25 orphan drug designations for Neuronal ceroid lipofuscinosis, including 2 approved therapies.

25 orphan drug designations for Neuronal ceroid lipofuscinosis, including 2 approved therapies.

Drug

Therapy type

Regulator

Orphan designation

Approval

Sponsor

Adeno-associated viral vector serotype rh.10 encoding the CLN2 gene

gene therapies

EMA

2022-10-11

Scendea (NL) B.V.

Tamoxifen citrate

small molecules

EMA

2022-06-21

Fondazione Telethon Ets

Autologous CD34+ haematopoietic stem and progenitor cells genetically modified with the lentiviral vector encoding for the human palmitoyl-protein thioesterase 1 gene

gene therapies

EMA

2021-07-19

University of Padua

Adeno-associated viral vector encoding the human ceroid lipofuscinosis neuronal type 2 (CLN2) gene

gene therapies

FDA

2021-07-12

Lexeo Therapeutics

Adeno-associated virus serotype 9 expressing human CLN5

gene therapies

EMA

2021-06-21

Eusme Limited

miglustat

small molecules

FDA

2021-01-19

Beyond Batten Disease Foundation

Trehalose

small molecules

FDA

2020-10-21

Beyond Batten Disease Foundation

Miglustat

small molecules

EMA

2020-10-19

Theranexus S.A.S.

Trehalose

small molecules

EMA

2020-10-19

Theranexus S.A.S.

Trehalose + miglustat

small molecules

FDA

2020-08-10

Beyond Batten Disease Foundation

Adeno-associated virus serotype 9 vector with engineered transgene encoding the human CLN5 gene

gene therapies

FDA

2020-06-03

Neurogene Inc.

Recombinant self-complementary adeno-associated viral vector serotype 9 containing the human CLN6 gene

gene therapies

EMA

2019-08-21

Pharma Gateway AB

Recombinant self-complementary adeno-associated viral vector serotype 9 containing the human CLN3 gene

gene therapies

EMA

2019-08-21

Pharma Gateway AB

non-replicating, recombinant adeno-associated virus (AAV) serotype 9 (AAV9) vector containing an hCLN2 expression cassette encoding for the soluble lysosomal enzyme tripeptidyl peptidase I (TPP1)

gene therapies

FDA

2018-10-25

Tern Therapeutics LLC

Adeno-associated viral vector serotype 9 containing the human CLN1 gene

gene therapies

EMA

2018-05-25

Raremoon Consulting Esp S.L.

Gemfibrozil

small molecules

EMA

2018-03-21

Premier Research Group S.L.

a self-complementary adeno-associated virus serotype 9 expressing human codon-optimized CLN1 under control of CBh

gene therapies

FDA

2018-02-07

Taysha Gene Therapies, Inc.

gemfibrozil and vitamin A

small molecules

FDA

2017-12-06

Polaryx Therapeutics, Inc.

gemfibrozil

small molecules

FDA

2017-08-02

Polaryx Therapeutics, Inc.

recombinant human palmitoyl-protein thioeserase-1 (rhPPT1)

proteins

FDA

2017-06-05

Collaborations Pharmaceuticals, Inc.

RECOMBINANT SELF-COMPLEMENTARY ADENO-ASSOCIATED VIRAL VECTOR SEROTYPE 9 CONTAINING THE HUMAN CLN3 GENE [ABO-201]

gene therapies

EMA

2016-12-12

[INACTIVE] Abeona Therapeutics Europe S.L.

N-t-butylhydroxylamine

small molecules

FDA

2015-05-12

Circumvent Pharmaceuticals

cerliponase alfa [Brineura]

proteins

FDA

2013-04-01

2017-04-27

BioMarin Pharmaceutical, Inc.

Recombinant human tripeptidyl-peptidase 1 [Brineura]

proteins

EMA

2013-03-12

2017-06-01

BioMarin International Limited

cysteamine

small molecules

FDA

2008-08-06

Raptor Pharmaceuticals, Inc.

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At Explority, we build first-of-its-kind AI to bring clarity to the earliest and riskiest stages of pharmaceutical research by forecasting which therapies are most likely to succeed. Explority AI web and mobile applications are properties of the Explority AI Inc., a company registered in the United States (File No. 10320493).
For all questions: support@explority.ai

Copyright © 2026 Explority AI Inc.

Explority AI logo

228 Park Ave S,
New York, USA.

At Explority, we build first-of-its-kind AI to bring clarity to the earliest and riskiest stages of pharmaceutical research by forecasting which therapies are most likely to succeed. Explority AI web and mobile applications are properties of the Explority AI Inc., a company registered in the United States (File No. 10320493).
For all questions: support@explority.ai

Copyright © 2026 Explority AI Inc.

Explority AI logo

228 Park Ave S,
New York, USA.

At Explority, we build first-of-its-kind AI to bring clarity to the earliest and riskiest stages of pharmaceutical research by forecasting which therapies are most likely to succeed. Explority AI web and mobile applications are properties of the Explority AI Inc., a company registered in the United States (File No. 10320493).
For all questions: support@explority.ai

Copyright © 2026 Explority AI Inc.