Novel Approaches and Challenges of Discovery of Exosite Modulators of a Disintegrin and Metalloprotease 10

A disintegrin and metaproteinase 10 is an important target for multiple therapeutic areas, however, despite drug discovery efforts by both industry and academia no compounds have reached the clinic so far. The lack of enzyme and substrate selectivity of developmental drugs is believed to be a main obstacle to the success. In this review, we will focus on novel approaches and associated challenges in discovery of ADAM10 selective modulators that can overcome shortcomings of previous generations of compounds and be translated into the clinic.


INTRODUCTION
A disintegrin and metaproteinase 10 (ADAM10) is member of a large group of human and nonhuman zinc-dependent enzymes (reviewed in Cerda-Costa and Gomis-Ruth, 2014). Structurally it belongs to the adamalysin family ( Figure 1A, ADAM and ADAMTS enzymes). ADAM10 is a cell surface enzyme that sheds a wide variety of cell surface proteins (Dreymueller et al., 2015;Kuhn et al., 2016;Camodeca et al., 2019;Scharfenberg et al., 2019) with importance in the progression of cancer, inflammation and immune response, suggesting that ADAM10 can be an important target for therapy.
ADAM10 is comprised of several domains, namely signal sequence, prodomain, metalloproteinase domain, disintegrin domain, cysteine-rich domain, stalk region, transmembrane domain, and cytoplasmic tail (Figure 1B), which are common for adamalysins (Takeda, 2009(Takeda, , 2016. ADAM10's most closely related adamalysin is ADAM17 with which it shares overall 24% amino acid sequence homology (as analyzed by Clustal Omega alignment tool). Despite low sequence homology ADAM10 and ADAM17 have a broadly overlapping and ever growing substrate repertoire, possibly due to the lack of well-defined cleavage site primary sequence specificity (Caescu et al., 2009).
Functions of ADAM10 in any particular disease or normal physiological scenario are defined by the substrates that it cleaves; however, it is not well-known if ADAM10 and ADAM17 cleave the same substrates in the same setting. Therefore, inhibitors selective for ADAM10 can help differentiate its role in various scenarios.
Ability to cleave multiple substrates further complicates studies of ADAM10's role and, therefore, its validation as a target for any particular disease. ADAM10 cleaves receptors and receptor ligands such as cytokines, chemokines, cell adhesion molecules to name a few (Caescu et al., 2009;Pruessmeyer and Ludwig, 2009;Dreymueller et al., 2015;Saftig and Lichtenthaler, 2015;Moss and Minond, 2017;Wetzel et al., 2017). An ADAM10 selective inhibitor that binds to a zinc of an active site will prevent proteolysis of all ADAM10 substrates. Given that ADAM10 substrates can counteract each other's biological effect (e.g., pro-and antiinflammatory cytokines), a substrate-specific inhibitor of ADAM10 can be useful.
This notion lead to the deeper exploration of regulatory mechanisms governing recognition and interaction between ADAM10 and ADAM17 and their substrates by several groups, including ours. These studies led to the realization that ADAM10 and ADAM17 may have multiple levels or ways of regulation of substrate recognition and processing that are outside of their active sites. Among the regulatory mechanisms known so far are trafficking of ADAMs (Lorenzen et al., 2016;Matthews et al., 2017;Seipold et al., 2018), interactions with other proteins (Koo et al., 2020), cellular membrane re-arrangement (Reiss and Bhakdi, 2017), ADAMs non-catalytic domains (Willems et al., 2010;Tape et al., 2011;Stawikowska et al., 2013;Seegar et al., 2017), topology of ADAM substrates (Stawikowska et al., 2013), enzyme (Chavaroche et al., 2014), and substrate glycosylation (Minond et al., 2012). As demonstrated by several groups these regulatory mechanisms can be targeted for a modulator discovery (Tape et al., 2011;Minond et al., 2012;Madoux et al., 2016;Seegar et al., 2017).
There has been a significant effort dedicated to the discovery of modulators of ADAM10 activity for multiple indications such as rhematoid arthritis (RA) (Moss et al., 2008a), cancer (Moss et al., 2008b;Crawford et al., 2009;Saha et al., 2019), immune and neurodegenerative disorders (Wetzel et al., 2017). It is important to note, that for some indications (e.g., Alzheimer's disease) molecules that induce or potentiate ADAM10 activity are thought to be needed, whereas for the majority of other indications (e.g., cancer, inflammation) the inhibitors of activity are sought after.
There are several selective inhibitors of ADAM10 that are available to the researchers, including LT4 (ADAM10 IC 50 = 40 nM, ADAM17 IC 50 = 1500 nM; Zocchi et al., 2016), INCB8765 (Incyte Corporation, ADAM10 IC 50 = 97 nM, ADAM17 IC 50 = 2045 nM; Zhou et al., 2006), GI 254023X (Glaxo, ADAM10 IC 50 = 5.3 nM, ADAM17 IC 50 = 541 nM; Ludwig et al., 2005), and ADAM10 prodomain (Biozyme Inc., ADAM10 IC 50 = 48 nM, ADAM17 IC 50 > 10 µM; Moss et al., 2007). LT4, INCB8765 and GI254023X are small molecules containing hydroxamate moieties and, therefore, likely to inhibit ADAM10 via a Zn-binding mechanism (Yiotakis and Dive, 2008) (Figure 2). ADAM10 prodomain is a competitive inhibitor of ADAM10, but it is unknown whether it binds the active site Zn. While Zn-binding inhibitors can exhibit a degree of selectivity between closely related ADAM family members, they ultimately cannot selectively inhibit shedding of substrates. There is evidence that toxicity has been caused by off-target side effects (Dekkers et al., 1999;Newton et al., 2001;Moss and Bartsch, 2004) due to a Zn-binding mechanism of inhibition which results in broad spectrum inhibition of multiple Zn metalloproteases. Additionally, ADAM10 has been shown to cleave > 70 cell surface proteins; therefore, indiscriminate inhibition of shedding of these proteins can affect multiple biological processes (reviewed in Dreymueller et al., 2015;Wetzel et al., 2017). As shown by global knockout studies, ADAM10 (Hartmann et al., 2002) is vital for development, homeostasis and repair, which makes global inhibition of all functions of this enzyme non-feasible as a therapeutic approach. However, tissue-specific partial knockout studies of ADAM10 (Chalaris et al., 2010) demonstrated the lack of overall toxicity suggesting that local pharmacological partial inhibition of ADAM10 can be used.
Our group has discovered a new class of selective ADAM10 inhibitors that act via a non-Zn-binding mechanism (Madoux et al., 2016) and potentially bind outside of an active site (Figure 2). This non-Zn-binding mechanism of inhibition proved to be the key for ensuring selectivity of these molecules toward other Zn metalloproteinases. Additionally, the lead compound CID 3117694 from this new chemotype exhibits a unique substrate selectivity profile (Madoux et al., 2016) not observed with Zn-binding inhibitors of ADAM10, which should help avoid the off-target side effects described for Zn-binding inhibitors of ADAM10. For example, inhibition of shedding of amyloid precursor protein (APP) by ADAM10 (Fahrenholz, 2007) could lead to amyloid plaque formation in CNS. Additionally, many of Zn-binding inhibitors of metalloproteinases caused a doselimiting toxicity known as Musculo-Skeletal Syndrome (MSS) (Overall and Lopez-Otin, 2002).
Search of PubChem database for biological activity of CID 3117694 revealed that it was inactive in 524 bioassays and active only against 3 targets with ADAM10 being a top target (PubChem AID 743338). Second target was hERG -CID 3117694 protected hERG from pro-arrhythmic agents (PubChem AID 1511, no EC 50 value reported). Third target was DNA polymerase β (PubChem AID 485314) where CID3117694 exhibited IC 50 value of 79 µM. It was inactive against adrenergic (ADRB2), muscarinic (CHRM1) and opioid receptors (OPRK1, OPRM1, and OPRD1) which are used for drug candidate safety screens (Bowes et al., 2012). These data suggest that CID 3117694 is a non-promiscuous compound which should translate into low off-target in vivo toxicity. This also suggests that inhibition of ADAM10 via a non-Zn-binding mechanism could be an effective strategy for therapy with fewer side effects due to enzyme and substrate selectivity superior to Zn-binding inhibitors.
In the review presented herein we will discuss approaches and challenges of rational design and discovery of enzyme-and substrate-selective modulators of ADAM10.

ARTICLE
As mentioned above, there are multiple considerations and challenges in the development of small molecule therapy targeting ADAM10. Firstly, ADAM10 modulators need to be able to avoid affecting ADAM17 (and other metzincins) with which they share multiple common substrates (Caescu et al., 2009). Additionally, since ADAM10 sheds multiple substrates, depending on the particular therapeutic indication, its modulators might need to be substrate-selective. ADAM17 selective inhibitors of ADAM10 have been reported (Figure 2 and Table 1). All ADAM10 substrates interact with a catalytic zinc Frontiers in Molecular Biosciences | www.frontiersin.org FIGURE 2 | ADAM10 selective inhibitors. Zinc-binding moieties are in red circles. Modeling suggests bulky aromatic group (in the green circle) of LT4 interacts with S1' exosite of ADAM10. Bulky aromatic groups of INCB8765 and GI254023X potentially interacting with ADAM10 S1' site are in the blue circles. CID3117694 does not have apparent zinc-binding groups.
atom of an ADAM10's active site, therefore, modulators acting via zinc-binding affect proteolysis of all ADAM10 substrates. All ADAM10 substrates interact with substrate secondary binding sites (exosites), however, it is conceivable that there are different sub-sets of substrates that interact with different exosites or sub-sets of exosites, which would determine a specificity of substrate-exosite interactions. Understanding which structural features of ADAM10 and its substrates determine and enable substrate-exosite interactions would then aid in the design of substrate-selective inhibitors.

What Is Known About ADAM10 Exosites?
To date there has been only one structural study of ADAM10 ectodomain (Seegar et al., 2017) and only exosites that are described therein are in the catalytic domain. Comparison of the S1' site of ADAM10 and ADAM17 revealed that ADAM10 S1' site is deeper and more hydrophobic (Seegar et al., 2017), which explains the previously reported preference for bulky hydrophobic residues (Caescu et al., 2009). In a contrast, ADAM17 prefers smaller, non-aromatic hydrophobic residues (Caescu et al., 2009;Tucher et al., 2014).
To the best of our knowledge, there are no structural or modeling studies of interactions between ADAM10 and GI254023X, INCB8765 or ADAM10 (Moss et al., 2007). However, both GI254023X and INCB8765 have bulky aromatic groups (Figure 2) that could be interacting with S1' exosite, which could explain their selectivity over ADAM17. Such a study of ADAM10 interactions with its pro-domain could also reveal additional previously undescribed exosites. LT4, GI254023X, and INCB8765 are good examples of how the targeting of ADAM10 S1' exosite can result in metzincin-selective inhibitors. However, these ADAM10-selective compounds inhibit cleavage of all tested ADAM10 cognate substrates in the cellular models. For example, both LT4 and GI254023X prevented cleavage of activated leukocyte cell adhesion molecule (ALCAM), TNFα, MHC class I chain-related proteins A and B (MIC-A/B) and ULPBs (UL-16 binding proteins) from the surface of Hodgkin's lymphoma cells KMH2, L428, and L540 with a very similar potency . INCB8765 did not inhibit cleavage of ADAM17-ascribed substrates (heregulin, TGFα, HB-EGF and amphiregulin), but was not tested against a panel of ADAM10-specific substrates (Zhou et al., 2006). LT4 and GI254023X testing of ADAM10 cellular substrates suggests that substrate-selective ADAM10 inhibition is difficult to achieve via targeting the combination of active site and S1' exosite. As an example of targeting beyond the active site, an ADAM10 selective inhibitor, CID3117694 (Figure 2), inhibits ADAM10 via a non-zinc-binding competitive mechanism (Madoux et al., 2016). It exhibits a preference for inhibition of TNFα-based glycosylated substrate ( Figure 3A) over its non-glycosylated variant (Figures 3B,D and Table 2) whereas a zinc-binder marimastat inhibits proteolysis of both substrates equipotently ( Figure 3C). This substrate has a glycosylated Ser in the position P4' (Minond et al., 2012) suggesting that CID3117694 competes for the exosite occupied by the disaccharide of the glycosylated substrate, presumably in the vicinity of S4' exosite. The exact location and interacting residues in the structure of ADAM10 are not known. CID3117694 exhibits substrate selectivity as compared to GI254023X ( Table 2). Most notably CID3117694 did not inhibit cleavage of HER2 and syndecan-4 when tested at 10 µM with BT474 and A549 cells, respectively, whereas GI254023X completely inhibited cleavage of both ADAM10 substrates.
The reason for substrate selectivity of CID3117694 is likely based on differences in glycosylation of ADAM10 substrates. CXCL16 is highly modified with mucin-like O-glycosylation containing galactose-N-acetylgalactosamine (Gal-GalNAc) as a part of its core structure within its stalk region where the cleavage by ADAM10 occurs (Abel et al., 2004). In contrast to CXCL16, syndecan-4 is O-glycosylated by heparan sulfate in three positions (Bernfield et al., 1992) and HER2 is N-glycosylated in seven positions 46-48. The substrate that was used to discover CID 3117694 is O-glycosylated with galactose-N-acetylgalactosamine (Gal-GalNAc) (Figure 1A), which suggests that CID 3117694 inhibits CXCL16 shedding by preventing its binding to the Gal-GalNAc-binding exosite in ADAM10 structure. The lack of inhibition of syndecan-4 shedding by CID 3117694 is potentially due to the fact that it cannot compete with heparan sulfate moieties which are much larger than Gal-GalNAc. Weak inhibition of HER2 shedding could be explained by the size difference between N-acetylglucosamine (GlcNAc, monosaccharide) found on HER2 (Franklin et al., 2004;Bostrom et al., 2009;Eigenbrot et al., 2010) and N-acetylgalactosamine (Gal-GalNAc, disaccharide) found on CXCL16. Another possible explanation is the distance of glycosylation site from the cleavage site. In case of the synthetic glycosylated substrate Gal-GalNAc is only four residues away from the cleavage site which is also likely the case with heavily O-glycosylated CXCL16, whereas in HER2 the most proximal to the cleavage site ( 642 PAEQR∼ASP 650 ) (Yuan et al., 2003) glycosylation N 629 is approximately 20 residues away.
Overall, ability of CID3117694 to differentiate between ADAM10 substrates based on their glycosylation status suggests that substrate glycosylation can be used as a target for drug discovery.

What Is Known About Glycosylation Status of ADAM10 Substrates and Its Effect on Proteolysis?
In order to be able to target an interaction between a glycan of an ADAM10 substrate and corresponding ADAM10 exosite it is necessary to know a position and type of glycan. Additionally, in order to avoid target-based toxicity, it is important that the target glycan is different in the specific diseased tissue vs. normal tissue. There are approximately hundred ADAM10 substrates (Dreymueller et al., 2015;Wetzel et al., 2017) that have been described to date, however, their glycosylation status is largely unknown. Additionally, most of information about glycosylation of ADAM10 substrates is derived from studies of healthy tissues and little is known about glycosylation of the same proteins in various diseases.
IL6 receptor (IL-6R) has four O-glycosylated residues nearby the ADAM cleavage site TSLPVQ 357 ∼DSSSV ( Table 3) that  could be modulating its proteolysis (Goth et al., 2015). Additionally, an N-linked glycan on Asn 55 of the IL-6R 302 residues away from the cleavage site, was identified as a protease regulatory exosite, whose deletion caused increased shedding of the IL-6R (Riethmueller et al., 2017). This suggests that even glycosylation far away from proteolytic site can be targeted for drug discovery. IL-6R was shown to be important in cancer (Deng et al., 2019;He et al., 2019;Weng et al., 2019;Yousefi et al., 2019) and RA (Ahmed et al., 2017) suggesting that ADAM10mediated cleavage of IL-6R can be targeted for drug discovery for both indications. However, glycosylation profile of IL-6R in both cancer and RA is unknown.
Transferrin receptor (TfR) is shed by either ADAM10 or ADAM17 (Kaup et al., 2002). O-linked carbohydrate four residues away from the scissile bond (Table 3) serves to protect the TfR from proteolytic cleavage, and without this protection, the TfR is more susceptible to cleavage (Rutledge and Enns, 1996). Soluble TfR (sTfR) is used as a diagnostic test for iron deficiency anemia in rheumatoid arthritis and other diseases (Pavai et al., 2007;Berlin et al., 2011). Concentration of sTfR and, therefore, the test results, depend on glycosylation status of TfR. It is conceivable that increase of sTfR in the serum of patients could be due to the change in the glycosylation of TfR. TfR importance in cancer and RA has been demonstrated (Pavai et al., 2007; al., 2018), however, its glycosylation profile is known only for cancer (Rutledge and Enns, 1996). Amyloid precursor protein (APP) has been studied mostly in the context of Alzheimer's disease (AD), however, recent reports show its importance in cancer (Wozniak and Ludwig, 2018;Wu et al., 2020) and RA (Kuroda et al., 2019). While APP is glycosylated in multiple positions (Halim et al., 2011), the closest residue to the ADAM cleavage site Y 681 EVHHQK 687 ∼LVFFAED is Y 681 ( Table 3). Peptides with glycosylated Y 681 were increased in CSF of AD patients (n = 6) versus non-AD patients (Wu et al., 2020) suggesting that this glycosylation could be specific to AD disease state. It is not known whether APP is glycosylated at Y 681 in cancer and RA patients.
From Table 3 it's quite clear that substrate-and disease-specific glycosylation data necessary to target each substrate need to be obtained in order to begin a rational design or discovery of ADAM10 substrate-selective inhibitors.

Lack of Structural Information Represents a Challenge in Using Glycosylation for Targeting
In order to be able to target a specific glyco moiety on an ADAM10 substrate there needs to be a clear understanding of what this moiety is. It would be an understatement to say that protein glycosylation is complex. It is well known that glycosylation of the same protein may differ in normalcy vs. disease [e.g., neurodegeneration (Moll et al., 2019), autoimmune disease (Li et al., 2019), type 2 diabetes, inflammatory bowel disease, or colorectal cancer (Dotz and Wuhrer, 2019)]. Additionally, glycosylation may differ based on the stage of the disease (Regan et al., 2019), age and sex of the patient (Dotz and Wuhrer, 2019), type of disease etc. Therefore, as an example, information of glycosylation of target protein available for breast cancer should not be used for diabetes. To characterize a glyco moiety present on the specific target a significant amount of a protein is required, therefore, it needs to be either expressed or isolated from disease-specific cells. Recombinant proteins are typically produced in bacteria or insect cells due to higher yield. However, because glycosylation machinery is significantly different in humans this approach is not suitable for human disease-specific analysis. This suggests that a target protein needs to be isolated and characterized for glycosylation in the specific disease scenario using either patient cells or established cell lines. This presents a challenge given that microgram to milligram quantities of protein are needed for glycomic characterization and patient cells are usually a rare commodity.
Speculatively speaking, the expression profile of glycosylating/deglycosylating enzymes could be used as a possible alternative to the glycomic characterization of target proteins. Glycosylation of ADAM10 substrates depends on the repertoire of glycosylating/deglycosylating enzymes expressed in any particular disease and tissue. As an example, an expression profile of 210 glycosyltransferase (GT) genes from 1893 cancer patients correlated well with six cancer types (Ashkani and Naidoo, 2016). Also, it correlated with clinical classification of breast cancer sub-types.
As another example, increased levels of α-2,3sialyltransferase-1 and neuraminidase-3 in monocytes of RA patients were found to correlate with disease activity score (DAS28) (Liou and Jang, 2019) resulting in increased sialylation. It stands to reason that GT expression profile is different in various tissues and disease states, therefore, knowledge of GT expression profile could help in identifying possible glycosylation changes in the disease state. It needs to be mentioned, however, that this approach has not been experimentally tested.
Are There Other Forms of ADAM10 Regulation Affecting Substrate Specificity?
As mentioned in Seegar et al. (2017), disintegrin/cysteine-rich domain blocks access of protein substrates to the S1' and S2' pockets, resulting in auto-inhibition. Binding of 8C7 F ab antibody to the disintegrin/cysteine-rich domain rendered ADAM10 active suggesting that disintegrin/cysteine-rich domain might contain an exosite (or exosites) which could be used by substrates to gain access to the active site. In the original report, 8C7 F ab antibody was able to inhibit ADAM10-mediated ephrin cleavage, Eph activity and Eph-dependent cell behavior (Atapattu et al., 2012). This suggests that non-catalytic domains (NCDs) participate in substrate recognition and processing and, therefore, can be targeted for drug discovery.

PRACTICAL CONSIDERATIONS FOR TARGETING DISEASE-SPECIFIC GLYCOSYLATION AND NON-CATALYTIC DOMAINS
Drug discovery targeting exosites presents unique challenges. While established methodologies can be used, need to focus on previously unexplored target class introduces a new "twist" which, in some cases, may lead to an unsurmountable technical difficulty. Here we discuss how targeting glycosylation and NCDs affects applicability of established methods of drug discovery.

Compound Screening
Once the type and position of glycosylation of target protein is known, the researchers needs to choose an assay format for a modulator discovery. Two main approaches to drug discovery are based on either purified target (i.e., biochemical assay) or target expressed in the cells of interest (i.e., cell-based assay). Depending on a therapeutic area, activators or inhibitors of ADAM10 activity might be needed. For example, for Alzheimer's disease the activators or potentiators of ADAM10 activity might be useful to increase non-amyloidogenic processing of APP thus decreasing amyloid plaque formation in CNS (Bandyopadhyay et al., 2007;Fahrenholz, 2007;Lichtenthaler, 2011;Postina, 2012;Manzine et al., 2019). Both biochemical and cell-based approaches have their inherent problems and advantages. Biochemical assays for ADAM10 modulators almost universally utilize synthetic fluorogenic substrates. These substrates need to be glycosylated using either chemical or chemoenzymatic approaches (Marschall et al., 2019) that are not straightforward and expensive. The synthetic substrates are significantly shorter than the native ones and typically consist of 10-15 amino acid residues. This potentially results in the lack of interactions between such a substrate with non-catalytic domains (NCDs) of ADAM10. We previously reported an effect of NCDs of ADAM10 most closely related metzincin, ADAM17, on proteolysis of TNFα-based synthetic substrates. NCDs did not directly bind the substrates used in the study but affected the binding nevertheless, most likely because of steric hindrance (Stawikowska et al., 2013). Additionally, fluorophore and quencher can interfere with binding of substrate to ADAM10. Finally, fluorogenic substrates are subject to fluorescent artifact (Marschall et al., 2019) due to intrinsically fluorescent compounds present in high-throughput screening (HTS) libraries.
Conversely, cell-based assays are more pathophysiologically relevant than biochemical assays. The target protein is present in the native form containing all possible exosites in a more complex cellular environment. Since mostly immortalized cell lines are used for HTS as a proxy for a disease model, the presence of correct glycosylation form in the right position needs to be experimentally confirmed before utilizing a particular cell line. Detection of an ADAM10 activity modulation event in cellbased assays is another potential challenge. Detection of shedding of ADAM10 target is usually dependent on an antibody-based technology (e.g., western blot, ELISA, AlphaLISA). Western blot and ELISA are not amenable to HTS leaving only AlphaLISA (or its variation, AlphaScreen) as an enabling technology for the assay development. A main consideration with using AlphaLISA is an availability of an assay kit for a specific target. If a kit for the target of interest is not commercially available, then researchers can attempt to develop their own AlphaLISA assay using commercially available antibodies that will need to be conjugated to the AlphaLISA beads. The cell-based assay using AlphaLISA will need to be developed using "addition-only" format (i.e., no supernatant transferring) meaning that ADAM10 target will need to be detected in the supernatant in the presence of live cells. In our group we were able to develop and use such an assay to discover compounds increasing soluble APPα in the supernatant of live 7WD10 cells (Wang et al., 2014) suggesting feasibility of this approach.
Overall, the choice of the approach should be based on the availability of substrate structural information and technical resources, however, it needs to be mentioned that at this stage both are sorely lacking.

Computer-Aided Drug Design and Discovery
Another approach to target glycosylation for ADAM10 modulator discovery can be based on virtual methods such as computer modeling and/or virtual screening. Either approach requires a pre-existing knowledge of an interaction site between a ligand and a target. In the case of ADAM10, such information is not available. This suggests a need for making a working virtual model by either docking a glycosylated substrate or other known exosite ligand (e.g., CID3117694). Once such a model is available, a medicinal chemist can use interactions between ADAM10 exosite and ligand revealed as a result of modeling effort to design a small molecule. Alternatively, a virtual screening can be performed using de novo model and publicly available virtual compound libraries (e.g., https://zinc.docking.org) to generate hits, which will need to be confirmed in ADAM10 assay.

CONCLUSION
Recent publications by different research groups independently demonstrated that glycosylation can affect ADAM10-mediated proteolysis. Research conducted in our group in the last 9 years has demonstrated that it is possible to target glycosylation of ADAM10 and ADAM17 for enzyme-and substrate-selective inhibitor discovery. This suggests that proteolysis of specific ADAM10 substrates involved in various diseases can be targeted using information about their glycosylation and non-catalytic domains differences.

AUTHOR CONTRIBUTIONS
DM envisioned and wrote the manuscript.

FUNDING
This work was supported the National Institutes of Health (AR066676 to DM).