Queensland: New treatments are on the horizon for ankylosing spondylitis and two 
other debilitating conditions that affect up to three per cent of the 
global population – thanks to a research and development deal involving 
University of Queensland research. University of Queensland Diamantina Institute Director
 Professor Matt Brown said the agreement between UQ’s commercialisation 
arm, UniQuest, and Janssen Cilag Pty Limited (Janssen), would capitalise
 on more than a decade of research. The research involves important enzymes involved in activating the immune system.
Professor Brown said it had implications for the treatment of 
ankylosing spondylitis – a painful form of arthritis – and for psoriasis
 and inflammatory bowel disease.
“These three conditions affect two to three per cent of the world’s 
population, and there is a great need for better treatments,” he said.
“This research and development agreement is a dream come true.
“I have spent my career researching the causes of these conditions, 
so it is tremendously rewarding to be collaborating with Janssen to find
 a treatment based on one of our discoveries.”
Professor Matt Brown from The University of Queensland on Vimeo available for media use.
Ankylosing spondylitis is an incurable immune disease affecting the spine, joints and tendons, and can be difficult to diagnose.
“Patients often ignore the initial symptoms, including recurring back
 pain and stiffness, but if untreated it can slowly worsen and result in
 the spine becoming fused and totally inflexible.” Professor Brown said.
Current treatments focus on reducing the symptoms, using 
non-steroidal anti-inflammatories and biologic therapies to minimise 
pain and inflammation.
In the 1970s it was discovered that most people with ankylosing spondylitis carried a mutation on a gene called HLA-B27.
Professor Brown said that for 40 years it was thought to be the only gene involved in the development of the disease.
“But since 2007 we have identified more than 26 other genes involved 
in the development of ankylosing spondylitis. This discovery has led to 
the resulting research collaboration.”
Professor Brown and colleagues published research in Nature Genetics in
 2011, explaining how select enzymes work with HLA-B27 to help the 
immune system distinguish between what is self and what is foreign.
They showed that in ankylosing spondylitis genetic variants result in
 the production of overactive enzymes that act in combination with 
HLA-B27 to induce arthritis.
Research published in Nature Communication last month shows 
that a specific enzyme works in conjunction with HLA-B27 and other genes
 associated with ankylosing spondylitis, psoriasis and inflammatory 
bowel disease.
Professor Brown said the culmination of this research led to the identification of two enzymes as promising drug targets.
“We think that by inhibiting these enzymes we could be able to switch
 off the immune reaction that causes these common diseases.” he said.
“In animal models the absence of such genes appears to have very few side effects.
“Our three-year collaboration seeks to capitalise on Janssen’s drug 
discovery expertise including their capability to screen thousands of 
compounds to find inhibitors of the two enzymes, which we would optimise
 together.”
Janssen Cilag Pty Limited, one of the Janssen Pharmaceutical 
Companies of Johnson & Johnson, will have exclusive worldwide rights
 to develop and commercialise the drug candidates identified by UQ 
researchers.
Also involved in the project are collaborators from St Vincent's Institute of Medical Research.