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Peer-reviewedCC BY 4.0International Journal of Molecular Sciences

Beyond Mutation Diversity: Common Pathogenic Mechanism for Putative Intervention Sites in Monogenic Diseases

  1. 1Department of Physics and Astronomy, College of Science, Clemson University, Clemson, SC 29634, USA
  2. 2Medical Biophysics Graduate Program, College of Science, Clemson University, Clemson, SC 29634, USA
  3. 3Institute for Human Genetics, Clemson University, Greenwood, SC 29646, USA

Abstract

Monogenic disorders present a compelling target for drug discovery due to their clear, single-gene etiology. Yet, effective therapies remain scarce, largely because diverse mutation types scattered across a protein obstruct targeted drug design. In this study, we leverage MOGEDO, a curated database of monogenic disorders, to test whether different pathogenic genotypes within a single protein converge on a common molecular mechanism. By clustering MOGEDO proteins into eight functional families and analyzing representative proteins carrying both benign and pathogenic mutations, we integrated molecular dynamics, network analysis, and side-chain entropy metrics. Our findings reveal that distinct pathogenic mutations disrupt the structural and dynamic properties of the wild-type and benign protein through common pathways. By demonstrating that diverse disease-causing mutations manifest a unified pathogenic phenotype, this work provides a framework for designing broad-spectrum therapeutics that target common putative intervention sites rather than individual mutations.

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BibTeX
@article{bikash2026beyond,
  title = {{Beyond Mutation Diversity: Common Pathogenic Mechanism for Putative Intervention Sites in Monogenic Diseases}},
  author = {Bikash KC and Nirav Modha and Pitambar Poudel and Shailesh Kumar Panday and Emil Alexov},
  journal = {International Journal of Molecular Sciences},
  year = {2026},
  month = oct,
  doi = {10.3390/ijms27219432},
  url = {https://www.mdpi.com/1422-0067/27/21/9432},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Beyond Mutation Diversity: Common Pathogenic Mechanism for Putative Intervention Sites in Monogenic Diseases
AU  - Bikash KC
AU  - Nirav Modha
AU  - Pitambar Poudel
AU  - Shailesh Kumar Panday
AU  - Emil Alexov
PY  - 2026
DA  - 2026/10/22
JO  - International Journal of Molecular Sciences
DO  - 10.3390/ijms27219432
UR  - https://www.mdpi.com/1422-0067/27/21/9432
AB  - Monogenic disorders present a compelling target for drug discovery due to their clear, single-gene etiology. Yet, effective therapies remain scarce, largely because diverse mutation types scattered across a protein obstruct targeted drug design. In this study, we leverage MOGEDO, a curated database of monogenic disorders, to test whether different pathogenic genotypes within a single protein converge on a common molecular mechanism. By clustering MOGEDO proteins into eight functional families and analyzing representative proteins carrying both benign and pathogenic mutations, we integrated molecular dynamics, network analysis, and side-chain entropy metrics. Our findings reveal that distinct pathogenic mutations disrupt the structural and dynamic properties of the wild-type and benign protein through common pathways. By demonstrating that diverse disease-causing mutations manifest a unified pathogenic phenotype, this work provides a framework for designing broad-spectrum therapeutics that target common putative intervention sites rather than individual mutations.
SN  - 1422-0067
ER  -