Recurring themes

What you’ll find in the archive.

Post digest

Selected Cure Odysseys posts.

A curated index of foundational, recent, and high-signal posts.

Community medicine · 1-to-N medicine
Two companion posts on treating each N-of-1 as a prototype — and scaling it to every subsequent patient carrying the same variant.
Methods
Policy
The Anti-Portfolio of Pharma
The thesis post: why the diseases big pharma rejects are the exact programs a yeast-first, patient-partnered company should run.
Thesis
Strategy
Patients are the platform
How Maggie’s Pearl moved epalrestat from an N-of-1 to a 40-patient Phase III at Mayo Clinic in three years for under $5M.
PMM2-CDG
Trial Design
Restoring balance to the flux
GMPPA-CDG: loss of GMPPA causes runaway GMPPB and hypermannosylation. “Two wrongs make a right” — inhibiting GMPPB normalizes flux.
GMPPA-CDG
Mechanism
Fuel It Still
A working note on maintaining patient-first momentum through the awkward middle of the drug-development timeline.
Culture
NARS1 Cure Odyssey
The asparaginyl-tRNA synthetase program — one of a growing family of tRNA-synthetase-linked IMDs in the REMIT pipeline.
NARS1
Yeast-powered drug repurposing screen → parent-driven N-of-1 (PIGW)
How a PIGW family took the top-ranked rescuer straight into a parent-driven N-of-1 protocol.
PIGW
N-of-1
ADSL Cure Odyssey · ECHS1 Cure Odyssey
Two paired posts on purine-biosynthesis (ADSL) and valine-catabolism (ECHS1) avatars and their early compound fingerprints.
ADSL
ECHS1
FOXG1 Cure Odyssey
The first CRDF-funded Cure Odyssey: FOXG1 syndrome yeast models and early hits.
FOXG1
DHDDS Cure Odyssey
Dolichol biosynthesis defects and the first hits from the DHDDS yeast avatar.
DHDDS
SURF1 yeast hits validated in patient fibroblasts
Six of the top twelve SURF1 yeast rescuers reproduced in patient fibroblasts — the strongest yeast-to-human translation signal we’ve measured.
Validation
Pharma Chameleon — epalrestat for PMM2-CDG
A Japanese diabetic-neuropathy drug, repurposed. The mechanistic story of why aldose reductase inhibition restores glycosylation in PMM2-deficient cells.
PMM2-CDG
Repurposing
PIGN Cure Collective
Formation of a multi-family Cure Collective for PIGN GPI-anchor deficiency, with a shared yeast avatar and screen.
PIGN
Yeast-powered drug repurposing screens for SURF1 Leigh Syndrome are done
The headline result from the first SURF1 campaign: a ranked hit list of rescuers of SURF1-deficient yeast respiration.
Complex IV
ALG11-CDG Cure Odyssey
Building and screening the ALG11 yeast avatar. The N-glycosylation branch of the CDG family.
ALG11-CDG
Landry’s PMM2-CDG yeast avatar
The variant-specific avatar built for a single patient: screen, hit list, compassionate-use path.
PMM2-CDG
N-of-1
PGAP3 drug repurposing screens are done
Completion of the PGAP3 primary screen and first-pass hit triage.
PGAP3
Leigh Syndrome drug repurposing updates
Rolling update across ETC programs: status of SURF1, Complex I, and upcoming Y. lipolytica assays.
Leigh
GNAO1 yeast avatars for drug multipurposing
Variant-specific avatars for the A221D allele, built in collaboration with the Undiagnosed Diseases Network.
GNAO1
UDN
Decentralized yeast lab for drug repurposing
How the Perlara wet lab runs as a distributed facility: instrument, assay, and QC standards that let a 3-person team profile thousands of compounds a month.
Operations
Yeast avatars for drug repurposing
The canonical explainer on humanized yeast models — what they are, what they can and can’t do, where Y. lipolytica beats S. cerevisiae.
Methods
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