The CAPSTONE consortium has greatly advanced understanding of ERAP1, ERAP2, and IRAP in immunity, cancer, and autoimmunity. Structural and functional studies revealed how specific ERAP1 allotypes shape antigen presentation, while inhibitor design uncovered novel binding modes and led to potent, selective compounds with promising pharmacological profiles in vitro and in vivo.
Immunopeptidomic and in vivo studies demonstrated that modulating ERAP activity enhances anti-tumour immunity, improves immune infiltration, and reduces leukaemia growth, highlighting ERAPs as attractive therapeutic targets. In autoimmune models, ERAP deletion delayed the onset of type 1 diabetes, further underscoring its role in disease regulation.
Medicinal chemistry efforts delivered optimised inhibitors, novel chemotypes, nanoparticle formulations, and predictive drug-like properties models to accelerate therapeutic development. Biomarker and metabolomic analyses confirmed relevance and safety of the approach and provided tools for monitoring intervention.
Overall, CAPSTONE achieved its objectives, generating both mechanistic insights and translational advances that position ERAPs and IRAP as key nodes for therapeutic innovation.
Through collaborative research, the project has generated a wealth of new knowledge, which has been disseminated so far through 18 peer-reviewed publications and more are expected in the coming months.