“…Over the past years, several LRRK2 kinase inhibitors have been developed, including LRRK2-IN-1, HG-10-102-01, MLi-2, PF-06447475, and DNL201 and DNL151, which are the first two LRRK2 kinase inhibitors in clinical trials. , However, all of these inhibitors are ATP-competitive type 1 kinase inhibitors, which preferably bind to the closed active conformation of LRRK2, leading to dephosphorylation of Ser935 and other biomarker sites, LRRK2 aggregation, and mislocalization to microtubules. , These unintended effects may interfere with vesicle trafficking and could underlie undesirable on-target side effects observed on lungs and kidneys. , Alternative LRRK2-targeting strategies, such as G2019S LRRK2 selective inhibitors, , LRRK2 dimerization inhibitors, GTPase inhibitors, antisense oligonucleotide, type 2 LRRK2 kinase inhibitors, and LRRK2 proteolysis targeting chimeras (PROTACs), − have therefore been proposed and are under active exploration.…”