PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION

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PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
PRF By The Numbers

                                                                  Produced by Leslie B. Gordon, MD, PhD; Medical Director
Please Do Not Reproduce Children’s Photographs Without Express Permission From PRF                    October 1, 2021
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
Table of Contents
                                   Introduction and Collaborations                                  3 – 10
                                   Overview Data                                                   11 -20
                                   International Progeria Registry                                 21 – 24
                                   PRF Diagnostics Program                                         25 – 28
                                   PRF Cell & Tissue Bank                                          29 – 38
                                   PRF Medical & Research Database                                 39 – 43
                                   Weighing – In Program                                           44 – 47
                                   Clinical Trials                                                 48 – 56
                                   PRF Grants Program                                              57 – 62
                                   Scientific Meetings and Workshops                               63 – 66
                                   Publications                                                    67 - 69

© 2021 The Progeria Research Foundation. All Rights Reserved.               As of October 1, 2021
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
PRF By The Numbers: A Data Sharing Tool

                                  PRF By The Numbers is a data sharing tool originating from
                                    The Progeria Research Foundation’s programs and services.

                                  We translate information collected within our programs and
                                    services, and develop charts and graphs which track our
                                    progress from year to year.

                                  This allows you to assess where we’ve been, and the
                                    improvements we’ve made for children with Progeria.

© 2021 The Progeria Research Foundation. All Rights Reserved.           As of October 1, 2021
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
Why Sharing Data Is Essential

                               According to the National Institutes of Health:
                                    “data sharing is essential for expedited translation of research
                                    results into knowledge, products, and procedures to improve
                                    human health.”
                                    http://grants.nih.gov/grants/guide/notice-files/NOT-OD-03-032.html

                               In other words, everyone benefits by knowing and learning as
                                 much as possible about Progeria - the scientific and medical
                                 communities, the public, and the children.

© 2021 The Progeria Research Foundation. All Rights Reserved.                         As of October 1, 2021
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
PRF By The Numbers…Here’s How It Works

                             We take raw data collected through our programs and services,
                             remove any personal information to protect the participant, and
                             present it to you in a format that is engaging and informative.

                              PRF programs and services include:

                                              The PRF International Registry
                                              The PRF Diagnostics Program
                                              The PRF Cell & Tissue Bank
                                              The PRF Medical & Research Database
                                              PRF Research Grants
                                              Scientific Workshops
                                              Clinical Trial Funding and Participation

© 2021 The Progeria Research Foundation. All Rights Reserved.                As of October 1, 2021
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
Our Target Audience

                              PRF By The Numbers is intended for a broad array of users
                                           Families and children with Progeria
                                           The general public and nonscientists of all ages
                                           Scientists
                                           Physicians
                                           The media
                              This means that different types of slides will be of interest depending
                               on who is looking at the information. We have designed this slide
                               set so that you can pull out what is most important to you.
                             We love suggestions - if you don’t see some facts and figures here
                              that you think would be informative, please let us know at
                                                            info@progeriaresearch.org

© 2021 The Progeria Research Foundation. All Rights Reserved.                           As of October 1, 2021
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
PRF Programs: It All Starts With The Children
                                                                            Patient
                                                                                                               Our participants
                                                                                                             come from all over
                                                                                                            the world. They find
                                                                            Referral
                                                                                                                us through our
                                                                                                             outreach – the PRF
                                                                           Internation
                                                                           al Progeria
                                                                                                                 website, our
                                                                            Registry                             publications,
                                                                                                                  television
                                                                           Diagnostic                       documentaries, their
                                                                           s Program
                                                                                                             doctors, neighbors,
                                                                                                             friends and family.
                                                                 Cell &                     Medical &
                                                                 Tissue                     Research
                                                                 Bank                       Database

                                                                                                          Weighing-
                                                   Preclinical
                                                   Research                                              In Program

                                                                          Clinical Trials

© 2021 The Progeria Research Foundation. All Rights Reserved.                                  As of October 1, 2021
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
Program Collaborations For Success

                                                                PRF Medical & Research Database
                                                                    PRF Cell & TissueBank
                        PRF Cell & Tissue Bank Core                PRF Diagnostics Program                                PRF Cell & Tissue Bank :
                                Laboratory                                                                                 Lymphoblast Cell Line
                                                                                                                               Generation

                             PRF Diagnostics Program
                              Sequencing Laboratory                                                                   PRF Clinical Trials

                       PRF Cell Bank Submission:                                                                      PRF Cell & Tissue Bank : iPS Cell
                     Immortalized Fibroblast Cell Lines           Non-HGPS Progeroid Patient                                 Line Generation
                                                                         Diagnosis

© 2021 The Progeria Research Foundation. All Rights Reserved.                                     As of October 1, 2021
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
Our Program Collaborators
                     Our collaborating institutions are crucial to our ability to help children with Progeria.
                     We are extremely grateful for these ongoing partnerships:

                                     Brown University
                                         Location of The PRF Medical & Research Database
                                         Program IRB approval

                                     Hasbro Children’s Hospital
                                        Location of The PRF Cell & Tissue Bank
                                        Program IRB approval

                                     PreventionGenetics
                                         CLIA*-approved genetic sequence testing

                                     Rutgers University Cell and DNA Repository
                                         CLIA*-approved lymphoblast generation and distribution

                                     University of Ottawa
                                         Induced Pluripotent Stem Cell (iPSC)
                                         CLIA*-approved generation and distribution

© 2021 The Progeria Research Foundation. All Rights Reserved.                  As of October 1, 2021
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
Our Clinical Trial Collaborators
                                       Our collaborating institutions are crucial to our ability
                                                  to help children with Progeria
                                                   Harvard University – Associated Hospitals:
                                                        Boston Children’s Hospital
                                                        Brigham and Women’s Hospital
                                                        Dana Farber Cancer Institute

                                                  NIH – funded Clinical and Translational
                                                  Study Unit at Boston Children’s Hospital

© 2021 The Progeria Research Foundation. All Rights Reserved.                        As of October 1, 2021
Number of Living PRF-Identified Cases

                                                            As of October 1, 2021:

                        Total Number of Children with HGPS and PL** Worldwide:                                     196
                        131                HGPS* worldwide:           133
                                           HGPS* in the United States:                19
                                           Progeroid Laminopathies** worldwide:                      63
                                           Progeroid Laminopathies** in the United States:                          12
                           *Children in the HGPS category have a progerin-producing mutation in the LMNA gene

                           ** Those in the Progeroid Laminopathy category have a mutation in the lamin pathway
                               but don’t produce progerin

© 2021 The Progeria Research Foundation. All Rights Reserved.                                          As of October 1, 2021
Afghanistan                      PRF-Identified People living with HGPS & PLs                  Japan
      Algeria                                                                                  Kazakhstan
    Argentina
     Australia
                                               Reside In 50 Countries                              Libya
                                                                                              Luxembourg
   Bangladesh                                                                                    Mexico
     Belgium                                                                                      Nepal
       Brazil                                                                                     Oman
     Canada                                                                                  Palestine-Gaza
       China                                                                                     Pakistan
    Colombia                                                                                   Philippines
    Denmark                                                                                       Poland
Dominican Republic                                                                               Portugal
       Egypt                                                                                      Russia
     England                                                                                  Saudi Arabia
      France                                                                                      Serbia
     Guyana                                                                                   South Africa
    Germany                                                                                   South Korea
    Honduras                                                                                       Spain
       India                                                                                    Suriname
    Indonesia                                                                                    Sweden
        Iran                                                                                    Tajikistan
        Iraq                                                                                       Togo
      Ireland                                                                                     Turkey
       Israel                                                                                       USA
        Italy                                                                                   Vietnam

  © 2021 The Progeria Research Foundation. All Rights Reserved       As of October 1, 2021
…and Speak 30 Languages
                                Arabic               English         Hindi        Marathi             Serbian
                                Bengali              Ewe             Indonesian   Nepali              Spanish
                                Cebuano              Filipino        Italian      Pashto              Tagalog
                                Chinese              French          Japanese     Polish              Tamil
                                Danish               German          Kannada      Portuguese          Turkish
                                Dutch                Hebrew          Korean       Russian             Urdu
                                                           прогерии исследовательский фонд

                                                                                   조로증 연구 재단
                                      ‫خايشال ثاحبأ ةسسؤم‬

                             早衰症研究基金會                                                  Progeria Araştırma Vakfı

                          Progeria रिसिच फाउं डे शन                                  早老症研究財団

                        బాలుడ బాలికవయస్సముదరుకండానేవృద్ాాప్యరూప్ంలోనికి
                                              వచ్చుటరీసెర్చుఫ ండేషన్
© 2021 The Progeria Research Foundation. All Rights Reserved.                         As of October 1, 2021
Every
                                                                         EveryYear
                                                                              Year OurOur Numbers
                                                                                      Numbers Grow Option Grow
                                                 Living Children PRF has identified with Progeria and the countries they reside in from 2000 - 2011
                                          100

                                          90                                                                                                                                    86
                                                          Countries

                                          80              Progeria Cases*                                                                                             78
       Number of Children and Countries

                                          70

                                          60
                                                                                                                                                           54
                                                                                                                                                52
                                          50                                                                                          46
                                                                                                           44               45
                                                                                                 41
                                          40                                           37
                                                                  34         35
                                                     30                                                                                               30         31
                                                                                                                                           29                              29
                                          30                                                                                     26
                                                                                                                       22
                                                                                  18        19        19
                                          20    16           17         17

                                          10

                                           0
                                                2000          2001      2002      2003      2004      2005             2006      2007      2008        2009       2010     2011

* Progeria cases: Total number of known cases include both HGPS & PL                                            Year
* When a child passes away, numbers are decreased.                                                                                              As of October 1, 2021
Every
                                                                         EveryYear
                                                                              Year OurOur Numbers
                                                                                      Numbers Grow Option Grow
                                               Living Children PRF has identified with Progeria and Progeroid Laminopathies and the countries they
                                           140                                     reside in from 2012 – 2021*                                     133
                                                                                                                                       131
                                                                                                                                                                      128
                                                      Countries                                                                                       120
                                           120
                                                      HGPS                                                            112             112
                                                      PL                                              107
        Number of Children and Countries

                                                                                      100
                                           100
                                                                       90
                                                      86

                                           80

                                                                                                                                                                                                 63
                                           60                                                                                                                                         57
                                                                                                                                                                 51              52        50
                                                                                                 46                                              48
                                                                                 43                              44              45
                                                                  39                                                                                                        38
                                           40    35                                                                         34                              36
                                                                                                                                            32
                                                                                            25              27
                                                                            22
                                           20
                                                           10

                                            0
                                                   2012            2013           2014            2015            2016            2017            2018            2019            2020     Oct, 2021

* Total number of living children are added from year to year.                                                          Year
* When a child passes away, numbers are decreased.
Tracking Children with Progeria Through Prevalence

                                How does PRF estimate how many children we are searching for,
                                   and in what countries? We use population prevalence.

                                 Prevalence is the proportion of children with Progeria per total
                                    population.

© 2021 The Progeria Research Foundation. All Rights Reserved.         As of October 1, 2021
How Prevalence Is Estimated

                                    At PRF, we use a formula based on the number of children
                                       we’ve identified in the US. We then expand that out to the
                                       world population.

                                    We do this because we have the most complete reporting for
                                       the US and since Progeria has no gender, ethnic, or other
                                       biases, we assume that the prevalence in the US is the
                                       same prevalence in other countries.

                                    PRF estimates prevalence for years when the official US
                                       census provides a reliable population number.

© 2021 The Progeria Research Foundation. All Rights Reserved.           As of October 1, 2021
USA Prevalence of Progeria

                                                   October 1, 2021 population statistics:
                                  The US population was:

                                  333,397,259 people
                                  Number of PRF-identified children with
                                  HGPS in the US:

                                                     19
                                  Prevalence of HGPS in the US:
                                  19 in 333 million is about

                               1 in 18 million people
                     *estimates routinely fall between 1 in 18 - 1 in 20 million people.

© 2021 The Progeria Research Foundation. All Rights Reserved.                              As of October 1, 2021
Prevalence and World Population of Progeria

                                            Given the world population as of October 1, 2021

                     There are between 350 and 450 children living with Progeria worldwide

© 2021 The Progeria Research Foundation. All Rights Reserved.                        As of October 1, 2021
Using Prevalence To Find Children In A Certain Country
                          We can now use the total population estimates for any given country, in order to
                           understand whether we have found most or all children in a particular country.

                                                 For example, as of October, 2021:

                                                                 Brazil’s population was estimated as

                                                                      214,427,941 people
                                                                Using Prevalence, the number of children living
                                                           with Progeria in Brazil is 214,427,941/18,000,000 =                      12
                                                              PRF has identified 6 of these 12 children, and is
                                                           searching for the 6 others

                                                          * Data based on the latest United Nations Population Division estimates

© 2021 The Progeria Research Foundation. All Rights Reserved.                               As of October 1, 2021
International Progeria Registry*

                                    Program Goals:

                                     Patient identification
                                     Outreach to patient families and their physicians
                                     A springboard for program enrollment

                             Registry forms available at
                             https://www.progeriaresearch.org/international-registry-2/

                            *PRF International Registry includes those with genetically confirmed or
                            clinically suspected Progeria, as well as those with other possible progeroid
                            syndromes

© 2021 The Progeria Research Foundation. All Rights Reserved.                As of October 1, 2021
341 Children Have Been Registered With PRF
                                           360
                                                                                                                                                                    341
                                           340
                                                                                                                                                              319
                                           320
                                           300                                                                                                          285
                                           280                                                                                                    269
                                                                                                                                            254
                   Number of Registrants
                                           260
                                                                                                                                      241
                                           240
                                                                                                                                224
                                           220                                                                            208
                                           200                                                                      193
                                                                                                             181
                                           180
                                                                                                       160
                                           160                                                   151
                                           140                                             129
                                                                                     118
                                           120
                                                                               102
                                           100
                                                                          82
                                            80
                                                                     61
                                            60                  54
                                                           36
                                            40
                                                 20   20
                                            20
                                             0
                                                 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Oct,
                                                                                                    Year                                             2021

© 2020 The Progeria Research Foundation. All Rights Reserved.                                                      As of October 1, 2021
From 70 Countries and 1 Territory
       Algeria                                                                                            Libya, Luxembourg
      Argentina                                                                                            Malaysia, Mexico
      Australia                                                                                             Morocco, Nepal
     Bangladesh                                                                                              Netherlands
 Belgium, Bolivia                                                                                           Oman, Pakistan
  Brazil, Bulgaria                                                                                             Palestine
   Canada, Chile                                                                                         Papua New Guinea
 China, Colombia                                                                                                Panama
  Czech Republic                                                                                           Peru, Philippines
      Denmark                                                                                              Poland, Portugal
Dominican Republic                                                                                            Puerto Rico
  Ecuador, Egypt                                                                                           Romania, Russia
 England, Finland                                                                                            Saudi Arabia
 France, Germany                                                                                         Serbia, South Africa
Guatemala, Guyana                                                                                            South Korea
      Honduras                                                                                              Spain, Sri Lanka
     Hong Kong                                                                                            Suriname, Sweden
 India, Indonesia                                                                                       Switzerland, Tanzania
      Iran, Iraq                                                                                            Thailand, Togo
   Ireland, Israel                                                                                          Turkey, Ukraine
    Italy, Japan,                                                                                           USA, Venezuela
    Kazahkstan,                                                                                                Vietnam
     Kyrgyzstan

                © 2021 The Progeria Research Foundation. All Rights Reserved.   As of October 1, 2021
…And All Continents
                                                         Participation (%) By Continent

                                                           Africa              Australia
                                                           6.8%                 1.8%
                                                            N=23                     N=6

                                                                         South America
                                                                            15.5%
                                                                              N=53

                                                                                   Europe
                                                                 Asia              15.5%
                                                                                     N=53
                                                                35.2%
                                                                N=120

                                                                        North America
                                                                           25.2%
                                                                            N=86

© 2021 The Progeria Research Foundation. All Rights Reserved.                      As of October 1, 2021
PRF Diagnostics Program
                         Program Goal:
                            Genetic Sequence Testing for Progeria-causing mutations

                         Pre-requisites for Testing:
                            Registration with PRF International Registry
                            One or more of the following
                                     Family history – proband, prenatal
                                     Phenotypic presentation – proband, postnatal
                                     Relative of positive proband
                                     Testing information available at:
                                     https://www.progeriaresearch.org/the-prf-diagnostic-testing-program/

© 2021 The Progeria Research Foundation. All Rights Reserved.                  As of October 1, 2021
Diagnostics Testing Summary
                                                                As of October 1, 2021:

                                     Total Number of Proband Tests Performed:                                                 158
                                           Exon 11 (HGPS) Mutations:                             108

                                           Other Progeroid Laminopathies (Exons 1 – 12):                                      13
                                           Zmpste24 Mutations :                        2
                                           Average Number of Patients Tested Per Year :                                       8.4

                                      All tests are performed in a Clinical Laboratory Improvement Amendments (CLIA) certified facility.

© 2021 The Progeria Research Foundation. All Rights Reserved.                                         As of October 1, 2021
Mutations Identified Through PRF Diagnostics Program
                                                                                                             Progerin       Number
                                DNA Mutation                Amino Acid Effect           Zygosity
                                                                                                            Producing?     Diagnosed
                                                                      Classic HGPS – LMNA Mutation
                        1824 C>T, exon 11                           G608G             heterozygous                   Yes      94
                                                                   Non Classic HGPS– LMNA Mutation
                        1822 G>A, exon 11                           G608S             heterozygous                   Yes       4
                        1821 G>A, exon 11                           V607V             heterozygous                   Yes       2
                        1868 C>G, exon 11                           T623S             heterozygous                   Yes       1
                        1968+5 G>C, intron 11                       ---------         heterozygous                   Yes       2
                        1968+1 G>C, intron 11                       ---------         heterozygous                   Yes       3
                        1968+2 T>A, intron 11                                         heterozygous                   Yes       1
                        1968+1 G>A, intron 11                                         heterozygous                   Yes       1
                                                                 Progeroid Laminopathy– LMNA Mutation
                        1579 C>T, exon 9                            A527C             heterozygous                   No        1
                        1579 C>T, exon 9                            A527C              homozygous                    No        6
                        1580G>T, exon9                              A527L              Homozygous                    No        2
                        1619 T>C, exon 10                           M540T              homozygous                    No        3
                        331 G>A, exon 1                             G111L             heterozygous                   No        1
                                                                Progeroid Laminopathy– Zmpste24 Mutation
                        1274T>C, exon 10                            L425P              homozygous                    No        2

© 2021 The Progeria Research Foundation. All Rights Reserved.                                As of October 1, 2021
Longitudinal Testing Data for PRF Diagnostics Program

                     Number of Affected Children/Adults Tested and the Number Testing
                                     Positive for LMNA Gene Mutation*

                                      Total Testing LMNA Negative        Total Testing LMNA Positive         Total Clinically Affected Tested by PRF

                                     180
                                                                                                                                              158
                                     160                                                                                          148   152
                                                                                                                     139    141
                                     140                                                                      127
                                                                                                       123
                     Number Tested

                                                                                              116
                                     120                                               111
                                                                                 105
                                                                            99
                                     100                            88                                                                        121
                                                            80                                                                    113   116
                                                      75                                                             107    108
                                     80         67                                                     94      97
                                                                                        82    87
                                           54                               71    76
                                     60                             62
                                                      51    56
                                     40         46
                                           37
                                     20                                                                              32     33    35    36     36
                                                21    24    24      26      28    29    29    29       29      30
                                           17
                                      0
                                           2006 2007 2008 2009 2010 2011 2012 2013 2014 2015                  2016 2017 2018 2019 2020        Oct,
                                                                                                                                              2021
                    *Graph does not include Parents/Siblings tested                      Year
© 2020 The Progeria Research Foundation. All Rights Reserved.                                       As of October 1, 2021
PRF Cell & Tissue Bank

                   Program Goals:

                             Provide a resource for researchers
                              worldwide
                             Ensure the sufficient availability of
                              genetic and biological materials
                              essential for research aimed at
                              understanding the pathophysiology of
                              disease and the links between
                              Progeria, aging and heart disease

                             Obtain long-term clinical data

         Resource information available at: https://www.progeriaresearch.org/cell-and-tissue-bank/

© 2021 The Progeria Research Foundation. All Rights Reserved.      As of October 1, 2021
PRF Cell & Tissue Bank Holdings
                                                           As of September 15, 2021

                                                        Total Number of Participants:                         306*

                        74         Dermal Fibroblast Lines from 49 affected and 25 parents

                          6        Immortalized Fibroblast Cell Lines from 1 affected and 5 parents

                       124        Lymphoblast Lines from 71 affected, 45 parents and 8 siblings

                        10        Induced Pluripotent Stem Cell Lines from 5 affected and 5 parents
                                                                                * Participants may have donated multiple times
© 2021 The Progeria Research Foundation. All Rights Reserved.   * Additional sample types are available for special projects upon request
Mutations Available in PRF Cell & Tissue Bank
                                                                                       Progerin          Cell Type
               DNA Mutation                     Amino Acid Effect       Zygosity                   DFN=Dermal Fibroblast
                                                                                      Producing?   LBV= Lymphoblast
                                              Classic HGPS – LMNA Mutation
c.1824 C>T, exon 11                                   p.G608G          heterozygous      Yes          DFN, LBV, iPSC
                                             Non Classic HGPS– LMNA Mutation
c.1822 G>A, exon 11                                   p.G608S          heterozygous      Yes              DFN, LBV
c.1821 G>A, exon 11                                    p.V607V         heterozygous      Yes                DFN
c.1868 C>G, exon 11                                    p.T623S         heterozygous      Yes                LBV
c.1968+5 G>C, intron 11                                 ---------      heterozygous      Yes                DFN
c.1968+5 G>A, intron 11                                 ---------      heterozygous      Yes                DFN
c.1968+1 G>A, intron 11                                 ---------      heterozygous      Yes                LBV
c.1968+2 T>C, exon 11                                   ---------      heterozygous      Yes                DFN
c.1968+2 T>C, exon 11 & c.1968+2 T>A, exon 11           ---------      heterozygous      Yes                DFN
                                           Progeroid Laminopathy– LMNA Mutation
c.1579 C>T, exon 9                                    p.A527C          heterozygous      No                  LBV
c.1579 C>T, exon 9                                    p.A527C          homozygous        No                  LBV
c.1580 C>T, exon 9                                     p.A527L         homozygous        No                  LBV
c.1619 T>C, exon 10                                   p.M540T          homozygous        No                  DFN
c.1762 T>C, exon 11                                   p.C588R          heterozygous      No                  DFN
c.412G>A                                               p.E138K         heterozygous      No                  DFN
c.973 G>A, exon 6                                      p.A325A         heterozygous      No                  DFN
c.1824 C>T, exon 11 & SMC3 c.562 A>G            p.G608G & p.K188E      heterozygous      Yes                 DFN
                                         Progeroid Laminopathy– Zmpste24 Mutation
c.1274 T>C, exon 10                                    p.L425P         homozygous         No              DFN, LBV
c.743 C>T, exon 6 & c.1349 G>A, exon 10          p.P248L & p.T450S     heterozygous       No                DFN
PRF Cell & Tissue Bank Distribution
                                                     As of September 21, 2021:

                        209         Research Teams From           26   Countries Have Received

                                                Cell Lines

                                              DNA Samples

                                              Tissue, plasma, serum              Senescent Progeria
                                              and other biological samples       Fibroblasts in Culture

                                           Lonafarnib Samples

© 2020 The Progeria Research Foundation. All Rights Reserved.
Number Of Cell Lines By Year
                                                                    Total Cell Lines Parents/Siblings Cumulative
                                                                    Total Cell Lines Affected Cumulative
                                                                    Total Number of Cell Lines
                                               250

                                                                                                                                           209 212 212 213 214
                                                                                                                                     203
                                                                                                                         197
                                               200                                                           190 194 194                   123   124   124   125   126
                                                                                                                                     121
                        Number of Cell Lines

                                                                                                                   116   116   118
                                                                                                       165   112
                                                                                                 153
                                               150                                                     100
                                                                                           126   92
                                                                                     116
                                                                               108
                                                                          98               80
                                                                     90              74
                                               100                             69
                                                               79         62
                                                          62         54                                                                    86    88    88    88    88
                                                               44                                            78    78    78    79    82

                                               50    37   29                                     61    65

                                                                                     42    46
                                                     17        35    36   36   39
                                                          33
                                                     20
                                                0

                                                                                                        Year

© 2019 The Progeria Research Foundation. All Rights Reserved.
Cumulative Number of Biological Samples Distributed

2500
              Fibroblast Lines                                 Lymphoblast Lines                            iPSC Lines
              Immortalized Fibroblast Lines                    Plasma, serum, tissue, buffy coat, urine     DNA
              Lonafarnib                                       # = Total Distributed                                                             1992
2000                                                                                                                                    1899
                                                                                                                                 1798

                                                                                                                          1528
1500                                                                                                               1385

                                                                                                            1116

1000                                                                                                 871

                                                                                              692
                                                                                       579
                                                                                517
500                                                                      422
                                                         330       359
                                                  251

                             90     107    119
                40    58
       20
  0
       2002    2003   2004   2005   2006   2007   2008   2009     2010   2011   2012   2013   2014   2015   2016   2017   2018   2019   2020   9/21/2021
USA Cell & Tissue Bank Recipients
                  Recipient              Institution                             Recipient                  Institution
                  H. Erbil Abaci         Columbia University Medical Center      Dennis Discher             U. of Pennsylvania
                  Mansoor Amiji          Northeastern University                 Martin Dorf                Harvard Medical School
                  Angelika Amon          Massachusetts Institute of Technology   Stephen Doxsey             U. of Massachusetts Medical School
                  Stelios Andreadis      U. of Buffalo                           Jack Elias                 Brown University School of Medicine
                  Samuel Beck            MDI Biolab                              Mike Erdos                 National Institutes of Health
                  Shelley Berger         U of Pennsylvania                       Jed Fahey                  Johns Hopkins University
                  Bruce Blazer           U. of Minnesota                         Toren Finkel               NIH
                  Joseph Bonventre       Brigham and Women’s Hospital            Shridar Ganesan            Cancer Institute of New Jersey
                  Demetrios Braddock     Yale University                         Abhimanyu Garg             U. of Texas Southwestern Medical Center
                  Jonathan Brown         Vanderbilt University                   Glenn Gerhard              Temple University
                  Ted Brown              Institute for Basic Research (IBR)      David Gilbert              Florida State University
                  Mark Burkhard          University of Wisconsin-Madison         Thomas Glover              U.of Michigan Medical School
                  Judy Campisi           Buck Institute                          Robert Goldman             Northwestern University
                  Kan Cao                U. of Maryland                          Susana Gonzalo             St. Louis School of Medicine
                  Suet Nee Chen          University of Colorado                  Lilian Grigorian           Cedars Sinai Medical Center
                  Li Chai                Harvard University                      Gregg Gundersen            Columbia University Medical Center
                  Francis Collins        National Genome Research Institute      Taekjip Ha                 Johns Hopkins University School of Medicine
                  Lucio Comai            U. of Southern California               Curtis Harris              National Institutes of Health
                  Daniel Conway          Virginia Commonwealth University        Martin Hetzer              Salk Institute
                  John Cooke             Houston Methodist Research Institute    Camila Hochman-Mendez      Texas Heart Institute
                  Mauro Costa-Mattioli                                           Liam Holt                  NYU Institute for Systems Genetics
                                         Baylor College of Medicine
                  Adrienne Cox           U. of North Carolina at Chapel Hill     Steve Horvath              UCLA
                  Greg Crawford          Duke University Medical Center          Johnny Huard               U. of Texas Health Science Center at Houston
                  Antonei Csoka          Howard University                       Jay Humphrey               Yale University
                  Kris Dahl              Carnegie Mellon University              Kohta Ikegami              The University of Chicago
                  George Daley           Boston Children's Hospital              Vishwanath Iyer            U. of Texas Austin
                  Channing Der           U. of North Carolina at Chapel Hill     Jose Jalife                University of Michigan
                  Mohanish Deshmukh      U. of North Carolina at Chapel Hill     David Kaplan               Tufts University

© 2021 The Progeria Research Foundation. All Rights Reserved.                                            As of October 1, 2021
USA Cell & Tissue Bank Recipients
Recipient              Institution                               Recipient                                Institution
Timothy Kowalik        U. of Massachusetts Medical School        Ana Robles                               National Cancer Institute
Dmitri Krainc          Massachusetts General Hospital            David Sabatini                           Whitehead Institute
Jan Lammerding         Harvard University                        John Sedivy                              Brown University
Dudley Lamming         U of Wisconsin-Madison                    Christian Sell                           Drexel University College of Medicine
Jeanne Lawrence        U. of Massachusetts Medical School        Jerry Shay                               UT Southwestern Medical Center
Joan Lemire            Tufts University School of Medicine       Jamila H Siamwala                        Brown University
Kam Leong              Columbia University                       Andrew Sonis                             Boston Children's Hospital
Jason Lieb             U. of North Carolina at Chapel Hill      Alexander Soukas                          Massachusetts General Hospital
David Liu              Harvard University                       Ronald St-Louis                           OVIBIO Corporation, Inc.
Chengzu Long           New York University School of Medicine   Earl Stadtman                             National Heart, Lung & Blood Institute
Shigemi Matsuyama      Case Western Reserve University          Dylan Taatjes                             U. of Colorado
Rachel Patton McCord   University of Tennessee                  Marc Tatar                                Brown University
Andrew Mendelsohn      Regenerative Sciences Institute          Alexey Terskikh                           Sanford Burnham Prebys Medical
                                                                                                          Discovery Institute
Susan Michaelis        John Hopkins University School of Medicine Rajarajan Amirthalingam Thandavarayan
                                                                                                          Houston Methodist Research Institute
Jeffrey Miner          Washington University                     Eduardo Torres
                                                                                                          U of Massachusetts Medical School
Tom Misteli            National Cancer Institute                 George Truskey                           Duke University
Ashby Morrison         Stanford University                      Tetsuro Wakatsuki                         InvivoSciences, Inc
Marsha Moses           Boston Children’s Hospital               Alan Waldman                              University of South Carolina
Elizabeth Nabel        National Heart, Lung & Blood Institute     Kenneth Walsh                           University of Virginia
Timothy Osborne        Sanford Burnham Medical Research Institute Steve Warren                            Emory University School of Medicine
Junko Oshima           U. of Washington                           Howard Worman                           Columbia University
Bryce Paschal          U. of Virginia                            Tom Wight                                Hope Heart Institute
Hamel Patel            U. Of California, San Diego               Joseph Wu                                Stanford University
Mary Patti             Joslin Diabetes Center                    Feng Zhang                               The Broad Institute
Taihao Quan            University of Michigan                   Yu Shrike Zhang                           Brigham and Women's Hospital
Joseph Rabinowitz      Temple University                        Alessandra Zonari                         OneSkin Technologies
International Cell & Tissue Bank Recipients

Recipient               Institution                              Country       Recipient           Institution                                          Country

AndreaAblasser          Global Health Institute                  Switzerland   GerardoFerbeyre     Université de Montréal                               Canada
                        Centro Nacional de Investigaciones                                         Center for Neuroscience and Cell Biology (CNC)
Vicente Andrés Garcia                                            Spain         Lino Ferreira                                                            Portugal
                        Cardiovasculares
                                                                               Marco Foiani        Instituto FIRC di Oncologia Molecolare               ItalyMartin
Samuel Benchimol        York University                          Canada
Martin Bergö            Karolinska Institutet                    Sweden        Alain Garnier       Université Laval                                     Canada
Enrico Bertini          Ospedale Pediatrico Bambino Gesù         Italy         Yosef Gruenbaum The Hebrew University of Jerusalem                       Israel
Michael Blank           Bar Ilan University                      Israel
                                                                               Nady El Hajj        Hamad bin Khalifa University                         Qatar
Antonio Campos de                                                              Robert Hegele       University of Western Ontario                        Canada
                        Federal University of Rio de Janeiro     Brazil
Carvalho
Ana Carrera             Centro Nacional de Biotecnologia         Spain         Andreas Hermann University of Dresden                                    Germany
Gordon Chan             University of Alberta                    Canada        Corinne Hoesli      McGill University                                    Canada
                        INEBIR- Instituto par el estudio de la                                                                                          Republic of Korea
Mario D. Cordero                                                 Spain         Junho K Hur         Kyung Hee University
                        Biologia de la Reproduccion Human
Lynne Cox               University of Oxford                     England                           Max-Planck-Institute of Molecular Cell Biology and
                                                                               Anthony Hyman                                                            Germany
                                                                                                   Genetics
                                                                               Ulrich auf dem
Thomas Dechat           Medical University of Vienna             Austria       Keller              Technical University of Denmark                      Denmark
Annachiara DeSandre-
                        Laboratoire de Génétique Moléculaire     France        Jan Korbel          European Molecular Biology Laboratory                Germany
Giovannoli
Jerome Dejardon         Institute of Human Genetics              France        Leonard Kubben      Institute for Molecular Biology                      Germany
Karima Djabali          TU-Munich                                Germany       Christian Kubisch    Institute of Human Genetics                         Germany

Ma Dongrui              Singapore General Hospital               Singapore     Varun Kumar         Uniklinikum Heidelberg                               Germany
J. El Molto             Molecular World, Inc                     Canada        Kirsztian Kvell     University of Pecs                                   Hungary
                                                                                                   Ulsan National Institute of Science & Technology
Maria Eriksson          Medicinsk Naringslara                    Sweden        Taejoon Kwon                                                             Korea
Christopher Eskiw       Saskatchewan University                  Canada                            CNR Institute of Cellular Biology &
                                                                               Chiara Lanzuolo                                                          Italy
International Cell & Tissue Bank Recipients

Recipient                 Institution                                 Country       Recipient               Institution                        Country

Caterina La Porta         University of Milan                         Italy         Fiorella Piemonte       Ospedale Pediatrico BambinoGesù    Italy

Delphine Larrieu          University of Cambridge                     England       Neale Ridgway           University of Halifax              Canada
Lucia Latella             National Research Council(CNR)              Italy         Claudia Ruebe           Saarland University                Germany
Giovanna Lattanzi         ITOI-CNR Unit of Bologna                    Italy         Kanaga Sabapathy        National Cancer Centre Singaport   Singapore
Jean-Marc Lemaitre        Institute of Functional Genomics            France        Isabella Saggio         Sapienza University of Rome        Italy
Nicolas Levy              Génétique Médicale et Développement         France        Kanda Sangthongpitag    Experimental TherapeuticsCentre    Singapore
                          Ulsan National Institute of Science and
Chunghun Lim              Technology                                   South Korea Yasuhiro Shimoyima       Shinshu University                 Japan

Baohua Liu                Shenzhen University                         China         Ok Sarah Shin           Korea University Guro Hospital     Korea
Elsa Logarinho            Instituto de Biologia Molecular e Celular   Portugal      Sanjay Sinha            University of Cambridge            England
Jun Lu                    Northeast NormalUniversity                  China         Michael Speicher        Medical University of Graz         Austria
Frank Lyko                German Cancer Research Institute            Germany       William Stanford        University of Toronto              Canada
Thorston Marquart         University of Münster                       Germany       Michael Walter          University of Münster              Germany
Felipe Alonso Massó       National Institute of Cardiology Ignacio
                                                                      Mexico        Herbert Waldman         Max Planck Institute               Germany
Rojas                     Chávez
Scott Maynard             Danish Cancer Society Research Institute    Denmark       Miguel Weil             Tel Aviv university                Israel
Ohad Medalia              University of Zurich                        Switzerland   Jesús Vazquez Cobos     Haoyue Zhang                       Spain

Denis Mottet              University of Liège                         Belgium       Ulrich auf dem Keller   Maastricht University              The Netherlands

Silvia Ortega-Gutiérrez   Universidad de Complutense de Madrid        Spain         Haoyue Zhang            Shenzhen Bay Laboratory            China

                          Max Perutz Labs, Medical Universityof
Selma Osmanagic-Myers     Vienna                                      Austria       Alex Zhavoronkov        Federal Clinical Research Centre   Russia
Bum-Joon Park             Pusan National University                   South Korea   Zhongjun Zhou           University of Hong Kong            China
                          Center for Neuroscience and Cell
Luis Pereira de Almeida   Biology (CNC)                               Portugal
PRF Medical & Research Database

                    Program Goals:

                             Collect the patient health records for living and
                              deceased children with Progeria

                             Obtain long-term clinical data
                             Abstract data for longitudinal and cross-
                              sectional analyses
                             Better understand the clinical disease process
                              in Progeria and aging related diseases

                             Develop treatment strategies and
                              recommendations for health care professionals
                              and families

© 2021 The Progeria Research Foundation. All Rights Reserved.         As of October 1, 2021
How The PRF Medical & Research Database Works

                          Project staff obtain the patient’s medical records and film
                           studies from birth throughout the participant’s lifespan.

                          Medical records include visits to: primary care physicians,
                           specialty physicians, hospital emergency rooms, hospital
                           admissions, dentists, physical therapy, occupational therapy
                           and school health records.

                               Retrospective data abstraction protocol allows for
                               specifically targeted or broad spectrum of data.

                    Enrollment information available at: https://www.progeriaresearch.org/medical-
                    database/

© 2021 The Progeria Research Foundation. All Rights Reserved.          As of October 1, 2021
Medical & Research Database Participation
     Argentina             198 Participants are enrolled from                   countries and      US territory      Libya, Mexico
     Australia                                                                                                     Morocco, Nepal
    Bangladesh                                                                                                        Netherlands
   Belgium Brazil                                                                                                  Oman, Pakistan
   Canada, Chile                                                                                                   Peru, Philippines
 China, Columbia                                                                                                   Poland, Portugal
     Denmark                                                                                                          Puerto Rico
Dominica Republic                                                                                                  Romania, Russia
  Egypt, England                                                                                                    Senegal, Serbia
 France, Germany                                                                                                      South Africa
    Guatemala,                                                                                                        South Korea
      Guyana                                                                                                       Spain, Sri Lanka
  Honduras, India                                                                                                 Suriname, Sweden
Indonesia, Ireland                                                                                                  Tanzania, Togo
    Israel, Italy                                                                                                   Turkey, Ukraine
Japan, Kazakhstan                                                                                                  USA, Venezuela
                                                                                                                        Vietnam

           © 2021 The Progeria Research Foundation. All Rights Reserved.   As of October 1, 2021
Database Longitudinal Enrollment
                                                          Children Enrolled in The PRF Medical & Research Database
                                                                        and the Countries of Residence
                                                      250
                                                                                                                                Cumulative Number of Countries
                                                                                                                                Cumulative Number of Participants
                   Number of Participants and Countries

                                                                                                                                                                                                                                                          198
                                                      200                                                                                                                                                                                          187
                                                                                                                                                                                                                                            183
                                                                                                                                                                                                                                     176
                                                                                                                                                                                                                              164
                                                                                                                                                                                                                       152
                                                                                                                                                                                                                147
                                                      150
                                                                                                                                                                                                         132
                                                                                                                                                                                              126
                                                                                                                                                                                   117
                                                                                                                                                                        111
                                                                                                                                                              99
                                                      100
                                                                                                                                                    85
                                                                                                                                          77
                                                                                                                                70
                                                                                                                      59
                                                                                                            48
                                                          50                                      43
                                                                                        31                                                                                                                                                 51     51     53
                                                                                                                                                                                                                             47     48
                                                                                                                                                                                         39         41         42     43
                                                                    20        20                                                                         34        35         36
                                                                                                                           27        27        31
                                                                                   13        16        17        22
                                                               11        11
                                                           0
                                                               2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Oct,
                                                                                                                                                                   2021
                                                                                                                                                              Year

© 2021 The Progeria Research Foundation. All Rights Reserved.                                                                                                                       As of October 1, 2021
Types Of Data Collected

                           Participants with Medical Records Reports:        166

                           Participants with Radiology Studies:   65

                                                                          160°

© 2021 The Progeria Research Foundation. All Rights Reserved.      As of October 1, 2021
PRF Weighing-In Program
                           A sub-program of The PRF Medical & Research Database
                           Collects weight-for-age data prospectively:

                                                  Home scale provided by PRF
                                                  Parents weigh child weekly or monthly
                                                  Report weights electronically

© 2021 The Progeria Research Foundation. All Rights Reserved.
Weighing-In Program Participation
              122        Participants are enrolled from                       countries and                US territory
   Argentina                                                                                                                 Nepal
    Australia                                                                                                               Pakistan
  Bangladesh                                                                                                                  Peru
    Belgium                                                                                                                Philippines
      Brazil                                                                                                                 Poland
     Canada                                                                                                                 Portugal
      China                                                                                                               Puerto Rico
   Colombia                                                                                                                 Romania
    Denmark                                                                                                                  Russia
Dominion Republic                                                                                                           Senegal
    England                                                                                                               South Africa
    Germany                                                                                                               South Korea
   Guatemala                                                                                                                  Spain
   Honduras                                                                                                                 Sri Lanka
      India                                                                                                                   Togo
   Indonesia                                                                                                                Tanzania
     Ireland                                                                                                                 Turkey
      Israel                                                                                                                Ukraine
                                                                         Weighing in Participants Around the World
       Italy                                                                         As of April 1, 2019                       USA
      Japan                                                                                                                Venezuela
     Mexico                                                                                                                 Vietnam
    Morocco

         © 2021 The Progeria Research Foundation. All Rights Reserved.                    As of October 1, 2021
Participants Enrolled In The PRF Weighing-In Program and
                                                    Countries of Residence

                                                                                              Number of Countries
                                                     140
                     Number Enrolled and Number of                                            Number Enrolled                                              118
                                                                                                                                                                      122
                                                     120
                                                                                                                                                106
                        Countries (Cumulative)

                                                                                                                                      99
                                                     100
                                                                                                                            88
                                                                                                        77        80
                                                      80                                      74

                                                      60                            56
                                                                          49
                                                                44
                                                      40                                                                                                         43
                                                                                                                                           39         42
                                                                                                                       34        37
                                                                                         29        30        31
                                                      20             24        26
                                                           20
                                                       0
                                                           2008      2009      2010      2011      2012      2013      2014       2015     2016       2017       2018
                                                                                                             Year

© 2021 The Progeria Research Foundation. All Rights Reserved.                                                               As of October 1, 2021
Clinical Trials And The Weighing-In Program

  Data from this program were key in the development of
   primary outcome measure for the first drug treatment trial for
   Progeria.

  As of December 1, 2018,   children from The PRF
   Weighing-In Program have entered clinical treatment trials
   using this data.

               Failure to Thrive Starts Towards End of Year One
PRF-Funded Clinical Treatment Trials

© 2021 The Progeria Research Foundation. All Rights Reserved.   As of October 1, 2021
Clinical Drug Treatment Trials
                    Goals:
                             To define the natural history of
                              HGPS in quantifiable terms
                              that will expand our ability to
                              measure treatment outcome

                             To assess the safety of new
                              treatments for HGPS

                             To measure effects of
                              treatments for children with
                              HGPS on disease status,
                              changes in health, and survival

© 2021 The Progeria Research Foundation. All Rights Reserved.    As of October 1, 2021
Current Therapeutic Intervention Strategies
                                                                                                 Key Properties of
                                                                                                 Preprogerin/Progerin

                                                                                                 not farnesylated;
                                                                Farnesyl-PP + Preprogerin 1      terminal CaaX box

                                                                                    Farnesyl
                                                                Lonafarnib
                                                                                  transferase

                                                                        Preprogerin 2            farnesylated

                                                                                  Zmpste24

                                                                                                 farnesylated;
                                                                        Preprogerin 3            terminal aaX cleaved

                                                                                  ICMT

                                                                                                 farnesylated;
                                                                                                 carboxymethylated
                                                                 mTOR
                                                Autophagy                    Progerin
                                                                Everolimus

                   Post-translational processing and medications currently under investigation in clinical treatment trials for
                   Progeria. Items in green = enzymes. Items in red = clinical trial medications that inhibit corresponding
                   enzymes. Lonafarnib is a farnesyltransferase inhibitor. Everolimus is a rapamycin analogue that inhibits
                   mTOR and promotes cellular autophagy. FT=farnesyltransferase.

© 2021 The Progeria Research Foundation. All Rights Reserved.                                   As of October 1, 2021
PRF Funds Clinical Treatment Trials

Year      Drug(s)       Phase         Location       #         Countries
 2007-
          Lonafarnib        2          Boston       29              16
 2010

          Lonafarnib
 2009     Pravastatin   Feasibility    Boston        5              2
          Zoledronate

          Lonafarnib
 2009-
          Pravastatin        2         Boston       45              24
 2013
          Zoledronate

 2014-
          Lonafarnib        2          Boston       71              32
present
 2016 –   Lonafarnib
                           1/2         Boston       60              27
present   Everolimus

 2018 -                                          48 from 26 countries enrolled
          Lonafarnib        2          Boston
present                                          as of October 1, 2021
Participation in PRF Clinical Trials
   Argentina                                                                                                   Morocco
    Australia        99      Children have participated in PRF Clinical Trials from 40 countries                Pakistan
     Belgium                                                                                                      Peru
      Brazil                                                                                                  Philippines
     Canada                                                                                                      Poland
      China                                                                                                     Portugal
    Colombia                                                                                                   Romania
    Denmark                                                                                                      Russia
Dominican Republic                                                                                               Serbia
      Egypt                                                                                                  South Africa
     England                                                                                                 South Korea
    Germany                                                                                                       Spain
   Honduras                                                                                                    Sri Lanka
      India                                                                                                    Suriname
      Israel                                                                                                    Sweden
       Italy                                                                                                   Tanzania
      Japan                                                                                                       Togo
      Libya                                                                                                      Turkey
     Mexico                                                                                                     Ukraine
                                                                                                                   USA
                                                                                                              Venezuela

                     © 2021 The Progeria Research Foundation. All Rights Reserved.   As of October 1, 2021
Treatment Trial Collaborations For Success
                           The children are seen by physicians from:
                                      Boston Children’s Hospital
                                      Dana-Farber Cancer Institute
                                      Brigham and Women’s Hospital

                           Data were also generated by scientists from:
                                      Alpert Medical School at Brown University
                                      Brown University School of Public Health
                                      University of California Los Angeles
                                      National Human Genome Research Institute
                                      Schering-Plough Research Institute

                           Lonafarnib generously provided by Eiger
                           Everolimus generously provided by Novartis
© 2021 The Progeria Research Foundation. All Rights Reserved.                As of October 1, 2021
Clinical Treatment Trial Efficacy Results
                Lonafarnib, a type of farnesyltransferase inhibitor (FTI) is our
                                 first treatment for Progeria.

             Results showed improvement in:
                  Rate of weight gain
                  Increased vascular distensibility
                  Improved bone structure
                  Better neurosensory hearing
                  Increased Lifespan
                                                                Gordon et al, PNAS, 2011

© 2021 The Progeria Research Foundation. All Rights Reserved.       As of October 1, 2021
Clinical Trial Publications
                   Drug Effect:
                         Association of Lonafarnib Treatment vs No Treatment With Mortality Rate in Patients With Hutchinson-Gilford Progeria Syndrome.
                         Gordon et al, JAMA, 2018, 319(16):1687-1695.

                         Survey of Plasma Proteins in Children with Progeria Pre-therapy and On-Therapy with Lonafarnib. Gordon et al, Pediatric Research,
                         2018 Jan 17. Epub Ahead of Print.

                         Clinical Trial of the Protein Farnesylation Inhibitors Lonafarnib, Pravastatin, and Zoledronic Acid in Children With Hutchinson-Gilford
                         Progeria Syndrome. Gordon et al, Circulation, 2016 Jul 12;134(2):114-25.

                         Seeking a Cure for One of the Rarest Diseases: Progeria. Collins FS. Circulation, 2016 Jul 12;134(2):126-9.

                         Impact of Farnesylation Inhibitors on Survival in Hutchinson-Gilford Progeria Syndrome. Gordon et al, Circulation, 2014 Jul 1;130(1):27-
                         34.

                         Moving from Gene Discovery to Clinical Trials in Hutchinson-Gilford Progeria Syndrome. King et al, Neurology, 2013 Jul 30;81(5):408-9.

                         Clinical Trial of a Farnesyltransferase Inhibitor in Children with Hutchinson-Gilford Progeria Syndrome. Gordon et al, Proceedings of the
                         National Academy of Sciences, 2012 Sep 24.

                         Neurologic Features of Hutchinson-Gilford Progeria Syndrome after Lonafarnib Treatment. Ullrich et al, Neurology, 2013, 81:427-430.

                   General:
                         Phenotype and Course of Hutchinson-Gilford Progeria Syndrome. Meredith et al, New England Journal of Medicine, 2008, 358(6): 592-
                         604.
                         Pubertal Progression in Adolescent Females with Progeria. Greer et al, Journal of Pediatric and Adolescent Gynecology, 2017 Dec 17.
                         Epub Ahead of Print.

                    Dermatology:
                         Initial Cutaneous Manifestations of Hutchinson-Gilford Progeria Syndrome. Rork et al, Pediatric Dermatology,2014,1-7.

© 2021 The Progeria Research Foundation. All Rights Reserved.                                             As of October 1, 2021
Clinical Trial Publications Continued
                  Dental:
                        Hutchinson-Gilford Progeria Syndrome: Oral and Craniofacial Phenotypes. Domingo et al, Oral Diseases, 2009, 15(3):187-195.

                  Cerebrovascular:
                        Imaging Characteristics of Cerebrovascular Arteriopathy and Stroke in Hutchinson-Gilford Progeria Syndrome. Silvera et al, American Journal of
                        Neuroradiology, 2013 May;34(5):1091-7.
                  Cardiology:
                        Cardiac Abnormalities in Patients With Hutchinson-Gilford Progeria Syndrome. Prakask, et al, JAMA Cardiology, 2018, Apr 17;115(16):4206-4211.

                        Mechanisms of Premature Vascular Aging in Children with Hutchinson-Gilford Progeria Syndrome. Gerhard-Herman M, et al., Hypertension. 2012
                        Jan;59(1):92-97; Epub 2011 Nov 14.

                  Skeletal:
                        Hutchinson-Gilford progeria is a skeletal dysplasia. Gordon,et al., Journal of Bone and Mineral Research. 2011Jul;26(7):1670-9.

                        A Prospective Study of Radiographic Manifestations in Hutchinson-Gilford Progeria Syndrome. Cleveland et al, Pediatric Radiology, 2012 Sep;42(9):1089-
                        98. Epub 2012 Jul 1.

                        Craniofacial Abnormalities in Hutchinson-Gilford Progeria Syndrome. Ullrich et al, American Journal of Neuroradiology. 2012 Sep;33(8):1512-8.

                        Extraskeletal Calcifications in Hutchinson-Gilford Progeria Syndrome. Gordon, CM et al. Bone. 2019 Aug;125:103-111. Epub 2019 May 8.

                        . Skeletal maturation and long-bone growth patterns of patients with Progeria: a retrospective study. Tsai, A et al,The Lancet. Child and Adolescent Health.
                        2021. ePub 2021 Feb 28.

                  Ophthalmology:
                        Ophthalmologic Features of Progeria. Mantagos et al., American Journal of Ophthalmology, 2017 Jul 27.

                  Audiology:
                        Otologic and Audiologic Manifestations of Hutchinson-Gilford Progeria Syndrome. Guardiani et al, The Laryngscope, 2011, 121(10): 2250-2255.
                        Microbiome at Sites of Gingival Recession in Children with Hutchinson-Gilford Progeria Syndrome. Bassir et al.
                        Journal of Periodontology. 2018, 89(6): 635-644.
© 2021 The Progeria Research Foundation. All Rights Reserved.                                                 As of October 1, 2021
PRF Grants Program
                    Program Goals:
                           Attract high level researchers to the field of Progeria, and
                            provide the ability for them to thrive in the field
                           Foster researchers of interest to PRF’s mission
                           Encourage high quality publications
                           Stimulate novel research that will lead to larger grants from
                            other resources such as NIH, Ellison Foundation, and others
                           Projects that are likely to lead to clinical treatment trials
                            within 5 years
                           Development of gene and cell based therapies to treat
                            Progeria
                                                  Grants program information available at
                                     https://www.progeriaresearch.org/research-funding-opportunities/
© 2021 The Progeria Research Foundation. All Rights Reserved.             As of October 1, 2021
PRF Medical Research Committee
                                  Volunteer MRC Reviews Grant Applications Semi-annually

                                      Back Row (L to R): Tom Glover PhD, Vicente Andrés Garcia PhD, Tom Mistelli PhD, Maria
                                      Eriksson PhD, W Ted Brown MD, PhD, Frank Rothman PhD (emeritus), Bryan Toole PhD(chair)

                                      Front Row (L to R): Monica Kleinman MD, Christine Harling-Berg PhD, Judy Campisi PhD,
                                      Leslie Gordon MD, PhD, Marsha Moses PhD

© 2021 The Progeria Research Foundation. All Rights Reserved.                                 As of October 1, 2021
PRF Granting Structure
                          PRF’s research focus is highly translational. Topics must fall within the following research
                          priorities:

                               Projects that are likely to lead to clinical treatment trials within 5 years. This includes the
                                discovery and/or testing of candidate treatment compounds in cell-based or animal models
                                of HGPS. Only proposals that test compounds in a progerin-producing animal or cell model
                                will normally be considered. Analyses in non progerin-producing models are acceptable,
                                but only as a comparison to progerin-producing models and with strong justification.

                               Development of gene-and cell-based therapies to treat Progeria

                               Assessment of natural history of disease that may be important to developing outcome
                                measures in treatment trials (preclinical or clinical)

                          Phase I Proposals: Awards are typically for 1-2 years in the range of $75,000/year. PRF will
                          conduct a thorough cost analysis for each project during evaluations of submissions.

                          Required Qualifications. Principal investigators must hold a faculty appointment or equivalent.
                          Awards will be granted only to applicants affiliated with institutions with 501(c)3 tax-exempt
                          status, or the equivalent for foreign institutions.

                          Letter of Intent (LOI). A letter of intent is required and must be approved before a full application
                          will be considered. Instructions to submit a Letter of Intent and grant application information, can
                          be found at https://www.progeriaresearch.org/grant-application/.

© 2021 The Progeria Research Foundation. All Rights Reserved.                          As of October 1, 2021
Grant Funding Rates And Topics
                        As of September 30, 2021, The PRF funding rate is 31%
                          Since inception 261 grant application received and 80
                            funded
                          PRF has funded 68 principal investigators from 54
                            institutions in 14 countries
                                             Lamina A, progerin, Lamin B in HGPS and aging
                                             Genetics and nuclear function

                                             Preclinical Drug Therapy
                                             Molecular Abnormalities and Therapies
                                             Vascular Pathology

                                             Mouse Models
                                             Stem Cell Investigations and Therapy
                                             Clinical Trials

© 2021 The Progeria Research Foundation. All Rights Reserved.   * Submissions include Letters of Intent and Full Grants
USA PRF Grantees
                   GRANTEE NAME          INSTITUTION                                     GRANTEE NAME          INSTITUTION
                   Richard Assoian       University of Pennsylvania                      Joan Lemire           Tufts University of Medicine
                   Jemima Barrowman      Johns Hopkins University                        Jason Lieb            University of North Carolina
                   Juan Carlos Belmonte Salk Institute for Biological Studies             David Lui            Broad Institute
                                        The Institute for Basic Research in Developmental
                   Ted Brown            Disabilities                                      Monica Mallampalli   The Johns Hopkins School of Medicine
                   Abigail Buchwalter    University of California, San Francisco         Susan Michaelis       The Johns Hopkins School of Medicine
                   Kan Cao               NIH; University of Maryland                     Thomas Misteli        National Cancer Institute
                                                                                                               Harvard Medical School; Boston Children’s
                   Christopher Carroll   Yale University                                 Marsha Moses          Hospital
                   Francis Collins       National Institute of Health                    Junko Oshima          University of Washington
                   Lucio Comai           University of Southern California               Bryce Paschal         University of Virginia
                   John P. Cooke         Houston Methodist Research Institute            Joseph Rabinowitz     Temple Medical School
                   Kris Dahl             Carnegie Mellon University                      John M. Sedivy        Brown University
                   Jed W. Fahey          Johns Hopkins School of Medicine                Dale Shumaker         Northwestern University
                   Toren Finkel          NIH                                             Michael Sinensky      East Tennessee State University
                   Loren Fong            UCLA                                            Brian Snyder          Beth Israel Hospital
                   Michael Gimbrone      Brigham & Women's Hospital                      Dylan Taatjes         University of Colorado
                   Thomas W. Glover      University of Michigan                          Jakub Tolar           University of Minnesota
                   Robert Goldman        Northwestern University                         Katherine Ullman      University of Utah
                   Leslie B. Gordon      Tufts University School of Medicine; Brown U.   Thomas Wight          Benaroya Research Institute
                   John Graziotto        Massachusetts General Hospital                  Katherine Wilson      Johns Hopkins University
                   Brian Kennedy         Buck Institute for Research on Aging            Stephen Young         UCLA

                   Jan Lammerding        Cornell University                              Yue Zou               East Tennessee State University
                   Dudley Lamming        University of Wisconsin Madison
© 2021 The Progeria Research Foundation. All Rights Reserved.                                    As of October 1, 2021
International PRF Grantees

                   GRANTEE NAME                            INSTITUTION                                                           COUNTRY
                   Vicente Andrés Garcia                   Centro Nacional de Investigaciones Cardiovasculares                   Spain
                   Samuel Benchimol                        York University, Toronto                                              Canada
                   Martin Bergö                            Karolinska Institute                                                  Sweden
                   Claudia Cavadas                         University of Coimbra                                                 Portugal
                   Jesús Vázquez Cobos                     Centro Nacional de Investigaciones Cardiovasculares                   Spain
                   Mario Cordero                             Biomedical Research and Innovation Institute of Cadiz (INIBICA)     Spain
                   Thomas Dechat                           Medical University of Vienna                                          Austria
                   Karima Djabali                          Technical University of Munich                                        Germany
                   Maria Eriksson                          Karolinska Institute                                                  Sweden
                   Gerardo Ferbeyre                        Université de Montreal                                                Canada
                   Célia Ferreira de Oliveira Aveleira     University of Coimbra                                                 Portugal
                   Roland Foisner                          Medical University of Vienna                                          Austria
                   Chiara Lanzuolo                         Instituto Nazionale Genetica Molecolare                               Italy
                   Giovanna Lattanzi                       University of Bologna                                                 Italy
                   Elsa Logarinho                          University of Porto                                                   Portugal
                   Evgeny Makarov                          Brunel University                                                     England
                   Silvia Ortega-Gutiérrez                 Universidad Complutense de Madrid                                     Spain
                   Bum-Joon Park                           Pusan National University                                             Korea
                   Isabella Saggio                         Sapienza University of Rome                                           Italy
                   Charlotte Sorenson                      Centro Nacional de Investigaciones Cardiovasculares                   Spain
                   William Stanford                        University of Toronto                                                 Canada
                   Colin Stewart                           Institute of Medical Biology                                          Singapore
                   Ricardo Villa-Bellosta                  Instituto de Investigación Sanitaria - Fundación Jiménez Díaz         Spain
                   Anthony Weiss                           University of Sydney                                                  Australia
                   Zhongjun Zhou                           University of Hong Kong                                               China
© 2021 The Progeria Research Foundation. All Rights Reserved.                                            As of October 1, 2021
PRF Scientific Meetings
                Meeting Goals:
                        To promote
                         collaboration
                         between basic and
                         clinical scientists
                         toward progress in
                         Progeria,                               13
                         cardiovascular, and
                         aging research PRF
                           has held      13
                           international
                           scientific meetings.
                          2020 PRF Workshop
                          Webinar

© 2020 The Progeria Research Foundation. All Rights Reserved.
International Workshops Promoting Global Interest In Progeria,
                                            Cardiovascular Disease And Aging

                         These are large multi-day workshops open to all scientists. Clinical and basic
                           researchers spend intense days sharing data and planning new
                           collaborations for progress towards treatments and cure.

                         Various NIH Institutes have funded all international workshops through R13
                           and other granting mechanisms

                         Other organizations have also generously sponsored workshops

© 2021 The Progeria Research Foundation. All Rights Reserved.
Growth of Global Interest In PRF Workshops

                             400               Number of Posters                                                                                                     377

                             350               Registrant Countries
                             300
                                               Registrant Number
                             250
                    Number

                             200                                                                                     180             173
                                                                                                                                                     156
                                                                                                     140
                             150
                                                                                     100
                                                                      90
                             100
                                                       56                                                  56                              52                   50
                                          46                                                                               46
                             50                                            30              36
                                                            20                                                  18              14              14
                                      3            5             10             10              10
                              0
                                     2001        2003        2005           2007            2010            2013            2016            2018              2020
                                                                                PRF Workshop Year                                                          2020 was a webinar.
                                                                                                                                                           Posters N/A

© 2020 The Progeria Research Foundation. All Rights Reserved.                                                   As of October 1, 2021
Subspecialty Scientific Meetings
                       Small, focused meetings designed to promote and support work in areas of high
                                                    interest for Progeria

                             First Genetics Consortium Meeting – “Searching
                             for the Progeria Gene”, August 23, 2002, Brown
                             University, Providence, RI

                             Second Genetics Consortium Meeting – “Post-
                             gene Discovery”, July 30, 2003, Bethesda, MD

                             Bone Marrow Transplant Meeting – “Forging
                             Ahead by Exploring Potential Treatments”, April
                             25-26, 2004, National Institutes of Health,
                             Bethesda, MD

                             New Frontiers in Progeria Research (2012),
                             Boston, MA

© 2021 The Progeria Research Foundation. All Rights Reserved.                           As of October 1, 2021
Scientific Publications
                                                                As of September 21, 2021:
                                Scientific articles have been published citing The Progeria Research Foundation
                       170
                                Grants Funding Program

                       104      Scientific articles have been published citing PRF Cell & Tissue Bank resources:

                        99               Publication list at www.progeriaresearch.org/prf-cell-and-tissue-bank-
                                         publications/
                        28       Scientific articles have been published citing The PRF Medical & Research Database:
                                        Publication list at www.progeriaresearch.org/medical-database/

                        23      Scientific articles have been published from clinical trial data

                                        See slide #55 and #56

                         4       Scientific articles have been published concerning PRF Scientific Workshops

                       23

© 2021 The Progeria Research Foundation. All Rights Reserved.
Progeria Clinical Care Handbook

                       The Progeria Handbook 2nd Edition. A
                       Guide for Families & Health Care
                       Providers of Children with Progeria. The
                       Progeria Research Foundation. Leslie B. Gordon
                       MD, PhD; Medical Director (editor) 2019.

                                    Provided in Chinese, English,
                                    Japanese and Spanish

                                    Expert contributors from Boston
                                    Children’s Hospital
                                   Number of Progeria Care Handbooks distributed to
                                   families of those with Progeria and their care givers:      825

© 2021 The Progeria Research Foundation. All Rights Reserved.                   As of October 1, 2021
The Progeria Research Foundation
                      Finding…
                                          Diagnosing…
                                                                     Studying…
                                                                                  Treating…
                                                                                              CURING

                                            Together We WILL Find The Cure!
                                                                www.progeriaresearch.org
© 2021 The Progeria Research Foundation. All Rights Reserved.
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