A blocking monoclonal antibody reveals dimerization of intracellular domains of ALK2 associated with genetic disorders

Abstract Mutations in activin receptor-like kinase 2 (ALK2) can cause the pathological osteogenic signaling seen in some patients with fibrodysplasia ossificans progressiva and other conditions such as diffuse intrinsic pontine glioma. Here, we report that intracellular domain of wild-type ALK2 read...

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Main Authors: Takenobu Katagiri, Sho Tsukamoto, Mai Kuratani, Shinnosuke Tsuji, Kensuke Nakamura, Satoshi Ohte, Yoshiro Kawaguchi, Kiyosumi Takaishi
Format: Article
Language:English
Published: Nature Portfolio 2023-05-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-023-38746-5
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author Takenobu Katagiri
Sho Tsukamoto
Mai Kuratani
Shinnosuke Tsuji
Kensuke Nakamura
Satoshi Ohte
Yoshiro Kawaguchi
Kiyosumi Takaishi
author_facet Takenobu Katagiri
Sho Tsukamoto
Mai Kuratani
Shinnosuke Tsuji
Kensuke Nakamura
Satoshi Ohte
Yoshiro Kawaguchi
Kiyosumi Takaishi
author_sort Takenobu Katagiri
collection DOAJ
description Abstract Mutations in activin receptor-like kinase 2 (ALK2) can cause the pathological osteogenic signaling seen in some patients with fibrodysplasia ossificans progressiva and other conditions such as diffuse intrinsic pontine glioma. Here, we report that intracellular domain of wild-type ALK2 readily dimerizes in response to BMP7 binding to drive osteogenic signaling. This osteogenic signaling is pathologically triggered by heterotetramers of type II receptor kinases and ALK2 mutant forms, which form intracellular domain dimers in response to activin A binding. We develop a blocking monoclonal antibody, Rm0443, that can suppress ALK2 signaling. We solve the crystal structure of the ALK2 extracellular domain complex with a Fab fragment of Rm0443 and show that Rm0443 induces dimerization of ALK2 extracellular domains in a back-to-back orientation on the cell membrane by binding the residues H64 and F63 on opposite faces of the ligand-binding site. Rm0443 could prevent heterotopic ossification in a mouse model of fibrodysplasia ossificans progressiva that carries the human R206H pathogenic mutant.
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spelling doaj.art-3d5ea9b1d6e74f299d911b05c219a68e2023-11-20T10:09:16ZengNature PortfolioNature Communications2041-17232023-05-0114111310.1038/s41467-023-38746-5A blocking monoclonal antibody reveals dimerization of intracellular domains of ALK2 associated with genetic disordersTakenobu Katagiri0Sho Tsukamoto1Mai Kuratani2Shinnosuke Tsuji3Kensuke Nakamura4Satoshi Ohte5Yoshiro Kawaguchi6Kiyosumi Takaishi7Division of Biomedical Sciences, Research Center for Genomic Medicine, Saitama Medical UniversityDivision of Biomedical Sciences, Research Center for Genomic Medicine, Saitama Medical UniversityDivision of Biomedical Sciences, Research Center for Genomic Medicine, Saitama Medical UniversitySpecialty Medicine Research Laboratories I, R&D Division, Daiichi Sankyo Co., Ltd.Modality Research Laboratories, Biologics Division, Daiichi Sankyo Co., Ltd.Division of Biomedical Sciences, Research Center for Genomic Medicine, Saitama Medical UniversityModality Research Laboratories, Biologics Division, Daiichi Sankyo Co., Ltd.Specialty Medicine Research Laboratories I, R&D Division, Daiichi Sankyo Co., Ltd.Abstract Mutations in activin receptor-like kinase 2 (ALK2) can cause the pathological osteogenic signaling seen in some patients with fibrodysplasia ossificans progressiva and other conditions such as diffuse intrinsic pontine glioma. Here, we report that intracellular domain of wild-type ALK2 readily dimerizes in response to BMP7 binding to drive osteogenic signaling. This osteogenic signaling is pathologically triggered by heterotetramers of type II receptor kinases and ALK2 mutant forms, which form intracellular domain dimers in response to activin A binding. We develop a blocking monoclonal antibody, Rm0443, that can suppress ALK2 signaling. We solve the crystal structure of the ALK2 extracellular domain complex with a Fab fragment of Rm0443 and show that Rm0443 induces dimerization of ALK2 extracellular domains in a back-to-back orientation on the cell membrane by binding the residues H64 and F63 on opposite faces of the ligand-binding site. Rm0443 could prevent heterotopic ossification in a mouse model of fibrodysplasia ossificans progressiva that carries the human R206H pathogenic mutant.https://doi.org/10.1038/s41467-023-38746-5
spellingShingle Takenobu Katagiri
Sho Tsukamoto
Mai Kuratani
Shinnosuke Tsuji
Kensuke Nakamura
Satoshi Ohte
Yoshiro Kawaguchi
Kiyosumi Takaishi
A blocking monoclonal antibody reveals dimerization of intracellular domains of ALK2 associated with genetic disorders
Nature Communications
title A blocking monoclonal antibody reveals dimerization of intracellular domains of ALK2 associated with genetic disorders
title_full A blocking monoclonal antibody reveals dimerization of intracellular domains of ALK2 associated with genetic disorders
title_fullStr A blocking monoclonal antibody reveals dimerization of intracellular domains of ALK2 associated with genetic disorders
title_full_unstemmed A blocking monoclonal antibody reveals dimerization of intracellular domains of ALK2 associated with genetic disorders
title_short A blocking monoclonal antibody reveals dimerization of intracellular domains of ALK2 associated with genetic disorders
title_sort blocking monoclonal antibody reveals dimerization of intracellular domains of alk2 associated with genetic disorders
url https://doi.org/10.1038/s41467-023-38746-5
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