Pharmacology and Rationale for Seralutinib in the Treatment of Pulmonary Arterial Hypertension

Pulmonary arterial hypertension (PAH) is a complex disorder characterized by vascular remodeling and a consequent increase in pulmonary vascular resistance. The histologic hallmarks of PAH include plexiform and neointimal lesions of the pulmonary arterioles, which are composed of dysregulated, apopt...

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Main Authors: Soni Savai Pullamsetti, Ravikumar Sitapara, Robin Osterhout, Astrid Weiss, Laura L. Carter, Lawrence S. Zisman, Ralph Theo Schermuly
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/16/12653
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author Soni Savai Pullamsetti
Ravikumar Sitapara
Robin Osterhout
Astrid Weiss
Laura L. Carter
Lawrence S. Zisman
Ralph Theo Schermuly
author_facet Soni Savai Pullamsetti
Ravikumar Sitapara
Robin Osterhout
Astrid Weiss
Laura L. Carter
Lawrence S. Zisman
Ralph Theo Schermuly
author_sort Soni Savai Pullamsetti
collection DOAJ
description Pulmonary arterial hypertension (PAH) is a complex disorder characterized by vascular remodeling and a consequent increase in pulmonary vascular resistance. The histologic hallmarks of PAH include plexiform and neointimal lesions of the pulmonary arterioles, which are composed of dysregulated, apoptosis-resistant endothelial cells and myofibroblasts. Platelet-derived growth factor receptors (PDGFR) α and β, colony stimulating factor 1 receptor (CSF1R), and mast/stem cell growth factor receptor kit (c-KIT) are closely related kinases that have been implicated in PAH progression. In addition, emerging data indicate significant crosstalk between PDGF signaling and the bone morphogenetic protein receptor type 2 (BMPR2)/transforming growth factor β (TGFβ) receptor axis. This review will discuss the importance of the PDGFR-CSF1R-c-KIT signaling network in PAH pathogenesis, present evidence that the inhibition of all three nodes in this kinase network is a potential therapeutic approach for PAH, and highlight the therapeutic potential of seralutinib, currently in development for PAH, which targets these pathways.
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spelling doaj.art-94cbad9b84124c57926e9f45ad69a2302023-11-19T01:26:43ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-08-0124161265310.3390/ijms241612653Pharmacology and Rationale for Seralutinib in the Treatment of Pulmonary Arterial HypertensionSoni Savai Pullamsetti0Ravikumar Sitapara1Robin Osterhout2Astrid Weiss3Laura L. Carter4Lawrence S. Zisman5Ralph Theo Schermuly6Lung Vascular Epigenetics, Center for Infection and Genomics of the Lung (CIGL), Justus-Liebig-Universität Gießen, Aulweg 132, 35392 Giessen, GermanyGossamer Bio, Inc., San Diego, CA 92121, USAGossamer Bio, Inc., San Diego, CA 92121, USAUGMLC Pulmonale Pharmakotherapie, Biomedizinisches Forschungszentrum Seltersberg (BFS), Justus-Liebig-Universität Gießen, Schubertstraße 81, 35392 Giessen, GermanyGossamer Bio, Inc., San Diego, CA 92121, USAGossamer Bio, Inc., San Diego, CA 92121, USADepartment of Internal Medicine, Justus-Liebig-University Giessen, Aulweg 130, 35392 Giessen, GermanyPulmonary arterial hypertension (PAH) is a complex disorder characterized by vascular remodeling and a consequent increase in pulmonary vascular resistance. The histologic hallmarks of PAH include plexiform and neointimal lesions of the pulmonary arterioles, which are composed of dysregulated, apoptosis-resistant endothelial cells and myofibroblasts. Platelet-derived growth factor receptors (PDGFR) α and β, colony stimulating factor 1 receptor (CSF1R), and mast/stem cell growth factor receptor kit (c-KIT) are closely related kinases that have been implicated in PAH progression. In addition, emerging data indicate significant crosstalk between PDGF signaling and the bone morphogenetic protein receptor type 2 (BMPR2)/transforming growth factor β (TGFβ) receptor axis. This review will discuss the importance of the PDGFR-CSF1R-c-KIT signaling network in PAH pathogenesis, present evidence that the inhibition of all three nodes in this kinase network is a potential therapeutic approach for PAH, and highlight the therapeutic potential of seralutinib, currently in development for PAH, which targets these pathways.https://www.mdpi.com/1422-0067/24/16/12653PDGFRc-KITCSF1RABLimatinibdasatinib
spellingShingle Soni Savai Pullamsetti
Ravikumar Sitapara
Robin Osterhout
Astrid Weiss
Laura L. Carter
Lawrence S. Zisman
Ralph Theo Schermuly
Pharmacology and Rationale for Seralutinib in the Treatment of Pulmonary Arterial Hypertension
International Journal of Molecular Sciences
PDGFR
c-KIT
CSF1R
ABL
imatinib
dasatinib
title Pharmacology and Rationale for Seralutinib in the Treatment of Pulmonary Arterial Hypertension
title_full Pharmacology and Rationale for Seralutinib in the Treatment of Pulmonary Arterial Hypertension
title_fullStr Pharmacology and Rationale for Seralutinib in the Treatment of Pulmonary Arterial Hypertension
title_full_unstemmed Pharmacology and Rationale for Seralutinib in the Treatment of Pulmonary Arterial Hypertension
title_short Pharmacology and Rationale for Seralutinib in the Treatment of Pulmonary Arterial Hypertension
title_sort pharmacology and rationale for seralutinib in the treatment of pulmonary arterial hypertension
topic PDGFR
c-KIT
CSF1R
ABL
imatinib
dasatinib
url https://www.mdpi.com/1422-0067/24/16/12653
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