In Humanized Sickle Cell Mice, Imatinib Protects Against Sickle Cell–Related Injury

Drug repurposing is a valuable strategy for rare diseases. Sickle cell disease (SCD) is a rare hereditary hemolytic anemia accompanied by acute and chronic painful episodes, most often in the context of vaso-occlusive crisis (VOC). Although progress in the knowledge of pathophysiology of SCD have al...

Full description

Bibliographic Details
Main Authors: Enrica Federti, Alessandro Matte, Antonio Recchiuti, Francesca Garello, Alessandra Ghigo, Wassim El Nemer, Enzo Terreno, Angela Amoresano, Domenico Mattoscio, Franco Turrini, Christophe Lebouef, Anne Janin, Antonella Pantaleo, Roberta Russo, Mickael Marin, Iana Iatcencko, Veronica Riccardi, Angela Siciliano, Achille Iolascon, Carlo Brugnara, Lucia De Franceschi
Format: Article
Language:English
Published: Wiley 2023-03-01
Series:HemaSphere
Online Access:http://journals.lww.com/10.1097/HS9.0000000000000848
_version_ 1797225582407188480
author Enrica Federti
Alessandro Matte
Antonio Recchiuti
Francesca Garello
Alessandra Ghigo
Wassim El Nemer
Enzo Terreno
Angela Amoresano
Domenico Mattoscio
Franco Turrini
Christophe Lebouef
Anne Janin
Antonella Pantaleo
Roberta Russo
Mickael Marin
Iana Iatcencko
Veronica Riccardi
Angela Siciliano
Achille Iolascon
Carlo Brugnara
Lucia De Franceschi
author_facet Enrica Federti
Alessandro Matte
Antonio Recchiuti
Francesca Garello
Alessandra Ghigo
Wassim El Nemer
Enzo Terreno
Angela Amoresano
Domenico Mattoscio
Franco Turrini
Christophe Lebouef
Anne Janin
Antonella Pantaleo
Roberta Russo
Mickael Marin
Iana Iatcencko
Veronica Riccardi
Angela Siciliano
Achille Iolascon
Carlo Brugnara
Lucia De Franceschi
author_sort Enrica Federti
collection DOAJ
description Drug repurposing is a valuable strategy for rare diseases. Sickle cell disease (SCD) is a rare hereditary hemolytic anemia accompanied by acute and chronic painful episodes, most often in the context of vaso-occlusive crisis (VOC). Although progress in the knowledge of pathophysiology of SCD have allowed the development of new therapeutic options, a large fraction of patients still exhibits unmet therapeutic needs, with persistence of VOCs and chronic disease progression. Here, we show that imatinib, an oral tyrosine kinase inhibitor developed for the treatment of chronic myelogenous leukemia, acts as multimodal therapy targeting signal transduction pathways involved in the pathogenesis of both anemia and inflammatory vasculopathy of humanized murine model for SCD. In addition, imatinib inhibits the platelet-derived growth factor-B–dependent pathway, interfering with the profibrotic response to hypoxia/reperfusion injury, used to mimic acute VOCs. Our data indicate that imatinib might be considered as possible new therapeutic tool for chronic treatment of SCD.
first_indexed 2024-04-24T14:11:18Z
format Article
id doaj.art-c8c05eebb53a44d484b867d2b88dc0d7
institution Directory Open Access Journal
issn 2572-9241
language English
last_indexed 2024-04-24T14:11:18Z
publishDate 2023-03-01
publisher Wiley
record_format Article
series HemaSphere
spelling doaj.art-c8c05eebb53a44d484b867d2b88dc0d72024-04-03T09:24:06ZengWileyHemaSphere2572-92412023-03-0173e84810.1097/HS9.0000000000000848202303000-00017In Humanized Sickle Cell Mice, Imatinib Protects Against Sickle Cell–Related InjuryEnrica Federti0Alessandro Matte1Antonio Recchiuti2Francesca Garello3Alessandra Ghigo4Wassim El Nemer5Enzo Terreno6Angela Amoresano7Domenico Mattoscio8Franco Turrini9Christophe Lebouef10Anne Janin11Antonella Pantaleo12Roberta Russo13Mickael Marin14Iana Iatcencko15Veronica Riccardi16Angela Siciliano17Achille Iolascon18Carlo Brugnara19Lucia De Franceschi201 Department of Medicine, University of Verona & AOUI Verona, Policlinico GB Rossi, Verona, Italy1 Department of Medicine, University of Verona & AOUI Verona, Policlinico GB Rossi, Verona, Italy2 Department of Medical, Oral, and Center for Advanced Studies and Technology (CAST), University “G. d’Annunzio” Chieti-Pescara, Italy3 Department of Molecular Biotechnology and Health Sciences, Molecular Biotechnology Center, University of Torino, Italy3 Department of Molecular Biotechnology and Health Sciences, Molecular Biotechnology Center, University of Torino, Italy4 Etablissement Français du Sang, UMR 7268 ADES, Faculte de Medicine Timone, Marseille, France3 Department of Molecular Biotechnology and Health Sciences, Molecular Biotechnology Center, University of Torino, Italy5 Department of Chemical Sciences, University Federico II of Napoli, Italy2 Department of Medical, Oral, and Center for Advanced Studies and Technology (CAST), University “G. d’Annunzio” Chieti-Pescara, Italy6 Department of Oncology, University of Torino, Italy7 INSERM, U1165, Paris, France7 INSERM, U1165, Paris, France10 University of Sassari, Italy11 Dipartimento di Medicina Molecolare e Biotecnologie Mediche, Università degli Studi di Napoli Federico II, and CEINGE Biotecnologie Avanzate, Naples, Italy4 Etablissement Français du Sang, UMR 7268 ADES, Faculte de Medicine Timone, Marseille, France1 Department of Medicine, University of Verona & AOUI Verona, Policlinico GB Rossi, Verona, Italy1 Department of Medicine, University of Verona & AOUI Verona, Policlinico GB Rossi, Verona, Italy1 Department of Medicine, University of Verona & AOUI Verona, Policlinico GB Rossi, Verona, Italy11 Dipartimento di Medicina Molecolare e Biotecnologie Mediche, Università degli Studi di Napoli Federico II, and CEINGE Biotecnologie Avanzate, Naples, Italy12 Department of Laboratory Medicine, Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA1 Department of Medicine, University of Verona & AOUI Verona, Policlinico GB Rossi, Verona, ItalyDrug repurposing is a valuable strategy for rare diseases. Sickle cell disease (SCD) is a rare hereditary hemolytic anemia accompanied by acute and chronic painful episodes, most often in the context of vaso-occlusive crisis (VOC). Although progress in the knowledge of pathophysiology of SCD have allowed the development of new therapeutic options, a large fraction of patients still exhibits unmet therapeutic needs, with persistence of VOCs and chronic disease progression. Here, we show that imatinib, an oral tyrosine kinase inhibitor developed for the treatment of chronic myelogenous leukemia, acts as multimodal therapy targeting signal transduction pathways involved in the pathogenesis of both anemia and inflammatory vasculopathy of humanized murine model for SCD. In addition, imatinib inhibits the platelet-derived growth factor-B–dependent pathway, interfering with the profibrotic response to hypoxia/reperfusion injury, used to mimic acute VOCs. Our data indicate that imatinib might be considered as possible new therapeutic tool for chronic treatment of SCD.http://journals.lww.com/10.1097/HS9.0000000000000848
spellingShingle Enrica Federti
Alessandro Matte
Antonio Recchiuti
Francesca Garello
Alessandra Ghigo
Wassim El Nemer
Enzo Terreno
Angela Amoresano
Domenico Mattoscio
Franco Turrini
Christophe Lebouef
Anne Janin
Antonella Pantaleo
Roberta Russo
Mickael Marin
Iana Iatcencko
Veronica Riccardi
Angela Siciliano
Achille Iolascon
Carlo Brugnara
Lucia De Franceschi
In Humanized Sickle Cell Mice, Imatinib Protects Against Sickle Cell–Related Injury
HemaSphere
title In Humanized Sickle Cell Mice, Imatinib Protects Against Sickle Cell–Related Injury
title_full In Humanized Sickle Cell Mice, Imatinib Protects Against Sickle Cell–Related Injury
title_fullStr In Humanized Sickle Cell Mice, Imatinib Protects Against Sickle Cell–Related Injury
title_full_unstemmed In Humanized Sickle Cell Mice, Imatinib Protects Against Sickle Cell–Related Injury
title_short In Humanized Sickle Cell Mice, Imatinib Protects Against Sickle Cell–Related Injury
title_sort in humanized sickle cell mice imatinib protects against sickle cell related injury
url http://journals.lww.com/10.1097/HS9.0000000000000848
work_keys_str_mv AT enricafederti inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT alessandromatte inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT antoniorecchiuti inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT francescagarello inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT alessandraghigo inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT wassimelnemer inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT enzoterreno inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT angelaamoresano inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT domenicomattoscio inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT francoturrini inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT christophelebouef inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT annejanin inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT antonellapantaleo inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT robertarusso inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT mickaelmarin inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT ianaiatcencko inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT veronicariccardi inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT angelasiciliano inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT achilleiolascon inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT carlobrugnara inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury
AT luciadefranceschi inhumanizedsicklecellmiceimatinibprotectsagainstsicklecellrelatedinjury