Saracatinib is an efficacious clinical candidate for fibrodysplasia ossificans progressiva

Currently, no effective therapies exist for fibrodysplasia ossificans progressiva (FOP), a rare congenital syndrome in which heterotopic bone is formed in soft tissues owing to dysregulated activity of the bone morphogenetic protein (BMP) receptor kinase ALK2 (also known as ACVR1). From a screen of...

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Main Authors: Williams, E, Bagarova, J, Kerr, G, Xia, D-D, Place, ES, Dey, D, Shen, Y, Bocobo, GA, Mohedas, AH, Huang, X, Sanderson, PE, Lee, A, Zheng, W, Economides, AN, Smith, JC, Yu, PB, Bullock, AN
Format: Journal article
Language:English
Published: American Society for Clinical Investigation 2021
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author Williams, E
Bagarova, J
Kerr, G
Xia, D-D
Place, ES
Dey, D
Shen, Y
Bocobo, GA
Mohedas, AH
Huang, X
Sanderson, PE
Lee, A
Zheng, W
Economides, AN
Smith, JC
Yu, PB
Bullock, AN
author_facet Williams, E
Bagarova, J
Kerr, G
Xia, D-D
Place, ES
Dey, D
Shen, Y
Bocobo, GA
Mohedas, AH
Huang, X
Sanderson, PE
Lee, A
Zheng, W
Economides, AN
Smith, JC
Yu, PB
Bullock, AN
author_sort Williams, E
collection OXFORD
description Currently, no effective therapies exist for fibrodysplasia ossificans progressiva (FOP), a rare congenital syndrome in which heterotopic bone is formed in soft tissues owing to dysregulated activity of the bone morphogenetic protein (BMP) receptor kinase ALK2 (also known as ACVR1). From a screen of known biologically active compounds, we identified saracatinib as a potent ALK2 kinase inhibitor. In enzymatic and cell-based assays, saracatinib preferentially inhibited ALK2, compared with other receptors of the BMP/TGF-β signaling pathway, and induced dorsalization in zebrafish embryos consistent with BMP antagonism. We further tested the efficacy of saracatinib using an inducible ACVR1Q207D-transgenic mouse line, which provides a model of heterotopic ossification (HO), as well as an inducible ACVR1R206H-knockin mouse, which serves as a genetically and physiologically faithful FOP model. In both models, saracatinib was well tolerated and potently inhibited the development of HO, even when administered transiently following soft tissue injury. Together, these data suggest that saracatinib is an efficacious clinical candidate for repositioning in FOP treatment, offering an accelerated path to clinical proof-of-efficacy studies and potentially significant benefits to individuals with this devastating condition.
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spelling oxford-uuid:9d1f1c2a-5e93-4fe5-9ff8-7aea4e21b6b82022-03-27T00:40:48ZSaracatinib is an efficacious clinical candidate for fibrodysplasia ossificans progressivaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:9d1f1c2a-5e93-4fe5-9ff8-7aea4e21b6b8EnglishSymplectic ElementsAmerican Society for Clinical Investigation2021Williams, EBagarova, JKerr, GXia, D-DPlace, ESDey, DShen, YBocobo, GAMohedas, AHHuang, XSanderson, PELee, AZheng, WEconomides, ANSmith, JCYu, PBBullock, ANCurrently, no effective therapies exist for fibrodysplasia ossificans progressiva (FOP), a rare congenital syndrome in which heterotopic bone is formed in soft tissues owing to dysregulated activity of the bone morphogenetic protein (BMP) receptor kinase ALK2 (also known as ACVR1). From a screen of known biologically active compounds, we identified saracatinib as a potent ALK2 kinase inhibitor. In enzymatic and cell-based assays, saracatinib preferentially inhibited ALK2, compared with other receptors of the BMP/TGF-β signaling pathway, and induced dorsalization in zebrafish embryos consistent with BMP antagonism. We further tested the efficacy of saracatinib using an inducible ACVR1Q207D-transgenic mouse line, which provides a model of heterotopic ossification (HO), as well as an inducible ACVR1R206H-knockin mouse, which serves as a genetically and physiologically faithful FOP model. In both models, saracatinib was well tolerated and potently inhibited the development of HO, even when administered transiently following soft tissue injury. Together, these data suggest that saracatinib is an efficacious clinical candidate for repositioning in FOP treatment, offering an accelerated path to clinical proof-of-efficacy studies and potentially significant benefits to individuals with this devastating condition.
spellingShingle Williams, E
Bagarova, J
Kerr, G
Xia, D-D
Place, ES
Dey, D
Shen, Y
Bocobo, GA
Mohedas, AH
Huang, X
Sanderson, PE
Lee, A
Zheng, W
Economides, AN
Smith, JC
Yu, PB
Bullock, AN
Saracatinib is an efficacious clinical candidate for fibrodysplasia ossificans progressiva
title Saracatinib is an efficacious clinical candidate for fibrodysplasia ossificans progressiva
title_full Saracatinib is an efficacious clinical candidate for fibrodysplasia ossificans progressiva
title_fullStr Saracatinib is an efficacious clinical candidate for fibrodysplasia ossificans progressiva
title_full_unstemmed Saracatinib is an efficacious clinical candidate for fibrodysplasia ossificans progressiva
title_short Saracatinib is an efficacious clinical candidate for fibrodysplasia ossificans progressiva
title_sort saracatinib is an efficacious clinical candidate for fibrodysplasia ossificans progressiva
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