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Ahangari, F; Becker, C; Foster, DG; Chioccioli, M; Nelson, M; Beke, K; Wang, X; Justet, A; Adams, T; Readhead, B; Meador, C; Correll, K; Lili, LN; Roybal, HM; Rose, KA; Ding, SZ; Barnthaler, T; Briones, N; DeIuliis, G; Schupp, JC; Li, Q; Omote, N; Aschner, Y; Sharma, L; Kopf, KW; Magnusson, B; Hicks, R; Backmark, A; Dela Cruz, CS; Rosas, I; Cousens, LP; Dudley, JT; Kaminski, N; Downey, GP.
Saracatinib, a Selective Src Kinase Inhibitor, Blocks Fibrotic Responses in Preclinical Models of Pulmonary Fibrosis
AM J RESP CRIT CARE. 2022; 206(12): 1463-1479.
Doi: 10.1164/rccm.202010-3832OC
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- Co-Autor*innen der Med Uni Graz
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Bärnthaler Thomas
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- Abstract:
- Rationale: Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive, and often fatal disorder. Two U.S. Food and Drug Administration-approved antifibrotic drugs, nintedanib and pirfenidone, slow the rate of decline in lung function, but responses are variable and side effects are common. Objectives: Using an in silico data-driven approach, we identified a robust connection between the transcriptomic perturbations in IPF disease and those induced by saracatinib, a selective Src kinase inhibitor originally developed for oncological indications. Based on these observations, we hypothesized that saracatinib would be effective at attenuating pulmonary fibrosis. Methods: We investigated the antifibrotic efficacy of saracatinib relative to nintedanib and pirfenidone in three preclinical models: 1) in vitro in normal human lung fibroblasts; 2) in vivo in bleomycin and recombinant Ad-TGF-b (adenovirus transforming growth factor-b) murine models of pulmonary fibrosis; and 3) ex vivo in mice and human precision-cut lung slices from these two murine models as well as patients with IPF and healthy donors. Measurements and Main Results: In each model, the effectiveness of saracatinib in blocking fibrogenic responses was equal or superior to nintedanib and pirfenidone. Transcriptomic analyses of TGF-b-stimulated normal human lung fibroblasts identified specific gene sets associated with fibrosis, including epithelial-mesenchymal transition, TGF- b, and WNT signaling that was uniquely altered by saracatinib. Transcriptomic analysis of whole-lung extracts from the two animal models of pulmonary fibrosis revealed that saracatinib reverted many fibrogenic pathways, including epithelial- mesenchymal transition, immune responses, and extracellular matrix organization. Amelioration of fibrosis and inflammatory cascades in human precision-cut lung slices confirmed the potential therapeutic efficacy of saracatinib in human lung fibrosis. Conclusions: These studies identify novel Src-dependent fibrogenic pathways and support the study of the therapeutic effectiveness of saracatinib in IPF treatment.
- Find related publications in this database (Keywords)
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Src family kinase
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tyrosine kinase
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lung fibrosis
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preclinical models
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idiopathic pulmonary fibrosis