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通过特异性靶向 Shp2 依赖性信号通路预防 LEOPARD 综合征相关心肌肥厚的新方法。

New approaches to prevent LEOPARD syndrome-associated cardiac hypertrophy by specifically targeting Shp2-dependent signaling.

机构信息

Department of Medical Pharmacology and Physiology, Dalton Cardiovascular Research Center, University of Missouri Columbia, Columbia, Missouri 65211, USA.

出版信息

J Biol Chem. 2013 Jun 21;288(25):18335-44. doi: 10.1074/jbc.M113.483800. Epub 2013 May 14.

Abstract

In LEOPARD syndrome (LS) patients, mutations in the protein tyrosine phosphatase Shp2 cause hypertrophic cardiomyopathy. The prohypertrophic effects of mutant Shp2 are mediated downstream by hyperactivation of mammalian target of rapamycin. Our goal was to further define the signaling cascade that is essential for the underlying pathomechanism, thus expanding the list of potential future therapeutic targets. Using cultured neonatal rat cardiomyocytes with adenoviral gene delivery and pharmacological inhibitors, we found that hypertrophy induced by a particularly aggressive LS mutation in Shp2 depends on hyperactivation of Akt and focal adhesion kinase as well as mammalian target of rapamycin. Dissecting domain-specific functions of Shp2 using double and truncation mutants, we determined that the hypertrophic effects of mutant Shp2 depend on the two SH2 domains and on an intact catalytic center. The latter finding prompted us to test the efficacy of a Shp2 inhibitor targeted directly at the catalytic pocket. This compound, PHPS1, effectively prevented mutant Shp2-induced hypertrophy. In summary, we identified three novel targets for pharmacological therapy of LS-associated cardiac hypertrophy. Of particular importance is the finding that intervention directly at the mutant Shp2 protein is effective because this would facilitate custom-tailored therapeutic approaches for patients carrying LS mutations in Shp2.

摘要

在 LEOPARD 综合征(LS)患者中,蛋白酪氨酸磷酸酶 Shp2 的突变导致肥厚型心肌病。突变 Shp2 的促肥厚效应是通过哺乳动物雷帕霉素靶蛋白的过度激活介导的。我们的目标是进一步定义对于潜在病理机制至关重要的信号级联,从而扩大潜在的未来治疗靶点列表。使用携带腺病毒基因传递和药理学抑制剂的培养的新生大鼠心肌细胞,我们发现 Shp2 中特别侵袭性 LS 突变诱导的肥大依赖于 Akt 和粘着斑激酶以及哺乳动物雷帕霉素靶蛋白的过度激活。使用双突变体和截断突变体剖析 Shp2 的特定结构域功能,我们确定突变 Shp2 的肥大效应依赖于两个 SH2 结构域和完整的催化中心。后一发现促使我们测试针对催化口袋的 Shp2 抑制剂的功效。这种化合物 PHPS1 可有效防止突变 Shp2 诱导的肥大。总之,我们确定了 LS 相关心肌肥厚的三种新的药物治疗靶标。特别重要的是发现直接干预突变 Shp2 蛋白是有效的,因为这将为携带 Shp2 突变的 LS 患者提供定制的治疗方法。

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