Departament de Ciències Fisiològiques, Universitat de Barcelona, IDIBELL, Hospitalet de Llobregat, Spain.
Department of Biologic and Materials Sciences, School of Dentistry, University of Michigan, Ann Arbor, MI, USA.
EMBO Mol Med. 2019 Sep;11(9):e10567. doi: 10.15252/emmm.201910567. Epub 2019 Aug 2.
Heterotopic ossification (HO) is the pathological formation of ectopic endochondral bone within soft tissues. HO occurs following mechanical trauma, burns, or congenitally in patients suffering from fibrodysplasia ossificans progressiva (FOP). FOP patients carry a conserved mutation in ACVR1 that becomes neomorphic for activin A responses. Here, we demonstrate the efficacy of BYL719, a PI3Kα inhibitor, in preventing HO in mice. We found that PI3Kα inhibitors reduce SMAD, AKT, and mTOR/S6K activities. Inhibition of PI3Kα also impairs skeletogenic responsiveness to BMPs and the acquired response to activin A of the Acvr1 allele. Further, the efficacy of PI3Kα inhibitors was evaluated in transgenic mice expressing Acvr1 . Mice treated daily or intermittently with BYL719 did not show ectopic bone or cartilage formation. Furthermore, the intermittent treatment with BYL719 was not associated with any substantial side effects. Therefore, this work provides evidence supporting PI3Kα inhibition as a therapeutic strategy for HO.
异位骨化(HO)是指在软组织中异位形成软骨内骨。HO 发生于机械创伤、烧伤后,或在纤维发育不良性骨化进展(FOP)患者中先天性发生。FOP 患者携带 ACVR1 中的保守突变,该突变对激活素 A 反应具有新表型。在这里,我们证明了 PI3Kα 抑制剂 BYL719 在预防小鼠 HO 中的功效。我们发现 PI3Kα 抑制剂可降低 SMAD、AKT 和 mTOR/S6K 的活性。PI3Kα 的抑制也会损害 BMP 的成骨反应性和 Acvr1 等位基因对激活素 A 的获得性反应。此外,还在表达 Acvr1 的转基因小鼠中评估了 PI3Kα 抑制剂的功效。用 BYL719 进行每日或间歇性治疗的小鼠没有出现异位骨或软骨形成。此外,BYL719 的间歇性治疗没有任何明显的副作用。因此,这项工作为 PI3Kα 抑制作为 HO 的治疗策略提供了证据。