Mlakar Logan, Lane Jessica, Takihara Takahisa, Lim Chaemin, Sprachman Melissa M, Lloyd Kayla R, Wipf Peter, Feghali-Bostwick Carol
Department of Medicine, Division of Rheumatology & Immunology, Medical University of South Carolina, Charleston, South Carolina 29425, United States.
Division of Pulmonary Medicine, Department of Medicine, Tokai University School of Medicine, Kanagawa 259-1193, Japan.
ACS Med Chem Lett. 2020 Sep 10;11(11):2312-2317. doi: 10.1021/acsmedchemlett.0c00433. eCollection 2020 Nov 12.
Fibrosis is a common feature of several diseases, involves different organs, and results in significant morbidity and mortality. There are currently no effective therapies to halt the progression of fibrosis or reverse it. We have identified the highly water-soluble MMS-350, a novel bis-oxetanyl sulfoxide, as an antifibrotic agent. MMS-350 reduced the profibrotic phenotype induced in primary human fibroblasts and ameliorated bleomycin-induced pulmonary fibrosis . Furthermore, MMS-350 reversed fibrosis in human skin in organ culture. MMS-350 reduced levels of extracellular matrix proteins, the activation of fibroblasts, and the induction of pro-fibrotic factors. Similar effects at lower concentrations were observed with KRL507-031 and CL-613-091, two more lipophilic MMS-350 analogues. The fact that MMS-350 was effective at reducing pulmonary fibrosis induced by different triggers, the differential biological effects of its close structural analogues and its oral availability make it an attractive therapeutic candidate for organ fibrosis.
纤维化是多种疾病的共同特征,涉及不同器官,并导致显著的发病率和死亡率。目前尚无有效的疗法来阻止纤维化的进展或使其逆转。我们已确定高水溶性的MMS-350(一种新型双氧杂环丁烷亚砜)为抗纤维化药物。MMS-350可降低原代人成纤维细胞中诱导的促纤维化表型,并改善博来霉素诱导的肺纤维化。此外,MMS-350可逆转器官培养的人皮肤中的纤维化。MMS-350可降低细胞外基质蛋白水平、成纤维细胞的活化以及促纤维化因子的诱导。另外两种亲脂性更强的MMS-350类似物KRL507-031和CL-613-091在较低浓度下也观察到了类似效果。MMS-350能有效减轻不同诱因所致的肺纤维化,其结构类似物具有不同的生物学效应,且具有口服可用性,这些因素使其成为治疗器官纤维化颇具吸引力的候选药物。