一种新型BMP 1型受体激酶抑制剂,用于安全有效的口服治疗,以预防小鼠基因诱导的异位骨化。

A new BMP type 1 receptor kinase inhibitor for safe and efficient oral treatment to prevent genetically induced heterotopic ossification in mice.

作者信息

Yang Jingwen, Pan Haichun, Sekimata Katsuhiko, Hwang Charles, Kulkarni Anshul, Thomas Hannah, Lindenau Jade, Duford Tyler, Ueharu Hiroki, Tanaka Akiko, Sakai Naoki, Shirouzu Mikako, Hashizume Yoshinobu, Levi Benjamin, Koyama Hiroo, Mishina Yuji

机构信息

State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei 430079, China.; Department of Biologic and Materials Sciences & Prosthodontics, University of Michigan School of Dentistry, 1010 N. University Ave, Ann Arbor, MI, 48179, USA.

Department of Biologic and Materials Sciences & Prosthodontics, University of Michigan School of Dentistry, 1010 N. University Ave, Ann Arbor, MI, 48179, USA.

出版信息

Bone. 2025 Oct;199:117565. doi: 10.1016/j.bone.2025.117565. Epub 2025 Jun 18.

Abstract

Fibrodysplasia ossificans progressiva (FOP) is a rare genetic heterotopic ossification (HO) disorder that currently lacks a practical and definitive preventative approach. FOP is driven by gain-of-function variants in ACVR1, increasing dysregulated BMP signaling pathway, thus resulting in progressive and permanent replacement of skeletal muscle and connective tissues with heterotopic bone, ultimately leading to severe debilitation and premature death. Here, we describe the discovery of RK783, a small-molecule that inhibit BMP type 1 receptor kinase developed for treating FOP. This compound, the result of a rigorous process that involved screening approximately 140,000 compounds in silico with ligand-based structure followed by inhibitory activity and pharmacokinetics studies, offers a promising new direction in treating FOP. RK783 preferentially suppressed both basal and stimulated BMP-Smad1/5/9 signaling in vitro without affecting the signaling of Smad2/3. In vivo, the efficacy of RK783 was demonstrated using two FOP mice models, a conditional knock-in ACVR1-R206H and a transgenic ACVR1-Q207D mouse model, where oral dosing suppressed infiltration of immune cells and differentiation of fibroblast-adipose progenitor (FAP) cells, thus preventing ectopic cartilage and HO formation in muscles. Optimized dosing revealed that high and frequent treatment within the first couple of days after HO induction is critical to successfully suppress HO by RK738. These data suggest that RK783 can be used as an acute medication to prevent HO in FOP.

摘要

进行性骨化性纤维发育不良(FOP)是一种罕见的遗传性异位骨化(HO)疾病,目前缺乏切实可行且明确的预防方法。FOP由ACVR1中的功能获得性变体驱动,增加了失调的骨形态发生蛋白(BMP)信号通路,从而导致骨骼肌和结缔组织逐渐被异位骨永久性替代,最终导致严重衰弱和过早死亡。在此,我们描述了RK783的发现,这是一种为治疗FOP而开发的抑制BMP 1型受体激酶的小分子。该化合物是经过严格筛选过程的结果,该过程包括基于配体结构在计算机上筛选约140,000种化合物,随后进行抑制活性和药代动力学研究,为治疗FOP提供了一个有前景的新方向。RK783在体外优先抑制基础和刺激的BMP-Smad1/5/9信号传导,而不影响Smad2/3的信号传导。在体内,使用两种FOP小鼠模型,即条件性敲入ACVR1-R206H和转基因ACVR1-Q207D小鼠模型,证明了RK783的疗效,口服给药可抑制免疫细胞浸润和成纤维细胞-脂肪祖细胞(FAP)的分化,从而防止肌肉中异位软骨和HO的形成。优化给药方案显示,在HO诱导后的头几天内进行高频率治疗对于RK738成功抑制HO至关重要。这些数据表明RK783可作为预防FOP中HO的急性药物。

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