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Publication : MEKK2 mediates aberrant ERK activation in neurofibromatosis type I.

First Author  Bok S Year  2020
Journal  Nat Commun Volume  11
Issue  1 Pages  5704
PubMed ID  33177525 Mgi Jnum  J:297927
Mgi Id  MGI:6479416 Doi  10.1038/s41467-020-19555-6
Citation  Bok S, et al. (2020) MEKK2 mediates aberrant ERK activation in neurofibromatosis type I. Nat Commun 11(1):5704
abstractText  Neurofibromatosis type I (NF1) is characterized by prominent skeletal manifestations caused by NF1 loss. While inhibitors of the ERK activating kinases MEK1/2 are promising as a means to treat NF1, the broad blockade of the ERK pathway produced by this strategy is potentially associated with therapy limiting toxicities. Here, we have sought targets offering a more narrow inhibition of ERK activation downstream of NF1 loss in the skeleton, finding that MEKK2 is a novel component of a noncanonical ERK pathway in osteoblasts that mediates aberrant ERK activation after NF1 loss. Accordingly, despite mice with conditional deletion of Nf1 in mature osteoblasts (Nf1(fl/fl);Dmp1-Cre) and Mekk2(-/-) each displaying skeletal defects, Nf1(fl/fl);Mekk2(-/-);Dmp1-Cre mice show an amelioration of NF1-associated phenotypes. We also provide proof-of-principle that FDA-approved inhibitors with activity against MEKK2 can ameliorate NF1 skeletal pathology. Thus, MEKK2 functions as a MAP3K in the ERK pathway in osteoblasts, offering a potential new therapeutic strategy for the treatment of NF1.
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