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Publication : Allosteric MAPKAPK2 inhibitors improve plaque stability in advanced atherosclerosis.

First Author  Ozcan L Year  2021
Journal  PLoS One Volume  16
Issue  5 Pages  e0246600
PubMed ID  33983975 Mgi Jnum  J:307341
Mgi Id  MGI:6712583 Doi  10.1371/journal.pone.0246600
Citation  Ozcan L, et al. (2021) Allosteric MAPKAPK2 inhibitors improve plaque stability in advanced atherosclerosis. PLoS One 16(5):e0246600
abstractText  Atherosclerotic vascular disease resulting from unstable plaques is the leading cause of morbidity and mortality in subjects with type 2 diabetes (T2D), and thus a major therapeutic goal is to discover T2D drugs that can also promote atherosclerotic plaque stability. Genetic or pharmacologic inhibition of mitogen-activated protein kinase-activated protein kinase-2 (MAPKAPK2 or MK2) in obese mice improves glucose homeostasis and enhances insulin sensitivity. We developed two novel orally active small-molecule inhibitors of MK2, TBX-1 and TBX-2, and tested their effects on metabolism and atherosclerosis in high-fat Western diet (WD)-fed Ldlr-/- mice. Ldlr-/- mice were first fed the WD to allow atherosclerotic lesions to become established, and the mice were then treated with TBX-1 or TBX-2. Both compounds improved glucose metabolism and lowered plasma cholesterol and triglyceride, without an effect on body weight. Most importantly, the compounds decreased lesion area, lessened plaque necrosis, and increased fibrous cap thickness in the aortic root lesions of the mice. Thus, in a preclinical model of high-fat feeding and established atherosclerosis, MK2 inhibitors improved metabolism and also enhanced atherosclerotic plaque stability, suggesting potential for further clinical development to address the epidemic of T2D associated with atherosclerotic vascular disease.
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