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Publication : Inhibition of phosphatidylinositol 3-kinase α (PI3Kα) prevents heterotopic ossification.

First Author  Valer JA Year  2019
Journal  EMBO Mol Med Volume  11
Issue  9 Pages  e10567
PubMed ID  31373426 Mgi Jnum  J:293169
Mgi Id  MGI:6435876 Doi  10.15252/emmm.201910567
Citation  Valer JA, et al. (2019) Inhibition of phosphatidylinositol 3-kinase alpha (PI3Kalpha) prevents heterotopic ossification. EMBO Mol Med 11(9):e10567
abstractText  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 PI3Kalpha inhibitor, in preventing HO in mice. We found that PI3Kalpha inhibitors reduce SMAD, AKT, and mTOR/S6K activities. Inhibition of PI3Kalpha also impairs skeletogenic responsiveness to BMPs and the acquired response to activin A of the Acvr1(R206H) allele. Further, the efficacy of PI3Kalpha inhibitors was evaluated in transgenic mice expressing Acvr1(Q207D) . 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 PI3Kalpha inhibition as a therapeutic strategy for HO.
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