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Publication : Wnt pathway inhibition with the porcupine inhibitor LGK974 decreases trabecular bone but not fibrosis in a murine model with fibrotic bone.

First Author  Lung H Year  2024
Journal  JBMR Plus Volume  8
Issue  5 Pages  ziae011
PubMed ID  38577521 Mgi Jnum  J:359202
Mgi Id  MGI:7782759 Doi  10.1093/jbmrpl/ziae011
Citation  Lung H, et al. (2024) Wnt pathway inhibition with the porcupine inhibitor LGK974 decreases trabecular bone but not fibrosis in a murine model with fibrotic bone. JBMR Plus 8(5):ziae011
abstractText  G protein-coupled receptors (GPCRs) mediate a wide spectrum of physiological functions, including the development, remodeling, and repair of the skeleton. Fibrous dysplasia (FD) of the bone is characterized by fibrotic, expansile bone lesions caused by activating mutations in GNAS. There are no effective therapies for FD. We previously showed that ColI(2.3)(+)/Rs1(+) mice, in which G(s)-GPCR signaling was hyper-activated in osteoblastic cell lineages using an engineered receptor strategy, developed a fibrotic bone phenotype with trabecularization that could be reversed by normalizing G(s)-GPCR signaling, suggesting that targeting the G(s)-GPCR or components of the downstream signaling pathway could serve as a promising therapeutic strategy for FD. The Wnt signaling pathway has been implicated in the pathogenesis of FD-like bone, but the specific Wnts and which cells produce them remain largely unknown. Single-cell RNA sequencing on long-bone stromal cells of 9-wk-old male ColI(2.3)(+)/Rs1(+) mice and littermate controls showed that fibroblastic stromal cells in ColI(2.3)(+)/Rs1(+) mice were expanded. Multiple Wnt ligands were up- or downregulated in different cellular populations, including in non-osteoblastic cells. Treatment with the porcupine inhibitor LGK974, which blocks Wnt signaling broadly, induced partial resorption of the trabecular bone in the femurs of ColI(2.3)(+)/Rs1(+) mice, but no significant changes in the craniofacial skeleton. Bone fibrosis remained evident after treatment. Notably, LGK974 caused significant bone loss in control mice. These results provide new insights into the role of Wnt and G(s)-signaling in fibrosis and bone formation in a mouse model of G(s)-GPCR pathway overactivation.
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