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Inhibition of TGF-beta signaling by an ALK5 inhibitor protects rats from dimethylnitrosamine-induced liver fibrosis.

Abstract
1 Chronic liver disease is characterized by an exacerbated accumulation of matrix, causing progressive fibrosis, which may lead to cirrhosis. Transforming growth factor beta (TGF-beta), a well-known profibrotic cytokine, transduces its signal through the ALK5 ser/thr kinase receptor, and increases transcription of different genes including PAI-1 and collagens. The identification of GW6604 (2-phenyl-4-(3-pyridin-2-yl-1H-pyrazol-4-yl)pyridine), an ALK5 inhibitor, allowed us to evaluate the therapeutic potential of inhibiting TGF-beta pathway in different models of liver disease. 2 A cellular assay was used to identify GW6604 as a TGF-beta signaling pathway inhibitor. This ALK5 inhibitor was then tested in a model of liver hepatectomy in TGF-beta-overexpressing transgenic mice, in an acute model of liver disease and in a chronic model of dimethylnitrosamine (DMN)-induced liver fibrosis. 3 In vitro, GW6604 inhibited autophosphorylation of ALK5 with an IC(50) of 140 nM and in a cellular assay inhibited TGF-beta-induced transcription of PAI-1 (IC(50): 500 nM). In vivo, GW6604 (40 mg kg(-1) p.o.) increased liver regeneration in TGF-beta-overexpressing mice, which had undergone partial hepatectomy. In an acute model of liver disease, GW6604 reduced by 80% the expression of collagen IA1. In a chronic model of DMN-induced fibrosis where DMN was administered for 6 weeks and GW6604 dosed for the last 3 weeks (80 mg kg(-1) p.o., b.i.d.), mortality was prevented and DMN-induced elevations of mRNA encoding for collagen IA1, IA2, III, TIMP-1 and TGF-beta were reduced by 50-75%. Inhibition of matrix genes overexpression was accompanied by reduced matrix deposition and reduction in liver function deterioration, as assessed by bilirubin and liver enzyme levels. 4 Our results suggest that inhibition of ALK5 could be an attractive new approach to treatment of liver fibrotic diseases by both preventing matrix deposition and promoting hepatocyte regeneration.
AuthorsAnne-Charlotte de Gouville, Valerie Boullay, Gael Krysa, Julia Pilot, Jean-Marie Brusq, Florence Loriolle, Jean-Michel Gauthier, Stephen A Papworth, Alain Laroze, Françoise Gellibert, Stephane Huet
JournalBritish journal of pharmacology (Br J Pharmacol) Vol. 145 Issue 2 Pg. 166-77 (May 2005) ISSN: 0007-1188 [Print] England
PMID15723089 (Publication Type: Journal Article)
Chemical References
  • 2-phenyl-4-(3-pyridin-2-yl-1H-pyrazol-4-yl)pyridine
  • Plasminogen Activator Inhibitor 1
  • Pyrazoles
  • Pyridines
  • Receptors, Transforming Growth Factor beta
  • Transforming Growth Factor beta
  • Protein Serine-Threonine Kinases
  • Activin Receptors, Type I
  • Receptor, Transforming Growth Factor-beta Type I
  • TGFBR1 protein, human
  • Tgfbr1 protein, mouse
  • Tgfbr1 protein, rat
  • Dimethylnitrosamine
Topics
  • Activin Receptors, Type I (antagonists & inhibitors, metabolism)
  • Acute Disease
  • Animals
  • Cell Line, Tumor
  • Chronic Disease
  • Dimethylnitrosamine
  • Hepatectomy
  • Humans
  • Liver Cirrhosis (chemically induced, pathology, prevention & control)
  • Liver Regeneration (drug effects)
  • Male
  • Mice
  • Mice, Transgenic
  • Phosphorylation
  • Plasminogen Activator Inhibitor 1 (biosynthesis, genetics)
  • Protein Serine-Threonine Kinases
  • Pyrazoles (pharmacology)
  • Pyridines (pharmacology)
  • Rats
  • Rats, Sprague-Dawley
  • Receptor, Transforming Growth Factor-beta Type I
  • Receptors, Transforming Growth Factor beta (antagonists & inhibitors, metabolism)
  • Signal Transduction
  • Transcription, Genetic
  • Transforming Growth Factor beta (antagonists & inhibitors, genetics, physiology)

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