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.