Inhibition of ALK5 as a new approach to treat liver fibrotic diseases

被引:27
作者
de Gouville, Anne-Charlotte [1 ]
Huet, Stephane [1 ]
机构
[1] Glaxo SmithKline Pharmaceut, Dept Biol, F-91951 Les Ulis, France
关键词
D O I
10.1358/dnp.2006.19.2.977444
中图分类号
R9 [药学];
学科分类号
1007 [药学];
摘要
Liver fibrosis is the result of an unbalanced wound healing response to a chronic hepatic injury. Transforming growth factor-beta (TGF-beta) plays a major role in this process via the activation of hepatic stellate cells. Various approaches have been tested in animal models of fibrosis to block the effects of TGF-beta, including antibodies and soluble receptors. Here, we discuss the potential use of TGF-beta signaling inhibitors, acting at the TGF-beta type I receptor kinase (ALK5) level, as a possible therapy for liver fibrosis. Thus far, there is only one ALK5 inhibitor (GW6604) for which activity in models of liver fibrosis has been described, showing clear antifibrotic effects resulting in liver function improvement. However, due to the pleiotropic effects of TGF-beta, the beneficial antifibrotic effects of ALK5 inhibition should be carefully balanced against the potential risk of unwanted effects stemming from chronic treatment. (C) 2006 Prous Science. All rights reserved.
引用
收藏
页码:85 / 90
页数:6
相关论文
共 42 条
[1]
Adenoviral expression of a transforming growth factor-β1 antisense mRNA is effective in preventing liver fibrosis in bile-duct ligated rats -: art. no. 29 [J].
Arias, M ;
Sauer-Lehnen, S ;
Treptau, J ;
Janoschek, N ;
Theuerkauf, I ;
Buettner, R ;
Gressner, AM ;
Weiskirchen, R .
BMC GASTROENTEROLOGY, 2003, 3 (1)
[2]
Transforming growth factor-β1 in autoimmune hepatitis:: correlation of liver tissue expression and serum levels with disease activity [J].
Bayer, EM ;
Herr, W ;
Kanzler, S ;
Waldmann, C ;
Zum Büschenfelde, KHM ;
Dienes, HP ;
Lohse, AW .
JOURNAL OF HEPATOLOGY, 1998, 28 (05) :803-811
[3]
Extracellular matrix degradation and the role of hepatic stellate cells [J].
Benyon, RC ;
Arthur, MJP .
SEMINARS IN LIVER DISEASE, 2001, 21 (03) :373-384
[4]
Progressive transforming growth factor β1-induced lung fibrosis is blocked by an orally active ALK5 kinase inhibitor [J].
Bonniaud, P ;
Margetts, PJ ;
Kolb, M ;
Schroeder, JA ;
Kapoun, AM ;
Damm, D ;
Murphy, A ;
Chakravarty, S ;
Dugar, S ;
Higgins, L ;
Protter, AA ;
Gauldie, J .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2005, 171 (08) :889-898
[5]
NATURAL INHIBITOR OF TRANSFORMING GROWTH-FACTOR-BETA PROTECTS AGAINST SCARRING IN EXPERIMENTAL KIDNEY-DISEASE [J].
BORDER, WA ;
NOBLE, NA ;
YAMAMOTO, T ;
HARPER, JR ;
YAMAGUCHI, Y ;
PIERSCHBACHER, MD ;
RUOSLAHTI, E .
NATURE, 1992, 360 (6402) :361-364
[6]
BORDER WA, 1994, NEW ENGL J MED, V331, P1286
[7]
TRANSFORMING GROWTH FACTOR-BETA-1 IS PRESENT AT SITES OF EXTRACELLULAR-MATRIX GENE-EXPRESSION IN HUMAN PULMONARY FIBROSIS [J].
BROEKELMANN, TJ ;
LIMPER, AH ;
COLBY, TV ;
MCDONALD, JA .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1991, 88 (15) :6642-6646
[8]
SB-505124 is a selective inhibitor of transforming growth factor-β type I receptors ALK4, ALK5, and ALK7 [J].
Byfield, SD ;
Major, C ;
Laping, NJ ;
Roberts, AB .
MOLECULAR PHARMACOLOGY, 2004, 65 (03) :744-752
[9]
COIMBRA T, 1991, AM J PATHOL, V138, P223
[10]
Inhibition of TGF-β signaling by an ALK5 inhibitor protects rats from dimethylnitrosamine-induced liver fibrosis [J].
de Gouville, AC ;
Boullay, V ;
Krysa, G ;
Pilot, J ;
Brusq, JM ;
Loriolle, F ;
Gauthier, JM ;
Papworth, SA ;
Laroze, A ;
Gellibert, F ;
Huet, S .
BRITISH JOURNAL OF PHARMACOLOGY, 2005, 145 (02) :166-177