Antiviral drugs prolong survival in murine recessive dystrophic epidermolysis bullosa

© 2024. The Author(s)..

Recessive dystrophic epidermolysis bullosa (RDEB) is a rare inherited skin disease characterized by defects in type VII collagen leading to a range of fibrotic pathologies resulting from skin fragility, aberrant wound healing, and altered dermal fibroblast physiology. Using a novel in vitro model of fibrosis based on endogenously produced extracellular matrix, we screened an FDA-approved compound library and identified antivirals as a class of drug not previously associated with anti-fibrotic action. Preclinical validation of our lead hit, daclatasvir, in a mouse model of RDEB demonstrated significant improvement in fibrosis as well as overall quality of life with increased survival, weight gain and activity, and a decrease in pruritus-induced hair loss. Immunohistochemical assessment of daclatasvir-treated RDEB mouse skin showed a reduction in fibrotic markers, which was supported by in vitro data demonstrating TGFβ pathway targeting and a reduction of total collagen retained in the extracellular matrix. Our data support the clinical development of antivirals for the treatment of patients with RDEB and potentially other fibrotic diseases.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

EMBO molecular medicine - 16(2024), 4 vom: 10. Apr., Seite 870-884

Sprache:

Englisch

Beteiligte Personen:

Tartaglia, Grace [VerfasserIn]
Fuentes, Ignacia [VerfasserIn]
Patel, Neil [VerfasserIn]
Varughese, Abigail [VerfasserIn]
Israel, Lauren E [VerfasserIn]
Park, Pyung Hun [VerfasserIn]
Alexander, Michael H [VerfasserIn]
Poojan, Shiv [VerfasserIn]
Cao, Qingqing [VerfasserIn]
Solomon, Brenda [VerfasserIn]
Padron, Zachary M [VerfasserIn]
Dyer, Jonathan A [VerfasserIn]
Mellerio, Jemima E [VerfasserIn]
McGrath, John A [VerfasserIn]
Palisson, Francis [VerfasserIn]
Salas-Alanis, Julio [VerfasserIn]
Han, Lin [VerfasserIn]
South, Andrew P [VerfasserIn]

Links:

Volltext

Themen:

Antiviral Agents
Antivirals
Carbamates
Collagen
Collagen Type VII
Daclatasvir
Drug Repurposing
Fibrosis
HG18B9YRS7
Imidazoles
Journal Article
LI2427F9CI
Pyrrolidines
Recessive Dystrophic Epidermolysis Bullosa
Valine

Anmerkungen:

Date Completed 17.04.2024

Date Revised 25.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1038/s44321-024-00048-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369523946