Pathogenic mutation of ALK2 inhibits induced pluripotent stem cell reprogramming and maintenance: mechanisms of reprogramming and strategy for drug identification
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Updated: May 18, 2026

A Simple Method to Identify Kinases That Regulate Embryonic Stem Cell Pluripotency by High-throughput Inhibitor Screening
Published on: May 12, 2017
Makoto Hamasaki1, Yoshinobu Hashizume, Yoshinori Yamada
1Department of Cell Modulation, Institute of Molecular Embryology and Genetics, Kumamoto University, 2-2-1 Honjo, Kumamoto, Japan.
Abstract:
Fibrodysplasia ossificans progressiva (FOP) is a rare congenital disorder characterized by progressive ossification of soft tissues. FOP is caused by mutations in activin receptor-like kinase 2 (ALK2) that cause its constitutive activation and result in dysregulation of BMP signaling. Here, we show that generation of induced pluripotent stem cells (iPSCs) from FOP-derived skin fibroblasts is repressed because of incomplete reprogramming and inhibition of iPSC maintenance. This repression was mostly overcome by specific suppression of ALK2 expression and treatment with an ALK2 inhibitor, indicating that the inhibition of iPSC generation and maintenance observed in FOP-derived skin fibroblasts results from constitutive activation of ALK2. Using this system, we identified an ALK2 inhibitor as a potential candidate for future drug development. This study highlights the potential of the inhibited production and maintenance of iPSCs seen in diseases as a useful phenotype not only for studying the molecular mechanisms underlying iPS reprogramming but also for identifying drug candidates for future therapies.
Insights
Fibrodysplasia ossificans progressiva (FOP) hinders induced pluripotent stem cell (iPSC) generation due to overactive activin receptor-like kinase 2 (ALK2). Inhibiting ALK2 successfully restored iPSC production, identifying a potential therapeutic target.
Area of Science:
- Stem Cell Biology
- Genetics
- Rare Diseases
Background:
- Fibrodysplasia ossificans progressiva (FOP) is a rare genetic disorder causing progressive soft tissue ossification.
- FOP is linked to mutations in activin receptor-like kinase 2 (ALK2), leading to dysregulated BMP signaling.
- Reprogramming FOP-derived cells into induced pluripotent stem cells (iPSCs) is challenging.
Purpose of the Study:
- To investigate the impact of constitutive activin receptor-like kinase 2 (ALK2) activation on induced pluripotent stem cell (iPSC) generation and maintenance in Fibrodysplasia ossificans progressiva (FOP).
- To identify potential therapeutic strategies for FOP by exploring the role of ALK2 in iPSC reprogramming.
- To leverage the iPSC reprogramming defect as a phenotype for drug discovery in FOP.
Main Methods:
- Generation of induced pluripotent stem cells (iPSCs) from skin fibroblasts of patients with Fibrodysplasia ossificans progressiva (FOP).
- Assessment of iPSC reprogramming efficiency and maintenance under conditions of suppressed or inhibited activin receptor-like kinase 2 (ALK2) expression.
- Pharmacological inhibition of ALK2 activity in FOP-derived fibroblasts.
Main Results:
- Induced pluripotent stem cell (iPSC) generation and maintenance were significantly repressed in Fibrodysplasia ossificans progressiva (FOP)-derived fibroblasts.
- Suppression of activin receptor-like kinase 2 (ALK2) expression or treatment with an ALK2 inhibitor largely overcame the reprogramming inhibition.
- Constitutive activation of ALK2 was identified as the cause of impaired iPSC generation and maintenance in FOP.
Conclusions:
- The constitutive activation of activin receptor-like kinase 2 (ALK2) in Fibrodysplasia ossificans progressiva (FOP) directly inhibits induced pluripotent stem cell (iPSC) generation and maintenance.
- An ALK2 inhibitor demonstrated efficacy in restoring iPSC production, highlighting its potential as a therapeutic candidate for FOP.
- The observed defect in iPSC reprogramming serves as a valuable model for studying disease mechanisms and discovering novel drug targets for FOP.
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