The Src/c-Abl pathway is a potential therapeutic target in amyotrophic lateral sclerosis

Keiko Imamura1, Yuishin Izumi2, Akira Watanabe1

  • 1Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto 606-8507, Japan.

Insights

Existing drugs targeting the Src/c-Abl pathway show promise for treating amyotrophic lateral sclerosis (ALS). Inhibitors like bosutinib improved motor neuron survival in vitro and in vivo, offering a potential new therapeutic avenue for ALS patients.

Area of Science:

  • Neuroscience
  • Drug Discovery
  • Genetics

Background:

  • Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease characterized by progressive motor neuron loss.
  • Currently, no effective treatments exist for ALS, highlighting the urgent need for therapeutic strategies.

Purpose of the Study:

  • To identify existing drugs that can be repurposed for ALS treatment using a phenotypic drug screen.
  • To investigate the potential of targeting the Src/c-Abl signaling pathway for ALS therapy.

Main Methods:

  • Generated induced pluripotent stem cell (iPSC)-derived motor neurons from ALS patients with SOD1 mutations.
  • Performed a phenotypic screen to identify compounds that enhance motor neuron survival.
  • Utilized small interfering RNAs (siRNAs) to knockdown Src and c-Abl expression.
  • Administered bosutinib to ALS patient-derived motor neurons and an ALS mouse model.

Main Results:

  • Over half of the identified drug hits targeted the Src/c-Abl signaling pathway.
  • Src/c-Abl inhibitors and knockdown significantly increased the survival of ALS iPSC-derived motor neurons.
  • Bosutinib demonstrated efficacy by boosting autophagy, reducing misfolded SOD1 protein, and normalizing mitochondrial gene expression.
  • Bosutinib improved survival in motor neurons from various ALS genetic subtypes and extended survival in an ALS mouse model.

Conclusions:

  • The Src/c-Abl signaling pathway is a promising therapeutic target for amyotrophic lateral sclerosis.
  • Drug repurposing, specifically targeting Src/c-Abl, offers a viable strategy for developing novel ALS treatments.
  • Bosutinib shows potential as a therapeutic agent for ALS, warranting further investigation.