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Multikinase Abl/DDR/Src Inhibition Produces Optimal Effects for Tyrosine Kinase Inhibition in Neurodegeneration
Alan J Fowler1,2, Michaeline Hebron1, Alexander A Missner1
1Department of Neurology, Laboratory for Dementia and Parkinsonism, Translational Neurotherapeutics Program, Parkinson's Foundation Center of Excellence, Georgetown University Medical Center, Washington, DC, USA.
Background And Objectives:
Inhibition of Abelson (Abl) tyrosine kinase as a therapeutic target has been gaining attention in neurodegeneration. Post-mortem Alzheimer's and Parkinson's disease brains show that the levels of several other tyrosine kinases, including Discoidin Domain Receptors (DDR1/2) are elevated. Knockdown of these tyrosine kinases with shRNA reduces neurotoxic proteins, including alpha-synuclein, beta-amyloid and tau.
Methods:
Direct profiling of the pharmacokinetics of multi-kinase inhibitors Nilotinib, Bosutinib, Bafetinib, Radotinib and LCB-03-0110 shows differential levels of brain penetration but the ability of these agents to reduce toxic proteins is independent of brain concentration and selectivity to Abl.
Results:
Our results indicate that the effective dose of Nilotinib has the lowest plasma:brain ratio (1%) followed by Bosutinib and Radotinib (5%), Bafetinib (12%) and LCB-03-0110 (12%). However, similar doses of multi-kinase Abl/DDR inhibitor Nilotinib, DDR/Src inhibitor LCB-03-0110 and Abl/Src inhibitor Bosutinib were much more effective than the more selective Abl inhibitors Radotinib and Bafetinib. Taken together, these data suggest that a multi-kinase target that includes Abl and other tyrosine kinases (DDRs, and Src) may offer more advantages alleviating neurodegenerative pathologies than the absolute CNS drug concentration and selectivity to Abl.
Conclusion:
DDRs and Src are other potential co-targets with Abl in neurodegeneration.
Insights
Targeting multiple tyrosine kinases, including Abelson (Abl) kinase, DDRs, and Src, may be more effective for neurodegenerative diseases than targeting Abl alone. This approach shows promise in reducing toxic proteins like alpha-synuclein, beta-amyloid, and tau.
Area of Science:
- Neuroscience
- Pharmacology
- Biochemistry
Background:
- Abelson (Abl) tyrosine kinase inhibition is a therapeutic focus for neurodegeneration.
- Elevated levels of Discoidin Domain Receptors (DDR1/2) tyrosine kinases are observed in Alzheimer's and Parkinson's disease brains.
- Knockdown of tyrosine kinases reduces neurotoxic proteins such as alpha-synuclein, beta-amyloid, and tau.
Purpose of the Study:
- To investigate the brain penetration and efficacy of multi-kinase inhibitors.
- To determine if therapeutic effects on neurotoxic proteins correlate with brain concentration or Abl selectivity.
- To explore potential co-targets with Abl for neurodegenerative pathologies.
Main Methods:
- Profiling pharmacokinetics of multi-kinase inhibitors (Nilotinib, Bosutinib, Bafetinib, Radotinib, LCB-03-0110).
- Assessing the ability of these agents to reduce neurotoxic proteins.
- Comparing the efficacy of selective Abl inhibitors versus multi-kinase inhibitors.
Main Results:
- Effective doses showed differential plasma:brain ratios, with Nilotinib at 1% and others ranging up to 12%.
- Multi-kinase inhibitors (Nilotinib, LCB-03-0110, Bosutinib) were more effective in reducing toxic proteins than selective Abl inhibitors.
- Therapeutic efficacy was independent of absolute brain concentration and Abl selectivity.
Conclusions:
- Targeting Abl in combination with other tyrosine kinases like DDRs and Src shows therapeutic potential for neurodegeneration.
- Multi-kinase inhibition may offer advantages over selective Abl inhibition for treating neurodegenerative diseases.
- DDRs and Src represent promising co-targets alongside Abl for neurodegenerative conditions.
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