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.

Drugs in R&D
|March 29, 2019
PubMed
Abstract

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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