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Published on: March 12, 2019
DDR1 role in fibrosis and its pharmacological targeting
Solange Moll1, Alexis Desmoulière2, Marcus J Moeller3
1Department of Pathology, University Hospital of Geneva, Switzerland; Department of Pathology, Lausanne University Hospital, Switzerland.
Abstract:
Discoidin domain receptor1 (DDR1) is a collagen activated receptor tyrosine kinase and an attractive anti-fibrotic target. Its expression is mainly limited to epithelial cells located in several organs including skin, kidney, liver and lung. DDR1's biology is elusive, with unknown downstream activation pathways; however, it may act as a mediator of the stromal-epithelial interaction, potentially controlling the activation state of the resident quiescent fibroblasts. Increased expression of DDR1 has been documented in several types of cancer and fibrotic conditions including skin hypertrophic scars, idiopathic pulmonary fibrosis, cirrhotic liver and renal fibrosis. The present review article focuses on: a) detailing the evidence for a role of DDR1 as an anti-fibrotic target in different organs, b) clarifying DDR1 tissue distribution in healthy and diseased tissues as well as c) exploring DDR1 protective mode of action based on literature evidence and co-authors experience; d) detailing pharmacological efforts attempted to drug this subtle anti-fibrotic target to date.
Insights
Discoidin domain receptor 1 (DDR1), a collagen-activated kinase, shows promise as an anti-fibrotic target. Research explores its role in fibrotic diseases and potential therapeutic strategies.
Area of Science:
- Biochemistry
- Cell Biology
- Pharmacology
Background:
- Discoidin domain receptor 1 (DDR1) is a receptor tyrosine kinase activated by collagen.
- DDR1 is expressed in epithelial cells across multiple organs, including skin, kidney, liver, and lung.
- Its precise biological functions and downstream pathways remain largely unknown, but it may influence fibroblast activation.
Purpose of the Study:
- To review the evidence supporting DDR1 as an anti-fibrotic target.
- To clarify DDR1's tissue distribution in both healthy and diseased states.
- To explore DDR1's protective mechanisms and current pharmacological development efforts.
Main Methods:
- Literature review of existing studies on DDR1.
- Analysis of DDR1 expression patterns in various tissues and conditions.
- Synthesis of evidence regarding DDR1's role in fibrosis and potential therapeutic interventions.
Main Results:
- Increased DDR1 expression is observed in fibrotic conditions like hypertrophic scars, idiopathic pulmonary fibrosis, liver cirrhosis, and renal fibrosis.
- DDR1 may mediate stromal-epithelial interactions, potentially regulating quiescent fibroblast activation.
- Evidence suggests DDR1 has a protective role in fibrotic processes.
Conclusions:
- DDR1 is a significant anti-fibrotic target with a protective mode of action.
- Understanding DDR1's tissue distribution and biological pathways is crucial for therapeutic development.
- Pharmacological strategies targeting DDR1 are under investigation for treating fibrotic diseases.
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