PI3K inhibition reduces murine and human liver fibrogenesis in precision-cut liver slices

Emilia Gore1, Emilia Bigaeva1, Anouk Oldenburger2

  • 1Groningen Research Institute of Pharmacy, Department of Pharmaceutical Technology and Biopharmacy, University of Groningen, Antonius Deusinglaan 1, Groningen 9713AV, The Netherlands.

Biochemical Pharmacology
|September 9, 2019
PubMed
Abstract

Insights

Omipalisib shows promise in treating liver fibrosis by inhibiting the PI3K/mTOR pathway. However, preclinical models indicate potential intestinal toxicity at higher doses, necessitating careful consideration for therapeutic development.

Area of Science:

  • Pharmacology
  • Gastroenterology
  • Hepatology

Background:

  • Liver fibrosis, a significant global health issue, arises from persistent inflammation and injury, with no current approved antifibrotic therapies.
  • Omipalisib, a selective PI3K/mTOR pathway inhibitor, has demonstrated in vitro antifibrotic potential.
  • Despite ongoing clinical trials for other conditions, a comprehensive preclinical assessment of omipalisib for liver fibrosis is lacking.

Purpose of the Study:

  • To evaluate the antifibrotic effects of omipalisib using ex vivo precision-cut tissue slices (PCTS) from murine and human sources.
  • To assess the impact of omipalisib on fibrogenesis markers at both transcriptional and translational levels.
  • To investigate the potential toxicity of omipalisib in liver and jejunum tissues.

Main Methods:

  • Murine and human liver and jejunum PCTS were incubated with omipalisib (up to 10 μM for 48 hours).
  • PI3K pathway activation was measured via Akt phosphorylation.
  • Antifibrotic efficacy was determined by analyzing a range of fibrosis markers.

Main Results:

  • Omipalisib effectively prevented Akt phosphorylation in a dose-dependent manner (IC50 = 20 nM for mouse, 1.5 nM for human liver PCTS).
  • Liver PCTS viability was maintained at therapeutic concentrations, but jejunum PCTS showed decreased viability at lower doses (0.1 μM mouse, 0.01 μM human).
  • Omipalisib significantly suppressed fibrosis-related genes and proteins in both mouse and human liver PCTS.

Conclusions:

  • Omipalisib exhibits antifibrotic properties in ex vivo liver models.
  • Potential intestinal toxicity observed at higher concentrations warrants further investigation.
  • The PI3K/mTOR pathway is a promising target for liver fibrosis, but careful dose-ranging is crucial to mitigate side effects.

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