Small-Molecule PAPD5 Inhibitors Restore Telomerase Activity in Patient Stem Cells

Neha Nagpal1, Jianing Wang2, Jing Zeng3

  • 1Division of Hematology/Oncology, Boston Children's Hospital, Boston, MA, USA; Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA; Harvard Stem Cell Institute, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, USA; Stem Cell Program, Boston Children's Hospital, Boston, MA, USA; Manton Center for Orphan Disease Research, Boston Children's Hospital, Boston, MA, USA; Harvard Initiative in RNA Medicine, Boston, MA, USA.

Cell Stem Cell
|April 23, 2020
PubMed

Insights

Small molecules inhibiting PAPD5 restore telomere length and telomerase activity. This approach offers a potential therapy for stem cell diseases like dyskeratosis congenita and pulmonary fibrosis.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Stem Cell Biology

Background:

  • Genetic defects reducing telomerase activity impair stem cell replication, leading to diseases like dyskeratosis congenita (DC) and pulmonary fibrosis (PF).
  • Current therapeutic strategies to restore telomerase function in stem cells systemically are limited.

Purpose of the Study:

  • To identify and evaluate small-molecule inhibitors of PAPD5 as a therapeutic approach for restoring telomere length and telomerase activity.
  • To investigate the efficacy of PAPD5 inhibition in cellular and animal models of telomere biology disorders.

Main Methods:

  • In vitro screening and characterization of PAPD5 inhibitors.
  • Assessment of telomere length and telomerase activity in patient-derived induced pluripotent stem cells (iPSCs).
  • Xenotransplantation of human blood stem cells with DC-associated mutations into immunodeficient mice, followed by oral administration of a PAPD5 inhibitor (RG7834).

Main Results:

  • Identified BCH001, a specific PAPD5 inhibitor, which restored telomerase activity and telomere length in DC patient iPSCs.
  • Oral treatment with RG7834 in a mouse model rescued telomere length and TERC 3' end maturation in human blood stem cells carrying PARN mutations.
  • PAPD5 inhibition demonstrated efficacy in both in vitro and in vivo models, targeting the destabilization of the telomerase RNA component (TERC).

Conclusions:

  • Small-molecule PAPD5 inhibitors can effectively restore telomere length and telomerase activity.
  • Systemic administration of PAPD5 inhibitors shows promise for treating stem cell exhaustion in diseases like DC and PF.
  • These findings establish a foundation for developing novel systemic telomere therapeutics for aging-related diseases.

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