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Published on: April 13, 2015
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.
Abstract:
Genetic lesions that reduce telomerase activity inhibit stem cell replication and cause a range of incurable diseases, including dyskeratosis congenita (DC) and pulmonary fibrosis (PF). Modalities to restore telomerase in stem cells throughout the body remain unclear. Here, we describe small-molecule PAPD5 inhibitors that demonstrate telomere restoration in vitro, in stem cell models, and in vivo. PAPD5 is a non-canonical polymerase that oligoadenylates and destabilizes telomerase RNA component (TERC). We identified BCH001, a specific PAPD5 inhibitor that restored telomerase activity and telomere length in DC patient induced pluripotent stem cells. When human blood stem cells engineered to carry DC-causing PARN mutations were xenotransplanted into immunodeficient mice, oral treatment with a repurposed PAPD5 inhibitor, the dihydroquinolizinone RG7834, rescued TERC 3' end maturation and telomere length. These findings pave the way for developing systemic telomere therapeutics to counteract stem cell exhaustion in DC, PF, and possibly other aging-related diseases.
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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