Dual targeting of salt inducible kinases and CSF1R uncouples bone formation and bone resorption

Cheng-Chia Tang1, Christian D Castro Andrade1, Maureen J O'Meara1

  • 1Endocrine Unit, Massachusetts General Hospital, Harvard Medical School, Boston, United States.

Elife
|June 23, 2021
PubMed

Insights

The novel drug YKL-05-099 promotes bone formation by inhibiting salt inducible kinases (SIKs) and CSF1R, offering a potential new therapy for osteoporosis without increasing bone destruction.

Area of Science:

  • Bone biology and osteoporosis therapeutics

Background:

  • Bone formation and resorption are coupled, limiting current osteoporosis treatments.
  • Salt inducible kinases (SIKs) are implicated in bone metabolism.
  • YKL-05-099 is a multi-kinase inhibitor targeting SIKs.

Purpose of the Study:

  • To investigate the bone anabolic potential of YKL-05-099.
  • To explore the role of SIK2 and SIK3 in bone mass regulation.
  • To understand the dual mechanism of YKL-05-099.

Main Methods:

  • Administration of YKL-05-099 to hypogonadal female mice.
  • Generation of mice with inducible global deletion of SIK2 and SIK3.
  • In silico modeling of YKL-05-099 binding to SIK2 and CSF1R.

Main Results:

  • YKL-05-099 increased bone formation without increasing bone resorption in mice.
  • SIK2/SIK3 deletion increased bone mass but also bone resorption.
  • YKL-05-099 inhibits both SIKs and CSF1R, with similar binding modes.
  • Dual targeting overcomes limitations of current anabolic osteoporosis therapies.

Conclusions:

  • YKL-05-099 represents a novel anabolic agent for osteoporosis.
  • Targeting SIKs and CSF1R simultaneously promotes bone formation without resorption.
  • This dual-targeting strategy may offer improved efficacy for osteoporosis treatment.

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