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Published on: March 18, 2019
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.
Abstract:
Bone formation and resorption are typically coupled, such that the efficacy of anabolic osteoporosis treatments may be limited by bone destruction. The multi-kinase inhibitor YKL-05-099 potently inhibits salt inducible kinases (SIKs) and may represent a promising new class of bone anabolic agents. Here, we report that YKL-05-099 increases bone formation in hypogonadal female mice without increasing bone resorption. Postnatal mice with inducible, global deletion of SIK2 and SIK3 show increased bone mass, increased bone formation, and, distinct from the effects of YKL-05-099, increased bone resorption. No cell-intrinsic role of SIKs in osteoclasts was noted. In addition to blocking SIKs, YKL-05-099 also binds and inhibits CSF1R, the receptor for the osteoclastogenic cytokine M-CSF. Modeling reveals that YKL-05-099 binds to SIK2 and CSF1R in a similar manner. Dual targeting of SIK2/3 and CSF1R induces bone formation without concomitantly increasing bone resorption and thereby may overcome limitations of most current anabolic osteoporosis therapies.
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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