Efficacy of Clinically Used PARP Inhibitors in a Murine Model of Acute Lung Injury

Vanessa Martins1, Sidneia S Santos1,2, Larissa de O C P Rodrigues1,2

  • 1Section of Science and Medicine, University of Fribourg, 1700 Fribourg, Switzerland.

Cells
|December 11, 2022
PubMed

Insights

Clinical-stage Poly(ADP-ribose) polymerase 1 (PARP1) inhibitors show promise for treating acute lung injury (ALI). These PARP inhibitors offer cytoprotection and reduce inflammation without increasing DNA damage, supporting their repurposing for ALI therapy.

Area of Science:

  • Biomedical Science
  • Pharmacology
  • Pulmonology

Background:

  • Poly(ADP-ribose) polymerase 1 (PARP1) was identified as a therapeutic target for acute lung injury (ALI) over two decades ago.
  • Clinical application was hindered by the absence of effective PARP inhibitors.
  • The recent development of potent PARP inhibitors has revived interest in their therapeutic potential for ALI.

Purpose of the Study:

  • To evaluate the efficacy of clinical-stage PARP inhibitors in treating acute lung injury (ALI).
  • To assess the cytoprotective and anti-inflammatory effects of PARP inhibitors in vitro and in vivo.
  • To investigate the underlying mechanisms of PARP inhibition in ALI models.

Main Methods:

  • In vitro studies using cultured human epithelial cells and monocytes exposed to oxidative stress.
  • In vivo studies utilizing a murine model of ALI.
  • Assessment of cytoprotection, inflammation markers, NF-kB and caspase 3 activation, NLRP3 inflammasome activity, and DNA damage (TUNEL assay).

Main Results:

  • Five clinical-stage PARP inhibitors demonstrated comparable cytoprotection in vitro.
  • Olaparib and rucaparib showed beneficial effects in a murine ALI model, reducing lung extravasation and pro-inflammatory mediators.
  • Mechanisms include protection against cell necrosis, inhibition of NF-kB and caspase 3, NLRP3 inflammasome suppression, and modulation of inflammatory mediators.
  • PARP inhibitors did not potentiate DNA damage as assessed by TUNEL assay.

Conclusions:

  • Clinically approved PARP inhibitors exhibit therapeutic potential for acute lung injury (ALI).
  • These compounds offer cytoprotective and anti-inflammatory benefits in ALI models.
  • PARP inhibitors represent a promising class of drugs that may be repurposed for experimental ALI therapy.

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