Protein kinase A is a dependent factor and therapeutic target in mouse models of fibrous dysplasia
Zhongyu Liu1, Lu Xing1, Wenlong Huang1
1State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China.
Abstract:
Fibrous dysplasia is a skeletal disorder caused by activating mutations in Gαs, leading to bone fractures, deformities, and pain. Protein kinase A (PKA), the principal effector of Gαs, plays critical roles in various biological processes. However, its role in fibrous dysplasia is unknown. Here we demonstrate that PKA activation replicates fibrous dysplasia-like lesions in a transgenic mouse model expressing an activating mutation of PKA in the skeletal stem cell lineage. Mechanistically, PKA promotes osteoclastogenesis and aberrant osteogenic differentiation and proliferation of skeletal stem cells, while impairing mineralization. Downregulating PKA activity, using either a genetically engineered PKA inhibitor peptide or small-molecule inhibitors, effectively alleviates fibrous dysplasia lesions in a fibrous dysplasia mouse model and safeguards bone structure by increasing trabecular bone volume in a PKA-inhibition mouse model. Although long-term pharmacological PKA inhibition remains untested, these findings demonstrate that PKA is a dependent factor in fibrous dysplasia initiation and progression, underscoring its potential as a therapeutic target.
Insights
Protein kinase A (PKA) drives fibrous dysplasia by promoting abnormal bone cell activity. Inhibiting PKA effectively reduces disease lesions and improves bone structure in mouse models, highlighting PKA as a therapeutic target.
Area of Science:
- Skeletal Biology
- Molecular Genetics
- Endocrinology
Background:
- Fibrous dysplasia is a rare genetic bone disorder caused by Gαs mutations, leading to skeletal deformities and fractures.
- Protein kinase A (PKA) is a key downstream effector of Gαs, involved in numerous cellular processes, but its role in fibrous dysplasia was previously unelucidated.
Purpose of the Study:
- To investigate the role of Protein kinase A (PKA) in the pathogenesis of fibrous dysplasia.
- To evaluate the therapeutic potential of targeting PKA in fibrous dysplasia.
Main Methods:
- Generated a transgenic mouse model with activating PKA mutation in skeletal stem cells to mimic fibrous dysplasia.
- Utilized genetic PKA inhibitor peptides and small-molecule inhibitors to downregulate PKA activity in mouse models.
- Assessed bone structure and cellular differentiation markers in PKA-manipulated mice.
Main Results:
- PKA activation in skeletal stem cells induced fibrous dysplasia-like bone lesions.
- PKA promoted osteoclastogenesis and aberrant osteogenic differentiation/proliferation while impairing mineralization.
- PKA inhibition ameliorated fibrous dysplasia lesions and increased trabecular bone volume in mouse models.
Conclusions:
- PKA is a critical mediator in the initiation and progression of fibrous dysplasia.
- Targeting PKA activity represents a promising therapeutic strategy for fibrous dysplasia.
- Further investigation into long-term pharmacological PKA inhibition is warranted.
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