Thermostable small-molecule inhibitor of angiogenesis and vascular permeability that suppresses a pERK-FosB/ΔFosB-VCAM-1 axis

Vascular permeability and angiogenesis underpin neovascular age-related macular degeneration and diabetic retinopathy. While anti-VEGF therapies are widely used clinically, many patients do not respond optimally, or at all, and small-molecule therapies are lacking. Here, we identified a dibenzoxazep...

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Veröffentlicht in:Science advances 2020-07, Vol.6 (31), p.eaaz7815
Hauptverfasser: Li, Yue, Alhendi, Ahmad M N, Yeh, Mei-Chun, Elahy, Mina, Santiago, Fernando S, Deshpande, Nandan P, Wu, Ben, Chan, Enoch, Inam, Shafqat, Prado-Lourenco, Leonel, Marchand, Jessica, Joyce, Rohan D, Wilkinson-White, Lorna E, Raftery, Mark J, Zhu, Meidong, Adamson, Samuel J, Barnat, François, Viaud-Quentric, Karen, Sockler, Jim, Mackay, Joel P, Chang, Andrew, Mitchell, Paul, Marcuccio, Sebastian M, Khachigian, Levon M
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container_end_page
container_issue 31
container_start_page eaaz7815
container_title Science advances
container_volume 6
creator Li, Yue
Alhendi, Ahmad M N
Yeh, Mei-Chun
Elahy, Mina
Santiago, Fernando S
Deshpande, Nandan P
Wu, Ben
Chan, Enoch
Inam, Shafqat
Prado-Lourenco, Leonel
Marchand, Jessica
Joyce, Rohan D
Wilkinson-White, Lorna E
Raftery, Mark J
Zhu, Meidong
Adamson, Samuel J
Barnat, François
Viaud-Quentric, Karen
Sockler, Jim
Mackay, Joel P
Chang, Andrew
Mitchell, Paul
Marcuccio, Sebastian M
Khachigian, Levon M
description Vascular permeability and angiogenesis underpin neovascular age-related macular degeneration and diabetic retinopathy. While anti-VEGF therapies are widely used clinically, many patients do not respond optimally, or at all, and small-molecule therapies are lacking. Here, we identified a dibenzoxazepinone BT2 that inhibits endothelial cell proliferation, migration, wound repair in vitro, network formation, and angiogenesis in mice bearing Matrigel plugs. BT2 interacts with MEK1 and inhibits ERK phosphorylation and the expression of FosB/ΔFosB, VCAM-1, and many genes involved in proliferation, migration, angiogenesis, and inflammation. BT2 reduced retinal vascular leakage following rat choroidal laser trauma and rabbit intravitreal VEGF-A administration. BT2 suppressed retinal CD31, pERK, VCAM-1, and VEGF-A expression. BT2 reduced retinal leakage in rats at least as effectively as aflibercept, a first-line therapy for nAMD/DR. BT2 withstands boiling or autoclaving and several months' storage at 22°C. BT2 is a new small-molecule inhibitor of vascular permeability and angiogenesis.
doi_str_mv 10.1126/sciadv.aaz7815
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While anti-VEGF therapies are widely used clinically, many patients do not respond optimally, or at all, and small-molecule therapies are lacking. Here, we identified a dibenzoxazepinone BT2 that inhibits endothelial cell proliferation, migration, wound repair in vitro, network formation, and angiogenesis in mice bearing Matrigel plugs. BT2 interacts with MEK1 and inhibits ERK phosphorylation and the expression of FosB/ΔFosB, VCAM-1, and many genes involved in proliferation, migration, angiogenesis, and inflammation. BT2 reduced retinal vascular leakage following rat choroidal laser trauma and rabbit intravitreal VEGF-A administration. BT2 suppressed retinal CD31, pERK, VCAM-1, and VEGF-A expression. BT2 reduced retinal leakage in rats at least as effectively as aflibercept, a first-line therapy for nAMD/DR. BT2 withstands boiling or autoclaving and several months' storage at 22°C. 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subjects Angiogenesis Inhibitors - pharmacology
Animals
Capillary Permeability
Health and Medicine
Humans
Mice
Molecular Biology
Neovascularization, Pathologic - drug therapy
Neovascularization, Pathologic - genetics
Proto-Oncogene Proteins c-fos - metabolism
Rabbits
Rats
SciAdv r-articles
Vascular Cell Adhesion Molecule-1 - metabolism
Vascular Cell Adhesion Molecule-1 - pharmacology
Vascular Endothelial Growth Factor A - metabolism
title Thermostable small-molecule inhibitor of angiogenesis and vascular permeability that suppresses a pERK-FosB/ΔFosB-VCAM-1 axis
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