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2019 ; 116
(20
): 10156-10161
Nephropedia Template TP
gab.com Text
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In vivo selective inhibition of TRPC6 by antagonist BI 749327 ameliorates
fibrosis and dysfunction in cardiac and renal disease
#MMPMID31028142
Lin BL
; Matera D
; Doerner JF
; Zheng N
; Del Camino D
; Mishra S
; Bian H
; Zeveleva S
; Zhen X
; Blair NT
; Chong JA
; Hessler DP
; Bedja D
; Zhu G
; Muller GK
; Ranek MJ
; Pantages L
; McFarland M
; Netherton MR
; Berry A
; Wong D
; Rast G
; Qian HS
; Weldon SM
; Kuo JJ
; Sauer A
; Sarko C
; Moran MM
; Kass DA
; Pullen SS
Proc Natl Acad Sci U S A
2019[May]; 116
(20
): 10156-10161
PMID31028142
show ga
Transient receptor potential canonical type 6 (TRPC6) is a nonselective
receptor-operated cation channel that regulates reactive fibrosis and growth
signaling. Increased TRPC6 activity from enhanced gene expression or
gain-of-function mutations contribute to cardiac and/or renal disease. Despite
evidence supporting a pathophysiological role, no orally bioavailable selective
TRPC6 inhibitor has yet been developed and tested in vivo in disease models.
Here, we report an orally bioavailable TRPC6 antagonist (BI 749327; IC(50) 13 nM
against mouse TRPC6, t(1/2) 8.5-13.5 hours) with 85- and 42-fold selectivity over
the most closely related channels, TRPC3 and TRPC7. TRPC6 calcium conductance
results in the stimulation of nuclear factor of activated T cells (NFAT) that
triggers pathological cardiac and renal fibrosis and disease. BI 749327
suppresses NFAT activation in HEK293T cells expressing wild-type or
gain-of-function TRPC6 mutants (P112Q, M132T, R175Q, R895C, and R895L) and blocks
associated signaling and expression of prohypertrophic genes in isolated
myocytes. In vivo, BI 749327 (30 mg/kg/day, yielding unbound trough plasma
concentration ?180 nM) improves left heart function, reduces volume/mass ratio,
and blunts expression of profibrotic genes and interstitial fibrosis in mice
subjected to sustained pressure overload. Additionally, BI 749327 dose
dependently reduces renal fibrosis and associated gene expression in mice with
unilateral ureteral obstruction. These results provide in vivo evidence of
therapeutic efficacy for a selective pharmacological TRPC6 inhibitor with oral
bioavailability and suitable pharmacokinetics to ameliorate cardiac and renal
stress-induced disease with fibrosis.