β-Dystroglycan Restoration and Pathology Progression in the Dystrophic <i>mdx</i> Mouse: Outcome and Implication of a Clinically Oriented Study with a Novel Oral Dasatinib Formulation

ROS-activated cSrc tyrosine kinase (TK) promotes the degradation of β-dystroglycan (β-DG), a dystrophin-glycoprotein complex component, which may reinforce damaging signals in Duchenne muscular dystrophy (DMD). Therefore, cSrc-TK represents a promising therapeutic target. In <i>mdx</i> m...

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Autores principales: Paola Mantuano, Brigida Boccanegra, Elena Conte, Michela De Bellis, Santa Cirmi, Francesca Sanarica, Ornella Cappellari, Ilaria Arduino, Annalisa Cutrignelli, Angela Assunta Lopedota, Antonietta Mele, Nunzio Denora, Annamaria De Luca
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:68d8ae6534034deeb1e5c4e4037920372021-11-25T16:54:47Zβ-Dystroglycan Restoration and Pathology Progression in the Dystrophic <i>mdx</i> Mouse: Outcome and Implication of a Clinically Oriented Study with a Novel Oral Dasatinib Formulation10.3390/biom111117422218-273Xhttps://doaj.org/article/68d8ae6534034deeb1e5c4e4037920372021-11-01T00:00:00Zhttps://www.mdpi.com/2218-273X/11/11/1742https://doaj.org/toc/2218-273XROS-activated cSrc tyrosine kinase (TK) promotes the degradation of β-dystroglycan (β-DG), a dystrophin-glycoprotein complex component, which may reinforce damaging signals in Duchenne muscular dystrophy (DMD). Therefore, cSrc-TK represents a promising therapeutic target. In <i>mdx</i> mice, a 4-week subcutaneous treatment with dasatinib (DAS), a pan-Src-TKs inhibitor approved as anti-leukemic agent, increased muscle β-DG, with minimal amelioration of morphofunctional indices. To address possible dose/pharmacokinetic (PK) issues, a new oral DAS/hydroxypropyl(HP)-β-cyclodextrin(CD) complex was developed and chronically administered to <i>mdx</i> mice. The aim was to better assess the role of β-DG in pathology progression, meanwhile confirming DAS mechanism of action over the long-term, along with its efficacy and tolerability. The 4-week old <i>mdx</i> mice underwent a 12-week treatment with DAS/HP-β-CD10% dissolved in drinking water, at 10 or 20 mg/kg/day. The outcome was evaluated via in vivo/ex vivo disease-relevant readouts. Oral DAS/HP-β-CD efficiently distributed in <i>mdx</i> mice plasma and tissues in a dose-related fashion. The new DAS formulation confirmed its main upstream mechanism of action, by reducing β-DG phosphorylation and restoring its levels dose-dependently in both diaphragm and gastrocnemius muscle. However, it modestly improved in vivo neuromuscular function, ex vivo muscle force, and histopathology, although the partial recovery of muscle elasticity and the decrease of CK and LDH plasma levels suggest an increased sarcolemmal stability of dystrophic muscles. Our clinically oriented study supports the interest in this new, pediatric-suitable DAS formulation for proper exposure and safety and for enhancing β-DG expression. This latter mechanism is, however, not sufficient by itself to impact on pathology progression. In-depth analyses will be dedicated to elucidating the mechanism limiting DAS effectiveness in dystrophic settings, meanwhile assessing its potential synergy with dystrophin-based molecular therapies.Paola MantuanoBrigida BoccanegraElena ConteMichela De BellisSanta CirmiFrancesca SanaricaOrnella CappellariIlaria ArduinoAnnalisa CutrignelliAngela Assunta LopedotaAntonietta MeleNunzio DenoraAnnamaria De LucaMDPI AGarticleDuchenne muscular dystrophypreclinical study<i>mdx</i> mousedasatinibcyclodextrinoral formulationMicrobiologyQR1-502ENBiomolecules, Vol 11, Iss 1742, p 1742 (2021)
institution DOAJ
collection DOAJ
language EN
topic Duchenne muscular dystrophy
preclinical study
<i>mdx</i> mouse
dasatinib
cyclodextrin
oral formulation
Microbiology
QR1-502
spellingShingle Duchenne muscular dystrophy
preclinical study
<i>mdx</i> mouse
dasatinib
cyclodextrin
oral formulation
Microbiology
QR1-502
Paola Mantuano
Brigida Boccanegra
Elena Conte
Michela De Bellis
Santa Cirmi
Francesca Sanarica
Ornella Cappellari
Ilaria Arduino
Annalisa Cutrignelli
Angela Assunta Lopedota
Antonietta Mele
Nunzio Denora
Annamaria De Luca
β-Dystroglycan Restoration and Pathology Progression in the Dystrophic <i>mdx</i> Mouse: Outcome and Implication of a Clinically Oriented Study with a Novel Oral Dasatinib Formulation
description ROS-activated cSrc tyrosine kinase (TK) promotes the degradation of β-dystroglycan (β-DG), a dystrophin-glycoprotein complex component, which may reinforce damaging signals in Duchenne muscular dystrophy (DMD). Therefore, cSrc-TK represents a promising therapeutic target. In <i>mdx</i> mice, a 4-week subcutaneous treatment with dasatinib (DAS), a pan-Src-TKs inhibitor approved as anti-leukemic agent, increased muscle β-DG, with minimal amelioration of morphofunctional indices. To address possible dose/pharmacokinetic (PK) issues, a new oral DAS/hydroxypropyl(HP)-β-cyclodextrin(CD) complex was developed and chronically administered to <i>mdx</i> mice. The aim was to better assess the role of β-DG in pathology progression, meanwhile confirming DAS mechanism of action over the long-term, along with its efficacy and tolerability. The 4-week old <i>mdx</i> mice underwent a 12-week treatment with DAS/HP-β-CD10% dissolved in drinking water, at 10 or 20 mg/kg/day. The outcome was evaluated via in vivo/ex vivo disease-relevant readouts. Oral DAS/HP-β-CD efficiently distributed in <i>mdx</i> mice plasma and tissues in a dose-related fashion. The new DAS formulation confirmed its main upstream mechanism of action, by reducing β-DG phosphorylation and restoring its levels dose-dependently in both diaphragm and gastrocnemius muscle. However, it modestly improved in vivo neuromuscular function, ex vivo muscle force, and histopathology, although the partial recovery of muscle elasticity and the decrease of CK and LDH plasma levels suggest an increased sarcolemmal stability of dystrophic muscles. Our clinically oriented study supports the interest in this new, pediatric-suitable DAS formulation for proper exposure and safety and for enhancing β-DG expression. This latter mechanism is, however, not sufficient by itself to impact on pathology progression. In-depth analyses will be dedicated to elucidating the mechanism limiting DAS effectiveness in dystrophic settings, meanwhile assessing its potential synergy with dystrophin-based molecular therapies.
format article
author Paola Mantuano
Brigida Boccanegra
Elena Conte
Michela De Bellis
Santa Cirmi
Francesca Sanarica
Ornella Cappellari
Ilaria Arduino
Annalisa Cutrignelli
Angela Assunta Lopedota
Antonietta Mele
Nunzio Denora
Annamaria De Luca
author_facet Paola Mantuano
Brigida Boccanegra
Elena Conte
Michela De Bellis
Santa Cirmi
Francesca Sanarica
Ornella Cappellari
Ilaria Arduino
Annalisa Cutrignelli
Angela Assunta Lopedota
Antonietta Mele
Nunzio Denora
Annamaria De Luca
author_sort Paola Mantuano
title β-Dystroglycan Restoration and Pathology Progression in the Dystrophic <i>mdx</i> Mouse: Outcome and Implication of a Clinically Oriented Study with a Novel Oral Dasatinib Formulation
title_short β-Dystroglycan Restoration and Pathology Progression in the Dystrophic <i>mdx</i> Mouse: Outcome and Implication of a Clinically Oriented Study with a Novel Oral Dasatinib Formulation
title_full β-Dystroglycan Restoration and Pathology Progression in the Dystrophic <i>mdx</i> Mouse: Outcome and Implication of a Clinically Oriented Study with a Novel Oral Dasatinib Formulation
title_fullStr β-Dystroglycan Restoration and Pathology Progression in the Dystrophic <i>mdx</i> Mouse: Outcome and Implication of a Clinically Oriented Study with a Novel Oral Dasatinib Formulation
title_full_unstemmed β-Dystroglycan Restoration and Pathology Progression in the Dystrophic <i>mdx</i> Mouse: Outcome and Implication of a Clinically Oriented Study with a Novel Oral Dasatinib Formulation
title_sort β-dystroglycan restoration and pathology progression in the dystrophic <i>mdx</i> mouse: outcome and implication of a clinically oriented study with a novel oral dasatinib formulation
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/68d8ae6534034deeb1e5c4e403792037
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