Clinical dosage of meclozine promotes longitudinal bone growth, bone volume, and trabecular bone quality in transgenic mice with achondroplasia

Abstract Achondroplasia (ACH) is the most common short-limbed skeletal dysplasia caused by gain-of-function mutations in the fibroblast growth factor receptor 3 (FGFR3). No effective FGFR3-targeted therapies for ACH are currently available. By drug repositioning strategies, we identified that mecloz...

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Autores principales: Masaki Matsushita, Ryusaku Esaki, Kenichi Mishima, Naoki Ishiguro, Kinji Ohno, Hiroshi Kitoh
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Publicado: Nature Portfolio 2017
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spelling oai:doaj.org-article:d105b8f11c35482fbfa7a964651026272021-12-02T16:06:05ZClinical dosage of meclozine promotes longitudinal bone growth, bone volume, and trabecular bone quality in transgenic mice with achondroplasia10.1038/s41598-017-07044-82045-2322https://doaj.org/article/d105b8f11c35482fbfa7a964651026272017-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-07044-8https://doaj.org/toc/2045-2322Abstract Achondroplasia (ACH) is the most common short-limbed skeletal dysplasia caused by gain-of-function mutations in the fibroblast growth factor receptor 3 (FGFR3). No effective FGFR3-targeted therapies for ACH are currently available. By drug repositioning strategies, we identified that meclozine, which has been used as an anti-motion-sickness, suppressed FGFR3 signaling in chondrocytes and rescued short-limbed phenotype in ACH mouse model. Here, we conducted various pharmacological tests for future clinical application in ACH. Pharmacokinetic analyses demonstrated that peak drug concentration (Cmax) and area under the concentration-time curve (AUC) of 2 mg/kg of meclozine to mice was lower than that of 25 mg/body to human, which is a clinical usage for anti-motion-sickness. Pharmacokinetic simulation studies showed that repeated dose of 2 mg/kg of meclozine showed no accumulation effects. Short stature phenotype in the transgenic mice was significantly rescued by twice-daily oral administration of 2 mg/kg/day of meclozine. In addition to stimulation of longitudinal bone growth, bone volume and metaphyseal trabecular bone quality were improved by meclozine treatment. We confirmed a preclinical proof of concept for applying meclozine for the treatment of short stature in ACH, although toxicity and adverse events associated with long-term administration of this drug should be examined.Masaki MatsushitaRyusaku EsakiKenichi MishimaNaoki IshiguroKinji OhnoHiroshi KitohNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-9 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Masaki Matsushita
Ryusaku Esaki
Kenichi Mishima
Naoki Ishiguro
Kinji Ohno
Hiroshi Kitoh
Clinical dosage of meclozine promotes longitudinal bone growth, bone volume, and trabecular bone quality in transgenic mice with achondroplasia
description Abstract Achondroplasia (ACH) is the most common short-limbed skeletal dysplasia caused by gain-of-function mutations in the fibroblast growth factor receptor 3 (FGFR3). No effective FGFR3-targeted therapies for ACH are currently available. By drug repositioning strategies, we identified that meclozine, which has been used as an anti-motion-sickness, suppressed FGFR3 signaling in chondrocytes and rescued short-limbed phenotype in ACH mouse model. Here, we conducted various pharmacological tests for future clinical application in ACH. Pharmacokinetic analyses demonstrated that peak drug concentration (Cmax) and area under the concentration-time curve (AUC) of 2 mg/kg of meclozine to mice was lower than that of 25 mg/body to human, which is a clinical usage for anti-motion-sickness. Pharmacokinetic simulation studies showed that repeated dose of 2 mg/kg of meclozine showed no accumulation effects. Short stature phenotype in the transgenic mice was significantly rescued by twice-daily oral administration of 2 mg/kg/day of meclozine. In addition to stimulation of longitudinal bone growth, bone volume and metaphyseal trabecular bone quality were improved by meclozine treatment. We confirmed a preclinical proof of concept for applying meclozine for the treatment of short stature in ACH, although toxicity and adverse events associated with long-term administration of this drug should be examined.
format article
author Masaki Matsushita
Ryusaku Esaki
Kenichi Mishima
Naoki Ishiguro
Kinji Ohno
Hiroshi Kitoh
author_facet Masaki Matsushita
Ryusaku Esaki
Kenichi Mishima
Naoki Ishiguro
Kinji Ohno
Hiroshi Kitoh
author_sort Masaki Matsushita
title Clinical dosage of meclozine promotes longitudinal bone growth, bone volume, and trabecular bone quality in transgenic mice with achondroplasia
title_short Clinical dosage of meclozine promotes longitudinal bone growth, bone volume, and trabecular bone quality in transgenic mice with achondroplasia
title_full Clinical dosage of meclozine promotes longitudinal bone growth, bone volume, and trabecular bone quality in transgenic mice with achondroplasia
title_fullStr Clinical dosage of meclozine promotes longitudinal bone growth, bone volume, and trabecular bone quality in transgenic mice with achondroplasia
title_full_unstemmed Clinical dosage of meclozine promotes longitudinal bone growth, bone volume, and trabecular bone quality in transgenic mice with achondroplasia
title_sort clinical dosage of meclozine promotes longitudinal bone growth, bone volume, and trabecular bone quality in transgenic mice with achondroplasia
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/d105b8f11c35482fbfa7a96465102627
work_keys_str_mv AT masakimatsushita clinicaldosageofmeclozinepromoteslongitudinalbonegrowthbonevolumeandtrabecularbonequalityintransgenicmicewithachondroplasia
AT ryusakuesaki clinicaldosageofmeclozinepromoteslongitudinalbonegrowthbonevolumeandtrabecularbonequalityintransgenicmicewithachondroplasia
AT kenichimishima clinicaldosageofmeclozinepromoteslongitudinalbonegrowthbonevolumeandtrabecularbonequalityintransgenicmicewithachondroplasia
AT naokiishiguro clinicaldosageofmeclozinepromoteslongitudinalbonegrowthbonevolumeandtrabecularbonequalityintransgenicmicewithachondroplasia
AT kinjiohno clinicaldosageofmeclozinepromoteslongitudinalbonegrowthbonevolumeandtrabecularbonequalityintransgenicmicewithachondroplasia
AT hiroshikitoh clinicaldosageofmeclozinepromoteslongitudinalbonegrowthbonevolumeandtrabecularbonequalityintransgenicmicewithachondroplasia
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