TY - JOUR
T1 - A High-Content Screen for Mucin-1-Reducing Compounds Identifies Fostamatinib as a Candidate for Rapid Repurposing for Acute Lung Injury
AU - Kost-Alimova, Maria
AU - Sidhom, Eriene Heidi
AU - Satyam, Abhigyan
AU - Chamberlain, Brian T.
AU - Dvela-Levitt, Moran
AU - Melanson, Michelle
AU - Alper, Seth L.
AU - Santos, Jean
AU - Gutierrez, Juan
AU - Subramanian, Ayshwarya
AU - Byrne, Patrick J.
AU - Grinkevich, Elizabeth
AU - Reyes-Bricio, Estefanía
AU - Kim, Choah
AU - Clark, Abbe R.
AU - Watts, Andrew J.B.
AU - Thompson, Rebecca
AU - Marshall, Jamie
AU - Pablo, Juan Lorenzo
AU - Coraor, Juliana
AU - Roignot, Julie
AU - Vernon, Katherine A.
AU - Keller, Keith
AU - Campbell, Alissa
AU - Emani, Maheswarareddy
AU - Racette, Matthew
AU - Bazua-Valenti, Silvana
AU - Padovano, Valeria
AU - Weins, Astrid
AU - McAdoo, Stephen P.
AU - Tam, Frederick W.K.
AU - Ronco, Luciene
AU - Wagner, Florence
AU - Tsokos, George C.
AU - Shaw, Jillian L.
AU - Greka, Anna
N1 - Publisher Copyright: © 2020 The Author(s)
PY - 2020/11/17
Y1 - 2020/11/17
N2 - Drug repurposing has the advantage of identifying potential treatments on a shortened timescale. In response to the pandemic spread of SARS-CoV-2, we took advantage of a high-content screen of 3,713 compounds at different stages of clinical development to identify FDA-approved compounds that reduce mucin-1 (MUC1) protein abundance. Elevated MUC1 levels predict the development of acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) and correlate with poor clinical outcomes. Our screen identifies fostamatinib (R788), an inhibitor of spleen tyrosine kinase (SYK) approved for the treatment of chronic immune thrombocytopenia, as a repurposing candidate for the treatment of ALI. In vivo, fostamatinib reduces MUC1 abundance in lung epithelial cells in a mouse model of ALI. In vitro, SYK inhibition by the active metabolite R406 promotes MUC1 removal from the cell surface. Our work suggests fostamatinib as a repurposing drug candidate for ALI.
AB - Drug repurposing has the advantage of identifying potential treatments on a shortened timescale. In response to the pandemic spread of SARS-CoV-2, we took advantage of a high-content screen of 3,713 compounds at different stages of clinical development to identify FDA-approved compounds that reduce mucin-1 (MUC1) protein abundance. Elevated MUC1 levels predict the development of acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) and correlate with poor clinical outcomes. Our screen identifies fostamatinib (R788), an inhibitor of spleen tyrosine kinase (SYK) approved for the treatment of chronic immune thrombocytopenia, as a repurposing candidate for the treatment of ALI. In vivo, fostamatinib reduces MUC1 abundance in lung epithelial cells in a mouse model of ALI. In vitro, SYK inhibition by the active metabolite R406 promotes MUC1 removal from the cell surface. Our work suggests fostamatinib as a repurposing drug candidate for ALI.
KW - ALI
KW - ARDS
KW - COVID-19
KW - MUC1
KW - SARS-CoV-2
KW - acute lung injury
KW - acute respiratory distress syndrome
KW - drug repurposing
KW - fostamatinib
UR - http://www.scopus.com/inward/record.url?scp=85096610281&partnerID=8YFLogxK
U2 - 10.1016/j.xcrm.2020.100137
DO - 10.1016/j.xcrm.2020.100137
M3 - مقالة
C2 - 33294858
SN - 2666-3791
VL - 1
JO - Cell Reports Medicine
JF - Cell Reports Medicine
IS - 8
M1 - 100137
ER -