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=====Lab Notebooks===== | =====Lab Notebooks===== | ||
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===== Open Source Resources ===== | ===== Open Source Resources ===== | ||
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- | ===== Cellular Models of PAH-Associated Molecular Defects as a Tool for Identifying New Therapeutic Targets===== | ||
- | Elinoff | ||
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- | ====Sub-Project 1==== | ||
- | Rare Genetic Defect in Glucose Metabolism as a Model for Investigating Mechanisms Underlying Vascular Remodeling in PAH Glucose-6-phosphatase catalytic subunit 3 (G6PC3) is a ubiquitously expressed enzyme that maintains intracellular glucose homeostasis by catalyzing the hydrolysis of glucose-6-phosphate to glucose in the endoplasmic reticulum. Loss-of-function mutations in G6PC3 lead to an autosomal recessive, multi-system syndrome of severe congenital neutropenia with a broad phenotypic spectrum that includes a high incidence of congenital heart defects. A subset of affected patients exhibits Dursun syndrome, a triad of congenital neutropenia, | ||
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- | ===Aim 1=== | ||
- | Determine the phenotypic consequences of G6PC3-silencing in human pulmonary artery and human pulmonary microvascular endothelial cells (ECs). In FY23, based on the results of hemodynamic studies in G6pc3 knockout (KO) mice, we examined the effects of shear stress and glucose concentration on NOS3, END1, ACE2, ACTA2, and VWF gene expression in G6PC3-deficient primary human pulmonary artery ECs. | ||
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- | ===Aim 2=== | ||
- | Investigate the impact of G6pc3 deficiency on pulmonary vascular function in vivo using KO mice under both normoxic and chronic hypoxic conditions. These murine studies were done under an ACUC approved Animal Study Proposal (CCM 20-03). In FY23, G6pc3 KO mice and wild-type (WT) littermate controls were exposed to either normoxia or hypoxia for 5 weeks and then underwent cardiac catheterization. Compared to WT littermate control animals, male G6pc3 KO mice have significantly higher baseline right ventricular systolic pressure (RVSP) under normoxic conditions whereas female KO mice do not. Exposure to chronic hypoxia further increases RVSP in male KO mice compared to male WT controls. Aim 3: Develop and characterize patient-specific in vitro models of endothelial dysfunction using induced pluripotent stem cell (iPSC)-derived endothelial cells. In FY23, in collaboration with Dr. David McDermott, peripheral blood mononuclear cells were collected from two new subjects with loss-of-function mutations in G6PC3 (homozygous for c.246 G>A). These cells will be used to develop patient-specific iPSCs. | ||
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- | ==== Sub-Project 2==== | ||
- | Mechanisms Leading to Interferon Activation in Caveolin-1 (CAV1) deficient primary human pulmonary artery ECs Recently, comprehensive in vitro characterization of CAV1 deficiency in human lung endothelium revealed a proliferative, | ||
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- | In FY23, we continued investigations into the mechanisms underlying STAT1 activation following CAV1 loss in human PAECs. In addition to constitutively activated STAT1, we also previously observed that NOS3 phosphorylation at serine 1177, a post-translational modification associated with NOS3 uncoupling and increased oxidant stress, is also increased in CAV1-deficient PAECs (Gairhe et, PNAS 2021). Consistent with this observation, | ||
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- | Interestingly, | ||
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- | ===Sub-Project 3=== | ||
- | Efficacy of PI3K/AKT Pathway Inhibition on Pulmonary Vascular Remodeling in Rat Models of Pulmonary Arterial Hypertension Activation of the PI3K/AKT pathway is a prominent, shared feature across our models of PAH-associated molecular defects. Leniolisib is a PI3K-delta inhibitor that has been very well tolerated in children with activated PI3K-delta syndrome and reversed the hyperproliferative, | ||
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- | In collaboration with Novaris/ | ||
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- | =====Proteasomal Degradation of XPB as a Novel Mechanism for Treating Inflammation===== | ||
- | Elinoff | ||
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- | In collaboration with the NCATS Functional Genomics Lab, we have created and validated a high-throughput luminescent reporter assay suitable for identifying small molecule degraders of XPB and genome-wide RNAi screening. | ||
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- | Using this state-of-the-art high-throughput assay we will: | ||
- | - Identify novel, small-molecule XPB degraders with potent anti-inflammatory effects that can be accelerated into clinical trials; | ||
- | - Characterize molecular partners necessary for drug-induced XPB degradation in order to construct a more generalizable pharmaceutical paradigm. | ||
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- | This innovative assay platform will enable discovery of clinically relevant XPB degraders that modulate lung vascular inflammation in PAH patients, and the NIH Clinical Center is ideally suited for spearheading trials testing these first-in-class anti-inflammatory drugs. | ||
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- | ====Project Milestones==== | ||
- | - Screen the NCATS Small Molecule Library (up to 150,000 compounds) for drugs that induce XPB-HiBiT degradation. Candidate drugs will be selected through bio/ | ||
- | - Perform a second, high-throughput screen of candidate XPB degraders for potent anti-inflammatory effects across heterogeneous signaling pathways. Novel drugs identified in both screens will be further examined for their effects on inflammatory gene transcription and cytokine production in cellular models of PAH-associated endothelial cell dysfunction. | ||
- | - Perform a genome-wide RNAi screen to define the molecular mechanism underlying drug-induced XPB degradation. Target deconvolution of candidate drugs that induce proteasome-dependent XPB degradation and the NCATS pharmacologically annotated chemical toolbox will be used to substantiate gene silencing effects. Candidate XPB degradation genes will be confirmed in primary human pulmonary vascular endothelium. | ||
- | - Apply state-of-the-art medicinal chemistry techniques to optimize pharmacokinetics, | ||
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