1. A high content screen for mucin-1-reducing compounds identifies fostamatinib as a candidate for rapid repurposing for acute lung injury
- Author
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Keith Keller, Michelle Melanson, Choah Kim, Jillian L. Shaw, Luciene Ronco, Jamie L. Marshall, Katherine A. Vernon, Anna Greka, Juan Lorenzo B. Pablo, Seth L. Alper, Eriene-Heidi Sidhom, Florence F. Wagner, George C. Tsokos, Elizabeth J. Grinkevich, Moran Dvela-Levitt, Matthew Racette, Valeria Padovano, Julie Roignot, Frederick W.K. Tam, Abbe Clark, Ayshwarya Subramanian, Jean Santos, Alissa Campbell, Astrid Weins, Juan Gutierrez, Abhigyan Satyam, Andrew J.B. Watts, Stephen P. McAdoo, Maheswarareddy Emani, Silvana Bazua-Valenti, Estefanía Reyes-Bricio, Maria Kost-Alimova, Juliana Coraor, Brian T. Chamberlain, Patrick J. Byrne, and Rebecca Thompson
- Subjects
ARDS ,Syk ,MUC1 ,Lung injury ,Pharmacology ,Fostamatinib ,General Biochemistry, Genetics and Molecular Biology ,Article ,medicine ,Repurposing ,Active metabolite ,drug repurposing ,business.industry ,SARS-CoV-2 ,fostamatinib ,COVID-19 ,respiratory system ,acute respiratory distress syndrome ,medicine.disease ,respiratory tract diseases ,Drug repositioning ,ALI ,acute lung injury ,business ,medicine.drug - Abstract
Drug repurposing is the only method capable of delivering treatments on the shortened time-scale required for patients afflicted with lung disease arising from SARS-CoV-2 infection. Mucin-1 (MUC1), a membrane-bound molecule expressed on the apical surfaces of most mucosal epithelial cells, is a biochemical marker whose elevated levels predict the development of acute lung injury (ALI) and respiratory distress syndrome (ARDS), and correlate with poor clinical outcomes. 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 MUC1 protein abundance. Our screen identified 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 reduced MUC1 abundance in lung epithelial cells in a mouse model of ALI. In vitro, SYK inhibition by Fostamatinib promoted MUC1 removal from the cell surface. Our work reveals Fostamatinib as a repurposing drug candidate for ALI and provides the rationale for rapidly standing up clinical trials to test Fostamatinib efficacy in patients with COVID-19 lung injury.
- Published
- 2020