CLK2

CLK2
  • 文章类型: Journal Article
    内含子保留(IR)构成了一种较少探索的可变剪接形式,其中内含子保留在成熟mRNA转录物内。这项研究表明,响应于热休克(HS),细胞分裂周期(CDC)样激酶2(CLK2)在核斑点内经历液-液相分离(LLPS)。CLK2缩合物的形成取决于位于N-末端氨基酸1-148内的固有无序区(IDR)。T343残基磷酸化维持CLK2激酶活性并促进整体自磷酸化,抑制IDR的LLPS活性。这些CLK2冷凝物启动了核斑点的重组,把它们变成更大的,圆形结构。此外,这些凝聚物促进拼接因子募集到这些隔室中,限制它们进入mRNA进行内含子剪接并促进IR。保留的内含子导致细胞核内转录物的隔离。这些发现延伸到神经胶质瘤干细胞(GSC)领域,反映HS应激的生理状态抑制T343自磷酸化,从而诱导CLK2缩合物的形成和随后的IR。值得注意的是,表达CLK2缩合物阻碍GSC的维持。总之,这项研究揭示了一种由CLK2冷凝物推动IR的机制,阐明其在应对细胞压力中的作用。
    Intron retention (IR) constitutes a less explored form of alternative splicing, wherein introns are retained within mature mRNA transcripts. This investigation demonstrates that the cell division cycle (CDC)-like kinase 2 (CLK2) undergoes liquid-liquid phase separation (LLPS) within nuclear speckles in response to heat shock (HS). The formation of CLK2 condensates depends on the intrinsically disordered region (IDR) located within the N-terminal amino acids 1-148. Phosphorylation at residue T343 sustains CLK2 kinase activity and promotes overall autophosphorylation, which inhibits the LLPS activity of the IDR. These CLK2 condensates initiate the reorganization of nuclear speckles, transforming them into larger, rounded structures. Moreover, these condensates facilitate the recruitment of splicing factors into these compartments, restricting their access to mRNA for intron splicing and promoting the IR. The retained introns lead to the sequestration of transcripts within the nucleus. These findings extend to the realm of glioma stem cells (GSCs), where a physiological state mirroring HS stress inhibits T343 autophosphorylation, thereby inducing the formation of CLK2 condensates and subsequent IR. Notably, expressing the CLK2 condensates hampers the maintenance of GSCs. In conclusion, this research unveils a mechanism by which IR is propelled by CLK2 condensates, shedding light on its role in coping with cellular stress.
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  • 文章类型: Journal Article
    肺癌是一种死亡率高、耐药性高的恶性肿瘤。因此,迫切需要探索天然无毒的治疗肺癌的药物。在这项研究中,从茶树菇中提取的天然活性成分AANL被用于通过氧化还原法修饰纳米硒。透射电子显微镜检测和红外光谱表明,成功制备了一种新型的硒纳米复合材料AANL-SeNPs。纳米尺度表征结果表明,AANL-SeNPs具有良好的稳定性和在水溶液中的均匀分散性。在细胞层面,我们发现AANL-SeNPs显著抑制肺癌细胞的细胞活力,在H157细胞中,60nMAANL-SeNPs的细胞抑制率为39%,67%的H147细胞,和62%的A549细胞。AANL-SeNPs的IC50值在A549细胞中为51.85nM,在H157细胞中为81.57nM。此外,AANL-SeNPs可抑制细胞增殖和迁移,增强肺癌细胞对奥希替尼的敏感性,对正常细胞无毒性。在体内,AANL-SeNPs通过建立肺癌皮下移植瘤模型显著减缓荷瘤小鼠的肿瘤生长,与PBS组相比,2mg/kgAANL-SeNPs组的肿瘤体积较小,减少约79%。机械上,通过独立于数据的采集质谱,共鉴定出38种差异表达蛋白.一种显著上调的蛋白质,CDC样激酶2(CLK2),进行了筛选和验证,以便进一步分析,这表明在AANL-SeNPs处理后,CLK2在H157和H1437细胞中的表达水平增加。在这项研究中获得的结果表明,一种新型的硒纳米复合材料AANL-SeNPs,通过上调CLK2的表达抑制肺癌。
    Lung cancer is a malignant tumor with high mortality and drug resistance. Therefore, it is urgent to explore natural and nontoxic drugs to treat lung cancer. In this study, the natural active ingredient AANL extracted from Agrocybe aegirita was used to modify nanoselenium by an oxidation-reduction method. Transmission electron microscope detection and infrared spectroscopy showed that a novel selenium nanocomposite named AANL-SeNPs was successfully prepared. The results of nanoscale characterization showed that AANL-SeNPs had good stability and uniform dispersion in aqueous solution by zeta potential and spectrum analysis. At the cellular level, we found that AANL-SeNPs significantly inhibited the cell viability of lung cancer cells, and the cell inhibition rate of 60 nM AANL-SeNPs was 39 % in H157 cells, 67 % in H147 cells, and 62 % in A549 cells. The IC50 value of AANL-SeNPs was 51.85 nM in A549 cells and 81.57 nM in H157 cells. Moreover, AANL-SeNPs could inhibit the cell proliferation and migration, and enhance the sensitivity of lung cancer cells to osimertinib and has no toxic to normal cells. In vivo, AANL-SeNPs significantly slowed tumor growth in tumor-bearing mice by establishing a subcutaneous transplantation tumor model for lung cancer, and the tumor size was smaller and was reduced about 79 % in 2 mg/kg AANL-SeNPs group compared with PBS group. Mechanistically, a total of 38 differentially expressed proteins were identified by data-independent acquisition mass spectrometry. A significantly upregulated protein, CDC-like kinase 2 (CLK2), was screened and validated for further analysis, which showed that the expression levels of CLK2 were increased in H157 and H1437 cells after AANL-SeNPs treatment. The results obtained in this study suggest that a novel selenium nanocomposite AANL-SeNPs, which inhibits lung cancer by upregulating the expression of CLK2.
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  • 文章类型: Journal Article
    RNA剪接过程的失调与各种癌症的肿瘤发生密切相关,尤其是乳腺癌.Cdc2样激酶2(CLK2),一种在乳腺癌中起关键作用的致癌RNA剪接激酶,发挥了重要作用,特别是在三阴性乳腺癌(TNBC)的背景下,一种亚型,由于其低生存率而具有巨大的医学挑战。在这项研究中,我们采用基于结构的虚拟筛选(SBVS)方法鉴定具有新化学结构的潜在CLK2抑制剂用于治疗TNBC.化合物670551作为新型CLK2抑制剂出现,其50%抑制浓度(IC50)值为619.7nM。重要的是,化合物670551表现出对CLK2相对于其他蛋白激酶的高选择性。功能上,该化合物显著降低了TNBC细胞的存活和增殖。基于细胞的检测结果表明,这种抑制剂导致RNA剪接蛋白的减少,如SRSF4和SRSF6,导致细胞凋亡。总之,我们确定了一种新型CLK2抑制剂是TNBC治疗的有希望的潜在治疗方法.
    Dysregulation of RNA splicing processes is intricately linked to tumorigenesis in various cancers, especially breast cancer. Cdc2-like kinase 2 (CLK2), an oncogenic RNA-splicing kinase pivotal in breast cancer, plays a significant role, particularly in the context of triple-negative breast cancer (TNBC), a subtype marked by substantial medical challenges due to its low survival rates. In this study, we employed a structure-based virtual screening (SBVS) method to identify potential CLK2 inhibitors with novel chemical structures for treating TNBC. Compound 670551 emerged as a novel CLK2 inhibitor with a 50% inhibitory concentration (IC50) value of 619.7 nM. Importantly, Compound 670551 exhibited high selectivity for CLK2 over other protein kinases. Functionally, this compound significantly reduced the survival and proliferation of TNBC cells. Results from a cell-based assay demonstrated that this inhibitor led to a decrease in RNA splicing proteins, such as SRSF4 and SRSF6, resulting in cell apoptosis. In summary, we identified a novel CLK2 inhibitor as a promising potential treatment for TNBC therapy.
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  • 文章类型: Journal Article
    目的:由于cccDNA在肝细胞核中的持续和稳定存在,cccDNA的直接消除仍然是一个巨大的障碍。持续沉默cccDNA转录是乙型肝炎治疗的替代策略之一。与cccDNA结合的蛋白质在其转录调控中起着重要作用。确定参与这一过程的关键因素非常重要。
    结果:在本研究中,基于我们的生物素-抗生物素蛋白富集系统,筛选出高迁移率基团核小体结合域1(HMGN1)。首先,染色质免疫沉淀和荧光原位杂交测定证实了HMGN1与cccDNA在细胞核中的结合。第二,HBV感染细胞的功能实验表明,HMGN1对HBV转录和复制的促进作用依赖于核小体结合域的功能区,而HMGN1突变体的转染与载体相比对HBV没有影响。第三,进一步的机制探索表明,HMGN1的沉默增加了磷酸化酶CLK2的水平,并促进H3磷酸化,导致cccDNA的可及性降低。此外,在体内HBV感染的HBV(r)cccDNA小鼠模型中模拟沉默的HMGN1。结果表明,沉默HMGN1在体内抑制HBV复制。
    结论:总之,我们的研究确定,一个宿主蛋白可以结合到cccDNA,并促进其转录,提供抗HBV靶向干扰cccDNA微染色体转录活性的候选策略。
    Direct elimination of cccDNA remains a formidable obstacle due to the persistent and stable presence of cccDNA in hepatocyte nuclei. The silencing of cccDNA transcription enduringly is one of alternative strategies in the treatment of hepatitis B. Protein binding to cccDNA plays an important role in its transcriptional regulation; thus, the identification of key factors involved in this process is of great importance.
    In the present study, high mobility group nucleosome binding domain 1 (HMGN1) was screened out based on our biotin-avidin enrichment system. First, chromatin immunoprecipitation and fluorescent in situ hybridization assays confirmed the binding of HMGN1 with cccDNA in the nucleus. Second, functional experiments in HBV-infected cells showed that the promoting effect of HMGN1 on HBV transcription and replication depended on the functional region of the nucleosomal binding domain, while transfection of the HMGN1 mutant showed no influence on HBV compared with the vector. Third, further mechanistic exploration revealed that the silencing of HMGN1 increased the level of phosphorylase CLK2 and promoted H3 phosphorylation causing the reduced accessibility of cccDNA. Moreover, silenced HMGN1 was mimicked in HBV (r) cccDNA mouse model of HBV infection in vivo. The results showed that silencing HMGN1 inhibited HBV replication in vivo.
    In summary, our study identified that a host protein can bind to cccDNA and promote its transcription, providing a candidate strategy for anti-HBV targeting to interfere with the transcriptional activity of cccDNA microchromosomes.
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  • 文章类型: Journal Article
    小分子调节剂是研究蛋白激酶的基础生物学和复杂信号传导的重要工具。cdc2样激酶(CLK)是由四种激酶组成的家族,最近因其参与诸如神经变性等多种疾病而引起了人们的兴趣。自身免疫,和许多癌症。通过筛选针对一大组激酶的激酶抑制剂而鉴定的CLK抑制剂命中周围的靶向药物化学允许我们鉴定CLK1、2和4的有效和选择性抑制剂。这里,我们介绍了合成,选择性,并对该化合物SGC-CLK-1(CAF-170)进行了初步的生物学表征。我们进一步显示CLK2具有最高的结合亲和力,在多种癌细胞系的筛选中,高CLK2表达与较低的IC50相关。最后,我们表明SGC-CLK-1不仅减少了富含丝氨酸精氨酸(SR)蛋白的磷酸化,而且以可逆的方式改变了SR蛋白和CLK2亚细胞定位。因此,我们预计这种化合物将是增加我们对CLKs及其靶标的理解的有价值的工具,SR蛋白,在磷酸化和亚细胞定位水平。
    Small molecule modulators are important tools to study both basic biology and the complex signaling of protein kinases. The cdc2-like kinases (CLK) are a family of four kinases that have garnered recent interest for their involvement in a diverse set of diseases such as neurodegeneration, autoimmunity, and many cancers. Targeted medicinal chemistry around a CLK inhibitor hit identified through screening of a kinase inhibitor set against a large panel of kinases allowed us to identify a potent and selective inhibitor of CLK1, 2, and 4. Here, we present the synthesis, selectivity, and preliminary biological characterization of this compound - SGC-CLK-1 (CAF-170). We further show CLK2 has the highest binding affinity, and high CLK2 expression correlates with a lower IC50 in a screen of multiple cancer cell lines. Finally, we show that SGC-CLK-1 not only reduces serine arginine-rich (SR) protein phosphorylation but also alters SR protein and CLK2 subcellular localization in a reversible way. Therefore, we anticipate that this compound will be a valuable tool for increasing our understanding of CLKs and their targets, SR proteins, at the level of phosphorylation and subcellular localization.
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  • 文章类型: Journal Article
    胰腺导管腺癌(PDAC)恶性程度极高,治疗选择有限。去泛素化酶(DUB),在底物上切割泛素,可以调节肿瘤进展,是吸引人的治疗靶点,但PDAC的相关研究较少。在我们的研究中,我们基于已发表的数据库筛选了USP家族成员的表达水平和预后价值,并选择USP10作为PDAC的潜在干预靶点.PDAC微阵列的IHC染色显示USP10表达是PDAC的不良临床特征。USP10在PDAC中促进体内和体外肿瘤生长。Co-IP实验显示USP10直接与PABPC1相互作用。去泛素化分析显示USP10降低了PABPC1的RRM2结构域的K27/29连接的泛素化水平。去泛素化的PABPC1能够偶联更多的CLK2mRNA和eIF4G1,这增加了翻译效率。用不能泛素化的突变体取代PABPC1在PDAC中受损的USP10敲低介导的肿瘤抑制。靶向USP10显著延迟细胞源性异种移植物和患者源性异种移植物肿瘤的生长。总的来说,我们的研究首次将USP10确定为PABPC1的DUB,并为具有高USP10表达的PDAC的潜在治疗选择提供了理论基础.
    Pancreatic ductal adenocarcinoma (PDAC) is extremely malignant with limited treatment options. Deubiquitinases (DUBs), which cleave ubiquitin on substrates, can regulate tumor progression and are appealing therapeutic targets, but there are few related studies in PDAC. In our study, we screened the expression levels and prognostic value of USP family members based on published databases and selected USP10 as the potential interventional target in PDAC. IHC staining of the PDAC microarray revealed that USP10 expression was an adverse clinical feature of PDAC. USP10 promoted tumor growth both in vivo and in vitro in PDAC. Co-IP experiments revealed that USP10 directly interacts with PABPC1. Deubiquitination assays revealed that USP10 decreased the K27/29-linked ubiquitination level of the RRM2 domain of PABPC1. Deubiquitinated PABPC1 was able to couple more CLK2 mRNA and eIF4G1, which increased the translation efficiency. Replacing PABPC1 with a mutant that could not be ubiquitinated impaired USP10 knock-down-mediated tumor suppression in PDAC. Targeting USP10 significantly delayed the growth of cell-derived xenograft and patient-derived xenograft tumors. Collectively, our study first identified USP10 as the DUB of PABPC1 and provided a rationale for potential therapeutic options for PDAC with high USP10 expression.
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  • 文章类型: Journal Article
    Cdc2样激酶(CLK2)是下丘脑神经元中表达的CLK激酶的成员,并响应于再摄食而被激活,瘦素,或胰岛素。饮食诱导的肥胖和瘦素受体缺陷的db/db小鼠在下丘脑神经元中缺乏CLK2信号。神经递质γ-氨基丁酸(GABA)是中枢神经系统(CNS)中最普遍的,特别是在下丘脑。鉴于GABA表达神经元的丰度及其对调节能量和行为稳态的潜在影响,我们的目的是探讨在饮食中缺乏表达Vgat的神经元(Vgat-Cre;Clk2loxP/loxP)的CLK2的小鼠中,GABA能神经元中CLK2的缺失是否会改变两种性别的能量稳态以及行为和认知功能.
    我们通过将Clk2loxP/loxP小鼠与Vgat-IRES-Cre转基因小鼠交配,产生了在表达Vgat的神经元(Vgat-Cre;Clk2loxP/loxP)中缺乏Clk2的小鼠,和生理测试,和分子方法来研究两种性别的能量代谢和行为表型。
    我们表明,GABA能神经元中CLK2的缺失增加了女性的肥胖和食物摄入量。这些影响背后的机制可能是由于,至少在某种程度上,下丘脑胰岛素抵抗和下丘脑Npy和Agrp表达上调。除了正常的胰岛素和丙酮酸敏感性,Vgat-Cre;Clk2loxP/loxP雌性是葡萄糖不耐受的。雄性Vgat-Cre;Clk2loxP/loxP小鼠显示增加的能量消耗(EE)。升高的EE可以避免雄性Vgat-Cre;Clk2loxP/loxP小鼠的体重和脂肪量增加。Vgat-Cre;Clk2loxP/loxP小鼠在两种性别中的认知或记忆功能均无改变。有趣的是,在GABA能神经元中删除CLK2仅在女性中改变了焦虑样行为,不是男性。这些发现表明,GABA能神经元中的CLK2对于以性别特定的方式调节能量平衡和焦虑样行为至关重要,并且可能是对抗与女性心理障碍相关的肥胖的分子治疗靶标。
    Cdc2-like kinase (CLK2) is a member of CLK kinases expressed in hypothalamic neurons and is activated in response to refeeding, leptin, or insulin. Diet-induced obesity and leptin receptor-deficient db/db mice lack CLK2 signal in the hypothalamic neurons. The neurotransmiter gamma-aminobutyric acid (GABA) is among the most prevalent in the central nervous system (CNS), particularly in the hypothalamus. Given the abundance of GABA-expressing neurons and their potential influence on regulating energy and behavioral homeostasis, we aimed to explore whether the deletion of CLK2 in GABAergic neurons alters energy homeostasis and behavioral and cognitive functions in both genders of mice lacking CLK2 in Vgat-expressing neurons (Vgat-Cre; Clk2loxP/loxP) on chow diet.
    We generated mice lacking Clk2 in Vgat-expressing neurons (Vgat-Cre; Clk2loxP/loxP) by mating Clk2loxP/loxP mice with Vgat-IRES-Cre transgenic mice and employed behavior, and physiological tests, and molecular approaches to investigate energy metabolism and behavior phenotype of both genders.
    We showed that deletion of CLK2 in GABAergic neurons increased adiposity and food intake in females. The mechanisms behind these effects were likely due, at least in part, to hypothalamic insulin resistance and upregulation of hypothalamic Npy and Agrp expression. Besides normal insulin and pyruvate sensitivity, Vgat-Cre; Clk2loxP/loxP females were glucose intolerant. Male Vgat-Cre; Clk2loxP/loxP mice showed an increased energy expenditure (EE). Risen EE may account for avoiding weight and fat mass gain in male Vgat-Cre; Clk2loxP/loxP mice. Vgat-Cre; Clk2loxP/loxP mice had no alteration in cognition or memory functions in both genders. Interestingly, deleting CLK2 in GABAergic neurons changed anxiety-like behavior only in females, not males. These findings suggest that CLK2 in GABAergic neurons is critical in regulating energy balance and anxiety-like behavior in a gender-specific fashion and could be a molecular therapeutic target for combating obesity associated with psychological disorders in females.
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  • 文章类型: Journal Article
    通过荟萃分析全面评估lorecivint抑制剂治疗骨关节炎的有效性和安全性。
    使用电子数据库,如PubMed,Embase,WebofScience,和CochraneLibrary截至2022年7月30日。两名审稿人独立筛选,评估,并审查了符合条件的研究。采用RevMan5.4软件进行数据分析和处理。
    共纳入6项研究,涉及3056名参与者。Meta分析结果显示,与对照组相比,lorecivint显着增加WOMAC不适(0.03mg,第12周)(MD=-0.21,95%CI[-1.94-1.53];P=0.81),WOMAC功能(0.07mg,第24周)(MD=-1.81,95%CI[-4.74-1.12];P=0.23)和关节间隙宽度(0.23mg,第24周)(MD=-1.16,95%CI[-3.69-1.38];P=0.37)。
    一种将Wnt通路调节剂与关节内CLK2/DYRK1A抑制剂结合的新治疗方法可能是治疗骨关节炎的有希望的疗法。Lorecivint被发现可以显着改善WOMAC的不适感,WOMAC功能,骨关节炎患者的关节间隙宽度。它预计是一个可靠的,安全,和骨关节炎的有效治疗选择,具有显著的治疗效用和潜在的应用。
    UNASSIGNED: To comprehensively evaluate the effectiveness and safety of lorecivivint inhibitors in the treatment of osteoarthritis through meta-analysis.
    UNASSIGNED: A comprehensive literature search on lorecivivint inhibitors in osteoarthritis was performed using electronic databases such as PubMed, Embase, Web of Science, and CochraneLibrary up to July 30, 2022. Two reviewers independently screened, evaluated, and reviewed the eligible studies. Data analysis and processing were carried out using RevMan 5.4 software.
    UNASSIGNED: A total of six studies involving 3056 participants were included. Meta-analysis showed that compared with the control group, lorecivivint significantly increased WOMAC discomfort (0.03 mg Week 12) (MD = -0.21, 95% CI [-1.94 - 1.53]; P = 0.81), WOMAC function (0.07 mg Week 24) (MD = -1.81, 95% CI [-4.74 - 1.12]; P = 0.23) and Joint space width (0.23 mg Week 24) (MD = -1.16, 95% CI [-3.69 - 1.38]; P = 0.37).
    UNASSIGNED: A new treatment method combining Wnt pathway modulators with intra-articular CLK2/DYRK1A inhibitors could be a promising therapy for treating osteoarthritis. Lorecivivint was found to significantly improve WOMAC discomfort, WOMAC function, and joint space width in osteoarthritis patients. It is anticipated to be a reliable, safe, and effective treatment option for osteoarthritis with significant therapeutic utility and potential applications.
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  • 文章类型: Journal Article
    转录因子NF-κB有效激活抗凋亡基因,其失活显著降低基因毒性应激后的肿瘤细胞存活率。我们确定了两种结构不同的先导化合物,它们通过DNA双链断裂选择性地抑制NF-κB激活,但不是通过其他刺激,如TNFα。我们的化合物不会直接抑制先前确定的该途径的调节剂,最关键的包括IκB激酶(IKK),但是抑制了ATM之间的信号传输,PARP1和IKKγ。反卷积策略,包括衍生化和多激酶面板的体外测试,产生了共享目标,cdc样激酶(CLK)2和4,是DNA损伤诱导的IKK和NF-κB活性的重要调节因子。两种引线都通过增加p53诱导的细胞凋亡而对DNA损伤剂敏感,从而降低癌细胞活力。我们建议我们的先导化合物和衍生物可用于基因毒性治疗诱导或持续DNA损伤的背景下,以增加肿瘤细胞凋亡。这可能对癌症治疗有益。
    Transcription factor NF-κB potently activates anti-apoptotic genes, and its inactivation significantly reduces tumor cell survival following genotoxic stresses. We identified two structurally distinct lead compounds that selectively inhibit NF-κB activation by DNA double-strand breaks, but not by other stimuli, such as TNFα. Our compounds do not directly inhibit previously identified regulators of this pathway, most critically including IκB kinase (IKK), but inhibit signal transmission in-between ATM, PARP1, and IKKγ. Deconvolution strategies, including derivatization and in vitro testing in multi-kinase panels, yielded shared targets, cdc-like kinase (CLK) 2 and 4, as essential regulators of DNA damage-induced IKK and NF-κB activity. Both leads sensitize to DNA damaging agents by increasing p53-induced apoptosis, thereby reducing cancer cell viability. We propose that our lead compounds and derivatives can be used in context of genotoxic therapy-induced or ongoing DNA damage to increase tumor cell apoptosis, which may be beneficial in cancer treatment.
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  • 文章类型: Journal Article
    背景:为患者报告的结果(PRO)建立的阈值提供了来自试验的临床相关应答者数据。Lorecivivint(LOR)是一种开发用于膝骨关节炎(OA)的关节内(IA)疗法。来自2b期试验(NCT03122860)的事后分析确定了LOR应答者的比例。
    方法:24周,0.07mgLOR的随机试验显示,在中重度膝关节OA参与者中,与PBO相比,PRO改善.接受LOR和PBO治疗的参与者在第12周和第24周疼痛数字评定量表(NRS)中达到30%/50%/70%的改善,WOMAC疼痛/功能分量表,患者全球评估(PtGA),并确定了OMERACT-OARSI应答者标准。将赔率比(ORs)和95%置信区间[CIs]与PBO进行比较。
    结果:LOR和PBO组中有115和116名参与者,分别。对于疼痛NRS,LOR增加OR达到30%[第12周,OR=2.47(1.45,4.19),P<0.001;第24周,OR=2.37(1.40,4.02),P<0.01]和50%[第24周,OR=1.89(1.11,3.23),P<0.05]相对于基线的改善。对于WOMAC疼痛,LOR增加OR达到30%[第24周,OR=1.79(1.06,3.01),P<0.05和50%[第12周,OR=1.79(1.06,3.03),P<0.05;第24周,OR=1.73(1.02,2.93),P<0.05]改善。对于WOMAC功能,LOR增加OR达到30%[第12周,OR=1.85(1.10,3.12),P<0.05;第24周,OR=1.93(1.14,3.26),P<0.05]改善。对于PtGA,LOR增加OR达到50%[第12周,OR=2.28(1.25,4.16),P<0.01]改善。LOR在70%阈值处产生数值增加。LOR增加实现OMERACT-OARSI反应的OR[第12周,OR=2.21(1.29,3.78);P<0.01;第24周,OR=2.57(1.49,4.43),P<0.001和严格的反应[第12周,OR=2.13(1.26,3.61),P<0.01;第24周,OR=2.05(1.21,3.47),P<0.01]。
    结论:LOR(0.07mg)在单一和复合疼痛测量中显示出改善的PRO阈值反应,函数,以及与PBO相比的患者全球评估,受益持续至24周。
    Lorecivivint(LOR)是一种新的可注射药物,正在研究用于治疗膝骨关节炎(OA)。一项早期(2b期)试验发现,平均而言,接受LOR的中度至重度膝关节OA参与者的疼痛有所改善。函数,与安慰剂相比,24周内OA症状的影响降低。考虑个体对治疗有多大反应的可能性,这项研究分析了每组有多少参与者达到不同的症状改善百分比水平.在试验开始时,参与者被给予单次LOR或安慰剂注射到他们最疼痛的(目标)膝盖中。参与者使用疼痛和功能问卷报告了他们从第1天(基线)到第24周的目标膝关节状态。我们分析了在第12周和第24周,给予0.07mgLOR和安慰剂的参与者的数量,这些参与者的症状评分比基线评分提高了30%,50%和70%。结果显示,与安慰剂相比,0.07mgLOR治疗在第12周的某些疼痛和功能评分改善30%,其他症状评分改善50%的可能性更高。在第24周发现类似的30%和50%症状评分改善。更复杂的分数,将个体症状评分组合成单一指标,在第12周和第24周时,与安慰剂相比,0.07mgLOR与基线相比也显示出超出偶然性的改善.因此,更多接受0.07mgLOR治疗的膝关节OA参与者表现出持久的,与给予安慰剂相比,疼痛和功能有意义的改善。
    BACKGROUND: Established thresholds for patient-reported outcomes (PROs) provide clinically relevant responder data from trials. Lorecivivint (LOR) is an intra-articular (IA) therapy in development for knee osteoarthritis (OA). A post hoc analysis from a phase 2b trial (NCT03122860) determined proportions of LOR responders.
    METHODS: A 24-week, randomized trial of 0.07 mg LOR demonstrated PRO improvements compared with PBO in moderate-to-severe knee OA participants. Participants treated with LOR and PBO achieving 30%/50%/70% improvements at weeks 12 and 24 in Pain Numeric Rating Scale (NRS), WOMAC Pain/Function subscales, Patient Global Assessment (PtGA), and OMERACT-OARSI responder criteria were determined. Odds ratios (ORs) and 95% confidence intervals [CIs] were compared with PBO.
    RESULTS: There were 115 and 116 participants in the LOR and PBO groups, respectively. For Pain NRS, LOR increased ORs of achieving 30% [week 12, OR = 2.47 (1.45, 4.19), P < 0.001; week 24, OR = 2.37 (1.40, 4.02), P < 0.01] and 50% [week 24, OR = 1.89 (1.11, 3.23), P < 0.05] improvements over baseline. For WOMAC Pain, LOR increased ORs of achieving 30% [week 24, OR = 1.79 (1.06, 3.01), P < 0.05] and 50% [week 12, OR = 1.79 (1.06, 3.03), P < 0.05; week 24, OR = 1.73 (1.02, 2.93), P < 0.05] improvements. For WOMAC Function, LOR increased ORs of achieving 30% [week 12, OR = 1.85 (1.10, 3.12), P < 0.05; week 24, OR = 1.93 (1.14, 3.26), P < 0.05] improvements. For PtGA, LOR increased ORs of achieving 50% [week 12, OR = 2.28 (1.25, 4.16), P < 0.01] improvements. LOR produced numerical increases at the 70% threshold. LOR increased ORs of achieving OMERACT-OARSI responses [week 12, OR = 2.21 (1.29, 3.78); P < 0.01; week 24, OR = 2.57 (1.49, 4.43), P < 0.001] and strict responses [week 12, OR = 2.13 (1.26, 3.61), P < 0.01; week 24, OR = 2.05 (1.21, 3.47), P < 0.01].
    CONCLUSIONS: LOR (0.07 mg) demonstrated improved PRO threshold responses across single and composite measures of pain, function, and patient global assessment compared with PBO, with benefits sustained to 24 weeks.
    Lorecivivint (LOR) is a new injectable medicine being studied as a treatment for knee osteoarthritis (OA). An early (phase 2b) trial found participants with moderate-to-severe knee OA receiving LOR on average reported improved pain, function, and reduced impact of OA symptoms over 24 weeks compared with placebo. To consider how likely individuals were to respond to treatment, this study analyzed how many participants per group achieved different percentage levels of symptom improvement. Participants were given a single LOR or placebo injection into their most painful (target) knee at trial initiation. Participants reported their target knee status from day 1 (baseline) to week 24 using pain and function questionnaires. We analyzed the number of participants given 0.07 mg LOR and placebo whose symptom scores improved by 30, 50, and 70% over baseline scores at weeks 12 and 24. Results showed that 0.07 mg LOR treatment produced a higher likelihood beyond chance at week 12 of achieving a 30% improvement in some pain and function scores and a 50% improvement in other symptom scores compared with placebo. Similar 30% and 50% symptom score improvements were found at week 24. More complex scores, combining individual symptom scores into single index measures, also showed improvements beyond chance for 0.07 mg LOR from baseline compared with placebo at weeks 12 and 24. Thus, more participants with knee OA who were treated with 0.07 mg LOR demonstrated long-lasting, meaningful improvements in pain and function compared to those given placebo.
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