Evidence map›Paper›PMID 30018450›Full record

ArticleScientific reports2018

Small molecule inhibition of RAS/MAPK signaling ameliorates developmental pathologies of Kabuki Syndrome.

I-Chun Tsai, Kelly McKnight, Spencer U McKinstry, Andrew T Maynard, Perciliz L Tan, Christelle Golzio, C Thomas White, Daniel J Price, Erica E Davis, Heather Amrine-Madsen and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 39 citations in OpenAlex.

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  17. Germline-Activating RRAS2 Mutations Cause Noonan Syndrome.American journal of human genetics · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

I-Chun TsaiCenter for Human Disease Modeling, Duke University School of Medicine, Durham, NC, 27701, USA.
Kelly McKnightCenter for Human Disease Modeling, Duke University School of Medicine, Durham, NC, 27701, USA.
Spencer U McKinstryCenter for Human Disease Modeling, Duke University School of Medicine, Durham, NC, 27701, USA.
Andrew T MaynardTarget Sciences, GlaxoSmithKline, Research Triangle Park, NC, 27709, USA.
Perciliz L TanCenter for Human Disease Modeling, Duke University School of Medicine, Durham, NC, 27701, USA.ORCID 0000-0002-1918-2647
Christelle GolzioCenter for Human Disease Modeling, Duke University School of Medicine, Durham, NC, 27701, USA.
C Thomas WhiteTarget Sciences, GlaxoSmithKline, Research Triangle Park, NC, 27709, USA.
Daniel J PricePlatform Technology and Science, GlaxoSmithKline, Research Triangle Park, NC, 27709, USA.
Erica E DavisCenter for Human Disease Modeling, Duke University School of Medicine, Durham, NC, 27701, USA.ORCID 0000-0002-2412-8397
Heather Amrine-MadsenTarget Sciences, GlaxoSmithKline, Research Triangle Park, NC, 27709, USA.
Nicholas KatsanisCenter for Human Disease Modeling, Duke University School of Medicine, Durham, NC, 27701, USA. nicholas.katsanis@duke.edu.
Duke University · USResearch Triangle Park Foundation · US

Funding

Research Project 3P50DK096415 · NIDDK · DUKE UNIVERSITY · PI HAUSER, MICHAEL A · 2012 to 2016
$4.2M
NIDDK NIH HHS P50 DK096415
6 · The paper itself

Abstract

Kabuki Syndrome (KS) is a rare disorder characterized by distinctive facial features, short stature, skeletal abnormalities, and neurodevelopmental deficits. Previously, we showed that loss of function of RAP1A, a RAF1 regulator, can activate the RAS/MAPK pathway and cause KS, an observation recapitulated in other genetic models of the disorder. These data suggested that suppression of this signaling cascade might be of therapeutic benefit for some features of KS. To pursue this possibility, we performed a focused small molecule screen of a series of RAS/MAPK pathway inhibitors, where we tested their ability to rescue disease-relevant phenotypes in a zebrafish model of the most common KS locus, kmt2d. Consistent with a pathway-driven screening paradigm, two of 27 compounds showed reproducible rescue of early developmental pathologies. Further analyses showed that one compound, desmethyl-Dabrafenib (dmDf), induced no overt pathologies in zebrafish embryos but could rescue MEK hyperactivation in vivo and, concomitantly, structural KS-relevant phenotypes in all KS zebrafish models (kmt2d, kmd6a and rap1). Mass spectrometry quantitation suggested that a 100 nM dose resulted in sub-nanomolar exposure of this inhibitor and was sufficient to rescue both mandibular and neurodevelopmental defects. Crucially, germline kmt2d mutants recapitulated the gastrulation movement defects, micrognathia and neurogenesis phenotypes of transient models; treatment with dmDf ameliorated all of them significantly. Taken together, our data reinforce a causal link between MEK hyperactivation and KS and suggest that chemical suppression of BRAF might be of potential clinical utility for some features of this disorder.

Indexed as

Abnormalities, MultipleAnimalsCraniofacial AbnormalitiesFaceHematologic DiseasesImidazolesJaw AbnormalitiesMAP Kinase Signaling SystemOximesProtein Kinase InhibitorsProto-Oncogene Proteins p21(ras)Toxicity TestsVestibular DiseasesZebrafishdabrafenibImidazolesOximesProtein Kinase InhibitorsProto-Oncogene Proteins p21(ras)

Identifiers

PMID30018450
PMCPMC6050262
OpenAlexW2845798836

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.