Evidence map›Paper›PMID 30737086›Full record

ArticleEBioMedicine2019

PI3K inhibitors protect against glucocorticoid-induced skin atrophy.

Shivani Agarwal, Salida Mirzoeva, Ben Readhead, Joel T Dudley, Irina Budunova

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
5.1field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 43 citations in OpenAlex.

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  12. Nutritional Sensor REDD1 in Cancer and Inflammation: Friend or Foe?International journal of molecular sciences · 2022
    Review
  13. Article
  14. Article
  15. Review
  16. FKBP51 and the molecular chaperoning of metabolism.Trends in endocrinology and metabolism: TEM · 2021
    Review
  17. Article
  18. Article
  19. Article
  20. Article
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

5 authors at 3 institutions in 1 country.

Shivani AgarwalDepartment of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Salida MirzoevaDepartment of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Ben ReadheadASU-Banner Neurodegenerative Disease Research Center, Arizona State University, Tempe, AZ, USA.
Joel T DudleyInstitute for Next Generation Healthcare, Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Irina BudunovaDepartment of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. Electronic address: i-budunova@northwestern.edu.
Northwestern University · USArizona State University · USIcahn School of Medicine at Mount Sinai · US

Funding

The Role of Keratinocytes as Independent ThermosensorsP30AR057216 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI PALLER, AMY S · 2009 to 2018
$6.0M
REDD1 dissociates the therapeutic and adverse effects of glucocorticoids in skinR01AI125366 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BUDUNOVA, IRINA · 2017 to 2021
$2.4M
Integrative informatics approach to develop safe glucocorticoid therapiesR01GM112945 · NIGMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BUDUNOVA, IRINA, MA'AYAN, AVI · 2015 to 2018
$2.1M
NIAID NIH HHS R01 AI125366NIAMS NIH HHS P30 AR057216NIGMS NIH HHS R01 GM112945
6 · The paper itself

Abstract

backgroundSkin atrophy is a major adverse effect of topical glucocorticoids. We recently reported that REDD1 (regulated in development and DNA damage 1) and FKBP51 (FK506 binding protein 5), negative regulators of mTOR/Akt signaling, are induced by glucocorticoids in mouse and human skin and are central drivers of steroid skin atrophy. Thus, we hypothesized that REDD1/FKBP51 inhibitors could protect skin against catabolic effects of glucocorticoids.

methodsUsing drug repurposing approach, we screened LINCS library (http://lincsproject.org/LINCS/) to identify repressors of REDD1/FKBP51 expression. Candidate compounds were tested for their ability to inhibit glucocorticoid-induced REDD1/FKBP51 expression in human primary/immortalized keratinocytes and in mouse skin. Reporter gene expression, microarray, and chromatin immunoprecipitation were employed to evaluate effect of these inhibitors on the glucocorticoid receptor (GR) signaling.

findingsBioinformatics analysis unexpectedly identified phosphoinositide-3-kinase (PI3K)/mTOR/Akt inhibitors as a pharmacological class of REDD1/FKBP51 repressors. Selected PI3K/mTOR/Akt inhibitors-Wortmannin (WM), LY294002, AZD8055, and two others indeed blocked REDD1/FKBP51expression in human keratinocytes. PI3K/mTOR/Akt inhibitors also modified global effect of glucocorticoids on trascriptome, shifting it towards therapeutically important transrepression; negatively impacted GR phosphorylation; nuclear translocation; and GR loading on REDD1/FKBP51 gene promoters. Further, topical application of LY294002 together with glucocorticoid fluocinolone acetonide (FA) protected mice against FA-induced proliferative block and skin atrophy but did not alter the anti-inflammatory activity of FA in ear edema test.

interpretationOur results built a strong foundation for development of safer GR-targeted therapies for inflammatory skin diseases using combination of glucocorticoids with PI3K/mTOR/Akt inhibitors. FUND: Work is supported by NIH grants R01GM112945, R01AI125366, and HESI-THRIVE foundation.

Indexed as

Phosphoinositide-3 Kinase InhibitorsAnimalsAtrophyCells, CulturedCell SurvivalGlucocorticoidsHumansKeratinocytesMiceMice, Inbred C57BLPhosphatidylinositol 3-KinasesPhosphorylationProtein Kinase InhibitorsProto-Oncogene Proteins c-aktReceptors, GlucocorticoidSkinDDIT4 protein, humanGlucocorticoidsMTOR protein, humanPhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsProtein Kinase InhibitorsProto-Oncogene Proteins c-aktReceptors, GlucocorticoidTacrolimus Binding Protein 5Tacrolimus Binding ProteinsTOR Serine-Threonine KinasesTranscription FactorsWortmanninFKBP51Glucocorticoid receptormTORPI3K/mTOR/Akt inhibitorREDD1Skin atrophy

Identifiers

PMID30737086
PMCPMC6441871
OpenAlexW2912528843

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.