A high content screen for mucin-1-reducing compounds identifies fostamatinib as a candidate for rapid repurposing for acute lung injury
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Published version
Author(s)
Type
Journal Article
Abstract
Drug repurposing has the advantage of identifying potential treatments on a shortened timescale. 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 mucin-1 (MUC1) protein abundance. Elevated MUC1 levels predict the development of acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) and correlate with poor clinical outcomes. Our screen identifies 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 reduces MUC1 abundance in lung epithelial cells in a mouse model of ALI. In vitro, SYK inhibition by the active metabolite R406 promotes MUC1 removal from the cell surface. Our work suggests fostamatinib as a repurposing drug candidate for ALI.
Date Issued
2020-11-17
Date Acceptance
2020-10-13
Citation
Cell Reports Medicine, 2020, 1 (8), pp.1-15
ISSN
2666-3791
Publisher
Elsevier BV
Start Page
1
End Page
15
Journal / Book Title
Cell Reports Medicine
Volume
1
Issue
8
Copyright Statement
© 2020 The Author(s). This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Identifier
https://www.sciencedirect.com/science/article/pii/S2666379120301816?via%3Dihub
Subjects
ALI
ARDS
COVID-19
MUC1
SARS-CoV-2
acute lung injury
acute respiratory distress syndrome
drug repurposing
fostamatinib
Publication Status
Published
Article Number
100137
Date Publish Online
2020-10-29