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Drug found that induces apoptosis in myofibroblasts reducing fibrosis in scleroderma

(Medical Xpress)—An international team of researchers has found that the drug navitoclax can induce apoptosis (self-destruction) in myofibroblasts in mice, reducing the spread of fibrosis in scleroderma. In their paper published in the journal Science, the group describes their study of fibrosis in scleroderma and how they used what they learned to discover the healing effects of navitoclax.

In humans (and mice), fibrosis is seen as a type of scarring that causes damage to organs, sometimes leading to death. Prior research has shown that fibrosis is caused by myofibroblasts, which are cellsthat are normally involved in helping the body heal. But sometimes, they continue working even after the healing is over, causing scarring. The myofibroblasts continue working, the researchers explain, because they fail to self-destruct as they are supposed to. In this new effort, the researchers sought to learn more about this process by studying one form of fibrosis called scleroderma, which, as its name suggests, starts in the skin before moving to organs.

In taking a closer look at the myofibroblast cell, the researchers found that its mitochondria contained the type of protein normally involved in apoptosis, but the cell did not die—likely, they thought, because it was not being activated. That discovery led them to look at a family of proteins called BCL-2, which either induce or prevent the onset of apoptosis. Further study led to one particular protein called Bcl-xL, which stops apoptosis—they found it in abundance in myofibroblasts. That led them to wonder if there might be a drug that could reduce those levels, thereby allowing the cells to die a proper death. They noted that a drug called ABT-263, more easily remembered as the drug navitoclax, currently undergoing clinical trials as a cancer treatment, also did just what they were looking for.

Testing the drug in mice showed not only that they were on the right track, but that the drug could actually cause the myofibroblasts to die on schedule as they were supposed to, preventing new fibrosis from occurring. But they also noticed something else—the drug appeared to reduce existing fibrosis, as well, though the team could not explain why.

Much more work will have to be done with the drug before it can be considered as a treatment for fibrosis in humans, but at this time, the researchers note, it looks promising.

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Drug found that induces apoptosis in myofibroblasts reducing fibrosis in scleroderma

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