Efficacy of cartilage-targeted IGF-1 in a mouse model of growth hormone insensitivity

Recombinant human IGF-1 is used to treat severe primary IGF-1 deficiency, but this treatment requires twice-daily injection, often does not fully correct the growth deficit, and has important off-target effects. We therefore sought to target IGF-1 to growth plate cartilage by generating fusion prote...

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Main Authors: Krishma Tailor, Janine van Ree, Timothy Stowe, Brit Ventura, Connor Sisk, Joanna Courtis, Anna Camp, Fatima Elzamzami, Jan van Deursen, Robert O’Brien, Jeffrey Baron, Julian C. Lui
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2024.1523931/full
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author Krishma Tailor
Krishma Tailor
Janine van Ree
Timothy Stowe
Brit Ventura
Connor Sisk
Joanna Courtis
Anna Camp
Fatima Elzamzami
Jan van Deursen
Robert O’Brien
Jeffrey Baron
Julian C. Lui
author_facet Krishma Tailor
Krishma Tailor
Janine van Ree
Timothy Stowe
Brit Ventura
Connor Sisk
Joanna Courtis
Anna Camp
Fatima Elzamzami
Jan van Deursen
Robert O’Brien
Jeffrey Baron
Julian C. Lui
author_sort Krishma Tailor
collection DOAJ
description Recombinant human IGF-1 is used to treat severe primary IGF-1 deficiency, but this treatment requires twice-daily injection, often does not fully correct the growth deficit, and has important off-target effects. We therefore sought to target IGF-1 to growth plate cartilage by generating fusion proteins combining IGF-1 with single-chain human antibody fragments that target matrilin-3, a cartilage matrix protein. We previously showed that this cartilage-targeting IGF-1 fusion protein (CV1574-1) promoted growth plate function in a GH-deficient (lit) mouse model. Here, we studied CV1574-1 in a second mouse model, C57BL/6 wild-type mice treated with pegvisomant to induce GH resistance. In this model, once-daily injections of CV1574-1 for 5 days partially restored the pegvisomant-induced decrease in growth plate height without increasing kidney cell proliferation. Furthermore, we found that subcutaneous CV1574-1 showed significantly reduced hypoglycemic effect compared to injection of IGF-1 itself. Lastly, to gain mechanistic insights into the role of matrilin-3 targeting, we assessed the ability of CV1574-1 to activate AKT signaling in vitro and found that CV1574-1 caused a prolonged increase in AKT signaling compared to IGF-1 and that this effect was dependent on matrilin-3. Taken together, our findings provide further evidence that cartilage-targeted therapy could provide new pharmacological approaches for the treatment of childhood growth disorders, such as GH-insensitivity syndrome.
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spelling doaj-art-3f51efaf93634be9b22d1e8ea09997b62025-01-09T16:00:46ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-01-011510.3389/fendo.2024.15239311523931Efficacy of cartilage-targeted IGF-1 in a mouse model of growth hormone insensitivityKrishma Tailor0Krishma Tailor1Janine van Ree2Timothy Stowe3Brit Ventura4Connor Sisk5Joanna Courtis6Anna Camp7Fatima Elzamzami8Jan van Deursen9Robert O’Brien10Jeffrey Baron11Julian C. Lui12Section on Growth and Development, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institute of Health, Bethesda, MD, United StatesCavalry Biosciences, Inc., San Francisco, CA, United StatesCavalry Biosciences, Inc., San Francisco, CA, United StatesCavalry Biosciences, Inc., San Francisco, CA, United StatesCavalry Biosciences, Inc., San Francisco, CA, United StatesSection on Growth and Development, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institute of Health, Bethesda, MD, United StatesSection on Growth and Development, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institute of Health, Bethesda, MD, United StatesSection on Growth and Development, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institute of Health, Bethesda, MD, United StatesSection on Growth and Development, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institute of Health, Bethesda, MD, United StatesCavalry Biosciences, Inc., San Francisco, CA, United StatesCavalry Biosciences, Inc., San Francisco, CA, United StatesSection on Growth and Development, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institute of Health, Bethesda, MD, United StatesSection on Growth and Development, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institute of Health, Bethesda, MD, United StatesRecombinant human IGF-1 is used to treat severe primary IGF-1 deficiency, but this treatment requires twice-daily injection, often does not fully correct the growth deficit, and has important off-target effects. We therefore sought to target IGF-1 to growth plate cartilage by generating fusion proteins combining IGF-1 with single-chain human antibody fragments that target matrilin-3, a cartilage matrix protein. We previously showed that this cartilage-targeting IGF-1 fusion protein (CV1574-1) promoted growth plate function in a GH-deficient (lit) mouse model. Here, we studied CV1574-1 in a second mouse model, C57BL/6 wild-type mice treated with pegvisomant to induce GH resistance. In this model, once-daily injections of CV1574-1 for 5 days partially restored the pegvisomant-induced decrease in growth plate height without increasing kidney cell proliferation. Furthermore, we found that subcutaneous CV1574-1 showed significantly reduced hypoglycemic effect compared to injection of IGF-1 itself. Lastly, to gain mechanistic insights into the role of matrilin-3 targeting, we assessed the ability of CV1574-1 to activate AKT signaling in vitro and found that CV1574-1 caused a prolonged increase in AKT signaling compared to IGF-1 and that this effect was dependent on matrilin-3. Taken together, our findings provide further evidence that cartilage-targeted therapy could provide new pharmacological approaches for the treatment of childhood growth disorders, such as GH-insensitivity syndrome.https://www.frontiersin.org/articles/10.3389/fendo.2024.1523931/fullshort staturematrilin-3GH-insensitivity syndromehypoglycemiadrug targeting
spellingShingle Krishma Tailor
Krishma Tailor
Janine van Ree
Timothy Stowe
Brit Ventura
Connor Sisk
Joanna Courtis
Anna Camp
Fatima Elzamzami
Jan van Deursen
Robert O’Brien
Jeffrey Baron
Julian C. Lui
Efficacy of cartilage-targeted IGF-1 in a mouse model of growth hormone insensitivity
Frontiers in Endocrinology
short stature
matrilin-3
GH-insensitivity syndrome
hypoglycemia
drug targeting
title Efficacy of cartilage-targeted IGF-1 in a mouse model of growth hormone insensitivity
title_full Efficacy of cartilage-targeted IGF-1 in a mouse model of growth hormone insensitivity
title_fullStr Efficacy of cartilage-targeted IGF-1 in a mouse model of growth hormone insensitivity
title_full_unstemmed Efficacy of cartilage-targeted IGF-1 in a mouse model of growth hormone insensitivity
title_short Efficacy of cartilage-targeted IGF-1 in a mouse model of growth hormone insensitivity
title_sort efficacy of cartilage targeted igf 1 in a mouse model of growth hormone insensitivity
topic short stature
matrilin-3
GH-insensitivity syndrome
hypoglycemia
drug targeting
url https://www.frontiersin.org/articles/10.3389/fendo.2024.1523931/full
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