Selective inhibition of BTK prevents murine lupus and antibody-mediated glomerulonephritis
Abstract
Autoantibody production and immune complex deposition within the kidney promote renal disease in patients with lupus nephritis. Thus, therapeutics that inhibit these pathways may be efficacious in the treatment of systemic lupus erythematosus. Bruton's tyrosine kinase (BTK) is a critical signaling component of both BCR and FcR signaling. We sought to assess the efficacy of inhibiting BTK in the development of lupus-like disease, and in this article describe (R)-5-amino-1-(1-cyanopiperidin-3-yl)-3-(4-[2,4-difluorophenoxy]phenyl)-1H-pyrazole-4-carboxamide (PF-06250112), a novel highly selective and potent BTK inhibitor. We demonstrate in vitro that PF-06250112 inhibits both BCR-mediated signaling and proliferation, as well as FcR-mediated activation. To assess the therapeutic impact of BTK inhibition, we treated aged NZBxW_F1 mice with PF-06250112 and demonstrate that PF-06250112 significantly limits the spontaneous accumulation of splenic germinal center B cells and plasma cells. Correspondingly, anti-dsDNA and autoantibody levels were reduced in a dose-dependent manner. Moreover, administration of PF-06250112 prevented the development of proteinuria and improved glomerular pathology scores in all treatment groups. Strikingly, this therapeutic effect could occur with only a modest reduction observed in anti-dsDNA titers, implying a critical role for BTK signaling in disease pathogenesis beyond inhibition of autoantibody production. We subsequently demonstrate that PF-06250112 prevents proteinuria in an FcR-dependent, Ab-mediated model of glomerulonephritis. Importantly, these results highlight that BTK inhibition potently limits the development of glomerulonephritis by impacting both cell- and effector molecule-mediated pathways. These data provide support for evaluating the efficacy of BTK inhibition in systemic lupus erythematosus patients.
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Several studies reported successful conversion of either a reversible ibrutinib scaffold or a different noncovalent analog derived from a previously published covalent BTK inhibitor into BTK degraders.
“Subsequently, several studies reported successful conversion of either a reversible ibrutinib scaffold 42,43 or a different noncovalent analog derived from a previously published covalent BTK inhibitor 44,45 into BTK degraders.”
From Bruton tyrosine kinase degradation as a therapeutic strategy for cancer (2019) · cites this paper as [45]
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- Authors
- Rankin, A. L., Seth, N., Keegan, S., Andreyeva, T., Cook, T. A., Edmonds, J., Mathialagan, N., Benson, M. J., Syed, J., Zhan, Y., Benoit, S. E., Miyashiro, J. S., Wood, N., Mohan, S., Peeva, E., Ramaiah, S. K., Messing, D., Homer, B. L., Dunussi-Joannopoulos, K., Nickerson-Nutter, C. L., Schnute, M. E., & Douhan, J.
- Affiliations
- Pfizer (United States) (US)
- Immunoscience, Pfizer Research , Cambridge, MA 02140
- Corresponding author
- Seth, Nilufer
- Keegan, Sean
- Andreyeva, Tatyana
- Edmonds, Jason
- Wood, Nancy
- Mohan, Shashi
- ORCID
- Venue
- The Journal of Immunology
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-11-01
- Volume
- 191
- Issue
- 9
- Pages
- 4540-4550
- ISSN
- 0022-1767 (ISSN-L)
- 1550-6606
- OpenAlex
- W2163431182
- Cited by
- 113
- References
- 52
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 6 · 2023: 7 · 2022: 8 · 2021: 11 · 2020: 15 · 2019: 9 · 2018: 17 · 2017: 10 · 2016: 11 · 2015: 6 · 2014: 7
- FWCI
- 6.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Immunology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Systemic Lupus Erythematosus Research
- Health Sciences › Medicine › Nephrology › Renal Diseases and Glomerulopathies
- Health Sciences › Medicine › Complementary and alternative medicine › Natural Compounds in Disease Treatment
- Keywords
- Bruton's tyrosine kinase, BTK inhibition, systemic lupus erythematosus, lupus nephritis, autoantibody production, anti-dsDNA antibodies, B cell receptor signaling, Fc receptor signaling, germinal center B cells, plasma cells, proteinuria, NZB/W F1 mice, autoimmunity
- MeSH terms
- Agammaglobulinaemia Tyrosine Kinase, Animals, B-Lymphocytes, Disease Models, Animal, Female, Glomerulonephritis, Kidney, Lupus Erythematosus, Systemic, Lymphocyte Activation, Mice, Inbred NZB, Piperidines, Plasma Cells, Protein-Tyrosine Kinases, Pyrazoles, Receptors, Fc, T-Lymphocytes, Signal Transduction, Germinal Center, Cell Proliferation, Mice
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