eprintid: 10194363 rev_number: 8 eprint_status: archive userid: 699 dir: disk0/10/19/43/63 datestamp: 2024-07-10 07:53:54 lastmod: 2025-07-03 06:10:07 status_changed: 2024-07-10 07:53:54 type: article metadata_visibility: show sword_depositor: 699 creators_name: Kent, Deniz creators_name: Ng, Soon Seng creators_name: Syanda, Adam M creators_name: Khoshkenar, Payam creators_name: Ronzoni, Riccardo creators_name: Li, Chao Zheng creators_name: Zieger, Marina creators_name: Greer, Cindy creators_name: Hatch, Stephanie creators_name: Segal, Joe creators_name: Blackford, Samuel Ji creators_name: Im, Yu Ri creators_name: Chowdary, Vivek creators_name: Ismali, Taylor creators_name: Danovi, Davide creators_name: Lewis, Patrick A creators_name: Irving, James A creators_name: Sahdeo, Sunil creators_name: Lomas, David A creators_name: Ebner, Daniel creators_name: Mueller, Christian creators_name: Rashid, S Tamir title: Reduction of Z alpha-1 antitrypsin polymers in human iPSC-hepatocytes and mice by LRRK2 inhibitors ispublished: inpress divisions: UCL divisions: B02 divisions: C10 divisions: D17 divisions: K71 note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. abstract: Alpha-1 antitrypsin deficiency (A1ATD) is a life-threatening condition caused by inheritance of the SERPINA1 ‘Z’ genetic variant (PiZ) driving AAT protein misfolding in hepatocytes. There remain no approved medicines for this disease. Here, we report the results of a small molecule screen performed in patient derived iPSC-hepatocytes that identified Leucine-rich repeat kinase-2 (LRRK2) as a potentially new therapeutic target. Of the commercially available LRRK2 inhibitors tested, we identified CZC-25146, a candidate with favorable pharmacokinetic properties, as being capable of reducing polymer load, increasing normal AAT secretion, and reducing inflammatory cytokines in both cells and PiZ mice. Mechanistically, this effect was achieved through induction of autophagy. Our findings support the use of CZC-25146 and LRRK2 inhibitors in hepatic proteinopathy research and their further investigation as novel therapeutic candidates for A1ATD. date: 2024-07-02 date_type: published publisher: Ovid Technologies (Wolters Kluwer Health) official_url: http://dx.doi.org/10.1097/hep.0000000000000969 oa_status: green full_text_type: other language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 2292044 doi: 10.1097/HEP.0000000000000969 pii: 01515467-990000000-00945 lyricists_name: Lomas, David lyricists_name: Ronzoni, Riccardo lyricists_id: DALOM96 lyricists_id: RRONZ71 actors_name: Flynn, Bernadette actors_id: BFFLY94 actors_role: owner full_text_status: public publication: Hepatology event_location: United States issn: 0270-9139 citation: Kent, Deniz; Ng, Soon Seng; Syanda, Adam M; Khoshkenar, Payam; Ronzoni, Riccardo; Li, Chao Zheng; Zieger, Marina; ... Rashid, S Tamir; + view all <#> Kent, Deniz; Ng, Soon Seng; Syanda, Adam M; Khoshkenar, Payam; Ronzoni, Riccardo; Li, Chao Zheng; Zieger, Marina; Greer, Cindy; Hatch, Stephanie; Segal, Joe; Blackford, Samuel Ji; Im, Yu Ri; Chowdary, Vivek; Ismali, Taylor; Danovi, Davide; Lewis, Patrick A; Irving, James A; Sahdeo, Sunil; Lomas, David A; Ebner, Daniel; Mueller, Christian; Rashid, S Tamir; - view fewer <#> (2024) Reduction of Z alpha-1 antitrypsin polymers in human iPSC-hepatocytes and mice by LRRK2 inhibitors. Hepatology 10.1097/HEP.0000000000000969 <https://doi.org/10.1097/HEP.0000000000000969>. (In press). Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10194363/1/reduction_of_z_alpha_1_antitrypsin_polymers_in.945.pdf