抗血小板薬が骨を伸ばす~ホスホジエステラーゼ3阻害薬が軟骨細胞内Ca2+シグナルを活性化し骨を伸ばすことを発見~

ad

2025-06-09 京都大学

抗血小板薬が骨を伸ばす~ホスホジエステラーゼ3阻害薬が軟骨細胞内Ca2+シグナルを活性化し骨を伸ばすことを発見~

ホスホジエステラーゼ3(PDE3)阻害薬は、軟骨細胞内のCa²⁺シグナルを活性化し、骨の伸長を促すことが明らかになりました。京都大学と立命館大学などの研究チームは、心血管治療薬として使われるPDE3阻害薬(例:シロスタゾール)が、Ca²⁺流入を増加させ軟骨細胞の細胞外基質分泌を促進し、軟骨成長を加速させることを発見。動物実験でも骨成長が確認され、骨成長障害の新たな治療法につながる可能性が示されました。

<関連情報>

ホスホジエステラーゼ3阻害剤が骨の成長を促進する Phosphodiesterase 3 inhibitors boost bone outgrowth

Takaaki Kawabe, Atsuhiko Ichimura, Tomoki Yasue, Jianhong Li, Haruki Ishikawa, Ga Eun Kim, Hiroki Nagatomo, Naoto Minamino, Yohei Ueda, Hiromu Ito, Miyuki Nishi, Hiroshi Takeshima
British Journal of Pharmacology  Published: 02 June 2025
DOI:https://doi.org/10.1111/bph.70087

Abstract

Background and Purpose

C-type natriuretic peptide (CNP) stimulates skeletal growth by acting on the growth plates of long bones, and a CNP variant is clinically used for achondroplasia treatment. We previously reported that CNP stimulates the autonomic Ca2+ influx mediated by TRPM7 channels in growth plate chondrocytes to facilitate extracellular matrix synthesis for bone growth. In this study, we attempted to stimulate CNP signalling using phosphodiesterase (PDE) inhibitors.

Experimental Approach

Based on gene expression data, we focused on the role of PDE3B in growth plates. We performed imaging, biochemical and histological analyses in growth plate chondrocytes and ex vivo and in vivo analyses on bone and skeletal growth to address the pharmacological effects of PDE3 inhibitors.

Key Results

The representative PDE3 inhibitors cilostazol and milrinone elevated cGMP levels and activated cell-surface K+ channels probably due to protein kinase G-mediated phosphorylation in growth plate chondrocytes. The resulting hyperpolarization likely facilitated TRPM7-mediated Ca2+ influx by increasing the Ca2+-driving force. Moreover, cilostazol stimulated the elongation of cultured bones and enlarged the body size of juvenile mice.

Conclusion and Implications

Several PDE3 inhibitors have been used for clinical treatment of thrombosis, heart failure and asthma, while our observations suggest that the repositioning of PDE3 inhibitors would provide novel medications for skeletal diseases characterized by short stature.

有機化学・薬学
ad
ad
Follow
ad
タイトルとURLをコピーしました