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Lysophosphatidic acid receptor 1 (LPAR1), also known as Endothelial differentiation gene-2 receptor (Edg2), was first discovered in the developing brain in 1996. Research showed that LPAR1 is enriched in the ventricular zone (VZ) of the embryonic cerebral cortex. Subsequently, researchers identified five other receptors in the LPAR family, including LPAR2, LPAR3, LPAR4, LPAR5, and LPAR6, all of which are expressed in the central nervous system (CNS).
LPAR1 is a 41 kDa protein composed of 364 amino acids, with its gene located on human chromosome 9 (9q31.3). As a G protein-coupled receptor (GPCR) on the cell surface, LPAR1 has a seven-transmembrane structure, forming 3 extracellular loops and 3 intracellular loops. It has a putative nuclear translocation signal, an N-terminal acidic domain, and a cysteine-rich C-terminal domain containing a putative zinc finger structure. The polypeptide sequence of LPAR1 is highly conserved during evolution, suggesting that it may be an important regulator of general nuclear function.
LPAR1 is widely expressed in various tissues and organs of the human body, particularly with high mRNA levels in the brain, heart, colon, small intestine, and placenta, but relatively lower in other organs and tissues. In the central nervous system, LPAR1 is present on various cell types, such as astrocytes, oligodendrocytes, microglia, and neurons.
Figure 1. LPA signaling causes G proteins to play different roles in the CNS. (Xiao D, et al., 2021)
The ligand for LPAR1 is lysophosphatidic acid (LPA), a bioactive phospholipid with a 1-acyl-sn-glycerol-3-phosphate structure. LPA is an extracellular signaling molecule present in all eukaryotic tissues and plasma, produced during cell membrane synthesis, and mediates extracellular signal transduction through interaction with specific G protein-coupled receptors.
After binding to LPAR1, LPA couples with G proteins (Gi/0, Gαq, and G12/13), subsequently activating second messenger pathways, participating in the regulation of cell proliferation, migration, survival, apoptosis, and morphological changes. Specifically:
Notably, LPAR1 with the P308S, I310T, and Y311H mutations might not interact with helix 8, leading to structural defects and retention of LPAR1 in the endoplasmic reticulum. In addition, mutation of LPAR1 can alter its intracellular activities, such as Ca2+ mobilization, inhibition of cAMP formation, and cytoskeletal changes, which are mainly mediated by Gq, Gi/o, and G12/13, respectively.
The company with the fastest research in this field is BMS, with reported compounds including BMS-986020, BMS-986234, and BMS-986278. All three compounds are effective antagonists of LPA1 but have different chemical structures.
Phase II clinical trial (NCT01766817) results showed that, compared to placebo, IPF patients receiving BMS-986020 600 mg BID treatment had significantly slower decline in pulmonary fibrosis scores from baseline to 26 weeks. However, this Phase II trial was forced to terminate due to hepatobiliary toxicity in clinical subjects. In addition to hepatobiliary toxicity, BMS-986020 has an unstable structure and is easily metabolized, resulting in very large clinical doses.
After restructuring, researchers obtained BMS-986278. BMS-986278 exhibits ideal physicochemical properties and metabolic stability, effectively inhibits LPA-stimulated calcium flux in human lung fibroblasts, significantly inhibits bleomycin-induced pulmonary fibrosis, and has significantly reduced potential hepatotoxicity. According to the results reported by the European Respiratory Society in 2023, the FDA has granted BMS-986278 breakthrough therapy designation, and BMS-986278 is currently in Phase III trials in IPF patients.
Besides BMS, in 2023, Amgen spent $27.8 billion to acquire Horizon Therapeutics, thereby obtaining its LPAR1 target drug fipaxalparant (HZN-825), which is currently in Phase II clinical research (NCT05032066).
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