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- Title
An activin receptor IIA ligand trap promotes erythropoiesis resulting in a rapid induction of red blood cells and haemoglobin.
- Authors
Carrancio, Soraya; Markovics, Jennifer; Wong, Piu; Leisten, Jim; Castiglioni, Paola; Groza, Matthew C.; Raymon, Heather K.; Heise, Carla; Daniel, Tom; Chopra, Rajesh; Sung, Victoria
- Abstract
Sotatercept ( ACE-011), a recombinant human fusion protein containing the extracellular domain of the human Activin receptor IIA, binds to and inhibits activin and other members of the transforming growth factor -β ( TGF-β) superfamily. Administration of sotatercept led to a rapid and sustained increase in red blood cell ( RBC) count and haemoglobin (Hb) in healthy volunteers (phase I clinical trials), but the mechanism is not fully understood. Mice treated with RAP-011 (murine ortholog of ACE-011) respond with a rapid (within 24 h) increase in haematocrit, Hb, and RBC count. These effects are accompanied by an equally rapid stimulation of late-stage erythroid precursors in the bone marrow ( BM). RAP-011 also induces a significant increase in erythroid burst-forming units and erythropoietin, which could contribute to additional, sustained effects on RBC production. Further in vitro co-culture studies demonstrate that BM accessory cells are required for RAP-011 effects. To better understand which TGF-β family ligand(s) mediate RAP-011 effects, we evaluated the impact of several of these ligands on erythroid differentiation. Our data suggest that RAP-011 may act to rescue growth differentiation factor 11/Activin A-induced inhibition of late-stage erythropoiesis. These data define the mechanism of action of a novel agent that regulates RBC differentiation and provide the rationale to develop sotatercept for the treatment of anaemia and ineffective erythropoiesis.
- Subjects
ACTIVIN receptors; ERYTHROCYTES; HEMOGLOBINS; ANEMIA treatment; ERYTHROPOIESIS; ERYTHROPOIETIN
- Publication
British Journal of Haematology, 2014, Vol 165, Issue 6, p870
- ISSN
0007-1048
- Publication type
Article
- DOI
10.1111/bjh.12838