Targeting loop3 of sclerostin preserves its cardiovascular protective action and promotes bone formation

Author:

Yu YuanyuanORCID,Wang Luyao,Ni Shuaijian,Li Dijie,Liu JinORCID,Chu Hang Yin,Zhang Ning,Sun Meiheng,Li Nanxi,Ren Qing,Zhuo ZhenjianORCID,Zhong Chuanxin,Xie Duoli,Li Yongshu,Zhang Zong-KangORCID,Zhang Huarui,Li Mei,Zhang Zhenlin,Chen LinORCID,Pan Xiaohua,Xia Weibo,Zhang Shu,Lu AipingORCID,Zhang Bao-TingORCID,Zhang GeORCID

Abstract

AbstractSclerostin negatively regulates bone formation by antagonizing Wnt signalling. An antibody targeting sclerostin for the treatment of postmenopausal osteoporosis was approved by the U.S. Food and Drug Administration, with a boxed warning for cardiovascular risk. Here we demonstrate that sclerostin participates in protecting cardiovascular system and inhibiting bone formation via different loops. Loop3 deficiency by genetic truncation could maintain sclerostin’s protective effect on the cardiovascular system while attenuating its inhibitory effect on bone formation. We identify an aptamer, named aptscl56, which specifically targets sclerostin loop3 and use a modified aptscl56 version, called Apc001PE, as specific in vivo pharmacologic tool to validate the above effect of loop3. Apc001PE has no effect on aortic aneurysm and atherosclerotic development in ApoE−/− mice and hSOSTki.ApoE−/− mice with angiotensin II infusion. Apc001PE can promote bone formation in hSOSTki mice and ovariectomy-induced osteoporotic rats. In summary, sclerostin loop3 cannot participate in protecting the cardiovascular system, but participates in inhibiting bone formation.

Publisher

Springer Science and Business Media LLC

Subject

General Physics and Astronomy,General Biochemistry, Genetics and Molecular Biology,General Chemistry,Multidisciplinary

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