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Meclozine facilitates proliferation and differentiation of chondrocytes by attenuating abnormally activated FGFR3 signaling in achondroplasia.
[achondroplasia]
Achondroplasia
(
ACH
)
is
one
of
the
most
common
skeletal
dysplasias
with
short
stature
caused
by
gain-of-function
mutations
in
FGFR
3
encoding
the
fibroblast
growth
factor
receptor
3
.
We
used
the
drug
repositioning
strategy
to
identify
an
FDA-approved
drug
that
suppresses
abnormally
activated
FGFR
3
signaling
in
ACH
.
We
found
that
meclozine
,
an
anti-histamine
drug
that
has
long
been
used
for
motion
sickness
,
facilitates
chondrocyte
proliferation
and
mitigates
loss
of
extracellular
matrix
in
FGF
2
-
treated
rat
chondrosarcoma
(
RCS
)
cells
.
Meclozine
also
ameliorated
abnormally
suppressed
proliferation
of
human
chondrosarcoma
(
HCS
-
2
/
8
)
cells
that
were
infected
with
lentivirus
expressing
constitutively
active
mutants
of
FGFR
3
-
K
650
E
causing
thanatophoric
dysplasia
,
FGFR
3
-
K
650
M
causing
SADDAN
,
and
FGFR
3
-
G
380
R
causing
ACH
.
Similarly
,
meclozine
alleviated
abnormally
suppressed
differentiation
of
ATDC
5
chondrogenic
cells
expressing
FGFR
3
-
K
650
E
and
-
G
380
R
in
micromass
culture
.
We
also
confirmed
that
meclozine
alleviates
FGF
2
-
mediated
longitudinal
growth
inhibition
of
embryonic
tibia
in
bone
explant
culture
.
Interestingly
,
meclozine
enhanced
growth
of
embryonic
tibia
in
explant
culture
even
in
the
absence
of
FGF
2
treatment
.
Analyses
of
intracellular
FGFR
3
signaling
disclosed
that
meclozine
downregulates
phosphorylation
of
ERK
but
not
of
MEK
in
FGF
2
-
treated
RCS
cells
.
Similarly
,
meclozine
enhanced
proliferation
of
RCS
cells
expressing
constitutively
active
mutants
of
MEK
and
RAF
but
not
of
ERK
,
which
suggests
that
meclozine
downregulates
the
FGFR
3
signaling
by
possibly
attenuating
ERK
phosphorylation
.
We
used
the
C-
natriuretic
peptide
(
CNP
)
as
a
potent
inhibitor
of
the
FGFR
3
signaling
throughout
our
experiments
,
and
found
that
meclozine
was
as
efficient
as
CNP
in
attenuating
the
abnormal
FGFR
3
signaling
.
We
propose
that
meclozine
is
a
potential
therapeutic
agent
for
treating
ACH
and
other
FGFR
3
-
related
skeletal
dysplasias
.
Diseases
Validation
Diseases presenting
"treated rat chondrosarcoma (rcs) cells"
symptom
achondroplasia
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