Image2_Stimulation of fracture mineralization by salt-inducible kinase inhibitors.TIF

Introduction<p>Over 6.8 million fractures occur annually in the US, with 10% experiencing delayed- or non-union. Anabolic therapeutics like PTH analogs stimulate fracture repair, and small molecule salt inducible kinase (SIK) inhibitors mimic PTH action. This study tests whether the SIK inhibi...

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Main Author: Kaveh Momenzadeh (12211739) (author)
Other Authors: Diana Yeritsyan (18151105) (author), Mohammadreza Abbasian (15228878) (author), Nadim Kheir (15228881) (author), Philip Hanna (8996036) (author), Jialiang Wang (115197) (author), Pere Dosta (15397185) (author), Garyfallia Papaioannou (19677814) (author), Sarah Goldfarb (19677817) (author), Cheng-Chia Tang (19677820) (author), Eliz Amar-Lewis (10097853) (author), Michaela Nicole Prado Larrea (19677823) (author), Edith Martinez Lozano (19677826) (author), Mohamed Yousef (19677829) (author), John Wixted (14914922) (author), Marc Wein (19677832) (author), Natalie Artzi (1424983) (author), Ara Nazarian (498350) (author)
Published: 2024
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Summary:Introduction<p>Over 6.8 million fractures occur annually in the US, with 10% experiencing delayed- or non-union. Anabolic therapeutics like PTH analogs stimulate fracture repair, and small molecule salt inducible kinase (SIK) inhibitors mimic PTH action. This study tests whether the SIK inhibitor YKL-05-099 accelerates fracture callus osteogenesis.</p>Methods<p>126 female mice underwent femoral shaft pinning and midshaft fracture, receiving daily injections of PBS, YKL-05-099, or PTH. Callus tissues were analyzed via RT-qPCR, histology, single-cell RNA-seq, and μCT imaging. Biomechanical testing evaluated tissue rigidity. A hydrogel-based delivery system for PTH and siRNAs targeting SIK2/SIK3 was developed and tested.</p>Results<p>YKL-05-099 and PTH-treated mice showed higher mineralized callus volume fraction and improved structural rigidity. RNA-seq indicated YKL-05-099 increased osteoblast subsets and reduced chondrocyte precursors. Hydrogel-released siRNAs maintained target knockdown, accelerating callus mineralization.</p>Discussion<p>YKL-05-099 enhances fracture repair, supporting selective SIK inhibitors’ development for clinical use. Hydrogel-based siRNA delivery offers targeted localized treatment at fracture sites.</p>