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Selective targeting of endothelial and perivascular angiocrine ROCK2 treats liver fibrosis - PubMed

5 days ago
  • #ROCK2 inhibitor
  • #liver fibrosis
  • #angiocrine signaling
  • Liver fibrosis is a significant pathological process leading to death in hepatic diseases, including metabolic dysfunction-associated steatohepatitis (MASH).
  • Upregulation of Rho-associated coiled-coil containing kinase 2 (ROCK2) in liver endothelial cells (ECs) and perivascular hepatic stellate cells (HSCs) causes vascular niche dysfunction and pro-fibrotic signaling.
  • A selective ROCK2 inhibitor, TDI01, was developed, showing anti-fibrotic effects in preclinical models and human patients.
  • TDI01 restored vascular phenotype and reduced fibrosis in rodent and minipig MASH models.
  • Phase 1 and extended clinical trials demonstrated TDI01's favorable pharmacokinetics, safety, and a trend toward reducing liver fibrosis in patients.
  • Targeting angiocrine ROCK2 may provide a new treatment for liver fibrosis.