Inflammatory myopathies

Mitochondrial transplantation as a novel therapeutic approach in idiopathic inflammatory myopathy

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

PN-101 transplantation could serve as a novel treatment for IIM by enhancing mitochondrial repair and reducing inflammation in muscle tissues.

Study context

Population
Idiopathic inflammatory myopathy (IIM) myoblasts from patients, C2C12 perforin/granzyme B-treated myoblasts, CIM mice; adult patients with refractory PM or DM (trial)phase 1/2a trial patients
Participants
9 participants
Comparison
PN-101 transplantation; trial outcomes vs baseline
  • PN-101n = 9
Methodological detailsin vitro and in vivo IIM models, first-in-human phase 1/2a prospective clinical trial
  • In vitro and in vivo IIM models
  • First-in-human phase 1/2a prospective clinical trial

Main finding

As reported in the abstract

  • IIM patient myoblasts showed defects in mitochondrial function and myogenesis
  • PN-101 enhanced muscle differentiation and mitochondrial function in IIM myoblasts
  • PN-101 enhanced intracellular ATP content, cell viability and myogenesis in C2C12 perforin/granzyme B-treated myoblasts
  • In CIM mice, PN-101 reduced myositis severity via anti-inflammatory effects and restored the CIM-induced metabolic shift
  • Trial: at least minimal improvement in IMACS Total Improvement Scores vs baseline

Safety

No severe adverse drug reactions with PN-101
  • Phase 1/2a trial, 9 adult patients with refractory polymyositis or dermatomyositis

Original publication

Mitochondrial transplantation as a novel therapeutic approach in idiopathic inflammatory myopathy. Ann Rheum Dis. Published 31 January 2025. doi:10.1016/j.ard.2024.11.005

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