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Unleashing innovative cross-organ fibrosis therapies by harnessing the omics revolution
Cynthia Lebeaupin, Katelyn L. Donahue, Ken Dower, Thomas A. Wynn, Kevin M. Hart, Thomas Fabre
Cynthia Lebeaupin, Katelyn L. Donahue, Ken Dower, Thomas A. Wynn, Kevin M. Hart, Thomas Fabre
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Review

Unleashing innovative cross-organ fibrosis therapies by harnessing the omics revolution

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Abstract

Fibrosis is a major cause of mortality and morbidity worldwide with limited therapeutic options. Our understanding of fibrosis has significantly improved and led to the identification of “core” fibrogenic mechanisms that fuel a self-sustaining vicious cycle following the initial insult. The fibrotic niche is the result of complex cellular and molecular interactions that need to be disrupted to achieve transformational therapies. In this Review, we describe the current understanding of fibrogenic mechanisms, the progress and limitations of omics approaches in the identification of novel fibrotic pathways, and advances in therapeutic modalities that all together have the potential to unleash innovative cross-organ antifibrotic therapies.

Authors

Cynthia Lebeaupin, Katelyn L. Donahue, Ken Dower, Thomas A. Wynn, Kevin M. Hart, Thomas Fabre

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Figure 2

Representative overview of existing and novel therapeutic modalities.

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Representative overview of existing and novel therapeutic modalities.
Th...
Therapeutic modalities are organized from small (left) to large (right) molecules. Untargeted therapeutics are located on the top side of the figure while the bottom part represents cell-specific modalities. Each light color shading represents a specific modality: small molecules (blue), oligos (yellow), peptides (pink), large molecules (red), and cell depletion strategies (purple). Watercolor overlap highlights therapeutics combining different modalities, such as antibody drug-conjugate (ADC) or antibody oligo-conjugate (AOC). Nanoparticles deliver both small molecules and oligos can be further directed to relevant cell types when combined with a targeting arm (green). The left and right gradients show the relative impact (blue low, red high) of phenotypic omics and perturbation screen on the discovery of novel therapeutic targets (top) versus cell-targeting strategies (bottom).

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